Modulation of Free Fatty Acids in Heart Failure Patients With Diabetes: "Effect on Left Ventricular Function"

NCT ID: NCT01192373

Last Updated: 2013-01-21

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

18 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-09-30

Study Completion Date

2012-03-31

Brief Summary

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The investigators wish to investigate the the short term effect of low circulating free fatty acids in congestive heart failure patients with type 2 diabetes.

Hypothesis: Low levels of circulating free fatty acids decrease myocardial and peripheral muscle lipid content, improves cardiac performance and exercise capacity.

Detailed Description

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Conditions

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Heart Failure Diabetes

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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High circulating free fatty acids

using Heparin af intralipid infusion for 8 hours

Group Type EXPERIMENTAL

Metabolic substrate modulation

Intervention Type OTHER

for high circulation free fatty acids: Heparin (250IE/hour) + intralipid (20%, 62 ml/hour).

Low circulation free fatty acids

using hyperinsulinaemic euglycemic clamp for 8 hours

Group Type ACTIVE_COMPARATOR

metabolic substrate modulation

Intervention Type OTHER

low circulating free acids: hyperinsulinaemic euglycemic clamp (0,8 mUkg/min) with venous blood glucose at 4,5-6,5 mM.

Interventions

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Metabolic substrate modulation

for high circulation free fatty acids: Heparin (250IE/hour) + intralipid (20%, 62 ml/hour).

Intervention Type OTHER

metabolic substrate modulation

low circulating free acids: hyperinsulinaemic euglycemic clamp (0,8 mUkg/min) with venous blood glucose at 4,5-6,5 mM.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* ejection fraction at or lower than 45%
* type 2 diabetes

Exclusion Criteria

* known s-creatinine \>220mM
* known S-alanine aminotransferase \>3 times normal upper limit
* other disabilitating conditions
* pregnancy
* insulin treatment
Minimum Eligible Age

30 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Danish Heart Foundation

OTHER

Sponsor Role collaborator

University of Aarhus

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Roni R Nielsen, MD

Role: PRINCIPAL_INVESTIGATOR

Dept. of cardiolgy, Aarhus University hospital, Skejby. Brendstrupgaardsvej 100, 8200 Aarhus N, Denmark

Locations

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Dept. of cardiology, Aarhus University hospital Skejby,

Aarhus, Region Midjylland, Denmark

Site Status

Countries

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Denmark

References

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Nielsen R, Norrelund H, Kampmann U, Kim WY, Ringgaard S, Schar M, Moller N, Botker HE, Wiggers H. Failing heart of patients with type 2 diabetes mellitus can adapt to extreme short-term increases in circulating lipids and does not display features of acute myocardial lipotoxicity. Circ Heart Fail. 2013 Jul;6(4):845-52. doi: 10.1161/CIRCHEARTFAILURE.113.000187. Epub 2013 Jun 3.

Reference Type DERIVED
PMID: 23733915 (View on PubMed)

Other Identifiers

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M20090230

Identifier Type: -

Identifier Source: org_study_id

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