Trial Outcomes & Findings for A Novel Positron Emission Tomography (PET) Approach to Measuring Myocardial Metabolism (NCT NCT02563834)

NCT ID: NCT02563834

Last Updated: 2016-08-31

Results Overview

PET measure of fatty acid uptake rate

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

18 participants

Primary outcome timeframe

4 Hours

Results posted on

2016-08-31

Participant Flow

Participant milestones

Participant milestones
Measure
Lean Control
Studies will be performed on 2 separate days under fasting conditions, using a saline infusion on Day 1 and insulin infusion on Day 2. All subjects will receive infusions of radiolabeled acetate and radiolabeled thiapalmitate tracer (16-18-F-fluoro-4-thiapalmitate) on both study days. thiapalmitate tracer: Radiolabeled tracer infusion; occurs in all treatment arms Saline: Saline infusion for control
Type 2 DM
Studies will be performed on 2 separate days under fasting conditions, using a saline infusion on Day 1 and insulin infusion on Day 2. All subjects will receive infusions of radiolabeled acetate and radiolabeled thiapalmitate tracer (16-18-F-fluoro-4-thiapalmitate) on both study days. thiapalmitate tracer: Radiolabeled tracer infusion; occurs in all treatment arms
Control (Saline) Infusion (*Day 1)
STARTED
10
8
Control (Saline) Infusion (*Day 1)
COMPLETED
10
8
Control (Saline) Infusion (*Day 1)
NOT COMPLETED
0
0
Insulin Infusion (*Day 2)
STARTED
10
8
Insulin Infusion (*Day 2)
COMPLETED
10
8
Insulin Infusion (*Day 2)
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

A Novel Positron Emission Tomography (PET) Approach to Measuring Myocardial Metabolism

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Lean Controls
n=10 Participants
Lean non-diabetic control participants, taking no regular medications.
Type 2 Diabetes
n=8 Participants
Participants with Type 2 diabetes treated with any combination of oral agents and insulin except PPARgamma agonists.
Total
n=18 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
10 Participants
n=5 Participants
8 Participants
n=7 Participants
18 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Continuous
34.1 years
STANDARD_DEVIATION 9.0 • n=5 Participants
40.4 years
STANDARD_DEVIATION 9.2 • n=7 Participants
36.9 years
STANDARD_DEVIATION 9.4 • n=5 Participants
Sex: Female, Male
Female
10 Participants
n=5 Participants
5 Participants
n=7 Participants
15 Participants
n=5 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
3 Participants
n=7 Participants
3 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 4 Hours

PET measure of fatty acid uptake rate

Outcome measures

Outcome measures
Measure
Lean Control - Saline
n=10 Participants
Studies will be performed on a separate day under fasting conditions, using a saline infusion. All subjects will receive infusions of radiolabeled acetate and radiolabeled thiapalmitate tracer (16-18-F-fluoro-4-thiapalmitate). thiapalmitate tracer: Radiolabeled tracer infusion; occurs in all treatment arms Saline: Saline infusion for control
Lean Control - Insulin Clamp
n=10 Participants
Studies will be performed on a separate day under fasting conditions, using an insulin infusion to achieve steady state insulin/glucose clamp conditions. All subjects will receive infusions of radiolabeled acetate and radiolabeled thiapalmitate tracer (16-18-F-fluoro-4-thiapalmitate). thiapalmitate tracer: Radiolabeled tracer infusion; occurs in all treatment arms Insulin: Insulin infusion for insulin/glucose clamp procedure
Type 2 DM - Saline
n=8 Participants
Studies will be performed on a separate day under fasting conditions, using a saline infusion. All subjects will receive infusions of radiolabeled acetate and radiolabeled thiapalmitate tracer (16-18-F-fluoro-4-thiapalmitate). thiapalmitate tracer: Radiolabeled tracer infusion; occurs in all treatment arms
Type 2 DM - Insulin Clamp
n=8 Participants
Studies will be performed on a separate day under fasting conditions, using an insulin infusion to achieve steady state insulin/glucose clamp conditions. All subjects will receive infusions of radiolabeled acetate and radiolabeled thiapalmitate tracer (16-18-F-fluoro-4-thiapalmitate). thiapalmitate tracer: Radiolabeled tracer infusion; occurs in all treatment arms
Myocardial Fatty Acid Uptake Rate
18.492 umol/min/100g
Standard Error 3.942
2.123 umol/min/100g
Standard Error 1.087
36.005 umol/min/100g
Standard Error 4.408
7.8 umol/min/100g
Standard Error 1.215

