The Suppression of Toll Like Receptors by Insulin
2 other identifiers
interventional
30
1 country
1
Brief Summary
This study will help us understand the possible beneficial effects of insulin in inflammation. Inflamamtion is considered to be the cause of atherosclerosis and heart disease.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Sep 2008
Longer than P75 for not_applicable
1 active site
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
Study Start
First participant enrolled
September 1, 2008
CompletedFirst Submitted
Initial submission to the registry
June 25, 2010
CompletedFirst Posted
Study publicly available on registry
June 28, 2010
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2013
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2013
CompletedJanuary 5, 2024
January 1, 2024
5 years
June 25, 2010
January 1, 2024
Conditions
Outcome Measures
Primary Outcomes (1)
The Suppression of Toll Like receptors by Insulin
Expression of TLR2, TLR4, TLR7 and TLR9 mRNA in mononuclear cells and adipose tissue
24 hours
Secondary Outcomes (1)
TLR expression
0 hours
Study Arms (3)
obese subjects
EXPERIMENTALobese (BMI \>30Kg/m2) subjects infused with insulin dextrose or saline 1 week apart. Each infusion will continue for up to 14 hr
Normal weight subjects
ACTIVE COMPARATORNormal weight subjects infused with insulin dextrose or saline 1 week apart. Each infusion will continue for up to 14 hr
obese type 2 diabetes subjects
EXPERIMENTALobese (BMI \>30Kg/m2) subjects with type 2 diabetes infused with insulin dextrose or saline 1 week apart. Each infusion will continue for up to 14 hr
Interventions
insulin to be infused at 3.5 units/hour along with Dextrose 12.5% at a rate to achieve blood glucose levels between 80-120mg/dl
Dextrose 12.5% will be infused at a rate to maintain blood glucose level 80-120mg/dl
Saline will be infused at 100ml/hr
Eligibility Criteria
You may qualify if:
- Lean Group:
- Age: 20 to 65 years of age inclusive
- Sex: male or female
- Normal fasting plasma glucose (65-100 mg/dl)
- Normal BMI (20-25)
- Obese Group:
- Age: 20 to 65 years of age inclusive
- Sex: male or female
- Normal fasting plasma glucose (65-100 mg/dl)
- BMI\> 30
- DM Group:
- Type 2 Diabetes Mellitus
- Age: 20 to 65 years of age inclusive
- Sex: male or female
- BMI \>30
- +2 more criteria
You may not qualify if:
- Pregnancy
- Congestive heart failure
- Heart Rate \<50 beats /minute
- Sick Sinus Syndrome
- Second or third degree heart block
- Blood pressure \<80 mm systolic or \> 160/100 mmHg
- Coronary event or procedure (myocardial infarction, unstable angina, coronary artery bypass surgery or coronary angioplasty) in the previous three months
- Hepatic disease (transaminase \> 3 times normal)
- Renal impairment (serum creatinine \> 1.5)
- History of drug or alcohol abuse within past one year
- Participation in any other concurrent clinical trial
- Potassium (K+) values \<3.5 meq/l to \> 5.5 meq/l)
- Any other life-threatening, non-cardiac disease
- Use of an investigational agent or therapeutic regimen within 30 days of study
- Type 2 diabetics on thiazolidinediones and/ or insulin
- +3 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University at Buffalolead
- American Diabetes Associationcollaborator
Study Sites (1)
Millard Fillmore Gates Hospital
Buffalo, New York, 14209, United States
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Paresh Dandona, MBBS
The Research foundation of SUNY at Buffalo
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NON RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- MD
Study Record Dates
First Submitted
June 25, 2010
First Posted
June 28, 2010
Study Start
September 1, 2008
Primary Completion
September 1, 2013
Study Completion
December 1, 2013
Last Updated
January 5, 2024
Record last verified: 2024-01