Role of the Foregut in Nutrient Metabolism in Lean and Obese Humans
2 other identifiers
interventional
27
1 country
1
Brief Summary
The overall hypothesis of this proposal is that nutrient sensing in the foregut regulates metabolic hormone secretion and nutrient metabolism via enteric neural signals, and these mechanisms might be defective in obesity.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_1 obesity
Started Sep 2015
Longer than P75 for phase_1 obesity
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
First Submitted
Initial submission to the registry
August 25, 2015
CompletedFirst Posted
Study publicly available on registry
September 1, 2015
CompletedStudy Start
First participant enrolled
September 1, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 8, 2022
CompletedStudy Completion
Last participant's last visit for all outcomes
December 8, 2022
CompletedDecember 9, 2022
December 1, 2022
7.3 years
August 25, 2015
December 8, 2022
Conditions
Keywords
Outcome Measures
Primary Outcomes (3)
Gastrointestinal Hormones
Plasma levels of Cholecystokinin, gastric inhibitory peptide and glucagon like peptide and Ghrelin
5 Hours
Pancreatic Hormones
Plasma levels of Insulin, C-peptide, Glucagon
5 Hours
Glucose and Free Fatty Acids
Plasma levels
5 Hours
Secondary Outcomes (2)
Glucose Metabolism
5 Hours
Fat Metabolism
5 Hours
Other Outcomes (1)
Appetite, Hunger, and GI symptoms
5 Hours
Study Arms (2)
benzocaine
ACTIVE COMPARATOR0.5% benzocaine solution in saline/hydrochloric acid administered by intraduodenal infusion one time (6 ml bolus followed by 75 ml/hour for 105 minutes)
placebo
PLACEBO COMPARATORPlacebo (saline) solution administered by intraduodenal infusion one time (6 ml bolus followed by 75 ml/hour for 105 minutes)
Interventions
0.5% benzocaine solution in saline/hydrochloric acid administered by intraduodenal infusion one time (6 ml bolus followed by 75 ml/hour for 105 minutes)
Placebo (saline) solution administered by intraduodenal infusion one time (6 ml bolus followed by 75 ml/hour for 105 minutes)
Eligibility Criteria
You may qualify if:
- BMI 19 - 25 kg/m2 or 30 - 50 kg/m2
- Age 20 - 50 years
You may not qualify if:
- Contraindication to a nasoduodenal feeding tube (e.g., deviated nasal septum, prior upper gastrointestinal bleed, or history of easy bleeding)
- Prior gastric or intestinal surgery or pancreas resection
- Females with a positive pregnancy test
- Known history of intestinal diseases including, but not limited to, inflammatory bowel disease (e.g. ulcerative colitis, Crohn's disease), celiac sprue
- Type 1 or type 2 diabetes
- Recent presence of or treatment for gastroenteritis (diarrhea and/or vomiting), constipation, or upper respiratory infection
- Anemia
- Abnormal electrocardiogram
- Prior adverse reaction to anesthesia
- Tobacco use
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Vanderbilt University Medical Center
Nashville, Tennessee, 37232, United States
Related Publications (1)
Sundaresan S, Johnson C, Dixon KB, Dole M, Kilkelly D, Antoun J, Flynn CR, Abumrad NN, Tamboli R. Intraduodenal nutrient infusion differentially alters intestinal nutrient sensing, appetite, and satiety responses in lean and obese subjects. Am J Clin Nutr. 2023 Sep;118(3):646-656. doi: 10.1016/j.ajcnut.2023.06.011. Epub 2023 Aug 8.
PMID: 37661107DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Sinju Sundaresan, PhD
Vanderbilt University Medical Center
- PRINCIPAL INVESTIGATOR
Naji N Abumrad, MD
Vanderbilt University Medical Center
- STUDY DIRECTOR
Kala Dixon, MS
Vanderbilt University Medical Center
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- BASIC SCIENCE
- Intervention Model
- CROSSOVER
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor
Study Record Dates
First Submitted
August 25, 2015
First Posted
September 1, 2015
Study Start
September 1, 2015
Primary Completion
December 8, 2022
Study Completion
December 8, 2022
Last Updated
December 9, 2022
Record last verified: 2022-12