How beta cells work in early-onset type 2 diabetes
Official title: Comparison of Beta Cell Functional Changes in Patients With Early-onset Type 2 Diabetes Mellitus and Those With Typical Onset
Run by University Medical Center Ho Chi Minh City (UMC) · NCT07574138 · Data updated 2026-11-12
This project will test whether beta cell function and HbA1C change differently over one year in Vietnamese adults with early-onset versus typical-onset type 2 diabetes.
Quick facts
| Study type | Observational |
|---|---|
| Sex | All |
| Enrollment | 296 (estimated) |
| Sponsor | University Medical Center Ho Chi Minh City (UMC) Academic / other |
| Drugs / interventions | chemotherapy |
| Locations | 1 site (Ho Chi Minh City, Cho Lon Ward) |
| Status | Recruiting |
| Started | February 24, 2025 |
| Main results expected | December 2027 |
| Study ends | February 2028 |
| Registry record updated | May 7, 2026 |
| Trial ID | NCT07574138 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults with type 2 diabetes diagnosed within the past 10 years who are either early-onset (<40 years) or typical-onset (≥40 years), have been off insulin for at least six months, and (for early-onset) are negative for diabetes autoantibodies and willing to attend scheduled clinic visits.
✕Probably not a fit
People with type 1 diabetes or features suggesting type 1 diabetes, recent insulin dependence or diabetic ketoacidosis, pregnant women, or those unable to attend the Ho Chi Minh City clinic visits are unlikely to benefit from participation.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a prospective cohort enrolling about 296 patients at the University Medical Center Ho Chi Minh City with follow-up visits at 3, 6, 9, and 12 months. Patients are grouped by age at diabetes onset (early-onset <40 years versus typical-onset ≥40 years) and must have T2DM diagnosed within the past 10 years and be off insulin for at least six months. Beta cell function and insulin resistance will be measured using HOMA-B, HOMA-IR, fasting C-peptide, and HbA1C, while clinical complications and paraclinical findings are recorded. The study compares trajectories of beta-cell function and glycemic control between groups over one year.
Why it matters
Potential benefit: If successful, results could help doctors identify faster beta-cell decline in younger patients and guide earlier or more tailored treatment strategies.
How similar studies have gone: Previous cohort studies have suggested earlier and more rapid beta-cell decline in younger-onset T2DM, but results have varied and clinical implications are not yet settled.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * The patient is diagnosed with Type 2 Diabetes Mellitus according to the ADA 2024 criteria (Fasting Glucose ≥ 126 mg/dl, or Glucose after 2 hours of an Oral Glucose Tolerance Test ≥ 200 mg/dl, or HbA1C ≥ 6.5%, or with typical symptoms accompanied by any Glucose ≥ 200 mg/dl). * The duration of Type 2 Diabetes Mellitus does not exceed 10 years. * Classification by age of onset: Early onset group (\< 40 years) and typical onset group (≥ 40 years). * At least 6 months without the need for insulin and no recorded episodes of diabetic ketoacidosis since the time of diagnosis. * For the early-onset group: Autoantibodies (Anti-GAD, ICA) are negative and fasting C-peptide levels are \> 0.6 nmol/L. * The patient consents to participate in the study and signs the informed consent document. Exclusion Criteria: * Pregnant women or patients with acute illnesses at the time of assessment. * The patient has been diagnosed with or exhibits characteristics suggestive of Type 1 Diabetes Mellitus (such as a history of ketoacidosis, C-peptide \< 0.2 nmol/L). * Secondary diabetes mellitus due to pancreatic disorders (pancreatitis, pancreatic tumors, pancreatic resection), due to medications (glucocorticoids), or due to other endocrine disorders (Cushing's syndrome, hyperthyroidism, acromegaly). * Severe renal failure with an estimated glomerular filtration rate (eGFR) \< 30 mL/min/1.73 m². * Use of medications that affect beta cell function or complications such as prolonged high-dose corticosteroids, immunosuppressive agents, or chemotherapy. * Not of Vietnamese ethnicity. * Non-compliance with treatment guidelines or failure to attend scheduled follow-up appointments.
Where it's running
-
University of Medicine and Pharmacy of Ho Chi Minh City
Ho Chi Minh City, Cho Lon Ward, Vietnam Recruiting
Study contacts
- Principal investigator: Chi Khanh Hoang, Specialist physician level 1 — University of Medicine and Pharmacy of Ho Chi Minh City
- Study coordinator: Chi Khanh Hoang, Specialist physician level 1
- Email: chi.hk@umc.edu.vn
- Phone: 84985578494
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.