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Trial · Interventional

CompletedEarly phase 1Results postedRegistry data

Effect of Hyperglycemia on Microvascular Perfusion in Healthy Adults

Short name EJB050

NCTNCT03520569 (opens ClinicalTrials.gov in a new tab)Other id19948Other idT32DK007646

Overview

Status
Completed
Phase
Early phase 1
Enrollment
15 participants (actual)
Sponsor
University of Virginia · Other
Design
Randomized · Open label (no masking)
Countries
1 country

United States

Start
4 Feb 2019
Primary completion
1 Apr 2021
Completion
1 Apr 2021
First posted
9 May 2018
Last update posted
13 May 2022
Conditions
Vascular Stiffness · Insulin Sensitivity

Timeline

1 trial · 1 completed · 1 with posted results

  • Completed
  • Ongoing
  • Not yet recruiting
  • Stopped
  • Estimated dates (est.)
  • Results posted
2019202020212022
  1. Ph Early 1

    EJB050

    NCT03520569

    4 Feb 2019 to 1 Apr 2021

Registry summary

Text and fields below are the sponsor's entries at ClinicalTrials.gov, shown as posted.

The investigators are studying the effects of Hyperglycemia on vascular function and insulin sensitivity on healthy adults

Interventions

  • OctreotideDrug
  • InsulinDrug
  • Dextrose 20% solutionDrug

Arms4

  • Active comparator

    Octreotide- Euglycemia

    octreotide is 30 ng/kg/min x 240 min insulin 0.15mU/kg/min x 240 min Dextrose 20% at variable rate to maintain euglycemia for 240 min

  • Active comparator

    Octreotide - Euglycemia- insulin clamp

    octreotide is 30 ng/kg/min x 330 min insulin 0.15mU/kg/min x 210 min insulin 1.0mU/kg/min x 120 min Dextrose 20% at variable rate to maintain euglycemia for 330 min

  • Active comparator

    Octreotide- hyperglycemia

    octreotide is 30 ng/kg/min x 330 min insulin 0.15mU/kg/min x 330 min Dextrose 20% at variable rate to maintain euglycemia for 90 min Dextrose 20% at variable rate to maintain hyperglycemia for 240 min

  • Active comparator

    Octreotide- hyperglycemia - insulin clamp

    octreotide is 30 ng/kg/min x 330 min insulin 0.15mU/kg/min x 210 min insulin 1.0mU/kg/min x 120 min Dextrose 20% at variable rate to maintain euglycemia for 90 min Dextrose 20% at variable rate to maintain hyperglycemia for 240 min

Primary outcomes1

Outcomes the sponsor listed as primary.

  1. Change in Flow Mediated Dilation (FMD) Between Baseline and After 2 Hour Insulin Clamp

    Time frame · baseline and after 2 hour insulin clamp

    Registry description

    Flow mediated dilation measures the change in brachial diameter in response to 5 minutes of ischemia using B-mode ultrasound. It provides an index of nitric oxide generation by the endothelium .

Secondary outcomes(2)
  1. Change in Augmentation Index Between Baseline and After 2 Hour Insulin Clamp

    Time frame · baseline and after 2 hour insulin clamp

    Registry description

    The augmentation index (AIx) measured at the radial artery is a measure of systemic arterial stiffness, and is defined as the ratio of augmentation (Δ P) to central pulse pressure and expressed as percent. AIx = (ΔP/PP) x 100, where P = pressure and PP = Pulse Pressure. Higher percentages indicate increased arterial stiffness.

  2. Change in Pulse Wave Velocity (PWV) Between Baseline and After 2 Hour Insulin Clamp

    Time frame · baseline and after 2 hour insulin clamp

    Registry description

    The time required for a blood pressure wave to travel from the carotid to the femoral artery was measured in meter/sec. This is a measurement of central artery stiffness. Higher numbers indicate stiffer vessels

Posted results

Values are shown as posted at ClinicalTrials.gov, with their units. PepBank has not converted, pooled or compared them.

Primary outcome results

Primary outcomeMean· baseline and after 2 hour insulin clamp

Change in Flow Mediated Dilation (FMD) Between Baseline and After 2 Hour Insulin Clamp

GroupValue (% change)Spread
Octreotide- Euglycemia11.84.4
Octreotide - Euglycemia- Insulin Clamp11.84
Octreotide- Hyperglycemia8.94.3
Octreotide- Hyperglycemia - Insulin Clamp8.954.5
Secondary and other outcome results(2)
Secondary outcomeMean· baseline and after 2 hour insulin clamp

Change in Augmentation Index Between Baseline and After 2 Hour Insulin Clamp

GroupValue (percentage)Spread
Octreotide- Euglycemia-4.1511.72
Octreotide - Euglycemia- Insulin Clamp-2.2312.33
Octreotide- Hyperglycemia-4.8012.13
Octreotide- Hyperglycemia - Insulin Clamp-8.459.16
Secondary outcomeMean· baseline and after 2 hour insulin clamp

