Influence of Central Nervous Insulin Action on Insulin Sensitivity of Peripheral Organs in Lean Versus Overweight Humans
NCT02468999 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 21
Last updated 2016-01-08
Summary
Research in animals and first experiments in humans indicate that insulin action in the brain regulates peripheral insulin sensitivity. One major organ might be the liver. Previous studies in humans showed that the human brain is an insulin sensitive organ in lean but not in overweight/obese persons. Therefore, this study will include lean versus overweight/obese persons.
In this study, insulin action will be introduced by intranasal insulin administration in lean and overweight humans. As a control, placebo spray will be administered. To mimick the known spill over of small amounts of intranasal insulin into circulation, a small bolus of insulin will be administered over 15 minutes following placebo spray application.
Peripheral insulin sensitivity will be assessed by hyperinsulinemic-euglycemic glucose clamp and glucose uptake and endogenous glucose production will be assessed by tracer dilution technique. Autonomous nervous system activity will be addressed by heart rate variability. Involved brain areas will be addressed by fMRI before and after nasal insulin application.
Conditions
Interventions
- DRUG
-
human insulin
Sponsors & Collaborators
-
University Hospital Tuebingen
lead OTHER
Principal Investigators
-
Andreas Fritsche, Prof. Dr. · University Hospital Tuebingen
Study Design
- Allocation
- RANDOMIZED
- Purpose
- BASIC_SCIENCE
- Masking
- SINGLE
- Model
- CROSSOVER
Eligibility
- Min Age
- 18 Years
- Max Age
- 40 Years
- Sex
- MALE
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2015-01-31
- Primary Completion
- 2015-12-31
- Completion
- 2015-12-31
Countries
- Germany
Study Locations
More Related Trials
-
The Effect of Central Insulin on Insulin Sensitivity and Energy Metabolism
NCT01479075 ·Status: COMPLETED ·Phase: PHASE4
-
Effect of GLP1 Receptor Agonist on Brain Insulin Responsiveness
NCT06487832 ·Status: RECRUITING ·Phase: NA
-
Relative Contribution of Brain Insulin Action for Postprandial Metabolism
NCT06295640 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Insulin Deprivation on Brain Structure and Function in Humans With Type 1 Diabetes
NCT03392441 ·Status: COMPLETED ·Phase: NA
-
Impact of INsulin Sensitivity on Cardiovascular Risk Markers During 10-20 Years of FOllow up
NCT01412554 ·Status: COMPLETED
-
Improving Insulin Sensitivity by Non-invasive Brain Stimulation in Persons With Insulin Resistance
NCT04052399 ·Status: UNKNOWN ·Phase: NA
-
Regulation of Endogenous Glucose Production by Brain Insulin Action in Insulin Resistance
NCT03383822 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Recombinant Human Leptin Therapy Effects on Insulin Action
NCT01207934 ·Status: COMPLETED ·Phase: NA
-
Insulin Resistance and Central Nervous System (CNS) Function in Type 2 Diabetes
NCT00212290 ·Status: COMPLETED ·Phase: PHASE4
-
Incretin Effect in Lean and Obese Subjects
NCT00803296 ·Status: COMPLETED
-
Investigation of the Relationship Between Peripheral and Central Metabolic Changes Induced by GLP-1 Agonists
NCT06818292 ·Status: COMPLETED ·Phase: NA
-
Improving Insulin Sensitivity by Non-invasive Brain Stimulation
NCT04420650 ·Status: COMPLETED ·Phase: NA
-
Studies of Insulin and Glucagon Action in the Liver
NCT07300982 ·Status: NOT_YET_RECRUITING ·Phase: PHASE1/PHASE2
-
The Role of Endogenous Glucagon-like Peptide 1 (GLP-1) in Type 2 Diabetes Mellitus (T2DM)
NCT01449019 ·Status: COMPLETED ·Phase: PHASE1
-
Effects of Liraglutid, Dapagliflozin and Acarbose on the Cognitive Function, Olfactory Function, and Odor-induced Brain Activation in Overweight/Obese T2DM Patients Controlled Inadequately With Metformin Monotherapy.
NCT03961659 ·Status: UNKNOWN ·Phase: NA
-
Regulation of Tissue Lipolysis by Insulin in Type 2 Diabetes
NCT01680133 ·Status: COMPLETED
-
Effect of Intranasal Insulin on Cognitive Processes and Appetite
NCT03632681 ·Status: COMPLETED ·Phase: NA
-
A Dose-response Study Examining the Contribution of GLP-1 Receptor Signaling to Glucagon-stimulated Insulin Secretion
NCT04459338 ·Status: COMPLETED ·Phase: PHASE3
-
Intranasal Glucagon and Energy Balance
NCT03650582 ·Status: UNKNOWN ·Phase: PHASE2/PHASE3
-
Insulin Secretion in Diabetes Before and After Glycemic Control
NCT00469833 ·Status: COMPLETED ·Phase: NA
-
Effect of Empagliflozin Versus Placebo on Brain Insulin Sensitivity in Patients With Prediabetes
NCT03227484 ·Status: COMPLETED ·Phase: PHASE2
-
Dose-Dependent Effect of Intranasal Insulin in Humans Using Functional Magnetic Resonance Imaging (fMRI)
NCT06144255 ·Status: COMPLETED ·Phase: PHASE1
-
The Effect of GLP-1 on Glucose Uptake in the Brain and Heart in Healthy Men
NCT00256256 ·Status: COMPLETED ·Phase: NA
-
In Vivo Leptin Signaling in Humans After Acute Leptin Administration
NCT01275053 ·Status: COMPLETED ·Phase: PHASE1
-
Impact of Insulin on Sympathetic Nervous System-mediated Peripheral Vasoconstriction
NCT05244694 ·Status: COMPLETED ·Phase: EARLY_PHASE1