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AzTrials

Type2 DiabetesUKIDSNCT05057403

UK Imaging Diabetes Study Seeing Diabetes Clearly

An observational study of Type2 Diabetes, run by Perspectum at 12 sites in United Kingdom.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

Prospective, observational cohort study to cross-sectionally assess the health of multiple organs, using multiparametric abdominal magnetic resonance imaging (MRI) scan, and understand if resulting MRI metrics can predict future clinical events over a period of 5 years, in adult patients with type 2 diabetes lacking… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Type2 Diabetes
What is being tested?
MRI
How many people
1,000 participants
Where
12 sitesUnited Kingdom
Study dates
30 May 2022to Jun 2034
Phase
Observational
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Adult participants, aged 18 years of age and over with type 2 diabetes lacking history of cardiovascular disease. Recruitment will be carried out from patients identified following diabetes or diabetic retinopathy diagnoses or via self-referral. 1. Diabetes referral appointments 2. Diabetic retinopathy referral appointments 3. Primary care and diabetes clinics - including GP practices 4. Participant Identification Centres 5. Diabetes Eye Screening Programmes (DESP)

Who may be able to join

  • Male or female at least 18 years of age and diagnosed with type 2 diabetes, with or without diabetic retinopathy.
  • Participant willing and able to give informed consent for participation in the study.

Who cannot join

  • In 12 months prior to consent, evidence of existing cardiovascular event defined as at least one of:
  • myocardial infarction
  • ischaemic stroke
  • hospital admission/discharge for unstable angina
  • heart surgery
  • unstable angina
Show all 11Show fewer
  • transient ischemic attack
  • The participant may not enter the study if they have any contraindication to magnetic resonance imaging (standard MR exclusion criteria including pregnancy, extensive tattoos, pacemaker, shrapnel injury, severe claustrophobia).
  • Patients with known autoimmune hepatitis, viral hepatitis, Wilson's disease or known significant structural renal tract abnormality.
  • Patients with known alcohol dependency.
  • Any other cause, including a significant disease or disorder which, in the opinion of the investigator, may either put the participant at risk because of participation in the study, or may influence the participant's ability to participate in the study

Trial locations and contacts

12 sites in 1 country. Contact the study team or a site near you to ask about taking part.

12 sites in 1 country

United Kingdom12 sites, 12 recruiting
  • Swansea Bay University Health Board

    Baglan, Swansea, SA12 7BR

    Rebeccah Thomas, 0044 1792530819, rebeccah.thomas2@wales.nhs.uk

    Not yet recruiting
  • Woodlands Medical Centre

    Didcot, Oxfordshire, OX11 0BB

    Cheryl Heng, 0044 1235517760, cherylheng@nhs.net

    Recruiting
  • Eynsham Medical Centre

    Eynsham, Oxfordshire, OX29 4QB

    Aarushi Kethrapal, 0044 1865 881206, aarushi.kheterpal@nhs.net

    Recruiting
  • White Horse Medical Practice

    Farringdon, Oxfordshire, SN7 7YU

    Jill Larkin, 0044 1367242963, jill.larkin@nhs.net

    Recruiting
  • University Hospitals of Liverpool Group

    Liverpool, L9 7AL

    Tanya Ingram, 0044 151 5294778, TANYA.INGRAM@liverpoolft.nhs.uk

    Recruiting
  • Moorfields Eye Hospital NHS Foundation Trust

    London

    Enrolling by invitation
  • The Manor Group

    Oxford, OX3 9BP

    Michelle Carter, 0044 1865 922963, michelle.carter32@nhs.net

    Recruiting
  • Hedena Health

    Oxford, OX3 9JA

    Nicholas Groom, 00441865 966995, nicholas.groom@nhs.net

    Recruiting
  • St Bartholomew and Hollow Way Medical Practice

    Oxford, OX4 1XB

    Clare Murray, 0044 1865 244435, clare.murray42@nhs.net

    Recruiting
  • Oxford Community Diagnostic centre

    Oxford, OX42LL

    Elizabeth Bennett, 00441865 655343, elizabeth.bennett@perspectum.com

    Recruiting
  • The House Partnership

    Redhill, Surrey, RH1 1EB

    Thanosan Jeevaratnam, 0044 1737642207, thanosan.jeevaratnam2@nhs.net

    Recruiting
  • Windrush Medical Practice

    Witney, Oxfordshire, OX26 6JS

    Eleanor Jones, 0044 1993 862157, eleanor.jones69@nhs.net

    Recruiting

Other trials in United Kingdom

About this study

Prospective, observational cohort study to cross-sectionally assess the health of multiple organs, using multiparametric abdominal magnetic resonance imaging (MRI) scan, and understand if resulting MRI metrics can predict future clinical events over a period of 5 years, in adult patients with type 2 diabetes lacking history of cardiovascular disease.

Read the detailed description

This will be a multi-site study adopting a prospective, observational cohort study design. There will be no intervention to the standard of care. Study participants will be enrolled in this study for a total of 5 years, with only 1 month of active participation. Participants will be required to attend a screening visit and 2 study visits. The screening visit will involve a medical review and receiving informed consent based on the participant information leaflet already communicated to the patient, pre-screening. The first study visit- baseline (visit 1) - will involve anthropometric measurements and taking a blood and urine sample in order to perform standard of care measurements for type 2 diabetes at baseline and relevant circulating biomarkers. The second study visit will involve having a multi-organ, multiparametric MRI scan. Both visits will be within 28 days of the screening visit and carried out at local study sites.