Change in Pulse Wave Velocity (PWV) Between Baseline and After 2 Hour Insulin Clamp

GroupValue (m/sec)Spread
Octreotide- Euglycemia5.210.64
Octreotide - Euglycemia- Insulin Clamp5.060.76
Octreotide- Hyperglycemia4.790.79
Octreotide- Hyperglycemia - Insulin Clamp5.070.67

Adverse events, as posted

Adverse events as posted: participants affected out of participants at risk, by group
GroupDeathsSerious eventsOther events
Octreotide- Euglycemiaoctreotide is 30 ng/kg/min x 240 min insulin 0.15mU/kg/min x 240 min Dextrose 20% at variable rate to maintain euglycemia for 240 min Octreotide: we are using it to block insulin secretion from the pancreas Insulin: we are using to replace basal insulin and in two protocols to raise insulin concentrations during the insulin clamp Dextrose 20% solution: We are using dextrose to maintain glycemia level0 / 130 / 130 / 13
Octreotide - Euglycemia- Insulin Clampoctreotide is 30 ng/kg/min x 330 min insulin 0.15mU/kg/min x 210 min insulin 1.0mU/kg/min x 120 min Dextrose 20% at variable rate to maintain euglycemia for 330 min Octreotide: we are using it to block insulin secretion from the pancreas Insulin: we are using to replace basal insulin and in two protocols to raise insulin concentrations during the insulin clamp Dextrose 20% solution: We are using dextrose to maintain glycemia level0 / 140 / 140 / 14
Octreotide- Hyperglycemiaoctreotide is 30 ng/kg/min x 330 min insulin 0.15mU/kg/min x 330 min Dextrose 20% at variable rate to maintain euglycemia for 90 min Dextrose 20% at variable rate to maintain hyperglycemia for 240 min Octreotide: we are using it to block insulin secretion from the pancreas Insulin: we are using to replace basal insulin and in two protocols to raise insulin concentrations during the insulin clamp Dextrose 20% solution: We are using dextrose to maintain glycemia level0 / 100 / 100 / 10
Octreotide- Hyperglycemia - Insulin Clampoctreotide is 30 ng/kg/min x 330 min insulin 0.15mU/kg/min x 210 min insulin 1.0mU/kg/min x 120 min Dextrose 20% at variable rate to maintain euglycemia for 90 min Dextrose 20% at variable rate to maintain hyperglycemia for 240 min Octreotide: we are using it to block insulin secretion from the pancreas Insulin: we are using to replace basal insulin and in two protocols to raise insulin concentrations during the insulin clamp Dextrose 20% solution: We are using dextrose to maintain glycemia level0 / 120 / 120 / 12

Each cell reads participants affected / participants at risk, as the registry posted them.

Registry data comes from ClinicalTrials.gov. Study results come from studies, not from the registry. How PepBank works

Studies0

Studies that cite this trial.

No study cites this trial.

Other registry references

References listed at the registry that are not in PepBank. They link to PubMed.

  • DerivedHorton WB, Jahn LA, Hartline LM, Aylor KW, Patrie JT, Barrett EJ. Insulin increases central aortic stiffness in response to hyperglycemia in healthy humans: A randomized four-arm study. Diab Vasc Dis Res. 2021 Mar-Apr;18(2):14791641211011009. doi: 10.1177/14791641211011009. PMID 33908285
  • DerivedHorton WB, Jahn LA, Hartline LM, Aylor KW, Patrie JT, Barrett EJ. Acute hyperglycaemia enhances both vascular endothelial function and cardiac and skeletal muscle microvascular function in healthy humans. J Physiol. 2022 Feb;600(4):949-962. doi: 10.1113/JP281286. Epub 2021 Feb 2. PMID 33481251

Eligibility

Who could join, as posted.

Sex
All
Age
from 18 Years up to 35 Years
Healthy volunteers
Accepted
Inclusion and exclusion criteria, as posted
Inclusion Criteria: * Healthy with no chronic illness * Age 18-35 * Normal BMI (18-25) * Normal screening labs or no clinically significant values Exclusion Criteria: * First degree relative with Type 2 Diabetes * Smoking presently or in the past 6 months * Medications that affect the vasculature * Overweight or other indications of insulin resistance * Elevated LDL cholesterol \> 160 * Elevated BP \> 140/90 * History of congestive heart failure, ischemic heart disease, severe pulmonary disease, liver or kidney disease, bleeding disorders * Any vascular disease such as myocardial infarction, stroke, peripheral vascular disease * Presence of an intracardiac or intrapulmonary shunt (we will screen for this by auscultation during the physical exam by PI). * Pregnant or breastfeeding. * Known hypersensitivity to perflutren (contained in Definity)

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