NCT02598791

Brief Summary

We aim to delineate the effects of separate and combined infusion of GIP and GLP-1 on food intake, appetite, bone health and fat metabolism in overweight/obese subjects.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
18

participants targeted

Target at below P25 for not_applicable obesity

Timeline
Completed

Started Oct 2015

Shorter than P25 for not_applicable obesity

Geographic Reach
1 country

1 active site

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

Study Start

First participant enrolled

October 1, 2015

Completed
1 month until next milestone

First Submitted

Initial submission to the registry

October 31, 2015

Completed
6 days until next milestone

First Posted

Study publicly available on registry

November 6, 2015

Completed
8 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 20, 2016

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

June 20, 2016

Completed
Last Updated

December 6, 2018

Status Verified

December 1, 2018

Enrollment Period

9 months

First QC Date

October 31, 2015

Last Update Submit

December 4, 2018

Conditions

Keywords

incretin hormonesGIPGLP-1

Outcome Measures

Primary Outcomes (1)

  • food intake

    How much does the participant eat of from the ad libitum meal, measured in gram

    250-280 min

Secondary Outcomes (11)

  • hunger

    measured at time 0, 30, 60, 90, 120, 180, 210, 240 min

  • satiety

    measured at time 0, 30, 60, 90, 120, 180, 210, 240 min

  • Fullness

    measured at time 0, 30, 60, 90, 120, 180, 210, 240 min

  • Prospective food consumption

    measured at time 0, 30, 60, 90, 120, 180, 210, 240 min

  • resting energy expenditure (REE)

    -15 to 0 min. and 210 to 225 min.

  • +6 more secondary outcomes

Study Arms (5)

IIGI+GIP

ACTIVE COMPARATOR

4 hour i.v. infusion of glucose-dependent insulinotropic polypeptide (4 pmol/kg/min) during isoglycemic conditions

Other: IIGI+GIPOther: IIGI+GLP-1Other: IIGI+NaCl (placebo)Other: OGTTOther: IIGI+GIP+GLP-1

IIGI+GLP-1

ACTIVE COMPARATOR

4 hour i.v. infusion of glucagon-like peptide-1 (1 pmol/kg/min) during isoglycemic conditions

Other: IIGI+GIPOther: IIGI+GLP-1Other: IIGI+NaCl (placebo)Other: OGTTOther: IIGI+GIP+GLP-1

IIGI+NaCl (placebo)

PLACEBO COMPARATOR

4 hour i.v. NaCl (placebo) during isoglycemic conditions

Other: IIGI+GIPOther: IIGI+GLP-1Other: IIGI+NaCl (placebo)Other: OGTTOther: IIGI+GIP+GLP-1

IIGI+GIP+GLP-1

ACTIVE COMPARATOR

4 hour co-infusion of glucose-dependent insulinotropic polypeptide and glucagon-like peptide-1

Other: IIGI+GIPOther: IIGI+GLP-1Other: IIGI+NaCl (placebo)Other: OGTTOther: IIGI+GIP+GLP-1

50 g OGTT

OTHER

50 g oral glucose tolerance test (OGTT)

Other: IIGI+GIPOther: IIGI+GLP-1Other: IIGI+NaCl (placebo)Other: OGTTOther: IIGI+GIP+GLP-1

Interventions

Glucose-dependent insulinotropic polypeptide (4 pmol/kg/min) during isoglycemia

50 g OGTTIIGI+GIPIIGI+GIP+GLP-1IIGI+GLP-1IIGI+NaCl (placebo)

glucagon-like peptide-1 (1 pmol/kg/min) during isoglycemia

50 g OGTTIIGI+GIPIIGI+GIP+GLP-1IIGI+GLP-1IIGI+NaCl (placebo)

i.v. NaCl during isoglycemia

50 g OGTTIIGI+GIPIIGI+GIP+GLP-1IIGI+GLP-1IIGI+NaCl (placebo)
OGTTOTHER

50 g oral glucose tolerance test

50 g OGTTIIGI+GIPIIGI+GIP+GLP-1IIGI+GLP-1IIGI+NaCl (placebo)

i.v infusion of GIP and GLP-1 (4 + 1 pmol/kg/min) during isoglycemia

50 g OGTTIIGI+GIPIIGI+GIP+GLP-1IIGI+GLP-1IIGI+NaCl (placebo)

Eligibility Criteria

Age25 Years - 70 Years
Sexmale
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Caucasian men
  • Age between 25 and 70 years
  • Body mass index (BMI) between 25 and 40 kg/m2

You may not qualify if:

