Acute Effect of Exenatide on Brain Glucose Metabolism

NCT ID: NCT01588418

Last Updated: 2017-11-24

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

15 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-07-31

Study Completion Date

2015-07-31

Brief Summary

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This research study will examine brain glucose metabolism after an overnight fast to determine the effect of exenatide on brain glucose metabolism and lipid metabolism.

Detailed Description

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This study will elucidate if exenatide has an effect on brain glucose metabolism. This will be accomplished by measuring the rate of glucose binding in various brain regions by Positron Emission Tomography (PET) after glucose load with exenatide injection and compare it with placebo injection measured in the same subject. The changes will be compared with peripheral and hepatic glucose metabolism and lipolysis.

Conditions

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Impaired Glucose Tolerance (IGT) Diabetes

Keywords

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Impaired glucose tolerance (IGT) Diabetes

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Exenatide first, then Placebo

Exenatide 5mcg was injected subcutaneously 30 min before Oral Glucose Tolerance Test (OGTT)-PET study. The same subject was studied again a few weeks later with the same protocol with Placebo injection.

Group Type EXPERIMENTAL

Exenatide

Intervention Type DRUG

Exenatide (5mcg) was administered in random order 30 min before OGTT-PET study, crossover study

Placebo

Intervention Type DRUG

Placebo was administered in random order 30 min before OGTT-PET study in the same subject

Placebo first, then Exenatide

Placebo was injected subcutaneously 30 min before OGTT-PET study. The same subject was studied again a few weeks later with the same protocol with injection of Exenatide 5mcg .

Group Type EXPERIMENTAL

Exenatide

Intervention Type DRUG

Exenatide (5mcg) was administered in random order 30 min before OGTT-PET study, crossover study

Placebo

Intervention Type DRUG

Placebo was administered in random order 30 min before OGTT-PET study in the same subject

Interventions

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Exenatide

Exenatide (5mcg) was administered in random order 30 min before OGTT-PET study, crossover study

Intervention Type DRUG

Placebo

Placebo was administered in random order 30 min before OGTT-PET study in the same subject

Intervention Type DRUG

Other Intervention Names

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Byetta

Eligibility Criteria

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Inclusion Criteria

1. Males age 18-65 years old
2. Patients must have Body Mass Index (BMI) between 25 and 40 kg/m2
3. 2-hour glucose concentration above 140mg/dl after 75g glucose load, ie, having impaired glucose tolerance or newly diagnosed type 2 diabetes.
4. Patients must have BMI of 25-40 kg/m2
5. Patients must have no known severe liver or kidney disease, cancer, neurologic, psychiatric or systemic disease, ability to understand the study.
6. Only patients whose body weight has been stable (±3-4 pounds) over the three months prior to study will be included.
7. Patients must have the following laboratory values:

* Hematocrit ≥ 34 vol%
* Serum creatinine\* ≤ 1.5 mg/dl in males and
* Aspartate aminotransferase (AST) serum glutamic oxaloacetic transaminase (SGOT): ≤ 2.5 times upper limit of normal
* Alanine aminotransferase (ALT) serum glutamic pyruvic transaminase (SGPT): ≤ 2.5 times upper limit of normal
* Alkaline phosphatase ≤ 2.5 times upper limit of normal
* If serum creatinine is ≤ 1.5 mg/dl in males, the PI can grant an exception and not exclude the patient if the Glomerular filtration rate (GFR) is \>70 ml/min

Exclusion Criteria

Patients are excluded from participation in the study if they meet any of the following criteria:

1. Patients with major chronic illness (cancer, liver, kidney, cardiovascular disease)
2. Patients with BMI over 40 and under 25
3. Patient with age below 18 yrs and over 65 yrs
4. Female subjects
5. Patients with type 1 diabetes
6. Patients treated for type 2 diabetes
7. Subjects with normal glucose tolerance (NGT)
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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Amylin Pharmaceuticals, LLC.

INDUSTRY

Sponsor Role collaborator

The University of Texas Health Science Center at San Antonio

OTHER

Sponsor Role lead

Responsible Party

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Ralph DeFronzo

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Amalia Gastaldelli, PhD

Role: PRINCIPAL_INVESTIGATOR

UTHSCSA, San Antonio, TX

Locations

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Texas Diabetes Institute and UTHSCSA

San Antonio, Texas, United States

Site Status

Countries

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United States

References

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Daniele G, Iozzo P, Molina-Carrion M, Lancaster J, Ciociaro D, Cersosimo E, Tripathy D, Triplitt C, Fox P, Musi N, DeFronzo R, Gastaldelli A. Exenatide Regulates Cerebral Glucose Metabolism in Brain Areas Associated With Glucose Homeostasis and Reward System. Diabetes. 2015 Oct;64(10):3406-12. doi: 10.2337/db14-1718. Epub 2015 Jun 26.

Reference Type RESULT
PMID: 26116695 (View on PubMed)

Gastaldelli A, Gaggini M, Daniele G, Ciociaro D, Cersosimo E, Tripathy D, Triplitt C, Fox P, Musi N, DeFronzo R, Iozzo P. Exenatide improves both hepatic and adipose tissue insulin resistance: A dynamic positron emission tomography study. Hepatology. 2016 Dec;64(6):2028-2037. doi: 10.1002/hep.28827.

Reference Type RESULT
PMID: 27639082 (View on PubMed)

Other Identifiers

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233-GAS-08

Identifier Type: -

Identifier Source: org_study_id