IRAPs (Secreted Insulin Regulated AminoPeptidase): a New Insulin Sensitivity Biomarker
IRAP
Evaluation of Plasma IRAP Secreted Protein as a New Insulin Sensitivity Biomarker, Using Hyperinsulinemic Euglycemic Clamp
1 other identifier
interventional
21
1 country
1
Brief Summary
Previous studies have demonstrated defects in the trafficking and translocation of GLUT4 glucose transporter in skeletal muscle and adipose tissue to be a major cause of insulin resistance in humans. IRAP (Secreted Insulin Regulated AminoPeptidase) is a protein which collocalizes and is translocated with GLUT4 to the plasma membrane in response to insulin. The extracellular domain of IRAP is cleaved and released in the bloodstream. Therefore, IRAP plasma concentration could be a good marker of insulin sensitivity. In this study the investigators seek to confirm this hypothesis by using the gold standard of insulin sensitivity assessment: the hyperinsulinemic-euglycemic clamp. It is a multicenter descriptive study.
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 Jun 2012
Shorter than P25 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
June 1, 2012
CompletedFirst Submitted
Initial submission to the registry
June 27, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 1, 2012
CompletedFirst Posted
Study publicly available on registry
July 24, 2012
CompletedStudy Completion
Last participant's last visit for all outcomes
September 1, 2012
CompletedApril 23, 2026
April 1, 2026
1 month
June 27, 2012
April 20, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
IRAP plasma concentration during the hyperinsulinemic euglycemic clamp
Enzyme-linked Immunosorbsent assay (Sandwich ELISA)
30 min before the clamp and during the clamp every 10 min for a duration of 240 min.
Secondary Outcomes (2)
Glucose Infusion Rate (GIR)
at T90, T100, T110, T120 minutes and T210, T220, T230, T 240 minutes
Oxydative stress markers
at T0, T120 and T240 min
Study Arms (1)
Single Arm
EXPERIMENTALInterventions
The hyperinsulinemic-euglycemic clamp includes three periods: * A basal period (from T-30 to T0) * The infusion of insulin at a constant rate (first level at 1 mUI.kg-1.min-1 and a second level at 2 mUI.kg-1.min-1) during 4 hours ( to obtain stable hyperinsulinemia) * The infusion of glucose at variable rate (so as to maintain euglycemia)
Eligibility Criteria
You may qualify if:
- Men and women (sex ratio = 1)
- Aged from 18 to 35 years
- Fasting glycemia \< 6mmol/L
- Total cholesterol \< 7mmol/L
- Triglycerides \< 1.5 mmol/L
- CRPus \< 5 mg/L
- Creatinine clearance \< 80mL/min according to Cockroft formula
- Liver enzymes (ALanine AminoTransférase and ASpartate AminoTransférase) \< 1.5 times normal values
You may not qualify if:
- Subject not in compliance with the recommendations of French National Law in force
- Medical history of metabolic disease (diabetes, dyslipidemia), endocrine disease, renal insufficiency
- Drug use that could affect glucose metabolism and the renin angiotensin aldosterone system
- Blood pressure \> 140/90mmHg
- Tea and coffee consumption more than 5 cups per day
- Subject who smoke more than 5 cigarettes per day
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Hospices Civils de Lyonlead
- Cisbio Bioassayscollaborator
Study Sites (1)
Centre de recherche en nutrition humaine Rhone-Alpes
Pierre-Bénite, France
Related Publications (1)
Trocme C, Gonnet N, Di Tommaso M, Samouda H, Cracowski JL, Cracowski C, Lambert-Porcheron S, Laville M, Nobecourt E, Gaddhab C, Le Lay A, Bohn T, Poitou C, Clement K, Al-Mulla F, Bitar MS, Bottari SP. Serum IRAP, a Novel Direct Biomarker of Prediabetes and Type 2 Diabetes? Front Mol Biosci. 2021 Feb 16;7:596141. doi: 10.3389/fmolb.2020.596141. eCollection 2020.
PMID: 33665204RESULT
Related Links
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Martine LAVILLE, Pr
Centre de recherche en nutrition humaine Rhone-Alpes
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- BASIC SCIENCE
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
June 27, 2012
First Posted
July 24, 2012
Study Start
June 1, 2012
Primary Completion
July 1, 2012
Study Completion
September 1, 2012
Last Updated
April 23, 2026
Record last verified: 2026-04