  • Diabetes or prediabetes (defined as glycated haemoglobin (HbA1c) ≥ 43 mmol/mol)
  • Anaemia (defined as haemoglobin \< 8.3 mmol/l)
  • Any gastrointestinal disease that may interfere with the endpoint variables
  • Anorexia, bulimia or binge eating disorder
  • Allergy or intolerance to ingredients included in the standardised meals
  • Tobacco smoking
  • Any regular drug treatment that cannot be discontinued for minimum 18 hours
  • Any physical or psychological condition that the investigator feels would interfere with trial participation

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Center for Diabetesresearch, Gentofte hospital

Hellerup, 2900, Denmark

Location

Related Publications (6)

  • Finan B, Ma T, Ottaway N, Muller TD, Habegger KM, Heppner KM, Kirchner H, Holland J, Hembree J, Raver C, Lockie SH, Smiley DL, Gelfanov V, Yang B, Hofmann S, Bruemmer D, Drucker DJ, Pfluger PT, Perez-Tilve D, Gidda J, Vignati L, Zhang L, Hauptman JB, Lau M, Brecheisen M, Uhles S, Riboulet W, Hainaut E, Sebokova E, Conde-Knape K, Konkar A, DiMarchi RD, Tschop MH. Unimolecular dual incretins maximize metabolic benefits in rodents, monkeys, and humans. Sci Transl Med. 2013 Oct 30;5(209):209ra151. doi: 10.1126/scitranslmed.3007218.

    PMID: 24174327BACKGROUND
  • Campbell JE, Drucker DJ. Pharmacology, physiology, and mechanisms of incretin hormone action. Cell Metab. 2013 Jun 4;17(6):819-837. doi: 10.1016/j.cmet.2013.04.008. Epub 2013 May 16.

    PMID: 23684623BACKGROUND
  • Flint A, Raben A, Astrup A, Holst JJ. Glucagon-like peptide 1 promotes satiety and suppresses energy intake in humans. J Clin Invest. 1998 Feb 1;101(3):515-20. doi: 10.1172/JCI990.

    PMID: 9449682BACKGROUND
  • Nissen A, Christensen M, Knop FK, Vilsboll T, Holst JJ, Hartmann B. Glucose-dependent insulinotropic polypeptide inhibits bone resorption in humans. J Clin Endocrinol Metab. 2014 Nov;99(11):E2325-9. doi: 10.1210/jc.2014-2547. Epub 2014 Aug 21.

    PMID: 25144635BACKGROUND
  • Bergmann NC, Lund A, Gasbjerg LS, Jorgensen NR, Jessen L, Hartmann B, Holst JJ, Christensen MB, Vilsboll T, Knop FK. Separate and Combined Effects of GIP and GLP-1 Infusions on Bone Metabolism in Overweight Men Without Diabetes. J Clin Endocrinol Metab. 2019 Jul 1;104(7):2953-2960. doi: 10.1210/jc.2019-00008.

  • Bergmann NC, Lund A, Gasbjerg LS, Meessen ECE, Andersen MM, Bergmann S, Hartmann B, Holst JJ, Jessen L, Christensen MB, Vilsboll T, Knop FK. Effects of combined GIP and GLP-1 infusion on energy intake, appetite and energy expenditure in overweight/obese individuals: a randomised, crossover study. Diabetologia. 2019 Apr;62(4):665-675. doi: 10.1007/s00125-018-4810-0. Epub 2019 Jan 25.

MeSH Terms

Conditions

ObesityDiabetes Mellitus, Type 2

Interventions

Glucose Tolerance Test

Condition Hierarchy (Ancestors)

OverweightOvernutritionNutrition DisordersNutritional and Metabolic DiseasesBody WeightSigns and SymptomsPathological Conditions, Signs and SymptomsDiabetes MellitusGlucose Metabolism DisordersMetabolic DiseasesEndocrine System Diseases

Intervention Hierarchy (Ancestors)

Blood Chemical AnalysisClinical Chemistry TestsClinical Laboratory TechniquesDiagnostic Techniques and ProceduresDiagnosisDiagnostic Techniques, EndocrineInvestigative Techniques

Study Officials

  • Natasha C Bergmann, MD

    Center for Diabetesresearch, Gentofte Hospital, University of Copenhagen, Denmark

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
BASIC SCIENCE
Intervention Model
CROSSOVER
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
MD Ph.D student

Study Record Dates

First Submitted

October 31, 2015

First Posted

November 6, 2015

Study Start

October 1, 2015

Primary Completion

June 20, 2016

Study Completion

June 20, 2016

Last Updated

December 6, 2018

Record last verified: 2018-12

Locations