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Cystic Fibrosis (CF)SPeCTRuMNCT06837181

Studying the Presence of CFRD Complications With Thoughtful Recruitment (SPeCTRuM)

An observational study of Cystic Fibrosis (CF) and Cystic Fibrosis-related Diabetes, run by Jaeb Center for Health Research at 18 sites in United States.

Recruiting

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

Sites and contacts
Official record
Search all trials

Trial summary

This multicenter cross-sectional study will include a diverse population of adolescents and adults with CF. The overall Aim is to describe prevalence of diabetes microvascular complications and macrovascular surrogates in people with established CFRD. Read more about this study

Who is it for?
Ages 12 years and older
What is being tested?
observational study
How many people
200 participants
Where
18 sitesUnited States
Study dates
18 Sep 2025to 30 Nov 2028
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 12 years and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Study population: Individuals with CFRD diagnosis ≥ 5 years at time of enrollment

Who may be able to join

  • Written informed consent (and assent when applicable) obtained from participant or participant's legally authorized representative
  • For Adults: Must be able to consent on one own's behalf (i.e., cannot lack cognitive capacity to consent due to the required patient-reported outcomes)
  • Be willing and able to adhere to the study protocol requirements
  • Age ≥ 12 years at time of enrollment
  • CF diagnosis based on two CF causing mutations and/or positive sweat test according to CFF diagnostic criteria
  • CFRD diagnosis ≥ 5 years at time of enrollment

Who cannot join

  • History of any illness or condition that, in the opinion of the investigator might confound the results of the study or pose an additional risk to the subject
  • History of transplant
  • Pregnancy reported by participant at time of consent or at any point during active study participation
  • Pulse Wave Velocity Exclusion Criteria:
  • Erratic, accelerated or mechanically controlled irregular heart rhythms including arrhythmias
  • Carotid or aortic valve stenosis
Show all 11Show fewer
  • Peripheral artery disease or leg artery disease
  • Generalized constriction or localized spasm of muscular conduit arteries such as seen immediately after hypothermic cardiopulmonary bypass surgery or accompanying Raynaud's phenomena or intense cold.
  • Possible exclusions based on investigator medical provider assessment (additional precautions may be followed to allow inclusion):
  • Pressure reading should not be conducted on a limb where there is intravenous access, arterio-venous shunt, or where circulation is compromised.
  • Pressure reading should not be conducted on the side of the body that a mastectomy was done.

