NCT02541734

Brief Summary

The highly promising and innovative tracer on 111In-DTPA-AHX-Lys40-Exendin 4 has been applied to determine beta cell mass in healthy volunteers and patients with type 1 diabetes. However, the high retention of the tracer in the kidneys was leading to a kidney/pancreas uptake ratio of 41±23. This high renal uptake is complicating absolute BCM quantification by SPECT imaging. In order to reduce the kidney/pancreas uptake ratio, investigators propose a co-infusion with the plasma expander Gelofusine since it has been shown in several pre-clinical and clinical studies that Gelofusine can reduce the renal retention of several other, closely related tracers. When investigators are able to reduce the kidney/pancreas uptake ratio, these findings will improve the interpretation of clinical quantitative SPECT, having important implications for therapeutic decision making for patients with diabetes, insulinomas or congenital hyperinsulinism, and may also have a major impact on our understanding of the pathophysiology of these diseases.

Trial Health

100
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
12

participants targeted

Target at below P25 for phase_1

Timeline
Completed

Started Aug 2015

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

March 3, 2015

Completed
5 months until next milestone

Study Start

First participant enrolled

August 1, 2015

Completed
1 month until next milestone

First Posted

Study publicly available on registry

September 4, 2015

Completed
1.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 1, 2017

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

May 1, 2017

Completed
Last Updated

May 31, 2017

Status Verified

May 1, 2017

Enrollment Period

1.8 years

First QC Date

March 3, 2015

Last Update Submit

May 29, 2017

Conditions

Keywords

SPECTradiopeptidesgelofusineBeta cell

Outcome Measures

Primary Outcomes (1)

  • Renal uptake as measured by uptake of 111In-exendin-4 on SPECT images and without co-infusion of Gelofusine.

    up to 8 months

Secondary Outcomes (1)

  • Pancreas uptake as measured by uptake of 111In-exendin-4 on SPECT images

    up to 8 months

Study Arms (2)

gelofusine and 111In-exendin 4 SPECT/CT

EXPERIMENTAL

subjects will receive a gelofusine injection before the injection of the radiopharmaceutical (111In-exendin 4)

Drug: GelofusineRadiation: 111In-exendin 4 SPECT/CT

saline and 111In-exendin 4 SPECT/CT

PLACEBO COMPARATOR

As a control, subjects will receive an injection of saline before the injection of the radiopharmaceutical (111In-exendin 4)

Radiation: 111In-exendin 4 SPECT/CTDrug: Placebo

Interventions

Infusion of gelofusine

gelofusine and 111In-exendin 4 SPECT/CT

111In-exendin 4 SPECT/CT

gelofusine and 111In-exendin 4 SPECT/CTsaline and 111In-exendin 4 SPECT/CT
saline and 111In-exendin 4 SPECT/CT

Eligibility Criteria

Age18 Years - 60 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • \>= 18 years
  • \<= 60 years
  • Normal renal function
  • Normal glucose regulation
  • BMI 17\>30

You may not qualify if:

  • Use of any medication affecting renal function
  • Known hypersensitivity to one of the substances used
  • Hypertension
  • Oedema
  • Hypervolaemia
  • Heart failure
  • Pregnancy or the wish to become pregnant within 3 months after participation of the study.
  • Lactation
  • History of anaphylaxis
  • Liver disease defined as aspartate aminotransferase or alanine aminotransferase level more than 3 times the upper limit of normal range (45U/L)

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

Diabetes Mellitus, Type 2Diabetes Mellitus

Interventions

Polygeline

Condition Hierarchy (Ancestors)

Glucose Metabolism DisordersMetabolic DiseasesNutritional and Metabolic DiseasesEndocrine System Diseases

Intervention Hierarchy (Ancestors)

PolymersMacromolecular SubstancesPeptidesAmino Acids, Peptides, and ProteinsBiomedical and Dental MaterialsManufactured MaterialsTechnology, Industry, and Agriculture

Study Officials

  • Martin Gotthardt, Prof Dr

    Radboud University Medical Center

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 1
Allocation
RANDOMIZED
Masking
NONE
Purpose
BASIC SCIENCE
Intervention Model
CROSSOVER
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

March 3, 2015

First Posted

September 4, 2015

Study Start

August 1, 2015

Primary Completion

May 1, 2017

Study Completion

May 1, 2017

Last Updated

May 31, 2017

Record last verified: 2017-05