Can full gene scans solve mysterious diabetes cases?
NCT ID NCT06570278
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study is testing whether whole genome sequencing (a complete scan of a person's DNA) can help doctors identify the cause of atypical diabetes—unusual cases that don't fit typical type 1 or type 2 diabetes. Researchers will compare this advanced genetic test to the current standard method in 1,020 adults. The goal is to see if the full genome scan finds more diabetes-related genetic changes and leads to changes in treatment.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- whole genome sequencing
- What this could lead to
- If successful, this could make diagnosing rare forms of diabetes more accurate, helping doctors choose the right treatment for each patient.
- What could go wrong
- This is an early-stage study focused on diagnosis, not treatment. The genetic findings may not always lead to changes in care, and the results may not apply to all diabetes patients.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 1,020 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Oct 2024
- Expected to finish
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Nov 2034
An estimate. End dates often move.
- Lead sponsor
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A government agency
The lead sponsor is a government body.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Subjects ≥18 years with confirmed diabetes mellitus according to WHO criteria (World Health Organization: Definition and diagnosis of diabetes mellitus and intermediate hyperglycemia: Report of a WHO/IDF Consultation. Geneva, World Health Org., 2006.) * Age ≤ 45 years at diabetes diagnosis * Body mass index ≤ 35 kg/m² at diabetes diagnosis * Negative results of specific antibodies determination (GAD65, IA2, ZnT8) until the inclusion visit * Presenting atypical diabetes defined by at least one of the following: * Exocrine pancreatic disease * Familial history: diabetes diagnosed in a parent, child or sibling * Notion of familial consanguinity * Syndromic clinical features (dysmorphy, developmental delay, mental retardation…) or unusual abnormalities/features that are not part of diabetic complications or co-morbidities; * Early occurrence of microvascular complications (≤ 5 years after diabetes diagnosis) * Major insulinopenia at diagnosis (C peptide \< 0.2 nmol/L and/or documented ketosis) * Patient who conserved endogenous insulin secretion (positive C peptide value) but a need for insulin therapy initiation during the first year following diagnosis due to therapeutic failure of well conducted therapeutic intensification * Stated willingness to comply with all study procedures and availability for the duration of the study * Patient with a social security number in compliance with the French law (dispositions relatives aux recherches impliquant la personne humaine prévues aux articles L 1121-1 et suivants du Code de la Santé Publique) * Signed and dated informed consent form Exclusion Criteria: * Pregnant or breastfeeding woman, * Any contraindication to the study exams including known allergies or contraindication to contrasts for the scan * Patient with known monogenic diabetes (defined as identification of class 4 and 5 variants according to ACMG) * First or second-degree relatives with monogenic diabetes established by molecular genetics (class 4 and 5 variants according to ACMG) * Patient with known secondary diabetes (i.e. endocrine disorders such as Cushing syndrome, pancreatectomy, drug-induced diabetes) * Patient who had a bone marrow transplant * Any condition which in the Investigator's opinion makes it undesirable for the subject to participate in the trial or which would jeopardize compliance with the protocol, * Individuals under legal protection (sauvegarde de justice).
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
26 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Assistance Publique Hôpitaux de Paris, Bichat - Claude Bernard Hospital
RECRUITINGParis, France
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Assistance Publique Hôpitaux de Paris, Bicêtre Hospital
NOT_YET_RECRUITINGLe Kremlin-Bicêtre, France
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Assistance Publique Hôpitaux de Paris, Cochin Hospital
RECRUITINGParis, France
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Assistance Publique Hôpitaux de Paris, Lariboisière Hospital
RECRUITINGParis, France
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Assistance Publique Hôpitaux de Paris, Saint Antoine Hospital
RECRUITINGParis, France
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Assistance Publique Hôpitaux de Paris- La Pitié Salpêtrière Hospital
RECRUITINGParis, France
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Centre Hospitalier Sud Francilien
RECRUITINGCorbeil-Essonnes, France
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Rennes University Hospital
RECRUITINGRennes, France
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Strasbourg University Hospital
RECRUITINGStrasbourg, France
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University Hospital
RECRUITINGAmiens, France
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University Hospital
RECRUITINGAngers, France
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University Hospital
NOT_YET_RECRUITINGNancy, France
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University Hospital
NOT_YET_RECRUITINGPoitiers, France
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University Hospital Bocage
RECRUITINGDijon, France
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University Hospital Bois Guillaume
RECRUITINGRouen, France
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University Hospital Cavale Blanche
RECRUITINGBrest, France
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University Hospital Conception
RECRUITINGMarseille, France
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University Hospital Haut Lévêque
RECRUITINGBordeaux, France
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University Hospital Jean Minjoz
RECRUITINGBesançon, France
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University Hospital L'Archet
NOT_YET_RECRUITINGNice, France
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University Hospital Laennec
RECRUITINGNantes, France
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University Hospital Lapeyronie
RECRUITINGMontpellier, France
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University Hospital Louis Pradel
RECRUITINGLyon, France
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University Hospital Michallon
RECRUITINGGrenoble, France
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University Hospital Rangueil
RECRUITINGToulouse, France
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University Hospital Sud
RECRUITINGLyon, France
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