NCT03182231

Brief Summary

In order to evaluate the difference in beta cell mass in morbidly obese patients with type 2 diabetes mellitus (T2D) before and after Roux-en-Y gastric bypass (RYGB), investigators aim to compare quantitative PET imaging of the pancreas in this patient group before and after surgery. Investigators propose to measure the uptake of 68Ga-NODAGA-exendin-4 in the pancreatic beta cells of these patients. Furthermore, investigators aim to compare uptake of the radiolabeled tracer to beta cell function measured by laboratory parameters. These highly relevant data will provide investigators with more information on the contribution of the beta cells to the mechanisms behind resolution of T2D after bariatric surgery and on the prognostic value of pre-operative beta cell mass determination to T2D resolution. This might be of great interest for the assessment of RYGB as an alternative therapy in patients with T2D and a BMI \<35, who currently do not meet the international guidelines for bariatric surgery.

Trial Health

43
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
12

participants targeted

Target at below P25 for phase_1 diabetes-mellitus-type-2

Timeline
Completed

Started Oct 2016

Longer than P75 for phase_1 diabetes-mellitus-type-2

Geographic Reach
1 country

2 active sites

Status
unknown

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 7, 2016

Completed
8 months until next milestone

First Submitted

Initial submission to the registry

May 29, 2017

Completed
11 days until next milestone

First Posted

Study publicly available on registry

June 9, 2017

Completed
6.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 1, 2023

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

July 1, 2023

Completed
Last Updated

June 21, 2022

Status Verified

June 1, 2021

Enrollment Period

6.7 years

First QC Date

May 29, 2017

Last Update Submit

June 16, 2022

Conditions

Keywords

exendinGLP1beta cell mass

Outcome Measures

Primary Outcomes (1)

  • Pancreatic uptake of 68Ga-NODAGA-exendin-4

    Change in tracer uptake before and after RYGB

    4 years

Secondary Outcomes (2)

  • T2D outcome

    after 1 year

  • Beta cell function

    4 years

Study Arms (1)

RYGB patients

EXPERIMENTAL

Patients who will receive a RYGB surgery

Radiation: 68Ga-NODAGA-exendin-4 PET/CT

Interventions

68Ga-NODAGA-exendin-4 PET/CT

RYGB patients

Eligibility Criteria

Age18 Years+
Sexfemale
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Morbid obese T2D patient who will have RYGB at the Rijnstate in Arnhem
  • Female
  • Signed informed consent
  • Mild T2D:
  • C-peptide \> 1.0 nmol/L
  • Only metformin usage as anti-diabetic medication
  • Progressive T2D:
  • C-peptide \< 1.0 nmol/L
  • Insulin and/or sulfonylurea (SU) usage

You may not qualify if:

  • Fasting glucose \< 6 at time C-peptide was determined
  • Liver failure
  • BMI \> 50 kg/m-2
  • Previous treatment with synthetic exendin
  • Pregnancy
  • Breast feeding
  • Kidney failure
  • Age \< 18 years
  • No signed informed consent

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

Rijnstate hospital

Arnhem, Netherlands

RECRUITING

Radboudumc

Nijmegen, 6500HB, Netherlands

RECRUITING

MeSH Terms

Conditions

Diabetes Mellitus, Type 2

Condition Hierarchy (Ancestors)

Diabetes MellitusGlucose Metabolism DisordersMetabolic DiseasesNutritional and Metabolic DiseasesEndocrine System Diseases

Study Design

Study Type
interventional
Phase
phase 1
Allocation
NA
Masking
NONE
Purpose
BASIC SCIENCE
Intervention Model
SEQUENTIAL
Model Details: Patients will receive an 68Ga-NODAGA-exendin-4 PET/CT scan before RYGB and 1 year after RYGB
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 29, 2017

First Posted

June 9, 2017

Study Start

October 7, 2016

Primary Completion

July 1, 2023

Study Completion

July 1, 2023

Last Updated

June 21, 2022

Record last verified: 2021-06

Data Sharing

IPD Sharing
Will not share

Locations