MRI metrics of organ health, clinical outcome measurements, blood samples and urine samples will be collected to assess the natural history of diabetes disease progression. Participants will be asked to give consent for access to their medical records held at NHS England and, if available, at their local GP surgery or hospital. Medical records access will include Hospital admissions (Hospital Episode Statistics), and mortality data collected by the Office for National Statistics and provided by NHS England to meet the primary objective. This data will be collected at 1, 3 and 5 years after baseline assessment.

Conditions
Type2 Diabetes
Being tested
MRI

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • MRIOther

    MRI is not part of Pathway for patient with type two diabetes.

Study groups in NCT05057403
Study groupRoleWhat they receive
Type 2 diabetesPatients with type 2 diabetes, especially individuals who have been diagnosed in the last three years
Receives: Other: MRI

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Baseline liver MR metrics on incidence rate of 5-point MACE (CV death, non-fatal stroke, myocardial infarction, heart failure, hospitalisation for CV causes) in people with type 2 diabetes, without history of CV.

    The impact of liver fibroinflammation (cT1 from multi-organ MRI) on cardiovascular clinical outcomes in a patient population with type 2 diabetes without history of cardiovascular disease.

    Measured: 3 year from baseline

Secondary outcomes (107)
  1. The effect of baseline liver MR metrics (cT1 and fat) on the incidence rate of composite severe renal disease events (renal replacement therapy, renal death).

    The impact of liver fibroinflammation (cT1 from multi-organ MRI) on other diabetes-related outcomes

    Measured: 1 year from baseline

  2. The effect of baseline liver MR metrics (cT1 and fat) on the incidence rate of composite severe renal disease events (renal replacement therapy, renal death).

    The impact of liver fibroinflammation (cT1 from multi-organ MRI) on other diabetes-related outcomes

    Measured: 3 years from baseline

  3. The effect of baseline liver MR metrics (cT1 and fat) on the incidence rate of composite severe renal disease events (renal replacement therapy, renal death).

    The impact of liver fibroinflammation (cT1 from multi-organ MRI) on other diabetes-related outcomes

    Measured: 5 years from baseline

  4. The effect of baseline liver MR metrics (cT1 and fat) on the incidence rate of composite mild renal disease events (incident CKD, change in stage of CKD)

    The impact of liver fibroinflammation (cT1 from multi-organ MRI) on other diabetes-related outcomes

    Measured: 1 year from baseline

  5. The effect of baseline liver MR metrics (cT1 and fat) on the incidence rate of composite mild renal disease events (incident CKD, change in stage of CKD)

    The impact of liver fibroinflammation (cT1 from multi-organ MRI) on other diabetes-related outcomes

    Measured: 3 years from baseline

  6. The effect of baseline liver MR metrics (cT1 and fat) on the incidence rate of composite mild renal disease events (incident CKD, change in stage of CKD)

    The impact of liver fibroinflammation (cT1 from multi-organ MRI) on other diabetes-related outcomes

    Measured: 5 years from baseline

  7. The effect of baseline liver MR metrics (cT1 and fat) on the incidence rate of retinal intervention (photocoagulation, Vity, or use of anti-vascular endothelial growth factor injections)

    The impact of liver fibroinflammation (cT1 from multi-organ MRI) on other diabetes-related outcomes

    Measured: 1 year from baseline

  8. The effect of baseline liver MR metrics (cT1 and fat) on the incidence rate of retinal intervention (photocoagulation, Vity, or use of anti-vascular endothelial growth factor injections)

    The impact of liver fibroinflammation (cT1 from multi-organ MRI) on other diabetes-related outcomes

    Measured: 3 years from baseline

  9. The effect of baseline liver MR metrics (cT1 and fat) on the incidence rate of retinal intervention (photocoagulation, Vity, or use of anti-vascular endothelial growth factor injections)

    The impact of liver fibroinflammation (cT1 from multi-organ MRI) on other diabetes-related outcomes

    Measured: 5 years from baseline

  10. The effect of baseline liver MR metrics (cT1 and fat) on the incidence rate of lower limb amputations

    The impact of liver fibroinflammation (cT1 from multi-organ MRI) on other diabetes-related outcomes

    Measured: 1 year from baseline

  11. The effect of baseline liver MR metrics (cT1 and fat) on the incidence rate of lower limb amputations

    The impact of liver fibroinflammation (cT1 from multi-organ MRI) on other diabetes-related outcomes

    Measured: 3 years from baseline

  12. The effect of baseline liver MR metrics (cT1 and fat) on the incidence rate of lower limb amputations

    The impact of liver fibroinflammation (cT1 from multi-organ MRI) on other diabetes-related outcomes

    Measured: 5 years from baseline

  13. The effect of baseline liver MR metrics (cT1 and fat) on the incidence rate of all-cause mortality

    The impact of liver fibroinflammation (cT1 from multi-organ MRI) on other diabetes-related outcomes

