Trial Outcomes & Findings for Glutamine and Insulin Sensitivity in Type I Diabetes (NCT NCT01467063)

NCT ID: NCT01467063

Last Updated: 2021-07-14

Results Overview

Insulin sensitivity as measured by hyperinsulinemic-euglycemic clamp. Insulin sensitivity was calculated by dividing the average glucose infusion rate (mL glucose infusion/kg body weight/min) by the average insulin concentration (uU/mL).

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

13 participants

Primary outcome timeframe

During the Hyperinsulinemic-Euglycemic Clamp, an average of 3 hours

Results posted on

2021-07-14

Participant Flow

Participant milestones

Participant milestones
Measure
Glutamine, Then Placebo
Thirteen subjects were recruited, 12 of 13 completed the study; 2 did not receive isotope infusions but underwent all other procedures and were included in all analyses.
Placebo, Then Glutamine
Thirteen subjects were recruited, 12 of 13 completed the study; 2 did not receive isotope infusions but underwent all other procedures and were included in all analyses.
Overall Study
STARTED
6
7
Overall Study
COMPLETED
5
7
Overall Study
NOT COMPLETED
1
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Glutamine and Insulin Sensitivity in Type I Diabetes

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
All Participants
n=13 Participants
Age, Continuous
16 years
STANDARD_DEVIATION 2 • n=39 Participants
Sex: Female, Male
Female
5 Participants
n=39 Participants
Sex: Female, Male
Male
8 Participants
n=39 Participants
Region of Enrollment
United States
13 participants
n=39 Participants

PRIMARY outcome

Timeframe: During the Hyperinsulinemic-Euglycemic Clamp, an average of 3 hours

Population: Thirteen subjects were recruited, 12 of 13 completed the study; 2 did not receive isotope infusions but underwent all other procedures and were included in all analyses.

Insulin sensitivity as measured by hyperinsulinemic-euglycemic clamp. Insulin sensitivity was calculated by dividing the average glucose infusion rate (mL glucose infusion/kg body weight/min) by the average insulin concentration (uU/mL).

Outcome measures

Outcome measures
Measure
Glutamine
n=12 Participants
Glutamine: Participants will keep a diary of food intake and activity as well as wear an accelerometer (to measure overall movement) for 2-3 days prior to the admission. Subject will come to the Clinical Research Center for approximately 24 hours. They will receive a drink containing Glutamine (0.25 g/kg/dose). Afterwards they will have an afternoon exercise session consisting of 15-min bouts of exercise, interspersed with 5-min rest periods in between for a total of 75min. Blood glucose will be checked during rest intervals. They will be served a controlled dinner. Before bedtime another dose of the same drink will be given. Overnight blood glucose will be monitored closely. In the morning, another dose of the same drink will be given. Subjects will have two isotope infusions (non-radioactive) running concomitantly and a hyperinsulinemic-euglycemic clamp will be performed. Afterwards lunch will be served and subject discharged home.
Placebo
n=12 Participants
Placebo: Participants will keep a diary of food intake and activity as well as wear an accelerometer (to measure overall movement) for 2-3 days prior to the admission. Subject will come to the Clinical Research Center for approximately 24 hours. They will receive a PLACEBO drink. Afterwards they will have an afternoon exercise session consisting of 15-min bouts of exercise, interspersed with 5-min rest periods in between for a total of 75min. Blood glucose will be checked during rest intervals. They will be served a controlled dinner. Before bedtime another dose of the same drink will be given. Overnight blood glucose will be monitored closely. In the morning, another dose of the same drink will be given. Subjects will have two isotope infusions (non-radioactive) running concomitantly and a hyperinsulinemic-euglycemic clamp will be performed. Afterwards lunch will be served and subject discharged home.
Insulin Sensitivity
0.1 mL/kg/min per uU/mL
Standard Error 0.02
0.07 mL/kg/min per uU/mL
Standard Error 0.02

SECONDARY outcome

Timeframe: Post-Infusion

Outcome measures

Outcome measures
Measure
Glutamine
n=12 Participants
Glutamine: Participants will keep a diary of food intake and activity as well as wear an accelerometer (to measure overall movement) for 2-3 days prior to the admission. Subject will come to the Clinical Research Center for approximately 24 hours. They will receive a drink containing Glutamine (0.25 g/kg/dose). Afterwards they will have an afternoon exercise session consisting of 15-min bouts of exercise, interspersed with 5-min rest periods in between for a total of 75min. Blood glucose will be checked during rest intervals. They will be served a controlled dinner. Before bedtime another dose of the same drink will be given. Overnight blood glucose will be monitored closely. In the morning, another dose of the same drink will be given. Subjects will have two isotope infusions (non-radioactive) running concomitantly and a hyperinsulinemic-euglycemic clamp will be performed. Afterwards lunch will be served and subject discharged home.
Placebo
n=12 Participants
Placebo: Participants will keep a diary of food intake and activity as well as wear an accelerometer (to measure overall movement) for 2-3 days prior to the admission. Subject will come to the Clinical Research Center for approximately 24 hours. They will receive a PLACEBO drink. Afterwards they will have an afternoon exercise session consisting of 15-min bouts of exercise, interspersed with 5-min rest periods in between for a total of 75min. Blood glucose will be checked during rest intervals. They will be served a controlled dinner. Before bedtime another dose of the same drink will be given. Overnight blood glucose will be monitored closely. In the morning, another dose of the same drink will be given. Subjects will have two isotope infusions (non-radioactive) running concomitantly and a hyperinsulinemic-euglycemic clamp will be performed. Afterwards lunch will be served and subject discharged home.
Glucagon-like Peptide 1 (GLP-1)
2.3 pmol/L
Standard Error 0.3
1.8 pmol/L
Standard Error 0.1

Adverse Events

Glutamine

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

Placebo

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

Dominique Darmaun

Nemours Children's Health System

Phone: 904-697-3674

Results disclosure agreements

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