GLP-1 and Microvascular Function in Type 2 Diabetes
NCT01740921 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 39
Last updated 2017-02-17
Summary
Some gut hormones, called incretins, stimulate insulin production in order to control sugar levels but also activate brain centres and signal to stop eating. Current administration of incretin-based therapies mimicking these gut hormones is by subcutaneous (just under the skin) injection and has been routinely available for diabetic patients for more than 4 years. It is an effective treatment for the lowering of blood glucose with an average weight loss of about 3-4kg.Recent evidence, from animal studies and limited human studies, suggests that incretins based treatments may also have beneficial effects on blood vessel function. However, it is not known whether this effect is by direct action on the blood vessel independent of an improvement of latent inflammation which is typically associated with weight loss or an anti-inflammatory effect of the incretin treatment itself. The aim of this study is to determine whether the incretin-based diabetes treatment with the GLP-1 (Glucagon-like peptide 1) analogue Liraglutide (also known as Victoza), which mimics the actions of incretins, improves blood vessel function in individuals with type 2 diabetes. It will determine whether the improvement in blood vessel function is independent of the effect of weight loss and changes in inflammation. This by the study of vascular function before and after 4 months of Victoza treatment in subjects with Type 2 diabetes in comparison with 1) participants randomized to hypo-caloric diet to achieve a similar weight loss than with Victoza and 2) participants randomized to treatment with once daily aspirin. Comprehensive assessment of blood vessel function, body fat distribution and metabolic profile at baseline and at the end of the treatment phase will be combined with assessments of inflammation markers in blood and in fat tissue biopsies.
Conditions
Interventions
- DRUG
-
Administered once daily
- OTHER
-
diet
reduction of caloric intake to promote weight loss
- DRUG
-
300mg of Aspirin per day
Sponsors & Collaborators
-
University of Exeter
collaborator OTHER -
Royal Devon and Exeter NHS Foundation Trust
lead OTHER
Principal Investigators
-
Katarina Kos, MD,PhD · University of Exeter
Study Design
- Allocation
- RANDOMIZED
- Purpose
- BASIC_SCIENCE
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 70 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2011-01-31
- Primary Completion
- 2015-12-31
- Completion
- 2016-02-29
Countries
- United Kingdom
Study Locations
More Related Trials
-
Cardiovascular Outcomes and HbA1c Among Patients With Type 2 Diabetes Newly Initiating GLP1RAs vs Basal Insulin
NCT04034524 ·Status: UNKNOWN
-
Blood Pressure Outcomes With Liraglutide Therapy
NCT01755572 ·Status: COMPLETED ·Phase: PHASE4
-
DIabetes REsearCh on Patient sTratification (DIRECT): GLP-1R Agonists
NCT01575301 ·Status: COMPLETED ·Phase: NA
-
Effect of GLP-1 on Angiogenesis
NCT02686177 ·Status: COMPLETED ·Phase: PHASE4
-
Glucagon-like Peptide 1 (GLP-1) and Endothelial Dysfunction in Metabolic Syndrome
NCT00856700 ·Status: COMPLETED ·Phase: NA
-
GLP-1/Basal Insulin Combination Therapy
NCT02895672 ·Status: COMPLETED
-
The Effect of Glucagon-Like Peptide-1 (GLP-1) on Pulmonary Vascular Resistance (PVR) in Patients With Heart Failure
NCT02129179 ·Status: COMPLETED ·Phase: PHASE1
-
Cardiovascular Effects of GLP-1 Receptor Activation
NCT03101930 ·Status: COMPLETED ·Phase: PHASE4
-
GLP-1 REceptor Agonists and Real World EvIdeNce
NCT03959865 ·Status: UNKNOWN
-
Human Vasodilatory Effect of GLP-1
NCT03502083 ·Status: COMPLETED ·Phase: NA
-
Endothelial and Metabolic Effects of Glucagon-like Peptide-1 (GLP-1) in Coronary Circulation in Patients With Type 2 Diabetes Mellitus
NCT00923962 ·Status: COMPLETED ·Phase: NA
-
Effect of Glucagon-like Peptide 1 (GLP-1) on Microvascular Myocardial Function in Patients With Type 2 Diabetes.
NCT01931982 ·Status: COMPLETED ·Phase: PHASE4
-
Effects of Glucagon Like Peptide-1 on Haemodynamic Parameters
NCT02490176 ·Status: UNKNOWN ·Phase: NA
-
Effect of Intact GLP-1 (7-36) and GLP-1 Metabolite (9-36) on Coronary and Peripheral Vascular Function in Adults
NCT02333591 ·Status: COMPLETED ·Phase: PHASE4
-
Effect of Combined Incretin-Based Therapy Plus Canagliflozin on Glycemic Control and the Compensatory Rise in Hepatic Glucose Production in Type 2 Diabetic Patients
NCT02324842 ·Status: COMPLETED ·Phase: NA
-
Effect of Liraglutide on Glucagon Secretion in Subjects With Type 2 Diabetes
NCT01509742 ·Status: COMPLETED ·Phase: PHASE1
-
Haemodynamic Effects of GLP-1 and Glucagon in Healthy Male Volunteers
NCT03835013 ·Status: COMPLETED ·Phase: NA
-
The Effect of Glycemic Control and of GLP-1 Receptor Agonism on Islet GLP-1 in People With Type 1 and Type 2 Diabetes
NCT06976619 ·Status: RECRUITING ·Phase: PHASE2
-
Cardioprotective Effects of GLP-1 and Their Mechanisms
NCT02128022 ·Status: COMPLETED ·Phase: PHASE1
-
GLP-1 Loading During Elective Percutaneous Coronary Intervention
NCT02127996 ·Status: UNKNOWN ·Phase: PHASE2
-
Effects of Glucagon Like Peptide-1 on No-reflow
NCT02507128 ·Status: UNKNOWN ·Phase: NA
-
Evaluation of the Efficacy and Safety of GLP-1 Receptor Agonist Therapy In Steroid-Induced Diabetes
NCT07117240 ·Status: ENROLLING_BY_INVITATION ·Phase: PHASE4
-
The Role of GLP-1 Receptor Signalling in the Glucose-lowering Effect of Metformin in Patients With T2D
NCT03246451 ·Status: COMPLETED ·Phase: NA
-
Glucose-induced Glucagon-like Peptide 1 (GLP-1) Secretion in NAFLD Patients Compared to Healthy Controls
NCT01674972 ·Status: COMPLETED
-
Delineation of the Role of Glucagon-like Peptide-1 Signalling in Relation to Increased Carbohydrate Content in the Distal Small Intestines
NCT03241303 ·Status: COMPLETED ·Phase: NA