    Measured: 1 year from baseline

  14. The effect of baseline liver MR metrics (cT1 and fat) on the incidence rate of all-cause mortality

    The impact of liver fibroinflammation (cT1 from multi-organ MRI) on other diabetes-related outcomes

    Measured: 3 years from baseline

  15. The effect of baseline liver MR metrics (cT1 and fat) on the incidence rate of all-cause mortality

    The impact of liver fibroinflammation (cT1 from multi-organ MRI) on other diabetes-related outcomes

    Measured: 5 years from baseline

  16. The effect of baseline liver MR metrics (cT1 and fat) on the incidence rate of CV death, liver death, renal death, cancer death, other death

    The impact of liver fibroinflammation (cT1 from multi-organ MRI) on other diabetes-related outcomes

    Measured: 1 year from baseline

  17. The effect of baseline liver MR metrics (cT1 and fat) on the incidence rate of CV death, liver death, renal death, cancer death, other death

    The impact of liver fibroinflammation (cT1 from multi-organ MRI) on other diabetes-related outcomes

    Measured: 3 years from baseline

  18. The effect of baseline liver MR metrics (cT1 and fat) on the incidence rate of CV death, liver death, renal death, cancer death, other death

    The impact of liver fibroinflammation (cT1 from multi-organ MRI) on other diabetes-related outcomes

    Measured: 5 years from baseline

  19. The effect of baseline liver MR metrics (cT1 and fat) on the incidence rate of liver events (decompensation, hepatocellular carcinoma diagnosis, transplant, portal hypertension)

    The impact of liver fibroinflammation (cT1 from multi-organ MRI) on other diabetes-related outcomes

    Measured: 1 year from baseline

  20. The effect of baseline liver MR metrics (cT1 and fat) on the incidence rate of liver events (decompensation, hepatocellular carcinoma diagnosis, transplant, portal hypertension)

    The impact of liver fibroinflammation (cT1 from multi-organ MRI) on other diabetes-related outcomes

    Measured: 3 years from baseline

  21. The effect of baseline liver MR metrics (cT1 and fat) on the incidence rate of liver events (decompensation, hepatocellular carcinoma diagnosis, transplant, portal hypertension)

    The impact of liver fibroinflammation (cT1 from multi-organ MRI) on other diabetes-related outcomes

    Measured: 5 years from baseline

  22. The effect of baseline liver MR metrics (cT1 and fat) on the incidence rate of non-hepatic cancer

    The impact of liver fibroinflammation (cT1 from multi-organ MRI) on other diabetes-related outcomes

    Measured: 1 year from baseline

  23. The effect of baseline liver MR metrics (cT1 and fat) on the incidence rate of non-hepatic cancer

    The impact of liver fibroinflammation (cT1 from multi-organ MRI) on other diabetes-related outcomes

    Measured: 3 years from baseline

  24. The effect of baseline liver MR metrics (cT1 and fat) on the incidence rate of non-hepatic cancer

    The impact of liver fibroinflammation (cT1 from multi-organ MRI) on other diabetes-related outcomes

    Measured: 5 years from baseline

  25. Potential effect of body composition, liver volume, and aortic (distensibility, diameter) MRI metrics increase and incidence of 5-point MACE (CV death, non-fatal stroke, myocardial infarction, heart failure, hospitalisation for CV causes

    The impact that liver volume, whole body composition and, abnormalities in the aorta have on diabetes-related clinical outcomes using multiparametric MRI

    Measured: 1 year from baseline

  26. Potential effect of body composition, liver volume, and aortic (distensibility, diameter) MRI metrics increase with incidence of 5-point MACE (CV death, non-fatal stroke, myocardial infarction, heart failure, hospitalisation for CV causes

    The impact that liver volume, whole body composition and, abnormalities in the aorta have on diabetes-related clinical outcomes using multiparametric MRI

    Measured: 3 years from baseline

  27. Potential effect of body composition, liver volume, and aortic (distensibility, diameter) MRI metrics increase with incidence of 5-point MACE (CV death, non-fatal stroke, myocardial infarction, heart failure, hospitalisation for CV causes

    The impact that liver volume, whole body composition and, abnormalities in the aorta have on diabetes-related clinical outcomes using multiparametric MRI

    Measured: 5 years from baseline

  28. Potential effect of body composition, liver volume, and aortic (distensibility, diameter) MRI metrics increase and incidence of composite severe renal disease events (renal replacement therapy, renal death)

    The impact that liver volume, whole body composition and, abnormalities in the aorta have on diabetes-related clinical outcomes using multiparametric MRI

    Measured: 1 year from baseline

  29. Potential effect of body composition, liver volume, and aortic (distensibility, diameter) MRI metrics increase and incidence of composite severe renal disease events (renal replacement therapy, renal death)

    The impact that liver volume, whole body composition and, abnormalities in the aorta have on diabetes-related clinical outcomes using multiparametric MRI

    Measured: 3 years from baseline

  30. Potential effect of body composition, liver volume, and aortic (distensibility, diameter) MRI metrics increase and incidence of composite severe renal disease events (renal replacement therapy, renal death)