Trial locations and contacts

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

Judy Sibayan, MPH, CCRP contact

813-975-8690

jsibayan@jaeb.org

Haley Fonseca, PhD, RDN, LDN contact

813-975-8690

hfonseca@jaeb.org

18 sites in 1 country

United States18 sites, 18 recruiting
  • University of New Mexico

    Albuquerque, New Mexico, 87106

    Kamyron Jordan, 505-272-9889, KDJordan@salud.unm.edu

    Not yet recruiting
  • Emory University School of Medicine

    Atlanta, Georgia, 30322

    Tanicia Daley, MD MPH, 404-727-2503, tanicia.daley@emory.edu

    Recruiting
  • University of Colorado Denver

    Aurora, Colorado, 80045

    Christine Chan, MD, 720-777-6128, christinel.chan@childrenscolorado.org

    Recruiting
  • University of Alabama at Birmingham

    Birmingham, Alabama, 35233

    George Solomon, 205-638-5599, gsolomon@uabmc.edu

    Not yet recruiting
  • Massachusetts

    Boston, Massachusetts, 02114

    Melissa Putman, MSPUTMAN@mgh.harvard.edu

    Not yet recruiting
  • Medical University of South Carolina

    Charlestone, South Carolina, 29425

    Christina Mingora, 843-792-3163, mingora@musc.edu

    Not yet recruiting
  • Baylor College of Medicine

    Houston, Texas, 77030

    Michelle Mann, 8328224772, mcmann@texaschildrens.org

    Not yet recruiting
  • University of Iowa

    Iowa City, Iowa, 52242

    Katie Larson Ode, MD, 319-356-4443, Katie-larsonode@uiowa.edu

    Not yet recruiting
  • Keck Medical Center of USC

    Los Angeles, California, 90033

    Adupa Rao, 323-442-8522, Purush.Rao@med.usc.edu

    Not yet recruiting
  • University of Miami

    Miami, Florida, 33136

    Maria Tupayachi Ortiz, 305-799-9209, mtupayachiortiz@med.miami.edu

    Not yet recruiting
  • University of Minnesota

    Minneapolis, Minnesota, 55455

    Amir Moheet, MD, 617-624-3209, mohee002@umn.edu

    Recruiting
  • Tulane University

    New Orleans, Louisiana, 70112

    Ross Klingsberg, 504-400-4316, rklingsb@tulane.edu

    Not yet recruiting
  • Columbia University Cystic Fibrosis Program

    New York, New York, 10032

    Hossein Sadeghi, 212-305-5122, hs762@cumc.columbia.edu

    Not yet recruiting
  • Stanford University

    Palo Alto, California, 94304

    Carlos Milla, 650-721-1132, cmilla@stanford.edu

    Not yet recruiting
  • The Children's Hospital of Philadelphia

    Philadelphia, Pennsylvania, 19146

    Andrea Kelly, MD, 215-590-3174, kellya@chop.edu

    Recruiting
  • The University of Texas Health Science Center at San Antonio

    San Antonio, Texas, 78229

    Maria Rayas, MD, 210-567-5283, rayas@uthscsa.edu

    Recruiting
  • University of California San Diego

    San Diego, California, 92103

    Jacob Bailey, 858-246-0371, jbailey@health.ucsd.edu

    Not yet recruiting
  • Atrium Health Wake Forest Baptist (Wake Forest Baptist)

    Winston-Salem, North Carolina, 27104

    Chad Marion, 336-713-8550, Chad.Marion@wfusm.edu

    Not yet recruiting

Other trials in United States

About this study

This multicenter cross-sectional study will include a diverse population of adolescents and adults with CF.

The overall Aim is to describe prevalence of diabetes microvascular complications and macrovascular surrogates in people with established CFRD.

Being tested
observational study
Keywords
Cystic Fibrosis, CFRD, Cystic Fibrosis-Related Diabetes, Observational, Physical Activity Tracker, Continuous glucose monitoring, CGM, Diabetes, blood pressure, cardiovascular risk, microvascular, diabetes complications, social determinants of health
Medical subject headings
Cystic Fibrosis, Diabetes Mellitus, Retinal Diseases, Kidney Diseases, Diabetes Complications

What participants receive

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

  • observational studyOther

    This is an observational study.

Study groups in NCT06837181
Study groupRoleWhat they receive
Individuals with Cystic Fibrosis-Related DiabetesIndividuals diagnosed with Cystic Fibrosis-Related Diabetes for more than 5 years before enrollment
Receives: Other: observational study

What is being measured

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

  1. Microvascular Complications

    To describe the rates of microvascular complications (retinopathy, nephropathy, and peripheral neuropathy) and their relationships with HbA1c and diabetes duration in diverse cohort of adolescents and adults with CFRD for ≥5 years.

    Measured: From enrollment to the end of the participant's participation or 4 weeks

  2. Macrovascular Surrogates

    To describe macrovascular surrogates (resting blood pressure (BP), fasting lipids) and their relationship with HbA1c, diabetes duration and BMI in a diverse cohort with established CFRD.

    Measured: From enrollment to the end of the participant's participation or 4 weeks

Secondary outcomes (18)
  1. PhenX English Proficiency

    This questionnaire will be used to describe the social determinants of health in the study population and their cross-sectional relationships with microvascular complications and macrovascular surrogates will largely be explored.

    Measured: From enrollment to the end of the participant's participation or 4 weeks

  2. PhenX Food Security & Prescription Accessibility

    This questionnaire will be used to describe the social determinants of health in the study population and their cross-sectional relationships with microvascular complications and macrovascular surrogates will largely be explored.

    Measured: From enrollment to the end of the participant's participation or 4 weeks

  3. Exercise and Substance Use

    This questionnaire ask questions regarding participants' physical activity, sleeping habits and substance use.

    Measured: From enrollment to the end of the participant's participation or 4 weeks

  4. Pubertal Self-Assessment

    A self-evaluation questionnaire to assess child's pubertal development.

    Measured: From enrollment to the end of the participant's participation or 4 weeks

  5. Beverage Questionnaire (BEVQ15)

    A questionnaire that asks the frequency and amount of beverage intake for the past month.

    Measured: From enrollment to the end of the participant's participation or 4 weeks

  6. CFRD Care & Technology

    This is a questionnaire that asks participants regarding their CFRD care and the technology they use to help them manage diabetes.

    Measured: From enrollment to the end of the participant's participation or 4 weeks

  7. Diabetes Management Experience

    This is a questionnaire that asks how participants manage their diabetes for the past 12 months.

    Measured: From enrollment to the end of the participant's participation or 4 weeks

  8. Problem Areas in Diabetes (PAID)

    Questionnaire that asks participants about possible diabetes-related issues they have experienced.

