Proteome-Wide Association and LLM-Based Prioritization of Type 2 Diabetes Protein Targets (LAUNCH-T2D)

Integrative Proteome-Wide Association Study and Large Language Model-Based Prioritization of Causal Protein Targets of Type 2 Diabetes

Type 2 diabetes is a common condition in which the body has difficulty controlling blood sugar. This study will use existing genetic, protein, and health data from prior research studies to identify blood proteins that may play a role in type 2 diabetes. The study will not recruit participants, provide treatment, or collect new samples. Researchers will use computer-based analyses to identify and prioritize protein targets for future laboratory and clinical research. The goal is to support the development of better approaches for understanding, preventing, and treating type 2 diabetes.

Study Overview

Status

Not yet recruiting

Detailed Description

Type 2 diabetes is a major cause of illness and health disparities. Genetic association studies can identify regions of the genome associated with disease risk, but they do not always identify the proteins or biological mechanisms that contribute to disease development. This project will conduct a retrospective secondary analysis of existing, controlled-access genetic, proteomic, and phenotype data, including data accessed through the United Kingdom Biobank (UK Biobank) and other previously collected datasets. No new participants will be recruited, enrolled, contacted, treated, or followed as part of this study.

The study will use proteome-wide association methods to evaluate whether genetically predicted circulating protein levels are associated with type 2 diabetes risk. Analyses will consider evidence across African American and European American datasets when available, with attention to population-specific and shared signals. Statistical genetic evidence will be integrated with relevant biological and clinical information to prioritize protein targets that may have a causal role in type 2 diabetes.

Large language model-based methods will be used as a structured evidence-synthesis tool to organize and summarize publicly available information relevant to prioritized proteins, including biological function, disease relevance, and potential therapeutic tractability. All computational results will be reviewed by the research team. The project will generate reproducible analytic workflows, a ranked list of candidate protein targets, and hypotheses for future experimental validation. Findings are intended for research use and will not be used to make clinical decisions for individual patients.

Study Type

Observational

Enrollment (Estimated)

31994

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

40 years to 84 years (Adult, Older Adult)

Accepts Healthy Volunteers

Yes

Genders Eligible for Study

All

Sampling Method

Non-Probability Sample

Study Population

Existing adult participants from the UK Biobank and Multi-Ethnic Study of Atherosclerosis with available genetic and OLINK proteomic data, including African American and European American/European ancestry participants. Type 2 diabetes GWAS summary statistics from the Million Veteran Program will be integrated for association analyses. No new participants will be recruited or contacted.

Description

Inclusion Criteria:

  • Participants enrolled in the source studies who were aged 40 to 84 years at enrollment.
  • Availability of genetic data and plasma proteomic data for population-specific protein prediction modeling.
  • Participants with or without type 2 diabetes, depending on the source dataset and analytic objective.

Exclusion Criteria:

  • Participants younger than 40 years or older than 84 years at enrollment in the source studies.
  • Participants lacking genetic data or plasma proteomic data required for protein prediction modeling.

This study will conduct a retrospective secondary analysis of existing, controlled-access datasets. No new participants will be recruited or contacted. Type 2 diabetes genome-wide association summary statistics will also be used for association analyses; the participant-level eligibility criteria above apply to individual-level source-study records used for protein prediction modeling.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Observational Models: OTHER
  • Time Perspectives: RETROSPECTIVE

Cohorts and Interventions

Group / Cohort
African American Participants

Retrospective analysis of existing genetic and OLINK proteomic data to develop and validate population-specific protein prediction models and evaluate genetically predicted proteins associated with type 2 diabetes risk.

European American Participants

Retrospective analysis of existing genetic and OLINK proteomic data to develop and validate population-specific protein prediction models and evaluate genetically predicted proteins associated with type 2 diabetes risk.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Performance of Population-Specific Protein Prediction Models
Time Frame: Up to 12 months

Cross-validated and external validation coefficients of determination (R-squared values) for prediction models of 2,943 plasma proteins based on single-nucleotide polymorphisms located near the genes encoding the corresponding proteins (cis variants). Models with reproducible performance (R-squared greater than 0.01) will be retained.

Up to 12 months

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Genetically Predicted Protein Associations With Type 2 Diabetes Risk
Time Frame: Up to 12 months

Number and effect estimates of proteins associated with type 2 diabetes risk after integration of validated population-specific protein prediction models with type 2 diabetes genome-wide association summary statistics. Statistical significance will be assessed using false discovery rate less than 0.05.

Up to 12 months
Prioritized Protein Targets With Citation-Grounded Functional Evidence
Time Frame: Up to 12 months

Number of proteins identified through proteome-wide association analyses that are assigned a structured, citation-grounded functional evidence profile and prioritization score using retrieval-augmented large language model-assisted annotation and expert review.

Up to 12 months

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Estimated)

September 15, 2026

Primary Completion (Estimated)

July 2, 2027

Study Completion (Estimated)

August 2, 2027

Study Registration Dates

First Submitted

September 15, 2026

First Submitted That Met QC Criteria

September 15, 2026

First Posted (Actual)

September 22, 2026

Study Record Updates

Last Update Posted (Actual)

September 28, 2026

Last Update Submitted That Met QC Criteria

September 23, 2026

Last Verified

September 1, 2026

More Information

Terms related to this study

Other Study ID Numbers

  • LSUHSC-LAUNCHED-T2D-01
  • U24DK132740 (U.S. NIH Grant/Contract)

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

IPD Plan Description

Individual participant data will not be shared because this study uses controlled-access data from external sources, including the UK Biobank and the Multi-Ethnic Study of Atherosclerosis, that are subject to source-specific data use agreements and participant privacy protections. The study team does not have authority to redistribute these data. To support transparency and reproducibility, analytic code, study documentation, and aggregate, non-identifiable results will be shared when permitted by applicable agreements.

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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