The Microvascular Function of GLP-1 and Its Analogues

NCT ID: NCT01677104

Last Updated: 2017-04-13

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

NA

Total Enrollment

63 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-08-31

Study Completion Date

2014-07-31

Brief Summary

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Incretins have become a successful drug target in the repertoire of medications used for the treatment of type 2 diabetes. However little is known about a potential benefit of GLP-1 on the vascular system in humans, independent of their glucose lowering actions and data are only derived from ex vivo studies in animals. Particularly little is known about clinically relevant benefits of GLP-1 and its analogues on the microvascular system of individuals with type 2 diabetes.

The vascular effect could be medicated by endogenous GLP-1 (9,36) amide, the breakdown product of GLP-1 (7,36) amide which has a low affinity for the GLP-1 receptor. The investigators hypothesis is that the co-administration of DPP-IV inhibitors will lack the beneficial effects of GLP-1 on the vascular system as GLP-1 (9,36) amide will not be produced by the body.

The study aims to examine the response of GLP-1 and its analogues on small blood vessels and examine the effect of the addition of DPP-IV inhibition in healthy lean individuals, obese individuals and subjects with Type 2 diabetes.

Detailed Description

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Conditions

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Type 2 Diabetes Obesity

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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DPP-IV inhibitor

Linagliptin 5mg (Tradjenta) before microinjection of GLP-1 and its analogues

Group Type ACTIVE_COMPARATOR

GLP-1

Intervention Type DRUG

GLP-1 and its analogues will be compared with placebo with and without prior DPP-IV inhibition

Placebo

Intervention Type DRUG

Placebo pill

One placebo tablet before microinjection

Group Type PLACEBO_COMPARATOR

GLP-1

Intervention Type DRUG

GLP-1 and its analogues will be compared with placebo with and without prior DPP-IV inhibition

Placebo

Intervention Type DRUG

Interventions

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GLP-1

GLP-1 and its analogues will be compared with placebo with and without prior DPP-IV inhibition

Intervention Type DRUG

Placebo

Intervention Type DRUG

Other Intervention Names

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native GLP-1(7,36) Exenatide (Byetta) Liraglutide (Vicotza)

Eligibility Criteria

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Inclusion Criteria

* Lean BMI ≤ 25.0 kg/m2
* Obese BMI ≥30.0kg/m2
* Non diabetic subjects and subjects with Type 2 diabetes on stable medication for at least 3 months

Exclusion Criteria

* cardiovascular disease
* Raynaud's disease
* current treatment with any anti-hypertensive
* lipid lowering therapies
* severe hepatic impairment
* pregnancy and lactation
* subjects with Type 2 diabetes on insulin therapy
* subjects with Type 2 diabetes on sulphonylureas
* subjects with Type 2 diabetes on incretin based therapies
* subjects with Type 2 diabetes and peripheral vascular disease
* subjects with Type 2 diabetes and history of advanced retinopathy
* subjects with Type 2 diabetes and advanced nephropathy
* subjects with Type 2 diabetes with uncontrolled diabetes (HbA1c \> 8.5%)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Diabetes UK

OTHER

Sponsor Role collaborator

Katarina Kos

OTHER

Sponsor Role lead

Responsible Party

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Katarina Kos

Consultant Physician and Senior Lecturer

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Katarina Kos, MD, PHD

Role: PRINCIPAL_INVESTIGATOR

Institue of Biomedical and Clinical Sciences, Peninsula Medical School, University of Exeter

Locations

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Diabetes and Vascular Center

Exeter, , United Kingdom

Site Status

Countries

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United Kingdom

References

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Aung MM, Slade K, Freeman LAR, Kos K, Whatmore JL, Shore AC, Gooding KM. Locally delivered GLP-1 analogues liraglutide and exenatide enhance microvascular perfusion in individuals with and without type 2 diabetes. Diabetologia. 2019 Sep;62(9):1701-1711. doi: 10.1007/s00125-019-4918-x. Epub 2019 Jun 16.

Reference Type DERIVED
PMID: 31203378 (View on PubMed)

Other Identifiers

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1204620

Identifier Type: OTHER

Identifier Source: secondary_id

11/SW/0195

Identifier Type: -

Identifier Source: org_study_id

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