Effects of PPAR Ligands on Ectopic Fat Accumulation and Inflammation
NCT00470262 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 27
Last updated 2016-07-21
Summary
The relationship between obesity and insulin resistance is known, however the mechanism(s) associating obesity with insulin resistance is not well understood. Inflammation and accumulation of fat in non fat tissue (like muscle) are conditions found on obesity which could be the potential link between obesity and insulin resistance. This study is designed to test the effects of two different drugs on numerous features of the obesity and insulin resistance in subjects with impaired glucose tolerance. Impaired glucose tolerance is a condition where blood sugar is too high after drinking a sugary drink containing 75 grams of sugar. Impaired glucose tolerant subjects are insulin resistant and at risk of developing diabetes. The drugs to be used are fenofibrate and pioglitazone. Fenofibrate is used to reduce the amount of fat (triglycerides) in the blood while pioglitazone is routinely used to make the body more sensitive to insulin in patients with diabetes. The purpose of this study is to compare the effects of either of these two medications (pioglitazone and fenofibrate) alone or the combination of both on fat accumulation in body (muscle) and inflammation. The amount of fat accumulation in muscle is thought to affect insulin sensitivity. In addition, the changes in the level of proteins produced by fat tissues will be studied in response to the two medications in this study. These proteins are thought to be involved in diabetes and insulin resistance.
These studies are designed to examine fundamental clinical mechanisms underlying the metabolic syndrome and diabetes.
Conditions
- Metabolic Syndrome X
- Prediabetic State
Interventions
- DRUG
-
Fenofibrate 145mg PO QD
Subjects will be randomized to either fenofibrates or combination of both fenofibrate and pioglitazone
- DRUG
-
Pioglitazone 45 mg PO QD
Subjects will be randomized to either fenofibrate 145 mg PO QD or a combination of both fenofibrate 145 mg PO QD and pioglitazone 45 mg PO QD
Sponsors & Collaborators
-
VA Office of Research and Development
lead FED
Principal Investigators
-
Neda Rasouli, MD · VA Eastern Colorado Health Care System, Denver
Study Design
- Allocation
- RANDOMIZED
- Purpose
- BASIC_SCIENCE
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 65 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2007-01-31
- Primary Completion
- 2012-12-31
- Completion
- 2014-06-30
Countries
- United States
Study Locations
More Related Trials
-
Vascular Function, Endothelin, and Inflammation in Pre-diabetic Obesity Versus Lean Healthy Controls
NCT00837590 ·Status: TERMINATED ·Phase: PHASE1
-
Factors Involved in Obesity-related Inflammation and Insulin Resistance
NCT01173705 ·Status: TERMINATED
-
Fetuin-A Phosphorylation Status in Insulin Resistance and Metabolic Syndrome
NCT03478046 ·Status: COMPLETED ·Phase: NA
-
Mechanisms Underlying Metabolic Syndrome in Obesity
NCT00579813 ·Status: COMPLETED ·Phase: PHASE4
-
Effects on Glucose Homeostasis of Changes in Plasma Lipoproteins Induced by Nutritional and Pharmacologic Strategies
NCT05213988 ·Status: UNKNOWN ·Phase: NA
-
Mechanisms of Insulin Resistance in Humans
NCT00330967 ·Status: COMPLETED
-
PGC-1 and Mitochondrial Dysfunction in Diabetes
NCT01724515 ·Status: COMPLETED ·Phase: NA
-
Medically Intensive Nutrition Therapy Program for Obesity and Diabetes in a Low-income Population
NCT05799222 ·Status: RECRUITING
-
Effects of Macronutrients on Hepatic Lipids, Plasma Triglycerides, and Insulin Sensitivity
NCT00523562 ·Status: COMPLETED ·Phase: NA
-
Pilot Study to Test Dietary Fat Delivery
NCT02101996 ·Status: COMPLETED
-
Dietary Fatty Acid Composition and Obesity-related Metabolic Abnormalities
NCT01451970 ·Status: COMPLETED ·Phase: NA
-
Adipose Inflammation and Diabetes (FAB)
NCT04255264 ·Status: RECRUITING
-
Education, Counseling, and Drug Therapy to Reduce Symptoms of Metabolic Syndrome
NCT00129792 ·Status: COMPLETED ·Phase: NA
-
Inflammatory Aspects of Glucose in Hyperlipidemia and Diabetes
NCT02130505 ·Status: COMPLETED ·Phase: NA
-
Effects of Low and Moderate Fat Diets on Lipids, Inflammation and Vascular Reactivity in the Metabolic Syndrome
NCT00362908 ·Status: COMPLETED ·Phase: NA
-
Effect of Endoplasmic Reticulum Stress on Metabolic Function
NCT00771901 ·Status: COMPLETED ·Phase: NA
-
The Influence of Fatty-Acids on Systemic and Subcutaneous Cytokines
NCT00708266 ·Status: COMPLETED ·Phase: NA
-
Fat Induced Insulin Resistance and Atherosclerosis
NCT02348190 ·Status: COMPLETED ·Phase: NA
-
Mechanisms Underlying Postoperative Insulin Resistance and Inflammation
NCT01470534 ·Status: UNKNOWN ·Phase: PHASE4
-
Effect of Fasting Free Fatty Acids and Fasting Glucose on 1st and 2nd Phase Insulin Secretion
NCT03998709 ·Status: WITHDRAWN ·Phase: PHASE4
-
Fat Cell Size and Overfeeding and Etopic Study
NCT01672632 ·Status: COMPLETED ·Phase: NA
-
Fat and Sugar Metabolism During Exercise in Patients With Metabolic Myopathy
NCT02635269 ·Status: UNKNOWN ·Phase: NA
-
Fat Effects in Women With Metabolic Syndrome
NCT01093560 ·Status: UNKNOWN ·Phase: NA
-
Insulin and Muscle Fat Metabolism
NCT04759872 ·Status: TERMINATED ·Phase: NA
-
Exploratory Study of the Relationships Between the Biomarkers of Inflammation, Lipidome and Insulin Resistance and Disorders of Glycemic Regulation in a Cohort of Insulin-resistant Subjects Due to Excess Weight or Dunnigan's Lipodystrophy
NCT05424913 ·Status: COMPLETED ·Phase: NA