Liraglutide in Obesity and Diabetes: Identification of CNS Targets Using fMRI

Diabetes Clinical Trial

Official title:

Liraglutide in Obesity and Diabetes: Identification of CNS Targets Using fMRI

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01562678
• Other study ID #: 2011-P000280
• Status: Completed
• Phase: Phase 4
• First received: March 22, 2012
• Last updated: January 12, 2015
• Start date: March 2012
• Est. completion date: May 2014

Study information

• Verified date: January 2015
• Source: Beth Israel Deaconess Medical Center
• Contact: n/a
• Is FDA regulated: No
• Health authority: United States: Food and Drug AdministrationUnited States: Institutional Review Board
• Study type: Interventional

Clinical Trial Summary

The main purpose of this study is to help us understand the effects of diabetes medication Liraglutide on weight loss and hunger. The investigators have already determined what the highest tolerated dose of Liraglutide is through earlier human research studies. Liraglutide was approved by the FDA in January 2010 for treatment of diabetes.

The investigators will also study the following:

1. The impact of Liraglutide on brain responses to food

2. It's effect on physiological and mental performance

3. If its effect on the brain differs among obese and lean diabetic subjects.

Description:

This is a randomized, placebo controlled, cross-over, double-blinded study to assess the effects of liraglutide on brain activation in areas involved in cognitive control and reward during food visualization.

Study participation will span approximately 1.5-2 months. Subjects will learn to self-administer the medication and will have a total of 8 study visits plus one screening visit. The visits will include the following tests/procedures:

1. Vital signs (blood pressure, temperature, heart rate, breathing rate)

2. Height, weight and other body measurements like waist

3. Blood tests

4. Urine pregnancy test (women only)

5. Electrocardiogram (EKG)

6. Medical history

7. Physical exam

8. Body Composition tests

9. Study logs to record food intake and blood sugar

10. functional MRI

We plan to recruit a total of 24 subjects to be treated with placebo and liraglutide. We propose to enroll 12 obese diabetic (type 2) and 12 lean diabetic (type 2) subjects. Equal numbers of men and women will be enrolled and the randomization will block for gender.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 24
• Est. completion date: May 2014
• Est. primary completion date: May 2014
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 18 Years to 65 Years

Eligibility

Inclusion Criteria:

Subjects will be men and women between the ages of 18 and 65. The following table list inclusion criteria for each group (lean diabetic and obese diabetic). Subjects must meet either HbA1c or fasting plasma glucose (FPG) criteria.

Lean diabetic:

BMI: 18-25 kg/m2 HbA1c: < 8.9% Fasting plasma glucose: <250 mg/dL Other inclusion criteria: On dietary modification and/or metformin

Obese diabetic:

BMI: >27 kg/m2 HbA1c: < 8.9% Fasting plasma glucose: <250 mg/dL Other inclusion criteria:

On dietary modification and/or metformin

Additionally, women participants must use double barrier methods to prevent pregnancy (diaphragm with intravaginal spermicide, cervical cap, male or female condom with spermicide). If a woman suspects that she has become pregnant at any time or does not use one of the contraceptive methods recommended by the investigator, she must notify the study staff. If a woman becomes pregnant, she will be withdrawn from the study. The study staff will follow the progress of her pregnancy and the birth of her child.

Exclusion Criteria:

1. Uncontrolled diabetes (HbA1c>8.9%, or FPG>250 mg/dL)

2. Women who are breastfeeding, pregnant, or wanting to become pregnant.

3. Women using IUD

4. Any change in the dosage of hormonal contraceptive medications (birth control pills, implanon). Subjects should remain on same medication/ same dose during the time of the entire study.