    The impact that liver volume, whole body composition and, abnormalities in the aorta have on diabetes-related clinical outcomes using multiparametric MRI

    Measured: 5 years from baseline

  31. Potential effect of body composition, liver volume, and aortic (distensibility, diameter) MRI metrics increase and incidence of composite mild renal disease events (incident CKD, change in stage of CKD)

    The impact that liver volume, whole body composition and, abnormalities in the aorta have on diabetes-related clinical outcomes using multiparametric MRI

    Measured: 1 year from baseline

  32. Potential effect of body composition, liver volume, and aortic (distensibility, diameter) MRI metrics increase and incidence of composite mild renal disease events (incident CKD, change in stage of CKD)

    The impact that liver volume, whole body composition and, abnormalities in the aorta have on diabetes-related clinical outcomes using multiparametric MRI

    Measured: 3 years from baseline

  33. Potential effect of body composition, liver volume, and aortic (distensibility, diameter) MRI metrics increase and incidence of composite mild renal disease events (incident CKD, change in stage of CKD)

    The impact that liver volume, whole body composition and, abnormalities in the aorta have on diabetes-related clinical outcomes using multiparametric MRI

    Measured: 5 years from baseline

  34. Potential effect of body composition, liver volume, and aortic (distensibility, diameter) MRI metrics increase and incidence of retinal intervention (photocoagulation, Vity, or use of anti-vascular endothelial growth factor injections)

    The impact that liver volume, whole body composition and, abnormalities in the aorta have on diabetes-related clinical outcomes using multiparametric MRI

    Measured: 1 year from baseline

  35. Potential effect of body composition, liver volume, and aortic (distensibility, diameter) MRI metrics increase and incidence of retinal intervention (photocoagulation, Vity, or use of anti-vascular endothelial growth factor injections)

    The impact that liver volume, whole body composition and, abnormalities in the aorta have on diabetes-related clinical outcomes using multiparametric MRI

    Measured: 3 years from baseline

  36. Potential effect of body composition, liver volume, and aortic (distensibility, diameter) MRI metrics increase and incidence of retinal intervention (photocoagulation, Vity, or use of anti-vascular endothelial growth factor injections)

    The impact that liver volume, whole body composition and, abnormalities in the aorta have on diabetes-related clinical outcomes using multiparametric MRI

    Measured: 5 years from baseline

  37. Potential effect of body composition, liver volume, and aortic (distensibility, diameter) MRI metrics increase and incidence of lower limb amputations

    The impact that liver volume, whole body composition and, abnormalities in the aorta have on diabetes-related clinical outcomes using multiparametric MRI

    Measured: 1 year from baseline

  38. Potential effect of body composition, liver volume, and aortic (distensibility, diameter) MRI metrics increase and incidence of lower limb amputations

    The impact that liver volume, whole body composition and, abnormalities in the aorta have on diabetes-related clinical outcomes using multiparametric MRI

    Measured: 3 years from baseline

  39. Potential effect of body composition, liver volume, and aortic (distensibility, diameter) MRI metrics increase and incidence of lower limb amputations

    The impact that liver volume, whole body composition and, abnormalities in the aorta have on diabetes-related clinical outcomes using multiparametric MRI

    Measured: 5 years from baseline

  40. Potential effect of body composition, liver volume, and aortic (distensibility, diameter) MRI metrics increase and incidence of all-cause mortality

    The impact that liver volume, whole body composition and, abnormalities in the aorta have on diabetes-related clinical outcomes using multiparametric MRI

    Measured: 1 year from baseline

  41. Potential effect of body composition, liver volume, and aortic (distensibility, diameter) MRI metrics increase and incidence of all-cause mortality

    The impact that liver volume, whole body composition and, abnormalities in the aorta have on diabetes-related clinical outcomes using multiparametric MRI

    Measured: 3 years from baseline

  42. Potential effect of body composition, liver volume, and aortic (distensibility, diameter) MRI metrics increase and incidence of all-cause mortality

    The impact that liver volume, whole body composition and, abnormalities in the aorta have on diabetes-related clinical outcomes using multiparametric MRI

    Measured: 5 years from baseline

  43. Potential effect of body composition, liver volume, and aortic (distensibility, diameter) MRI metrics increase and incidence of CV death, liver death, renal death, cancer death, other death

    The impact that liver volume, whole body composition and, abnormalities in the aorta have on diabetes-related clinical outcomes using multiparametric MRI

    Measured: 1 year from baseline

  44. Potential effect of body composition, liver volume, and aortic (distensibility, diameter) MRI metrics increase and incidence of CV death, liver death, renal death, cancer death, other death

    The impact that liver volume, whole body composition and, abnormalities in the aorta have on diabetes-related clinical outcomes using multiparametric MRI

    Measured: 3 years from baseline

  45. Potential effect of body composition, liver volume, and aortic (distensibility, diameter) MRI metrics increase and incidence of CV death, liver death, renal death, cancer death, other death

    The impact that liver volume, whole body composition and, abnormalities in the aorta have on diabetes-related clinical outcomes using multiparametric MRI

    Measured: 5 years from baseline

  46. Potential effect of body composition, liver volume, and aortic (distensibility, diameter) MRI metrics increase and incidence of liver events (decompensation, hepatocellular carcinoma diagnosis, transplant, portal hypertension)

