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Transforming Performance of Clinical Trials in Pediatric Type 2 Diabetes: A Consortium Model
Michelle Van Name1, Georgeanna Klingensmith2, Bryce Nelson3
1Department of Pediatrics, Yale University, New Haven, Connecticut.
Insights
The Pediatric Diabetes Consortium (PDC) model enhances clinical trial efficiency for youth type 2 diabetes drugs. This collaborative approach streamlines protocols and oversight, aiding successful drug development.
Area of Science:
- Pediatric Endocrinology
- Clinical Trial Management
- Diabetes Research
Background:
- Completing Phase 3 clinical trials for pediatric type 2 diabetes is complex.
- The Pediatric Diabetes Consortium (PDC) was established to address these challenges.
Purpose of the Study:
- To describe the PDC Consortium model designed to improve the efficiency of pediatric diabetes clinical trials.
- To highlight the model's role in facilitating the completion of critical drug trials.
Main Methods:
- Development of a Coordinating Center and Executive Committee to centralize oversight.
- Implementation of a Consulting Group for protocol design optimization.
- Establishment of Master Service Agreements and standard Site Budgets.
- Regular conference calls for sponsor/CRO interaction and performance monitoring.
Main Results:
- The PDC model was instrumental in completing the pivotal liraglutide trial for youth type 2 diabetes.
- PDC centers exceeded enrollment targets in two ongoing diabetes studies.
- The model has successfully launched new type 2 diabetes studies.
Conclusions:
- The PDC Consortium model demonstrates effectiveness in improving pediatric clinical trial efficiency.
- Ongoing efforts aim to expand the model's application to type 1 diabetes and other related studies.
Abstract:
Completing phase 3 trials of new drugs for youth with type 2 diabetes is challenging. The Pediatric Diabetes Consortium (PDC) of U.S. pediatric treatment centers developed a Consortium model to improve the efficiency of successfully completing these trials. An aim of the PDC model is to utilize the resources of the PDC Coordinating Center and Executive Committee to improve study protocols, centralize interactions with sponsors, and oversee the performance of PDC Clinical Centers. Key features include a Consulting Group to improve protocol design; Master Service Agreements between the Coordinating Center and Clinical Centers covering confidentiality agreements and contract language; negotiation of a standard Site Budget with Contract Research Organizations (CROs)/Sponsors that reflect actual Clinical Center costs; Weekly Conference Calls with CROs/sponsors to track progress of Clinical Center launches, Monthly Oversight Calls with investigators and study Coordinators to track Clinical Center performance, discuss enrollment strategies, and identify emerging problems. The Consortium model played a key role in the completion of the pivotal trial of liraglutide for treatment of youth with type 2 diabetes. PDC centers also played a pivotal role in exceeding the projected number of randomized subjects needed by two ongoing studies that are nearing completion. While the Consortium model is still a work in progress, PDC has assisted in the successful launch of new type 2 diabetes studies, and negotiations are in underway for PDC participation in pediatric type 1 diabetes and other diabetes-related studies.
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