NCT03733743

Brief Summary

This study evaluates the existence of a day-night rhythm in skeletal muscle energy metabolism in prediabetic subjects. Subjects will stay at the research facility for 44 hours with a standardized living protocol during which several measurements of skeletal muscle and whole body energy metabolism will be performed.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
12

participants targeted

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

Timeline
Completed

Started Jul 2018

Shorter than P25 for not_applicable diabetes-mellitus-type-2

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

July 9, 2018

Completed
2 months until next milestone

First Submitted

Initial submission to the registry

September 19, 2018

Completed
2 months until next milestone

First Posted

Study publicly available on registry

November 7, 2018

Completed
4 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 20, 2019

Completed
9 days until next milestone

Study Completion

Last participant's last visit for all outcomes

March 29, 2019

Completed
Last Updated

August 16, 2019

Status Verified

September 1, 2018

Enrollment Period

8 months

First QC Date

September 19, 2018

Last Update Submit

August 15, 2019

Conditions

Keywords

Circadian Rhythm

Outcome Measures

Primary Outcomes (1)

  • Day-night rhythm in skeletal muscle mitochondrial respiration

    O2-flux (pmol/mg/s) measured with high resolution respirometry

    measured on day two at 8:00, 13:00, 18:00, 23:00, 04:00

Secondary Outcomes (16)

  • Day-night rhythm in whole-body energy metabolism (energy expenditure)

    measured on day two at 8:00, 13:00, 18:00, 23:00, 04:00

  • Day-night rhythm in whole-body energy metabolism (glucose oxidation)

    measured on day two at 8:00, 13:00, 18:00, 23:00, 04:00

  • Day-night rhythm in whole-body energy metabolism (fat oxidation)

    measured on day two at 8:00, 13:00, 18:00, 23:00, 04:00

  • Day-night rhythm in muscle protein levels of markers involved in molecular clock and mitochondrial metabolism.

    measured on day two at 8:00, 13:00, 18:00, 23:00, 04:00

  • Day-night rhythm in muscle DNA of markers involved in molecular clock and mitochondrial metabolism.

    measured on day two at 8:00, 13:00, 18:00, 23:00, 04:00

  • +11 more secondary outcomes

Study Arms (1)

Standardized living protocol

OTHER

Subjects are kept at the research facility to adhere to a standardized living protocol, mimicking a normal daily living situation. During the study, multiple tests will be performed, including muscle biopsies, blood draws, MRS measurements and indirect calorimetry.

Other: Standardized living protocol

Interventions

Subjects stay at the research facility for 44 hours and adhere to a standard sleeping, eating and activity protocol. During this protocol, multiple measurements will be performed including skeletal muscle biopsies (m. vastus lateralis), blood draws, indirect calorimetry and MRS measurements.

Standardized living protocol

Eligibility Criteria

Age40 Years - 75 Years
Sexmale
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Caucasian
  • Healthy (as determined by dependent physician)
  • Overweight: BMI 25 - 35 kg/m2
  • Prediabetic based on one or a combination of the following criteria:
  • Impaired Glucose Tolerance (IGT): plasma glucose values ≥ 7.8 mmol/l and ≤ 11.1 mmol/l 120 minutes after glucose drink consumption during OGTT in screening.
  • Impaired Fasting Glucose (IFG): Fasting plasma glucose ≥ 6.1 mmol/l and ≤ 6.9 mmol/l.
  • Insulin Resistance: glucose clearance rate ≤ 360ml/kg/min, as determined using the OGIS120 model.
  • HbA1c of 5.7-6.4%.
  • Regular sleeping time (normally 7 - 9h daily)
  • Stable dietary habits: no weight gain or loss \> 3kg in the last three months.

You may not qualify if:

  • Use of anticoagulants
  • Previously diagnosed with type 2 diabetes
  • Current alcohol consumption \> 20 grams alcohol/day
  • Extreme early bird or extreme night person (score ≤ 30 or ≥ 70 on MEQ-SA questionnaire)
  • Heavily varying sleep-wake rhythm
  • Nightshift work during last 3 months
  • Travel across \> 1 time zone in the last 3 months
  • Significant food allergies/intolerance (seriously hampering study meals)
  • Using \> 400mg caffeine daily (more than 4 coffee or energy drink)
  • Smoking

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Maastricht University

Maastricht, Limburg, 6229 ER, Netherlands

Location

Related Publications (1)

  • Wefers J, Connell NJ, Fealy CE, Andriessen C, de Wit V, van Moorsel D, Moonen-Kornips E, Jorgensen JA, Hesselink MKC, Havekes B, Hoeks J, Schrauwen P. Day-night rhythm of skeletal muscle metabolism is disturbed in older, metabolically compromised individuals. Mol Metab. 2020 Nov;41:101050. doi: 10.1016/j.molmet.2020.101050. Epub 2020 Jul 11.

MeSH Terms

Conditions

Diabetes Mellitus, Type 2Insulin Resistance

Condition Hierarchy (Ancestors)

Diabetes MellitusGlucose Metabolism DisordersMetabolic DiseasesNutritional and Metabolic DiseasesEndocrine System DiseasesHyperinsulinism

Study Officials

  • Patrick Schrauwen, PhD

    Maastricht University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
BASIC SCIENCE
Intervention Model
SINGLE GROUP
Model Details: Standardized living protocol
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

September 19, 2018

First Posted

November 7, 2018

Study Start

July 9, 2018

Primary Completion

March 20, 2019

Study Completion

March 29, 2019

Last Updated

August 16, 2019

Record last verified: 2018-09

Locations