The Role of Lactate in Lipolysis and Catabolism in Humans

NCT ID: NCT04710875

Last Updated: 2022-01-24

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

8 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-03-10

Study Completion Date

2021-06-29

Brief Summary

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Lactate may have anti-lipolytic effects when plasma concentrations of lactate reach levels similar to those seen during high intensity exercise.

This study aims to investigate how lactate concentrations similar to those achieved during high intensity exercise affects lipolysis in humans. In addition to this, to investigate how increased lactate concentrations affects glucose- and amino acid metabolism.

8 healthy males will be included. Study participants will undergo two separate investigation days that will be identical except for the interventions:

1. Intravenous sodium D/L-lactate
2. Intravenous sodium chloride.

The study consists of a 3-hour basal period followed by a 3-hour hyperinsulinemic euglycemic clamp. During the study we will:

* Estimate insulin sensitivity during the hyperinsulinemic euglycemic clamp (M value)
* Use tracer kinetics to estimate lipid-, glucose and amino acid metabolism using \[9,10-3H\]-palmitate, \[3-3H\]-glucose, \[15N\]-phenylalanine, \[15N\]-tyrosine, \[2H4\]-tyrosine and \[13C\]-Urea.
* Do muscle- and adipose tissue biopsies for analyses of signaling pathways involved in regulation of lipid-, glucose and amino acid metabolism.
* Do blood samples of relevant hormones, metabolites and cytokines.
* Use indirect calorimetry to estimate study participants' resting energy expenditure and respiratory quotient during the basal period.
* Estimate cardiac ejection fraction by echocardiography and measure blood pressure during both the basal- and clamp period.

Detailed Description

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Conditions

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Hyperlactatemia Healthy Lactate

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

OTHER

Blinding Strategy

SINGLE

Participants

Study Groups

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Na-lactate

Iv infusion of sodium D/L lactate

Group Type ACTIVE_COMPARATOR

Na-lactate

Intervention Type DRUG

intravenous

Sodium chloride

Iv infusion of Sodium chloride

Group Type PLACEBO_COMPARATOR

Sodium chloride

Intervention Type DRUG

Intravenous

Interventions

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Na-lactate

intravenous

Intervention Type DRUG

Sodium chloride

Intravenous

Intervention Type DRUG

Other Intervention Names

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Sodium lactate NaCl

Eligibility Criteria

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Inclusion Criteria

* male
* \>18 years of age
* BMI \>19 and below 30
* Written and verbal consent to participation

Exclusion Criteria

* Chronic illness
* daily use of medicine
* affected blood samples at screening, as assessed by the PI
* does not speak and understand Danish
* Assessed unsuitable by PI.
Minimum Eligible Age

18 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

Yes

Sponsors

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University of Aarhus

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Niels Møller, Prof, MD, DMSc

Role: STUDY_DIRECTOR

Medical/Steno Aarhus research laboratory, Aarhus University Hospital

Locations

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Medical/Steno Aarhus research laboratory

Aarhus, Central Region Denmark, Denmark

Site Status

Aarhus University Hospital

Aarhus N, , Denmark

Site Status

Countries

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Denmark

References

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Berg-Hansen K, Gopalasingam N, Pedersen MGB, Nyvad JT, Rittig N, Sondergaard E, Wiggers H, Moller N, Nielsen R. Cardiovascular effects of lactate in healthy adults. Crit Care. 2025 Jan 17;29(1):30. doi: 10.1186/s13054-025-05259-0.

Reference Type DERIVED
PMID: 39825426 (View on PubMed)

Other Identifiers

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1-10-72.180-20

Identifier Type: -

Identifier Source: org_study_id

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