Development of a non-invasive and accurate diagnostic method for type 2 diabetes using acetone in urine samples

ISRCTN ISRCTN12308193
DOI https://doi.org/10.1186/ISRCTN12308193
Secondary identifying numbers LHJJ2020006
Submission date
23/11/2021
Registration date
25/11/2021
Last edited
26/11/2021
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Nutritional, Metabolic, Endocrine
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
Type 2 diabetes (T2D) is a common condition that causes the level of sugar (glucose) in the blood to become too high and accounts for more than 90% of the confirmed cases of diabetes. It has become a common underlying metabolic disease and is expected to affect 380 million people worldwide in 2025. At present, the diagnosis of type 2 diabetes is mainly based on fasting plasma glucose (FPG), the oral glucose tolerance test (OGTT), and glycosylated hemoglobin (HbA1c), but there are a few methods of non-invasive screening. The aim of this study is to study the association between acetone levels in the urine headspace (the gas above the contents of a sealed urine sample) and T2D .

Who can participate?
Patients with type 2 diabetes and healthy people with a normal physical examination, aged 18-90 years

What does the study involve?
Participants are asked to provide 2 ml urine samples and levels of acetone are measured using proton transfer reaction mass spectrometry.

What are the possible benefits and risks of participating?
Participation in this study will give the participants a better understanding of their physical health and diabetic diseases. Only waste urine routine samples are used, without risk.

Where is the study run from?
The Chinese Academy of Sciences and the Second Affiliated Hospital of Anhui Medical University (China)

When is the study starting and how long is it expected to run for?
March 2020 to May 2022

Who is funding the study?
1. The Second Affiliated Hospital of Anhui Medical University (China)
2. Hefei Institutes of Physical Science, Chinese Academy of Sciences (China)

Who is the main contact?
Xue Zou
xzou@cmpt.ac.cn

Contact information

Mr Xue Zou
Scientific

350 Shushanhu Road Hefei 230031,Anhui, P. R. China
Hefei
230031
China

Phone +86 (0)551 65595179
Email xzou@cmpt.ac.cn

Study information

Study designObservational case-control study
Primary study designObservational
Secondary study designCase-control study
Study setting(s)Hospital
Study typeDiagnostic
Participant information sheet Not available in web format, please use the contact details to request a participant information sheet
Scientific titleNon-invasive and accurate diagnosis of type 2 diabetes using urinary acetone: a prospective multicenter study
Study objectivesUrinary acetone can be used for the diagnosis of type 2 diabetes (T2D).
Ethics approval(s)Approved 17/03/2020, The Second Hospital of Anhui Medical University Ethics Committee (No. 678, Furong Road, Hefei Economic and Technological Development Zone, Anhui Province, China; +86 (0)551 63806061; aydefyllwyhbgs@126.com), ref: YX2021-113
Health condition(s) or problem(s) studiedType 2 diabetes
InterventionEach participant is asked to provide a 2 ml urine sample. Acetone in the headspace of urine in sealed bottles is quantitatively analyzed by mass spectrometry.
Intervention typeDevice
Pharmaceutical study type(s)
PhaseNot Applicable
Drug / device / biological / vaccine name(s)
Primary outcome measureUrinary acetone is measured using proton transfer reaction mass spectrometry in less than 8 h after sampling
Secondary outcome measures1. Fasting blood glucose is detected using a blood glucose monitor in less than 4 h after sampling
2. A1c is detected using a glycosylated hemoglobin automatic analyzer in less than 4 h after sampling
Overall study start date10/03/2020
Completion date01/05/2022

Eligibility

Participant type(s)Mixed
Age groupAdult
Lower age limit18 Years
Upper age limit90 Years
SexBoth
Target number of participants400
Key inclusion criteria1. All T2D patients diagnosed in each hospital and found to have abnormal high fasting plasma glucose (FPG) levels less than 1 week before the experiments
2. Healthy subjects chosen from people undergoing health examinations in these hospitals
3. Age range: 18-90 years
Key exclusion criteriaParticipants in the healthy control group are required to have no neurological, endocrine or other systemic diseases and no acute and chronic inflammatory or infectious diseases
Date of first enrolment20/04/2021
Date of final enrolment01/04/2022

Locations

Countries of recruitment

  • China

Study participating centres

The Second Hospital of Anhui Medical University
No. 678, Furong Road
Economic and Technological Development Zone
Hefei
230601
China
The Anhui Provincial Hospital/The First Affiliated Hospital of USTC
No. 17, Lujiang Road
Luyang District
Hefei
230002
China
The First Affiliated Hospital of Anhui Medical University
120 Wanshui Road
Shushan District
Hefei
230022
China

Sponsor information

Hefei Institutes of Physical Science
Research organisation

350 Shushanhu Road
Hefei
230031
China

Phone +86 (0)551 65591245
Email chyshen@aiofm.ac.cn
Website http://www.hf.cas.cn/
ROR logo "ROR" https://ror.org/046n57345
Second Hospital of Anhui Medical University
Hospital/treatment centre

678 Furong Road
Economic and Technological Development Zone
Hefei
230601
China

Phone +86 (0)551 63869420
Email 512130761@qq.com
Website http://www.ay2fy.com/
ROR logo "ROR" https://ror.org/047aw1y82

Funders

Funder type

Government

National Natural Science Foundation of China (22076190, 21876176, 21705152, 21777163, 62171433)
Government organisation / National government
Alternative name(s)
Chinese National Science Foundation, Natural Science Foundation of China, National Science Foundation of China, NNSF of China, NSF of China, 国家自然科学基金委员会, National Nature Science Foundation of China, Guójiā Zìrán Kēxué Jījīn Wěiyuánhuì, NSFC, NNSF, NNSFC
Location
China
Youth Innovation Promotion Association, CAS (2019432)
Private sector organisation / Associations and societies (private and public)
Alternative name(s)
YIPA
Location
China
Chinese Academy of Sciences, Functional Development Program of Instruments and Equipment (Y9BS0C1291)

No information available

Joint Fund of the Second Affiliated Hospital of Anhui Medical University and the Center of Medical Physics and Technology of Hefei Institute of Physical Sciences of Chinese Academy of Sciences (LHJJ2020006)

No information available

Anhui Provincial Institute of Translational Medicine (2017zhyx12)

No information available

Anhui Medical University Research Fund (2021xkj166)
Private sector organisation / Universities (academic only)
Alternative name(s)
安徽医科大学, AHMU
Location
China

Results and Publications

Intention to publish date01/06/2022
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
Publication and dissemination planPlanned publication in a high-impact peer-reviewed journal
IPD sharing planThe datasets generated during and/or analysed during the current study are/will be available upon request from the Chinese Academy of Sciences (xzou@cmpt.ac.cn). All raw data detected by mass spectrometry and clinical data that do not affect the privacy of participants can be obtained within 1 year after the relevant papers are published. All units and individuals interested in the experiment can obtain the experimental data for analyses without commercial interest by email consultation. The consent of the participant will be obtained and the participant's name and other private details will not be provided.

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Protocol file 24/11/2021 No No

Additional files

40709_PROTOCOL.pdf

Editorial Notes

26/11/2021: Internal review.
24/11/2021: Trial's existence confirmed by the Second Hospital of Anhui Medical University Ethics Committee.