Clinical Trials Logo

Clinical Trial Summary

This study have like aim to examine whether insulin secretagogues have a potential ergogenic effect leading to a better exercise performance and post-exercise recovery in healthy individuals after a resistance training session. METHODS: This is a randomized, double-blind, placebo-controlled, clinical trial. The sample will consist of 44 men. Subjects will be randomly allocated (block randomization, www.randomizer.org) to the following groups: placebo (PFG, n=22) and sulphonylurea (GFS, n=22). The study will consist of 3 visits 7 days apart. On visit 1 the participants will ask to sign an informed consent form and will carry out medical evaluation with anthropometric assessment. At that visit they will perform a one-repetition maximum test of the upper limbs by using the horizontal bench press and of the lower limbs by using the 45º leg press. On visit 2, they will perform a second round of similar 1-RM tests to determine workloads for the study session [sulphonylurea (gliclazide) vs. placebo]. The experimental exercise session will be held on visits 3. Gliclazide modified release 60 mg (Diamicron® MR) or placebo (starch, sodium lauryl sulfate and Aerosil) will be orally administered as matched capsules (same color, flavor, smell and size) 8 hours before the beginning of exercise session, double-blind. In the experimental session, first, warm-up on the bench press and leg press, both with workload at 50% of 1-RM will be carried out. After a 2-minute rest, the resistance training session will be started. It will consist of 4 sets of bench press and leg press exercises at 65% of 1-RM with maximum repetitions until concentric failure. The bench press exercises will be followed by the leg press exercises with no interval between them. A 2-minute interval will allowed after each series of exercises. Measurements for heart rate (HR) and Visual Analogue Scale (VAS) for Pain will be taken before, between each series of exercises and 24 and 48 hours after session. Venous blood samples will be obtained before, immediately after, 24 and 48 hours after, for determining serum levels of creatine kinase isoenzyme MM and lactate dehydrogenase. Capillary blood for glucose determination will be collected from the digital pulp using a glucometer before and immediately after. Resistance training volume will be calculated for each type of exercise as well as total training volume for each session as a product of exercise workload and number of series and repetitions.


Clinical Trial Description

The use of performance-enhancing drugs is a major area of concern for high-performance athletes because it may lead to serious health problems. It is also quite concerning that these substances are also widely used without guidance among non-athletes for faster results and aesthetic reasons. Several substances used for doping in sports have well-established ergogenic and side effects. Studies have shown that insulin is used for its anabolic effects mostly among recreational and professional weightlifters and bodybuilders. Currently, insulin and its analogs are on the WADA list of prohibited substances for their anabolic effects mostly in muscle tissues and side effects. However, a class of drugs known as insulin secretagogues are used by some athletes to enhance performance. Few studies have examined the potential effects of insulin secretagogues, especially sulfonylureas, on exercise performance and post-exercise recovery among athletes as well as their potential side effects. Despite insufficient data supporting the use of insulin secretagogues as ergogenic supplement well as well its associated risks, these substances have been empirically used for both, acute and chronic effects among professional athletes and non-athletes. Thus, the present study have like aim to examine whether insulin secretagogues have a potential ergogenic effect leading to a better exercise performance and post-exercise recovery in healthy individuals after a resistance training session. METHODS: This is a randomized, double-blind, placebo-controlled, clinical trial. The sample will consist of 44 men, young adults, healthy and experienced in strength training and who meet the inclusion and exclusion criteria specified. The sample calculation was determined by a pilot study conducted with 10 subjects, with strength performance as the primary outcome, using drug (Gliclazide) or placebo, taking into account a statistical power of 95% and a significance level of 5%. For this purpose, the GPower 3.1was used. Subjects will be randomly allocated (block randomization, www.randomizer.org) to the following groups: placebo (PFG, n=22) and sulphonylurea (GFS, n=22). The study will consist of 3 visits 7 days apart. On visit 1 the participants will ask to sign an informed consent form and will carry out medical evaluation with anthropometric assessment. At that visit they will perform a one-repetition maximum test of the upper limbs by using the horizontal bench press and of the lower limbs by using the 45º leg press. On visit 2, they will perform a second round of similar 1-RM tests to determine workloads for the study sessions [sulphonylurea (gliclazide) vs. placebo]. The experimental exercise session will be held on visit 3. The participants will ask to follow a personalized food intake plan prescribed by a skilled provider in the 24 hours proceeding both sessions. Gliclazide modified release (MR) or placebo will be orally administered as matched capsules (same color, flavor, smell and size) 8 hours before the beginning of exercise session. Gliclazide 60 mg (Diamicron® MR) or placebo (starch, sodium lauryl sulfate and Aerosil) will administered double-blind. Upon arrival at the study site, the participants will consum a pre-workout snack. The experimental protocol will start 30 minutes later. First, warm-up on the bench press and leg press, both with workload at 50% of 1-RM wil be carried out. After a 2-minute rest, the resistance training session will be started. It will consist of 4 sets of bench press and leg press exercises at 65% of 1-RM with maximum repetitions until concentric failure, with the execution speed of 2x2. The bench press exercises will be followed by the leg press exercises with no interval between them. A 2-minute interval will allowed after each series of exercises. Measurements for heart rate (HR) and Visual Analogue Scale (VAS) for Pain will be taken before, between each series of exercises and 24 and 48 hours after session. Venous blood samples will be obtained before, immediately after, 24 and 48 hours after session for determining serum levels of creatine kinase isoenzyme MM and lactate dehydrogenase using a colorimetric enzymatic assay. Capillary blood for glucose determination will be collected from the digital pulp using a glucometer before and immediately after session. At the end of exercise session, a custom will be offered to prevent potential hypoglycemic events. Resistance training volume will be calculated for each type of exercise as well as total training volume for each session as a product of exercise workload and number of series and repetitions. The data will be present as means ± standard deviation (SD). Repeated measures ANOVA Two Way using Bonferroni post-hoc tests will be used for comparisons between the study drug and placebo over time. All data analyses will be carried out using SPSS 23.0 at a significance level of p<0.05. ;


