About this trial
The goal of this observational study is to learn about the impact of the diabetes drug glibenclamide (glyburide) on neurodevelopment in individuals with iDEND (developmental delay, epilepsy and neonatal diabetes) due to the V59M mutation in the KCNJ11 gene. The main question it aims to answer is whether initiating sulphonylurea (SU) therapy in the first year of life results in better neurodevelopmental outcomes in affected individuals, in comparison to starting therapy later than 12 months of age.
Participants will undergo a neurodevelopmental assessment comprising parental and teacher completion of standardised questionnaires, and where possible face to face neuropsychological testing.
Researchers will compare the outcomes of these standardised tests in the individuals who started SU therapy \<12 months of age in comparison to those who started \>12 months of age.
Eligibility criteria
Qualifiers
Current age ≥2 years
Heterozygous for a V59M mutation in the KCNJ11 gene
Successfully transferred to oral sulphonylurea therapy
Willing to participate
Disqualifiers
Never able to transfer to oral sulphonylurea therapy
Unwilling to participate
Trial design
Treatments tested in this trial
- Sulfonylurea
Treatment groups
Sponsors and collaborators
Royal Devon and Exeter NHS Foundation Trust
Lead sponsor
University of Chicago
Collaborator
University of Bergen
Collaborator
University of Rome Tor Vergata
Collaborator