    The impact that liver volume, whole body composition and, abnormalities in the aorta have on diabetes-related clinical outcomes using multiparametric MRI

    Measured: 1 year from baseline

  47. Potential effect of body composition, liver volume, and aortic (distensibility, diameter) MRI metrics increase and incidence of liver events (decompensation, hepatocellular carcinoma diagnosis, transplant, portal hypertension)

    The impact that liver volume, whole body composition and, abnormalities in the aorta have on diabetes-related clinical outcomes using multiparametric MRI

    Measured: 3 years from baseline

  48. Potential effect of body composition, liver volume, and aortic (distensibility, diameter) MRI metrics increase and incidence of liver events (decompensation, hepatocellular carcinoma diagnosis, transplant, portal hypertension)

    The impact that liver volume, whole body composition and, abnormalities in the aorta have on diabetes-related clinical outcomes using multiparametric MRI

    Measured: 5 years from baseline

  49. Potential effect of body composition, liver volume, and aortic (distensibility, diameter) MRI metrics increase and incidence of non-hepatic cancer

    The impact that liver volume, whole body composition and, abnormalities in the aorta have on diabetes-related clinical outcomes using multiparametric MRI

    Measured: 1 year from baseline

  50. Potential effect of body composition, liver volume, and aortic (distensibility, diameter) MRI metrics increase and incidence of non-hepatic cancer

    The impact that liver volume, whole body composition and, abnormalities in the aorta have on diabetes-related clinical outcomes using multiparametric MRI

    Measured: 3 years from baseline

  51. Potential effect of body composition, liver volume, and aortic (distensibility, diameter) MRI metrics increase and incidence of non-hepatic cancer

    The impact that liver volume, whole body composition and, abnormalities in the aorta have on diabetes-related clinical outcomes using multiparametric MRI

    Measured: 5 years from baseline

  52. The effect of retinopathy severity (no DR, mild NPDR, moderate NPDR, severe NPDR, PDR, advanced PDR) on the incidence rate of 5-point MACE (CV death, non-fatal stroke, myocardial infarction, heart failure, hospitalisation for CV causes)

    The impact of the severity of diabetic retinopathy on cardiovascular and other diabetes-related outcomes

    Measured: 1 year from baseline

  53. The effect of retinopathy severity (no DR, mild NPDR, moderate NPDR, severe NPDR, PDR, advanced PDR) on the incidence rate of 5-point MACE (CV death, non-fatal stroke, myocardial infarction, heart failure, hospitalisation for CV causes)

    The impact of the severity of diabetic retinopathy on cardiovascular and other diabetes-related outcomes

    Measured: 3 years from baseline

  54. The effect of retinopathy severity (no DR, mild NPDR, moderate NPDR, severe NPDR, PDR, advanced PDR) on the incidence rate of 5-point MACE (CV death, non-fatal stroke, myocardial infarction, heart failure, hospitalisation for CV causes)

    The impact of the severity of diabetic retinopathy on cardiovascular and other diabetes-related outcomes

    Measured: 5 years from baseline

  55. The effect of retinopathy severity (no DR, mild NPDR, moderate NPDR, severe NPDR, PDR, advanced PDR) on the incidence rate of the composite severe renal disease events (renal replacement therapy, renal death)

    The impact of the severity of diabetic retinopathy on cardiovascular and other diabetes-related outcomes

    Measured: 1 year from baseline

  56. The effect of retinopathy severity (no DR, mild NPDR, moderate NPDR, severe NPDR, PDR, advanced PDR) on the incidence rate of the composite severe renal disease events (renal replacement therapy, renal death)

    The impact of the severity of diabetic retinopathy on cardiovascular and other diabetes-related outcomes

    Measured: 3 years from baseline

  57. The effect of retinopathy severity (no DR, mild NPDR, moderate NPDR, severe NPDR, PDR, advanced PDR) on the incidence rate of the composite severe renal disease events (renal replacement therapy, renal death)

    The impact of the severity of diabetic retinopathy on cardiovascular and other diabetes-related outcomes

    Measured: 5 years from baseline

  58. The effect of retinopathy severity (no DR, mild NPDR, moderate NPDR, severe NPDR, PDR, advanced PDR) on the incidence rate of the composite mild renal disease events (incident CKD, change in stage of CKD)

    The impact of the severity of diabetic retinopathy on cardiovascular and other diabetes-related outcomes

    Measured: 1 year from baseline

  59. The effect of retinopathy severity (no DR, mild NPDR, moderate NPDR, severe NPDR, PDR, advanced PDR) on the incidence rate of the composite mild renal disease events (incident CKD, change in stage of CKD)

    The impact of the severity of diabetic retinopathy on cardiovascular and other diabetes-related outcomes

    Measured: 3 years from baseline

  60. The effect of retinopathy severity (no DR, mild NPDR, moderate NPDR, severe NPDR, PDR, advanced PDR) on the incidence rate of the composite mild renal disease events (incident CKD, change in stage of CKD)

    The impact of the severity of diabetic retinopathy on cardiovascular and other diabetes-related outcomes