Study Design


Related Conditions & MeSH terms


NCT number NCT04443777
Study type Interventional
Source Instituto de Cardiologia do Rio Grande do Sul
Contact Jocelito B Martins, MSc
Phone +55 51 9999-76244
Email martins.jocelito@gmail.com
Status Recruiting
Phase Phase 4
Start date June 1, 2020
Completion date September 1, 2020

See also
  Status Clinical Trial Phase
Completed NCT05987046 - Contrast Training, Post-activation Countermovement Jump Performance in High Strength Male N/A
Completed NCT04136821 - The Long-term Effects of Oceanix™ on Resistance Training Adaptations N/A
Recruiting NCT05945641 - Effect of Low-load Resistance Training vs. High-intensity Interval Training on Local Muscle Endurance N/A
Completed NCT04069351 - Body Composition Changes During Overfeeding Plus Resistance Training N/A
Not yet recruiting NCT06360536 - Remotely Delivered Resistance Training for Cardiometabolic Health Among Black Women N/A
Completed NCT04535596 - Blood Flow Restriction Exercises and Conservative Exercises in Knee Osteoarthritis N/A
Completed NCT04213586 - Effects of Whey Protein and Collagen Supplementation N/A
Completed NCT05052164 - Improvement Of Physical And Physiological Parameters In Menopausal Or Post-Menopausal Celiac Women N/A
Completed NCT04630951 - Blood Flow Restriction Strength Training in Professional Soccer Players N/A
Not yet recruiting NCT03722277 - Variable Resistance Training in Patients With Osteoarthrosis of the Knee N/A
Completed NCT00991523 - Overnight Post-Exercise Recovery After Protein Ingestion Prior to Sleep N/A
Completed NCT01216722 - Study of Resistance Strengthening Versus Ambulation Post-Liver Transplant N/A
Recruiting NCT06131138 - Aquatic Exercises VS Core Strengthening on Disability, Flexibility and Postural Stability in Weightlifters. N/A
Recruiting NCT06240962 - Mindfulness Practice vs Strength Training on Pain, Kinesiophobia and Function Among Sprinters N/A
Recruiting NCT06131125 - Plyometric vs Explosive Strength Training on Agility, Power, and Balance in Basketball Players N/A
Recruiting NCT06131047 - High Intensity Resistance Training With and Without Blood Flow Restriction in ACL Reconstruction N/A
Completed NCT04315077 - The Short Term Effects of Oceanix Supplementation on Recovery N/A
Completed NCT05597423 - Massage as Recovery Strategy After Resistance Training N/A
Completed NCT02327975 - Prescription of Physical Exercise Through Mobile Application in Elderly N/A
Active, not recruiting NCT06171841 - Effects of Low-Intensity Blood Flow Restriction Training in Normoxia and Hypoxia Conditions N/A