Early changes in the pancreas and digestion before Type 1 diabetes

Natural History and Mechanisms of Exocrine Pancreatic Dysfunction in Pre-Type 1 Diabetes

NIH-funded research University of Florida · NIH-11238419

Looking for signs of pancreas tissue loss and digestion-related markers in people at risk for Type 1 diabetes, especially first-degree relatives and those with islet autoantibodies.

Quick facts

Grant typeNIH-funded research
Study typeNIH-funded research
Funding institutionUniversity of Florida NIH-funded
Lab location1 site (Gainesville, United States)
Project IDNIH-11238419 on NIH RePORTER

What this research studies

If you take part, researchers will look for loss of the pancreas’s exocrine tissue and drops in digestive enzyme markers before Type 1 diabetes starts. They will measure fecal elastase in stored TEDDY samples and add blood and stool exocrine markers to an ongoing TrialNet effort that uses MRI to track pancreas volume. Participants include first-degree relatives who are antibody-negative, single-autoantibody positive, or multiple-autoantibody positive so the team can compare timing of changes across risk groups. The approach combines existing banked samples and prospective imaging to find signals that appear before clinical disease.

Who could benefit from this research

Good fit: Ideal candidates are first-degree relatives of people with Type 1 diabetes, particularly those enrolled in TEDDY or TrialNet or who have one or more islet autoantibodies.

Not a fit: People without a family history of Type 1 diabetes, without islet autoantibodies, and those already living with established Type 1 diabetes are unlikely to benefit directly from this grant's findings.

Why it matters

Potential benefit: If successful, this work could reveal early pancreas or digestion markers that identify people at higher risk for Type 1 diabetes so monitoring or prevention steps could begin earlier.

How similar studies have performed: Prior work has found smaller pancreas size and reduced exocrine markers at T1D diagnosis, but using fecal elastase and serum/stool markers to predict disease before autoantibodies is largely untested.

Where this research is happening

Gainesville, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Conditions Autoimmune Diseases
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.