    Measured: From enrollment to the end of the participant's participation or 4 weeks

  9. Problem Areas in Diabetes Parents of Teens (P-PAID-T)

    Questionnaire about what the parent or guardian of a participant may experience with their child's diabetes and rating how true it is for them over the past month.

    Measured: From enrollment to the end of the participant's participation or 4 weeks

  10. Hypoglycemia Fear Survey (Child)

    A survey that consists of 25 questions and selecting from scale (0 = never to 4 = always) about how low blood sugar makes children feel and do.

    Measured: From enrollment to the end of the participant's participation or 4 weeks

  11. Hypoglycemia Fear Survey (Parent)

    Survey that consists of 25 questions about the frequency of things parents of children with diabetes sometimes do to keep from having low blood sugar.

    Measured: From enrollment to the end of the participant's participation or 4 weeks

  12. Hypoglycemia Fear Survey (Adult-Short Form)/Worry (HFS-II-Worry)

    A survey about various scenarios that may happen to the participant and rating how true it is for them over the past 6 months.

    Measured: From enrollment to the end of the participant's participation or 4 weeks

  13. Gold Score

    A 7 item scale that measures hypoglycemia awareness

    Measured: From enrollment to the end of the participant's participation or 4 weeks

  14. All of Us

    A questionnaire that consists of 14 questions asking about the participant, their work and their home life.

    Measured: From enrollment to the end of the participant's participation or 4 weeks

  15. Continuous glucose monitoring (CGM)-defined glycemic control (time-in-range, time-above-range, time-below-range, glucose variability), and the relationships between CGM metrics and HbA1c, in a diverse population of people with established CFRD

    This will be measured using a continuous glucose monitor that will be worn by the participant for 3 to 10 days.

    Measured: 3-10 days

  16. Diversity of participants enrolled and barriers to enrollment

    This will be measured using the patient-related outcomes questionnaires.

    Measured: From enrollment to the end of the participant's participation or 4 weeks

  17. Renal function by eGFR

    Function will be assessed by collection of creatinine and Cystatin-C

    Measured: From enrollment to the end of the participant's participation or 4 weeks

  18. Liver function

    This will be measured by liver enzymes and complete blood count (CBC); APRI and EMR data for liver imaging

    Measured: From enrollment to the end of the participant's participation or 4 weeks

Timeline

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

  1. First posted20 Feb 2025
  2. Study start18 Sep 2025
  3. Primary completion30 Nov 2028 (estimated)
  4. Study completion30 Nov 2028 (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
Cross-sectional
Enrolment
200 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06837181
Sponsor's protocol ID
SPeCTRuM
Other IDs
007365A124
Acronym
SPeCTRuM
Status last verified
Feb 2026
First submitted
29 Jan 2025
Last updated
10 Feb 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Agbaje AO, Barker AR, Tuomainen TP. Differing Relations Of Arterial Stiffness And Carotid Intima-Media Thickness In Adolescence With Metabolic Risks In Young Adulthood: The ALSPAC Study. Circulation. 2021;144(Suppl_1):A13236-A. doi: doi:10.1161/circ.144.suppl_1.13236

  • Kelly A, Magge SN, Walega R, Cochrane C, Pipan ME, Zemel BS, Cohen MS, Gidding SS, Townsend R. Cross-Sectional Study of Arterial Stiffness in Adolescents with Down Syndrome. J Pediatr. 2019 Sep;212:79-86.e1. doi: 10.1016/j.jpeds.2019.04.059. Epub 2019 Jun 11.

    PubMed 31201031
  • DeLoach SS, Townsend RR. Vascular stiffness: its measurement and significance for epidemiologic and outcome studies. Clin J Am Soc Nephrol. 2008 Jan;3(1):184-92. doi: 10.2215/CJN.03340807.

    PubMed 18178784
  • Feldman EL, Stevens MJ, Thomas PK, Brown MB, Canal N, Greene DA. A practical two-step quantitative clinical and electrophysiological assessment for the diagnosis and staging of diabetic neuropathy. Diabetes Care. 1994 Nov;17(11):1281-9. doi: 10.2337/diacare.17.11.1281.

    PubMed 7821168
  • Bergman M, Tuomilehto J. International Diabetes Federation Position Statement on the 1-hour post-load plasma glucose for the diagnosis of intermediate hyperglycaemia and type 2 diabetes. Diabetes Res Clin Pract. 2024 Apr;210:111636. doi: 10.1016/j.diabres.2024.111636. Epub 2024 Mar 25. No abstract available.