    Measured: 5 years from baseline

  61. The effect of retinopathy severity (no DR, mild NPDR, moderate NPDR, severe NPDR, PDR, advanced PDR) on the incidence rate of the retinal intervention (photocoagulation, Vity, or use of anti-vascular endothelial growth factor injections)

    The impact of the severity of diabetic retinopathy on cardiovascular and other diabetes-related outcomes

    Measured: 1 year from baseline

  62. The effect of retinopathy severity (no DR, mild NPDR, moderate NPDR, severe NPDR, PDR, advanced PDR) on the incidence rate of the retinal intervention (photocoagulation, Vity, or use of anti-vascular endothelial growth factor injections)

    The impact of the severity of diabetic retinopathy on cardiovascular and other diabetes-related outcomes

    Measured: 3 years from baseline

  63. The effect of retinopathy severity (no DR, mild NPDR, moderate NPDR, severe NPDR, PDR, advanced PDR) on the incidence rate of the retinal intervention (photocoagulation, Vity, or use of anti-vascular endothelial growth factor injections)

    The impact of the severity of diabetic retinopathy on cardiovascular and other diabetes-related outcomes

    Measured: 5 years from baseline

  64. The effect of retinopathy severity (no DR, mild NPDR, moderate NPDR, severe NPDR, PDR, advanced PDR) on the incidence rate of lower limb amputations

    The impact of the severity of diabetic retinopathy on cardiovascular and other diabetes-related outcomes

    Measured: 1 year from baseline

  65. The effect of retinopathy severity (no DR, mild NPDR, moderate NPDR, severe NPDR, PDR, advanced PDR) on the incidence rate of lower limb amputations

    The impact of the severity of diabetic retinopathy on cardiovascular and other diabetes-related outcomes

    Measured: 3 years from baseline

  66. The effect of retinopathy severity (no DR, mild NPDR, moderate NPDR, severe NPDR, PDR, advanced PDR) on the incidence rate of lower limb amputations

    The impact of the severity of diabetic retinopathy on cardiovascular and other diabetes-related outcomes

    Measured: 5 years from baseline

  67. The effect of retinopathy severity (no DR, mild NPDR, moderate NPDR, severe NPDR, PDR, advanced PDR) on the incidence rate of all-cause mortality

    The impact of the severity of diabetic retinopathy on cardiovascular and other diabetes-related outcomes

    Measured: 1 year from baseline

  68. The effect of retinopathy severity (no DR, mild NPDR, moderate NPDR, severe NPDR, PDR, advanced PDR) on the incidence rate of all-cause mortality

    The impact of the severity of diabetic retinopathy on cardiovascular and other diabetes-related outcomes

    Measured: 3 years from baseline

  69. The effect of retinopathy severity (no DR, mild NPDR, moderate NPDR, severe NPDR, PDR, advanced PDR) on the incidence rate of all-cause mortality

    The impact of the severity of diabetic retinopathy on cardiovascular and other diabetes-related outcomes

    Measured: 5 years from baseline

  70. The effect of retinopathy severity (no DR, mild NPDR, moderate NPDR, severe NPDR, PDR, advanced PDR) on the incidence rate of CV death, liver death, renal death, cancer death, other death

    The impact of the severity of diabetic retinopathy on cardiovascular and other diabetes-related outcomes

    Measured: 1 year from baseline

  71. The effect of retinopathy severity (no DR, mild NPDR, moderate NPDR, severe NPDR, PDR, advanced PDR) on the incidence rate of CV death, liver death, renal death, cancer death, other death

    The impact of the severity of diabetic retinopathy on cardiovascular and other diabetes-related outcomes

    Measured: 3 years from baseline

  72. The effect of retinopathy severity (no DR, mild NPDR, moderate NPDR, severe NPDR, PDR, advanced PDR) on the incidence rate of CV death, liver death, renal death, cancer death, other death

    The impact of the severity of diabetic retinopathy on cardiovascular and other diabetes-related outcomes

    Measured: 5 years from baseline

  73. The effect of retinopathy severity (no DR, mild NPDR, moderate NPDR, severe NPDR, PDR, advanced PDR) on the incidence rate of liver events (decompensation, hepatocellular carcinoma diagnosis, transplant, portal hypertension

    The impact of the severity of diabetic retinopathy on cardiovascular and other diabetes-related outcomes

    Measured: 1 year from baseline

  74. The effect of retinopathy severity (no DR, mild NPDR, moderate NPDR, severe NPDR, PDR, advanced PDR) on the incidence rate of liver events (decompensation, hepatocellular carcinoma diagnosis, transplant, portal hypertension

    The impact of the severity of diabetic retinopathy on cardiovascular and other diabetes-related outcomes

    Measured: 3 years from baseline

  75. The effect of retinopathy severity (no DR, mild NPDR, moderate NPDR, severe NPDR, PDR, advanced PDR) on the incidence rate of liver events (decompensation, hepatocellular carcinoma diagnosis, transplant, portal hypertension

    The impact of the severity of diabetic retinopathy on cardiovascular and other diabetes-related outcomes