SECONDARY outcome

Timeframe: 4 Hours

PET measure of total oxidation rate

Outcome measures

Outcome measures
Measure
Lean Control - Saline
n=10 Participants
Studies will be performed on a separate day under fasting conditions, using a saline infusion. All subjects will receive infusions of radiolabeled acetate and radiolabeled thiapalmitate tracer (16-18-F-fluoro-4-thiapalmitate). thiapalmitate tracer: Radiolabeled tracer infusion; occurs in all treatment arms Saline: Saline infusion for control
Lean Control - Insulin Clamp
n=10 Participants
Studies will be performed on a separate day under fasting conditions, using an insulin infusion to achieve steady state insulin/glucose clamp conditions. All subjects will receive infusions of radiolabeled acetate and radiolabeled thiapalmitate tracer (16-18-F-fluoro-4-thiapalmitate). thiapalmitate tracer: Radiolabeled tracer infusion; occurs in all treatment arms Insulin: Insulin infusion for insulin/glucose clamp procedure
Type 2 DM - Saline
n=8 Participants
Studies will be performed on a separate day under fasting conditions, using a saline infusion. All subjects will receive infusions of radiolabeled acetate and radiolabeled thiapalmitate tracer (16-18-F-fluoro-4-thiapalmitate). thiapalmitate tracer: Radiolabeled tracer infusion; occurs in all treatment arms
Type 2 DM - Insulin Clamp
n=8 Participants
Studies will be performed on a separate day under fasting conditions, using an insulin infusion to achieve steady state insulin/glucose clamp conditions. All subjects will receive infusions of radiolabeled acetate and radiolabeled thiapalmitate tracer (16-18-F-fluoro-4-thiapalmitate). thiapalmitate tracer: Radiolabeled tracer infusion; occurs in all treatment arms
Myocardial Oxidation Rate
15.006 ml/min/100g
Standard Error 0.951
19.847 ml/min/100g
Standard Error 1.773
17.381 ml/min/100g
Standard Error 1.064
22.940 ml/min/100g
Standard Error 2.288

SECONDARY outcome

Timeframe: 4 Hours

PET measure of total myocardial perfusion (blood flow)

Outcome measures

Outcome measures
Measure
Lean Control - Saline
n=10 Participants
Studies will be performed on a separate day under fasting conditions, using a saline infusion. All subjects will receive infusions of radiolabeled acetate and radiolabeled thiapalmitate tracer (16-18-F-fluoro-4-thiapalmitate). thiapalmitate tracer: Radiolabeled tracer infusion; occurs in all treatment arms Saline: Saline infusion for control
Lean Control - Insulin Clamp
n=10 Participants
Studies will be performed on a separate day under fasting conditions, using an insulin infusion to achieve steady state insulin/glucose clamp conditions. All subjects will receive infusions of radiolabeled acetate and radiolabeled thiapalmitate tracer (16-18-F-fluoro-4-thiapalmitate). thiapalmitate tracer: Radiolabeled tracer infusion; occurs in all treatment arms Insulin: Insulin infusion for insulin/glucose clamp procedure
Type 2 DM - Saline
n=8 Participants
Studies will be performed on a separate day under fasting conditions, using a saline infusion. All subjects will receive infusions of radiolabeled acetate and radiolabeled thiapalmitate tracer (16-18-F-fluoro-4-thiapalmitate). thiapalmitate tracer: Radiolabeled tracer infusion; occurs in all treatment arms
Type 2 DM - Insulin Clamp
n=8 Participants
Studies will be performed on a separate day under fasting conditions, using an insulin infusion to achieve steady state insulin/glucose clamp conditions. All subjects will receive infusions of radiolabeled acetate and radiolabeled thiapalmitate tracer (16-18-F-fluoro-4-thiapalmitate). thiapalmitate tracer: Radiolabeled tracer infusion; occurs in all treatment arms
Myocardial Perfusion Rate
39.3 ml/min/100g
Standard Error 2.1
46.5 ml/min/100g
Standard Error 3.3
44.2 ml/min/100g
Standard Error 2.3
49.4 ml/min/100g
Standard Error 4.2

Adverse Events

Saline

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Insulin Clamp

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Kieren J Mather

Indiana University

Phone: 317-278-7826

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place