    PubMed 38537890
  • Bergman M, Manco M, Satman I, Chan J, Schmidt MI, Sesti G, Vanessa Fiorentino T, Abdul-Ghani M, Jagannathan R, Kumar Thyparambil Aravindakshan P, Gabriel R, Mohan V, Buysschaert M, Bennakhi A, Pascal Kengne A, Dorcely B, Nilsson PM, Tuomi T, Battelino T, Hussain A, Ceriello A, Tuomilehto J. International Diabetes Federation Position Statement on the 1-hour post-load plasma glucose for the diagnosis of intermediate hyperglycaemia and type 2 diabetes. Diabetes Res Clin Pract. 2024 Mar;209:111589. doi: 10.1016/j.diabres.2024.111589. Epub 2024 Mar 7.

    PubMed 38458916
  • McGarry M. Transparency and diversity in cystic fibrosis research. Lancet. 2020 Aug 29;396(10251):601. doi: 10.1016/S0140-6736(20)30906-5. No abstract available.

    PubMed 32861304
  • Kartal Ozturk G, Conkar S, Eski A, Gulen F, Keskinoglu A, Demir E. Evaluation of increased arterial stiffness in pediatric patients with cystic fibrosis by augmentation index and pulse wave velocity analysis. Pediatr Pulmonol. 2020 May;55(5):1147-1153. doi: 10.1002/ppul.24688. Epub 2020 Feb 14.

    PubMed 32057197
  • Eising JB, van der Ent CK, Teske AJ, Vanderschuren MM, Uiterwaal CSPM, Meijboom FJ. Young patients with cystic fibrosis demonstrate subtle alterations of the cardiovascular system. J Cyst Fibros. 2018 Sep;17(5):643-649. doi: 10.1016/j.jcf.2017.12.009. Epub 2018 Feb 3.

    PubMed 29398489
  • Buehler T, Steinmann M, Singer F, Regamey N, Casaulta C, Schoeni MH, Simonetti GD. Increased arterial stiffness in children with cystic fibrosis. Eur Respir J. 2012 Jun;39(6):1536-7. doi: 10.1183/09031936.00212511. No abstract available.

    PubMed 22654008
  • Urbina EM, Isom S, Bell RA, Bowlby DA, D'Agostino R Jr, Daniels SR, Dolan LM, Imperatore G, Marcovina SM, Merchant AT, Reynolds K, Shah AS, Wadwa RP, Dabelea D; SEARCH for Diabetes in Youth Study Group. Burden of Cardiovascular Risk Factors Over Time and Arterial Stiffness in Youth With Type 1 Diabetes Mellitus: The SEARCH for Diabetes in Youth Study. J Am Heart Assoc. 2019 Jul 2;8(13):e010150. doi: 10.1161/JAHA.118.010150. Epub 2019 Jun 19.

    PubMed 31213111
  • Stoner L, Kucharska-Newton A, Meyer ML. Cardiometabolic Health and Carotid-Femoral Pulse Wave Velocity in Children: A Systematic Review and Meta-Regression. J Pediatr. 2020 Mar;218:98-105.e3. doi: 10.1016/j.jpeds.2019.10.065. Epub 2019 Dec 4.

    PubMed 31810627
  • Reference Values for Arterial Stiffness' Collaboration. Determinants of pulse wave velocity in healthy people and in the presence of cardiovascular risk factors: 'establishing normal and reference values'. Eur Heart J. 2010 Oct;31(19):2338-50. doi: 10.1093/eurheartj/ehq165. Epub 2010 Jun 7.

    PubMed 20530030
  • Mendizabal B, Urbina EM. Subclinical Atherosclerosis in Youth: Relation to Obesity, Insulin Resistance, and Polycystic Ovary Syndrome. J Pediatr. 2017 Nov;190:14-20. doi: 10.1016/j.jpeds.2017.06.043. Epub 2017 Jul 13. No abstract available.

    PubMed 28712518
  • Khoury M, Urbina EM. Hypertension in adolescents: diagnosis, treatment, and implications. Lancet Child Adolesc Health. 2021 May;5(5):357-366. doi: 10.1016/S2352-4642(20)30344-8. Epub 2021 Mar 10.

    PubMed 33711291

Questions about this trial

What is this clinical trial studying?

An observational study of Cystic Fibrosis (CF) and Cystic Fibrosis-related Diabetes, run by Jaeb Center for Health Research at 18 sites in United States.

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 6 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 10 Feb 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 18 sites in United States. 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 Judy Sibayan, MPH, CCRP (813-975-8690, jsibayan@jaeb.org), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Microvascular Complications (time frame: From enrollment to the end of the participant's participation or 4 weeks). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06837181, which also lists 108 linked publications.

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 10 Feb 2026.

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