Role of Microvascular Insulin Resistance and Cardiorespiratory Fitness Diabetes
REACH
2 other identifiers
interventional
150
1 country
2
Brief Summary
The goal of this two-site grant proposal is to determine the role of the decreased insulin-mediated muscle perfusion found in type 2 diabetes in contributing to the development of cardiac and skeletal muscle dysfunction and subsequent functional exercise impairment. In addition, it is also our goal to determine whether exercise training attenuates insulin resistance and restores insulin-mediated perfusion to the heart and to skeletal muscle, leading to improved cardiac function and exercise performance.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable type-2-diabetes
Started Jun 2022
Longer than P75 for not_applicable type-2-diabetes
2 active sites
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
March 8, 2021
CompletedFirst Posted
Study publicly available on registry
March 10, 2021
CompletedStudy Start
First participant enrolled
June 17, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 15, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
February 15, 2027
March 23, 2026
March 1, 2026
4.6 years
March 8, 2021
March 19, 2026
Conditions
Outcome Measures
Primary Outcomes (2)
Change in peak oxygen consumption (VO2)
Subjects' peak oxygen consumption will be tested on a stationary bike before and after 15 weeks of exercise
Through study completion, approximately 4 months
Change in insulin sensitivity
The investigators will evaluate the changes in insulin sensitivity utilizing a euglycemic insulin clamp
Through study completion, approximately 4 months
Study Arms (2)
Type 2 Diabetes
EXPERIMENTALParticipants aged 30-55 with type 2 diabetes
Healthy overweight control
EXPERIMENTALParticipants aged 30-55 with BMI 25-40 without type 2 diabetes
Interventions
15 weeks of cardiovascular exercise 3x/week for 50 minutes/session
Eligibility Criteria
You may qualify if:
- Sedentary (defined as less than 1 hour per week of physical activity)
- BMI: 25-40
- Men and women with and without type 2 diabetes
You may not qualify if:
- Documented cardiovascular disease
- Uncontrolled hypertension: disease systolic blood pressure (SBP) \> 150, diastolic blood pressure (DBP)\> 110
- Obstructive pulmonary disease or asthma
- Peripheral neuropathy
- Physical impairment that would limit exercise ability
- Subjects taking beta blockers, calcium channel blockers, insulin, or Thiazolidinediones (TZD)
- Current or past smoking within the last 1 years
- Current tobacco use
- Anemia
- Control HbA1c \> 5.7, T2DM HbA1c \> 9
- Pregnant, nursing or hormonal therapy (other than contraceptives)
- Peri or post-menopausal women
- Type 1 diabetes
- Hepatic or renal disease.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
University of Colorado
Aurora, Colorado, 80045, United States
University of Virginia
Charlottesville, Virginia, 22908, United States
Related Publications (1)
Park S, Englund EK, Fujiwara T, Enge D, Schafer M, Gerstner Saucedo J, Clark EW, Abushamat LA, Scalzo RL, Fonseca B, Hunter KS, Sammel MD, Regensteiner JG, Reusch JEB, Barker AJ. Comprehensive CMR evaluation including 4D flow-derived E/A vorticity ratio in overweight adults with and without type 2 diabetes mellitus. Cardiovasc Diabetol. 2025 Dec 8;25(1):7. doi: 10.1186/s12933-025-02999-9.
PMID: 41361416DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 8, 2021
First Posted
March 10, 2021
Study Start
June 17, 2022
Primary Completion (Estimated)
January 15, 2027
Study Completion (Estimated)
February 15, 2027
Last Updated
March 23, 2026
Record last verified: 2026-03