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AI Ready and Equitable Atlas for Diabetes Insights

Conditions
Type 2 Diabetes
Registration Number
NCT06002048
Lead Sponsor
University of Washington
Brief Summary

The study will collect a cross-sectional dataset of 4000 people across the US from diverse racial/ethnic groups who are either 1) healthy, or 2) belong in one of the three stages of diabetes severity (pre-diabetes/diet controlled, oral medication and/or non-insulin-injectable medication controlled, or insulin dependent), forming a total of four groups of patients. Clinical data (social determinants of health surveys, continuous glucose monitoring data, biomarkers, genetic data, retinal imaging, cognitive testing, etc.) will be collected. The purpose of this project is data generation to allow future creation of artificial intelligence/machine learning (AI/ML) algorithms aimed at defining disease trajectories and underlying genetic links in different racial/ethnic cohorts. A smaller subgroup of participants will be invited to come for a follow-up visit in year 4 of the project (longitudinal arm of the study). Data will be placed in an open-source repository and samples will be sent to the study sample repository and used for future research.

Detailed Description

The Artificial Intelligence Ready and Equitable Atlas for Diabetes Insights (AI-READI) project seeks to create a flagship ethically-sourced dataset to enable future generations of artificial intelligence/machine learning (AI/ML) research to provide critical insights into type 2 diabetes mellitus (T2DM), including salutogenic pathways to return to health. The ability to understand and affect the course of complex, multi-organ diseases such as T2DM has been limited by a lack of well-designed, high quality, large, and inclusive multimodal datasets. The AI-READI team of investigators will aim to collect a cross-sectional dataset of 4,000 people and longitudinal data from 10% of the study cohort across the US. The study cohort will be balanced for self-reported race/ethnicity, gender, and diabetes disease stage. Data collection will be specifically designed to permit downstream pseudo-time manifold analysis, an approach used to predict disease trajectories by collecting and learning from complex, multimodal data from participants with differing disease severity (normal to insulin-dependent T2DM). The long-term objective for this project is to develop a foundational dataset in T2DM, agnostic to existing classification criteria or biases, which can be used to reconstruct a temporal atlas of T2DM development and reversal towards health (i.e., salutogenesis). Six cross-disciplinary project modules involving teams located across eight institutions will work together to develop this flagship dataset. Data will be optimized for downstream AI/ML research and made publicly available. This project will also create a roadmap for ethical and equitable research that focuses on the diversity of the research participants and the workforce involved at all stages of the research process (study design and data collection, curation, analysis, and sharing and collaboration).

Recruitment & Eligibility

Status
ENROLLING_BY_INVITATION
Sex
All
Target Recruitment
4000
Inclusion Criteria
  • Adults (≥ 40 years old)
  • Patients with and without type 2 diabetes
  • Able to provide consent
  • Must be able to read and speak English
Read More
Exclusion Criteria
  • Adults older than 85 years of age
  • Pregnancy
  • Gestational diabetes
  • Type 1 diabetes
Read More

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Contrast SensitivityJuly 19, 2023-January 1, 2027

Both photopic and mesopic for right and left eyes individually

fluorescence lifetime imaging ophthalmoscopy (FLIO)July 19, 2023-January 1, 2027
Continuous Glucose MonitoringJuly 19, 2023-January 1, 2027

Participants wear the Dexcom G6 Pro for 10 days

Home humidityJuly 19, 2023-January 1, 2027
Volatile Organic Compounds (VOC) in homeJuly 19, 2023-January 1, 2027
Best-corrected visual acuityJuly 19, 2023-January 1, 2027

Both photopic and mesopic for right and left eyes individually

fundus photographyJuly 19, 2023-January 1, 2027
Home temperatureJuly 19, 2023-January 1, 2027

measured in Fahrenheit

Fine particulate matter that are 2.5 microns or less in diameter (PM2. 5) in homeJuly 19, 2023-January 1, 2027
Montreal Cognitive Assessment (MoCA)July 19, 2023-January 1, 2027

Testing memory and cognitive function. Scores range from 0-30, with scores above 26 indicating normal functioning.

Optical coherence tomography (OCT)July 19, 2023-January 1, 2027
optical coherence tomography angiography (OCTA)July 19, 2023-January 1, 2027
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (3)

University of Washington

🇺🇸

Seattle, Washington, United States

UC San Diego

🇺🇸

San Diego, California, United States

University of Alabama, Birmingham

🇺🇸

Birmingham, Alabama, United States

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