GLP-1 Signaling in Truncally Vagotomized Subjects
Vagal Mechanisms Mediating the Effects of Glucagon-Like Peptide 1 (GLP-1) on the Endocrine Pancreas - the Entero-endocrine Axis.
1 other identifier
interventional
24
1 country
1
Brief Summary
Investigation of the importance of vagal signaling for the glucohomeostatic effects of GLP-1. The study will include physiological studies of truncally vagotomized participants and matched controls.
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 2016
Typical duration 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
First Submitted
Initial submission to the registry
April 7, 2016
CompletedStudy Start
First participant enrolled
June 1, 2016
CompletedFirst Posted
Study publicly available on registry
October 20, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
October 1, 2018
CompletedMay 22, 2018
May 1, 2018
2.3 years
April 7, 2016
May 20, 2018
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Insulin secretion
Evaluated by c-peptide and insulin levels - Plasma collected up to 4 hours will be analyzed for peptide hormones
up to 4 hours
Secondary Outcomes (4)
Glucagon secretion
4 hours
Glucose levels
4 hours
Pancreatic Polypeptide levels
4 hours
GIP secretion
4 hours
Study Arms (2)
Enteral fructose with DPP-4 inhibition
EXPERIMENTALEnteral fructose + DPP-4 inhibition (sitagliptin) After DPP4 inhibition using Tablet Sitagliptin 100mg on the evening before and on the morning of experimentation enteral fructose is given via an intestinal tube (intrajejunal) to either truncally vagotomised and control individuals.
Enteral fructose without DPP-4 inhibition
EXPERIMENTALEnteral fructose without DPP-4 inhibition (sitagliptin) After DPP4 inhibition using Tablet Sitagliptin 100mg on the evening before and on the morning of experimentation enteral fructose is given via an intestinal tube (intrajejunal) to either truncally vagotomised and control individuals.
Interventions
On one of two experiment days participants will have Dipeptidyl peptidase 4 activity inhibited using a DPP-4 inhibitor (Sitagliptin).
On both experimental days fructose (35g dissolved in water, total volume 100mL) will be administered via an intrajejunal tube
Eligibility Criteria
You may qualify if:
- Normal fasting plasma glucose
- Normal haemoglobin concentration
- Cardiaresection with a pyloroplasty
- Informed consent
You may not qualify if:
- Diabetes mellitus
- Disposition for diabetes mellitus
- Intestinal disease (apart from cardia resection+pyloroplasty)
- Disposition of inflammatory bowel disease
- Intestinal resection (apart from cardia resection+pyloroplasty)
- Body mass index (BMI) \> 27,5 kg/m2
- Tobacco use
- Nephropathy (se-creatinine\> 130 µM and/or albuminuria)
- Liver disease (ALAT and/or ASAT \>2 × refference value)
- known heart condition
- medicinal use, that may not be paused for 12 hours
- Obstipation
- swallowing difficulties
- previous problems with intestinal tube placement
- Latex allergy
- +30 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University of Copenhagenlead
- Rigshospitalet, Denmarkcollaborator
Study Sites (1)
Department of Surgery C, Rigshospitalet
Copenhagen, 2100, Denmark
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- BASIC SCIENCE
- Intervention Model
- CROSSOVER
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- MD, PhD
Study Record Dates
First Submitted
April 7, 2016
First Posted
October 20, 2016
Study Start
June 1, 2016
Primary Completion
October 1, 2018
Study Completion
October 1, 2018
Last Updated
May 22, 2018
Record last verified: 2018-05