Postprandial Hypoglycemia Clinical Trial
— Hypo-PrEAOfficial title:
Empagliflozin and Anakinra for the Treatment of Postprandial Hypoglycemia in Patients With Prediabetes: a Randomized, Placebo-controlled Study
Verified date | February 2024 |
Source | University Hospital, Basel, Switzerland |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
This study is to analyze whether the SGLT2-inhibitor empagliflozin or the IL-1 receptor antagonist anakinra may improve postprandial hypoglycemia in subjects with prediabetes.
Status | Active, not recruiting |
Enrollment | 26 |
Est. completion date | May 2024 |
Est. primary completion date | May 2024 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - Subjects with prediabetes defined by Glycosylated haemoglobin A1c (HbA1c) 5.7-6.4 % or fasting plasma glucose 6.1-6.9 mmol/l) or plasma glucose 2 h following 75 glucose ingestion of 7.8-11.0 mmol/l. - Hypoglycemia occuring 1 to 3 h following ingestion of a standardized liquid mixed-meal (75 g carbohydrates) and fulfilling the Whipple's triad (glucose below 3.0 mmol/l). - Age = 18 years - For subjects with reproductive potential, willingness to use contraceptive measures adequate to prevent the subject from becoming pregnant during the study Exclusion Criteria: - Upper gastrointestinal surgery - Diagnosis of any type of diabetes mellitus - Signs of current infection - Use of investigational drug up to one week prior to start of treatment phase - Glucocorticoid therapy - Neutropenia (leukocyte count < 1.5 × 109/L or absolute neutrophil count (ANC) < 0.5 × 109/L) - Anemia (hemoglobin < 11 g/dL for males, < 10 g/dL for females) - Clinically significant kidney or liver disease (creatinine > 1.5 mg/dL, aspartate aminotransferase (AST)/ALT > 2 × ULN, alkaline phosphatase > 2 × ULN, or total bilirubin [tBili] > 1.5 × ULN) - Uncontrolled disease - Currently pregnant or breastfeeding - No subjects meeting the criteria for vulnerability - Participation in another study with investigational drug within the 30 days preceding and during the present study. |
Country | Name | City | State |
---|---|---|---|
Switzerland | Department of Endocrinology, Diabetes and Metabolism, University Hospital Basel | Basel |
Lead Sponsor | Collaborator |
---|---|
University Hospital, Basel, Switzerland |
Switzerland,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Number of symptomatic hypoglycemia | Incidence of symptomatic hypoglycemia following a standardized mixed-meal test defined by appearance of typical symptoms, blood glucose level below 3.0 mmol/l and relief of symptoms when the glucose level is raised (Whipple's triad). | up to 3 hours after ingestion of the liquid mixed-meal | |
Secondary | Severity of symptoms of hypoglycemia according to the Edinburgh Hypoglycemia Scale | The Edinburgh Hypoglycemia Scale is a classification of the 11 most common symptoms of hypoglycemia. Subjective intensity-grading:
no symptoms 0 light symptoms 1 moderate symptoms 2 severe symptoms 3 |
up to 3 hours after ingestion of the liquid mixed-meal | |
Secondary | Nadir plasma glucose (mmol/l) | Nadir plasma glucose (mmol/l) | up to 3 hours after ingestion of the liquid mixed-meal | |
Secondary | Change in proinsulin to insulin ratio in serum | Change in proinsulin to insulin ratio in serum | at baseline and 60 min after ingestion of the mixed meal | |
Secondary | Change in inflammatory state | Change in inflammatory laboratory parameters (Interleukin (IL)1ß, IL6, Tumor necrosis factor (TNF) a, IL-10, IL-1Ra) in supernatants of Lipopolysaccharide (LPS)-stimulated and unstimulated peripheral blood mononuclear cells (PBMC) | at baseline and 60 min after ingestion of the mixed meal | |
Secondary | Change in RNA sequencing (RNAseq) in peripheral PBMC | Change in RNAseq in peripheral PBMC | at baseline and 60 min after ingestion of the mixed meal |
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