5. Moderate (creatinine clearance of 30-59 ml/min) and severe renal impairment (creatinine clearance below 30 ml/min) and end-stage renal disease

6. Moderate, or severe hepatic impairment

7. Hypersensitivity to the active substance or any of the excipients in liraglutide

8. History of diabetic ketoacidosis

9. Congestive heart failure

10. Inflammatory conditions like inflammatory bowel disease, Rheumatoid arthritis etc

11. Gastroparesis

12. Pancreatitis

13. Gallstones- as they may cause increased risk of pancreatitis

14. Alcohol consumption- the maximum quantity for men is 140g—210g per week. For women, the range is 84g—140g per week or drinking as consuming no more than two drinks a day for men and one for women. Alcohol can cause increased risk of pancreatitis and hypoglycemia.

15. Untreated thyroid disease like hypothyroidism or hyperthyroidism

16. Subjects taking the following medications: warfarin, steroids (inhaled or systemic due to reduced hypoglycemic effect), and subjects on other hormones (LHRH analogs etc).

17. Subjects on any oral anti-diabetic agent except metformin

18. Personal or family history of MEN II or medullary thyroid cancer

19. Subjects with any type of bioimplant activated by mechanical, electronic, or magnetic means (e.g. cochlear implants, pacemakers, neuron or biostimulators, electronic infusion pumps, etc.)

20. Subjects with any type of metallic implant that could potentially be displaced or damaged during MRI, such as aneurysm clips, metallic skull plates, surgical implants etc. or metal containing tattoos

21. Anxiety and/or claustrophobia

22. Uncontrolled cardiac impairment, circulatory impairment, or inability to perspire (poor thermoregulatory function)

23. Significant sensory or motor impairment

24. Epilepsy, particularly photo-sensitive epilepsy, which may place the individual at a higher risk for adverse events during fMRI scanning with visual stimulation

25. Subjects with neurological problems which may interfere with or complicate testing (e.g. presence of titubation)

26. Body weight above the limitation of the MRI scanning table (330lbs/150 Kg) or body dimensions that could difficult the performance of the scan.

27. Subjects who cannot adhere to the experimental protocol for any reason

28. Anemia with Hgb less than 10

29. Uncontrolled infectious diseases (e.g. HIV, hepatitis, chronic infections etc)

30. Any uncontrolled endocrine condition, e.g Cushing's, Acromegaly, etc

31. Any cancers or lymphoma

32. Eating disorders like anorexia, bulimia

33. Severe hypertriglyceridemia (triglycerides >500 mg/dl)

34. Weight loss surgery or gastrectomy

35. Any changes in medications that affect brain function, e.g. anti-depressants, anti-psychotics, anti-anxiety, anti-seizure medications, antihypertensives etc (subjects should remain on same medication/ same dose during the time of the entire study).

36. Irregular periods, defined as cycle length less than 22 days or more than 40 days.

37. Any change in smoking status.

38. Vegetarians- as food images presented will include numerous non-vegetarian items and thus will not be appealing as high calorie food items.

Study Design

Allocation: Randomized, Intervention Model: Crossover Assignment, Masking: Double Blind (Subject, Caregiver, Investigator), Primary Purpose: Basic Science

Related Conditions & MeSH terms

• Diabetes
• Effects of Liraglutide Administration on Brain Activity
• Hunger
• Weight Loss

Intervention

Drug:
• Liraglutide
In the experimental arm of this randomized, placebo controlled, cross-over, double-blinded study to assess the effects of liraglutide. Subjects will self-inject Liraglutide once per day for 18 days. Subjects will start the treatment with a dose of 0.6 mg for the first week, then 1.2 mg for the second week and 1.8 mg for 3 days in the third week.
• Placebo
In the placebo arm of this randomized, placebo controlled, cross-over, double-blinded study to assess the effects of liraglutide. Subjects will self-inject placebo once per day for 18 days.

Locations

Country	Name	City	State
United States	Beth Israel Deaconess Medical Center	Boston	Massachusetts

Sponsors (1)

Lead Sponsor	Collaborator
Beth Israel Deaconess Medical Center

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Difference in brain activation between Liraglutide treatment and placebo.		18 days of Liraglutide or placebo treatment	No

External Links

•   Mantzoros Lab Website