Bariatric Surgery Clinical Trial
Official title:
Postprandial Hypoglycemia in Patients After Bariatric Surgery With Empagliflozin and Anakinra - The Hypo-BEAR-Study
The purpose of the study is to investigate whether hypoglycaemia observed after food intake in bariatric patients can be either influenced by an SGLT2 inhibitor, empagliflozin, or via inhibition of inflammation with an human interleukin-1 receptor antagonist (IL1-RA, anakinra).
Postprandial hypoglycemia also referred as late-dumping after bariatric surgery can be
clinically asymptomatic but also life-threatening. The exact mechanisms leading to
postprandial hypoglycemia are not fully understood and therapeutic options are limited and
often accompanied with reduced life-quality and weight gain.
In this study, prospective, randomly selected and double-blinded treatment is performed to
investigate the effect on postprandial hypoglycemia. A total of 12 subjects participate in
the study. After a screening date, three study dates will be performed. Participation in the
study usually takes two weeks, but can also be extended to three weeks in individual cases.
The University Hospital Basel will be the only test center in this study.
In order to check whether the increase in blood glucose after food intake and subsequent
excessive reaction of the body followed by hypoglycaemia patients receive either anakinra as
a subcutaneous injection 3h or empagliflozin as a tablet 2 h before a liquid standardized
test meal. On one study day only subcutaneous and oral placebo control will be used.
At the beginning of each study date as well as at the time of the test meal several blood
samples will be taken to evaluate blood glucose and blood glucose-influencing parameters
(insulin / C-peptide, intestinal hormones, inflammatory parameters such as C-reactive
protein, IL1beta and IL1-receptor agonist as well as macrophage and t-lymphocyte
subpopulations) will be controlled. Questionnaires for dumping symptoms (Dumping Rating
scale, Sigstad Score) and hypoglycemia testing with mini-mental test, stanford sleepiness
scale and Edinburgh Hypoglycemia Scale will be performed repetitively.
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