    Measured: 5 years from baseline

  76. The effect of retinopathy severity (no DR, mild NPDR, moderate NPDR, severe NPDR, PDR, advanced PDR) on the incidence rate of non-hepatic cancer

    The impact of the severity of diabetic retinopathy on cardiovascular and other diabetes-related outcomes

    Measured: 1 year from baseline

  77. The effect of retinopathy severity (no DR, mild NPDR, moderate NPDR, severe NPDR, PDR, advanced PDR) on the incidence rate of non-hepatic cancer

    The impact of the severity of diabetic retinopathy on cardiovascular and other diabetes-related outcomes

    Measured: 3 years from baseline

  78. The effect of retinopathy severity (no DR, mild NPDR, moderate NPDR, severe NPDR, PDR, advanced PDR) on the incidence rate of non-hepatic cancer

    The impact of the severity of diabetic retinopathy on cardiovascular and other diabetes-related outcomes

    Measured: 5 years from baseline

  79. The effect of age of T2DM diagnosis (early onset and under 45 year of age, usual onset) on the incidence rate of 5-point MACE (CV death, non-fatal stroke, myocardial infarction, heart failure, hospitalisation for CV causes)

    The impact of age of onset of T2DM on cardiovascular and other diabetes-related outcomes

    Measured: 1 year from baseline

  80. The effect of age of T2DM diagnosis (early onset and under 45 year of age, usual onset) on the incidence rate of 5-point MACE (CV death, non-fatal stroke, myocardial infarction, heart failure, hospitalisation for CV causes)

    The impact of age of onset of T2DM on cardiovascular and other diabetes-related outcomes

    Measured: 3 years from baseline

  81. The effect of age of T2DM diagnosis (early onset and under 45 year of age, usual onset) on the incidence rate of 5-point MACE (CV death, non-fatal stroke, myocardial infarction, heart failure, hospitalisation for CV causes)

    The impact of age of onset of T2DM on cardiovascular and other diabetes-related outcomes

    Measured: 5 years from baseline

  82. The effect of age of T2DM diagnosis (early onset and under 45 year of age, usual onset) on the incidence rate of composite severe renal disease events (renal replacement therapy, renal death)

    The impact of age of onset of T2DM on cardiovascular and other diabetes-related outcomes

    Measured: 1 year from baseline

  83. The effect of age of T2DM diagnosis (early onset and under 45 year of age, usual onset) on the incidence rate of composite severe renal disease events (renal replacement therapy, renal death)

    The impact of age of onset of T2DM on cardiovascular and other diabetes-related outcomes

    Measured: 3 years from baseline

  84. The effect of age of T2DM diagnosis (early onset and under 45 year of age, usual onset) on the incidence rate of composite severe renal disease events (renal replacement therapy, renal death)

    The impact of age of onset of T2DM on cardiovascular and other diabetes-related outcomes

    Measured: 5 years from baseline

  85. The effect of age of T2DM diagnosis (early onset and under 45 year of age, usual onset) on the incidence rate of composite mild renal disease events (incident CKD, change in stage of CKD)

    The impact of age of onset of T2DM on cardiovascular and other diabetes-related outcomes

    Measured: 1 year from baseline

  86. The effect of age of T2DM diagnosis (early onset and under 45 year of age, usual onset) on the incidence rate of composite mild renal disease events (incident CKD, change in stage of CKD)

    The impact of age of onset of T2DM on cardiovascular and other diabetes-related outcomes

    Measured: 3 years from baseline

  87. The effect of age of T2DM diagnosis (early onset and under 45 year of age, usual onset) on the incidence rate of composite mild renal disease events (incident CKD, change in stage of CKD)

    The impact of age of onset of T2DM on cardiovascular and other diabetes-related outcomes

    Measured: 5 years from baseline

  88. The effect of age of T2DM diagnosis (early onset and under 45 year of age, usual onset) on the incidence rate of retinal intervention (photocoagulation, Vity, or use of anti-vascular endothelial growth factor injections)

    The impact of age of onset of T2DM on cardiovascular and other diabetes-related outcomes

    Measured: 1 year from baseline

  89. The effect of age of T2DM diagnosis (early onset and under 45 year of age, usual onset) on the incidence rate of retinal intervention (photocoagulation, Vity, or use of anti-vascular endothelial growth factor injections)

    The impact of age of onset of T2DM on cardiovascular and other diabetes-related outcomes

    Measured: 3 years from baseline

  90. The effect of age of T2DM diagnosis (early onset and under 45 year of age, usual onset) on the incidence rate of retinal intervention (photocoagulation, Vity, or use of anti-vascular endothelial growth factor injections)

    The impact of age of onset of T2DM on cardiovascular and other diabetes-related outcomes

    Measured: 5 years from baseline

  91. The effect of age of T2DM diagnosis (early onset and under 45 year of age, usual onset) on the incidence rate of lower limb amputations

    The impact of age of onset of T2DM on cardiovascular and other diabetes-related outcomes

    Measured: 1 year from baseline

  92. The effect of age of T2DM diagnosis (early onset and under 45 year of age, usual onset) on the incidence rate of lower limb amputations

    The impact of age of onset of T2DM on cardiovascular and other diabetes-related outcomes

