The Effect of the GLP-1 Analogue Exenatide on Type 2 Diabetes in CNS and Heart During Hyperglycemia Assessed by PET
1 other identifier
interventional
8
1 country
4
Brief Summary
30 type 2 diabetic patients will be PET-scanned twice ( half of the patients heart-PET, half of the patients CNS-PET) in random order with infusions of placebo or GLP-1-analogue during hyperglycemic clamp to uncover the metabolic effects of GLP-1-analogues in perspectives of intervention of macrovascular late diabetic pathology such as stroke and AMI. Earlier studies have revealed tendencies towards steady glucose metabolism in the CNS despite fluctuations in blood sugar when infusing native GLP-1.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_2 type-2-diabetes
Started Feb 2010
4 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
September 5, 2008
CompletedFirst Posted
Study publicly available on registry
September 8, 2008
CompletedStudy Start
First participant enrolled
February 1, 2010
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 1, 2010
CompletedStudy Completion
Last participant's last visit for all outcomes
March 1, 2011
CompletedJune 30, 2011
June 1, 2011
9 months
September 5, 2008
June 29, 2011
Conditions
Outcome Measures
Primary Outcomes (1)
steady glucose metabolism in the heart and brain during hyperglycemia with GLP-1-analogue infusion compared to placebo.
oct. 2008 - oct 2010
Study Arms (2)
glp-1-analogue
ACTIVE COMPARATORDuring hyperglycemic clamp and GLP-1-analogue versus placebo infusion 15 patients will be heart OR CNS-PET scanned
placebo
PLACEBO COMPARATORDuring hyperglycemic clamp and GLP-1-analogue versus placebo infusion 15 patients will be CNS OR heart-PET scanned.
Interventions
Drug: Exenatide or placebo Dosage form: Infusion Dosage: Exenatide (Eli Lilly/Amylin Pharmaceuticals) 0.066 pmol\*kg-1\*min-1 Duration: 5 hours Frequency: Drug given once, placebo given once
Eligibility Criteria
You may qualify if:
- Informed consent signed
- Caucasian
- Male
- Diabetes for \> 6 months
- Diet treatment or a single OAD (metformin, SU)
- Age \> 50 years and \< 70 years
- BMI 20-45 kg/m²
- Have suboptimal glycemic control as evidenced by an HbA1c between 7.1% and 11% inclusive.
- Fasting PG 7-10 mmol/l
- OAD discontinued 72 hours prior to study day 1
You may not qualify if:
- Clinically significant liver- or kidney-disease (se-ALAT \> 2 times upper reference, or se-Creatinin \> 130 mM
- Anemia
- Other abnormal biochemical value
- Any of the following:
- Heart disease
- Liver disease
- Kidney disease
- Lung disease
- Gastro-intestinal disease
- Dyslipidemia (total serum-cholesterol \> 8 mmol/l, total cholesterol/HDL cholesterol ratio \> 8 or se-triglyceride \> 3.5 mmol/l)
- Endocrine disease (other than diabetes)
- CNS disease
- Hematological disease
- Compliance problems
- Abuse of alcohol or drugs
- +3 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University of Aarhuslead
- Eli Lilly and Companycollaborator
- Aarhus University Hospitalcollaborator
Study Sites (4)
Aarhus University Hospital, Investigational Dept. M of Endocrinology
Aarhus, Aarhus C, 8000, Denmark
Aarhus University Hospital, Investigational Dept. M of Endocrinology
Aarhus, Aarhus, 8000, Denmark
Aarhus University Hospital, Investigational Dept. M of Endocrinology
Aarhus, 8000 C, Denmark
Aarhus University Hospital, Investigational Dept. M of Endocrinology
Aarhus, 8000, Denmark
Related Publications (1)
Gejl M, Sondergaard HM, Stecher C, Bibby BM, Moller N, Botker HE, Hansen SB, Gjedde A, Rungby J, Brock B. Exenatide alters myocardial glucose transport and uptake depending on insulin resistance and increases myocardial blood flow in patients with type 2 diabetes. J Clin Endocrinol Metab. 2012 Jul;97(7):E1165-9. doi: 10.1210/jc.2011-3456. Epub 2012 Apr 27.
PMID: 22544917DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
michael g jensen, MD
Aarhus University, Institute of Pharmacology
- STUDY DIRECTOR
Jørgen Rungby, Professor
Aarhus University, Institute of Pharmacology
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- BASIC SCIENCE
- Intervention Model
- CROSSOVER
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
September 5, 2008
First Posted
September 8, 2008
Study Start
February 1, 2010
Primary Completion
November 1, 2010
Study Completion
March 1, 2011
Last Updated
June 30, 2011
Record last verified: 2011-06