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Phase 3 N=23 Randomized Basic Science

Endogenous GLP-1 Secretion on Islet Function in People With and Without Type 2 Diabetes

Healthy · Type 2 Diabetes

Enrolled (actual)
23
Serious AEs
0.0%
Results posted
Dec 2023
Primary outcome: Primary: Change in Fasting Glucagon in the Presence or Absence of Exendin-9,39 — 7.4; 7.9; 7.8; 10.2 pmol/l

Study Design & Population

Study type
Interventional
Phase
Phase 3
Interventions
Saline (Biological); Exendin-9,39 (Biological); Saline + Intralipid/Heparin (Biological); Exendin-9,39 + Intralipid/Heparin (Biological)
Age
Adult, Older Adult · 25+ yrs
Sex
All
Sponsor
Adrian Vella
Primary completion
Dec 2022

Outcome Measures

OutcomeResultp-value
PRIMARY
Change in Fasting Glucagon in the Presence or Absence of Exendin-9,39
7.4; 7.9; 7.8; 10.2

Summary

GLP-1 is a hormone made by the body that promotes the production of insulin in response to GLP-1 is produced within the islets expressing prohormone convertase 1/3eating. However, there is increasing evidence that this hormone might help support the body's ability to produce insulin when diabetes develops. The purpose of this study is to determine the effect of endogenous GLP-1 secretion on insulin secretion in people with and without type 2 diabetes.

Eligibility Criteria

Inclusion criteria - non-diabetic subjects:

  • Weight-stable, non-diabetic subjects

Exclusion Criteria - non-diabetic subjects:

  • Age 65 years (to avoid studying subjects who could have latent type 1 diabetes, or the effects of age extremes in subjects with normal or impaired fasting glucose).
  • HbA1c ≥ 6.5%
  • Use of glucose-lowering agents.
  • For female subjects: positive pregnancy test at the time of enrollment or study
  • History of prior upper abdominal surgery such as adjustable gastric banding, pyloroplasty and vagotomy.
  • Active systemic illness or malignancy.
  • Symptomatic macrovascular or microvascular disease.

Inclusion criteria - diabetic subjects:

  • Weight-stable, diabetic subjects treated with diet and lifestyle alone or with metformin monotherapy

Exclusion Criteria - diabetic subjects:

  • Age 65 years (to avoid studying subjects who could have latent type 1 diabetes, or the effects of age extremes in subjects with normal or impaired fasting glucose).
  • Use of any glucose-lowering agent other than metformin.
  • 2 or more fasting glucose values > 250mg/dl on medication or after medication withdrawal.
  • Unwillingness or inability to withdraw medication for three weeks prior to, and for the duration of the study.
  • For female subjects: positive pregnancy test at the time of enrollment or study
  • History of prior upper abdominal surgery such as adjustable gastric banding, pyloroplasty and vagotomy.
  • Active systemic illness or malignancy.
  • Symptomatic macrovascular or microvascular disease.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT04466618). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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