    Measured: 3 years from baseline

  93. The effect of age of T2DM diagnosis (early onset and under 45 year of age, usual onset) on the incidence rate of lower limb amputations

    The impact of age of onset of T2DM on cardiovascular and other diabetes-related outcomes

    Measured: 5 years from baseline

  94. The effect of age of T2DM diagnosis (early onset and under 45 year of age, usual onset) on the incidence rate of all-cause mortality

    The impact of age of onset of T2DM on cardiovascular and other diabetes-related outcomes

    Measured: 1 year from baseline

  95. The effect of age of T2DM diagnosis (early onset and under 45 year of age, usual onset) on the incidence rate of all-cause mortality

    The impact of age of onset of T2DM on cardiovascular and other diabetes-related outcomes

    Measured: 3 years from baseline

  96. The effect of age of T2DM diagnosis (early onset and under 45 year of age, usual onset) on the incidence rate of all-cause mortality

    The impact of age of onset of T2DM on cardiovascular and other diabetes-related outcomes

    Measured: 5 years from baseline

  97. The effect of age of T2DM diagnosis (early onset and under 45 year of age, usual onset) on the incidence rate of CV death, liver death, renal death, cancer death, other death

    The impact of age of onset of T2DM on cardiovascular and other diabetes-related outcomes

    Measured: 1 year from baseline

  98. The effect of age of T2DM diagnosis (early onset and under 45 year of age, usual onset) on the incidence rate of CV death, liver death, renal death, cancer death, other death

    The impact of age of onset of T2DM on cardiovascular and other diabetes-related outcomes

    Measured: 3 years from baseline

  99. The effect of age of T2DM diagnosis (early onset and under 45 year of age, usual onset) on the incidence rate of CV death, liver death, renal death, cancer death, other death

    The impact of age of onset of T2DM on cardiovascular and other diabetes-related outcomes

    Measured: 5 years from baseline

  100. The effect of age of T2DM diagnosis (early onset and under 45 year of age, usual onset) on the incidence rate of liver events (decompensation, hepatocellular carcinoma diagnosis, transplant, portal hypertension

    The impact of age of onset of T2DM on cardiovascular and other diabetes-related outcomes

    Measured: 1 year from baseline

  101. The effect of age of T2DM diagnosis (early onset and under 45 year of age, usual onset) on the incidence rate of liver events (decompensation, hepatocellular carcinoma diagnosis, transplant, portal hypertension

    The impact of age of onset of T2DM on cardiovascular and other diabetes-related outcomes

    Measured: 3 years from baseline

  102. The effect of age of T2DM diagnosis (early onset and under 45 year of age, usual onset) on the incidence rate of liver events (decompensation, hepatocellular carcinoma diagnosis, transplant, portal hypertension

    The impact of age of onset of T2DM on cardiovascular and other diabetes-related outcomes

    Measured: 5 years from baseline

  103. The effect of age of T2DM diagnosis (early onset and under 45 year of age, usual onset) on the incidence rate of non-hepatic cancer

    The impact of age of onset of T2DM on cardiovascular and other diabetes-related outcomes

    Measured: 1 year from baseline

  104. The effect of age of T2DM diagnosis (early onset and under 45 year of age, usual onset) on the incidence rate of non-hepatic cancer

    The impact of age of onset of T2DM on cardiovascular and other diabetes-related outcomes

    Measured: 3 years from baseline

  105. The effect of age of T2DM diagnosis (early onset and under 45 year of age, usual onset) on the incidence rate of non-hepatic cancer

    The impact of age of onset of T2DM on cardiovascular and other diabetes-related outcomes

    Measured: 5 years from baseline

  106. Prevalence of patients with evidence of metabolic dysfunction-associated steatotic liver disease in patients with diabetic retinopathy of different severity (no DR, mild NPDR, moderate NPDR, severe NPDR, PDR, advanced PDR)

    The co-prevalence of diabetic retinopathy (DR) and metabolic dysfunction-associated steatotic liver disease (MASLD), using multi-parametric abdominal MRI

    Measured: 1 year from baseline

  107. Correlations between liver MRI metrics (organ volume, fat infiltration and fibroinflammation) and eye metrics (retinal layer thickness by OCT, discrete retinopathy scores)

    The correlation between severity of eye disease and MRI-derived metrics of liver disease using multiparametric MRI

    Measured: 1 year from baseline

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted27 Sep 2021
  2. Study start30 May 2022
  3. Primary completionJun 2034 (estimated)
  4. Study completionJun 2034 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
1,000 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05057403
Sponsor's protocol ID
20/WM/0007
Acronym
UKIDS
Status last verified
Nov 2025
First submitted
1 Sep 2021
Last updated
5 Dec 2025
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

An observational study of Type2 Diabetes, run by Perspectum at 12 sites in United Kingdom.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 2 inclusion and 11 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 5 Dec 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 12 sites in United Kingdom. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Soubera Rymall, MSc (00447919272482, soubera.rymell@perspectum.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Baseline liver MR metrics on incidence rate of 5-point MACE (CV death, non-fatal stroke, myocardial infarction, heart failure, hospitalisation for CV causes) in people with type 2 diabetes, without history of CV. (time frame: 3 year from baseline). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 5 Dec 2025.

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