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

21 Participants
are divided into 2 treatment groups

Locations

4
Italy
University of Rome Rome Italy
Norway
University of Bergen Bergen Norway
United Kingdom
University of Exeter Exeter United Kingdom
United States
University of Chicago60637, ChicagoIllinois, United States

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