Understanding how puberty affects kidney health in youth with diabetes

PANTHER Study: Puberty, Diabetes, and the Kidneys, When Eustress Becomes Distress

Observational Seattle Children's Hospital · NCT05008276

This study looks at how puberty affects kidney health in teenagers with type 2 diabetes and obesity to see if the changes during this time can harm their kidneys.

Quick facts

Study typeObservational
Enrollment100 (estimated)
Ages8 Years to 14 Years
SexAll
SponsorSeattle Children's Hospital Academic / other
Locations2 sites (Aurora, Colorado and 1 other locations)
Trial IDNCT05008276 on ClinicalTrials.gov

What this trial studies

This observational study investigates the relationship between puberty and kidney health in adolescents with type 2 diabetes and obesity. It aims to understand how the physiological changes during puberty may lead to kidney injury, particularly focusing on the concept of kidney hypoxia. The study will utilize functional magnetic resonance imaging (MRI) and other assessments over a five-year period to evaluate the impact of these changes on kidney function. By identifying the mechanisms linking puberty and diabetic kidney disease, the research seeks to inform strategies for preserving kidney health in affected youth.

Who should consider this trial

Good fit: Ideal candidates include adolescents with type 2 diabetes or prediabetes who are obese and have specific HbA1c levels.

Not a fit: Patients with a history of chronic kidney disease or acute kidney injury may not benefit from this study.

Why it matters

Potential benefit: If successful, this study could lead to improved strategies for preventing kidney disease in adolescents with type 2 diabetes.

How similar studies have performed: While there is emerging data on the impact of puberty on kidney health, this specific approach to studying the relationship in youth with diabetes is relatively novel.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* HbA1c ≥6.0% for untreated high-risk group
* BMI ≥ 85th %ile for high-risk group
* Normal HbA1c ≤5.6% for control group
* Type 1 diabetes (T1D) Antibody negative

Exclusion Criteria:

* History of Chronic kidney disease (CKD) or acute kidney injury (AKI)
* Metabolic disorder prohibiting safe fasting
* Iodine or penicillin allergy
* Pregnancy
* Thrombophilia
* MRI contraindications
* Hormone therapy

Where this trial is running

Aurora, Colorado and 1 other locations

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Type 2 Diabetes MellitusDiabetic Kidney DiseaseAdolescent ObesityPre DiabetesKidney HypoxiaPuberty
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.