Recruiting

Observational Study

Sponsor:

George Washington University

Code:

NCT06525259

Conditions

Diabetes Mellitus Type 2, Childhood-Onset

Eligibility Criteria

Sex: All

Age: 8 - 15

Healthy Volunteers: Not accepted

Study Details

Brief summary:

The goal of the DISCOVERY study is to provide innovative critical information regarding the unique natural history of glycemic control, insulin sensitivity, and β-cell function, and their mechanistic determinates, in obese adolescents at risk for developing type 2 diabetes.

Conditions

Diabetes Mellitus Type 2, Childhood-Onset

Study ID

NCT06525259

Start date

Oct 1, 2024

Status verified date

Apr, 2026

Completion date

Jan 31, 2028

Anticipated

Primary completion date

Jan 31, 2028

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 8 - 15

Healthy Volunteers: Not accepted

Inclusion Criteria:

Screening will occur to enrich the yield of individuals who are highly predisposed to develop youth-onset T2D and include those with all of the following criteria:

  • Overweight or obesity with BMI ≥85th percentile
  • Age 8-13 year for girls, 9-15 year for boys (inclusion younger for girls as puberty tends to start a year earlier in girls)
  • Tanner Stage 2, 3, or 4
  • Elevated HbA1c 5.5-6.4%

Exclusion Criteria:

An individual who meets any of the following criteria will be excluded from participation:

  • Diabetes based on history, or HbA1c ≥6.5% in the medical record or at screening
  • Unable/unwilling to provide consent/participate fully
  • Conditions predisposing to diabetes or altering the trajectory of puberty
  • Medications affecting glucose dynamics during the screening and enrollment period
  • Prior treatment with insulin
  • Use of glucagon-like peptide-1 (GLP-1) receptor agonist or any weight loss medications in the 6 weeks prior to enrollment
  • Planning treatment with glucagon-like peptide-1 (GLP-1) receptor agonist or any weight loss medications
  • Use of metformin or any glucose lowering medication for a reason other than treatment of diabetes (e.g., for PCOS) in the 6 weeks prior to enrollment
  • Planning treatment with metformin or any glucose lowering medication or planning to use such medications for a reason other than treatment of diabetes (e.g., for PCOS)
  • Known syndromic/monogenic obesity
  • Blood disorders impacting HbA1c (e.g., anemia, hemoglobin variants)
  • Major systemic organ disease
  • History of bariatric surgery or currently planning bariatric surgery
  • Current pregnancy or currently planning pregnancy
  • Use of GnRH agonist, estrogen, or testosterone
  • Individuals who do not speak English or Spanish, given validation of the questionnaires to be utilized

Study Design

Enrollment

3600 participants

Anticipated

Interventions and Outcome Measures

Primary outcome measure

  • Type 2 diabetes [ Time Frame: Through study completion, an average of 2.5 years ]

Central Contacts and Locations

Central contacts

Locations

University of Alabama at Birmingham

Recruiting

Birmingham, Alabama, United States, 35294

Contacts

Principal Investigator:

Barbara Gower, PhD

Arizona State University

Recruiting

Phoenix, Arizona, United States, 85004

Contacts

Principal Investigator:

Gabriel Shaibi, PhD

Phoenix Children's

Recruiting

Phoenix, Arizona, United States, 85006

Contacts

Principal Investigator:

Melissa Chambers, DO

Children's Hospital Los Angeles

Recruiting

Los Angeles, California, United States, 90027

Contacts

Principal Investigator:

Michael Goran, PhD

Children's Hospital Colorado

Recruiting

Aurora, Colorado, United States, 80045

Contacts

Principal Investigator:

Kristen Nadeau, MD

Johns Hopkins All Children's Hospital

Recruiting

St. Petersburg, Florida, United States, 33701

Contacts

Principal Investigator:

Sheela N Magge, MD, MSCE

Johns Hopkins University School of Medicine

Recruiting

Baltimore, Maryland, United States, 21287

Contacts

Principal Investigator:

Sheela N Magge, MD, MSCE

Boston Children's/Joslin Diabetes Center/Massachusetts General Hospital

Recruiting

Boston, Massachusetts, United States, 02215

Contacts

Principal Investigator:

Elvira Isganaitis, MD, MPH

Colorado Navajo Nation

Recruiting

Shiprock, New Mexico, United States, 87420

Contacts

Principal Investigator:

Dana Dabelea, MD, PhD

NYU Langone Health- Brooklyn

Recruiting

Brooklyn, New York, United States, 11220

Contacts

Principal Investigator:

Mary Pat Gallagher, MD

NYU Langone Health- Long Island

Recruiting

Garden City, New York, United States, 11530

Contacts

Principal Investigator:

Alan Jacobson, MD

NYU Langone Health- Manhattan

Recruiting

New York, New York, United States, 10016

Contacts

Principal Investigator:

Mary Pat Gallagher, MD

Albert Einstein College of Medicine

Recruiting

The Bronx, New York, United States, 10461

Contacts

Principal Investigator:

Carmen R Isasi, MD, PhD

Atrium Health

Recruiting

Charlotte, North Carolina, United States, 28207

Contacts

Principal Investigator:

Christine Turley, MD

Wake Forest University

Recruiting

Winston-Salem, North Carolina, United States, 27157

Contacts

Principal Investigator:

Elizabeth Jensen, PhD

Cincinnati Children's Hospital

Recruiting

Cincinnati, Ohio, United States, 45229

Contacts

Principal Investigator:

Amy S Shah, MD, MS

Nationwide Children's Hospital

Recruiting

Columbus, Ohio, United States, 43205

Contacts

Principal Investigator:

Robert P Hoffman, MD

The University of Oklahoma Health Sciences Center

Recruiting

Oklahoma City, Oklahoma, United States, 73104

Contacts

Principal Investigator:

Jeanie B Tryggestad, MD

Children's Hospital of Philadelphia

Recruiting

Philadelphia, Pennsylvania, United States, 19104

Contacts

Principal Investigator:

Lorraine E Levitt Katz, MD

Baylor College of Medicine / Texas Children's

Recruiting

Houston, Texas, United States, 77030

Contacts

Principal Investigator:

Fida Bacha, MD

More Information

Sponsor

George Washington University

Last update posted

May 7, 2026

Last verified

Apr, 2026

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-08. This information was provided to ClinicalTrials.gov by George Washington University on 2026-05-07.