- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02087826
Study of Clinical Response to Acute Metformin By Leveraging Evaluations During a Mixed Meal Tolerance Test for Exploring Glycemia and GeneticS (SCRAMBLED EGGS)
Study of Clinical Response to Acute Metformin By Leveraging Evaluations During a Mixed Meal Tolerance Test for Exploring Glycemia and GeneticS (SCRAMBLED EGGS)
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Massachusetts
-
Boston, Massachusetts, United States, 02114
- Massachusetts General Hospital
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Adult males or non-pregnant females
- Age 18-79
- Able and willing to give consent relevant to genetic investigation
Exclusion Criteria:
- Women who are pregnant, nursing, or at risk of becoming pregnant
- Currently taking any medications used for the treatment of diabetes
- History of liver disease and/or aspartate aminotransferase (AST) or alanine aminotransferase (ALT) more than 3 times upper limit of normal (ULN)
- Estimated glomerular filtration rate (eGFR) < 60 ml/min/1.73 m2 as calculated by the Modification of Diet in Renal Disease equation
- Currently taking or intending to take during the study duration any medication known to affect glycemic parameters, such as glucocorticoids, growth hormone, or fluoroquinolones
- Contraindications to safe use of metformin, including planned radiologic or angiographic study requiring contrast within one week of the study completion
- Planned changes to any prescribed medications, specifically diuretics, during study enrollment
- Participation in any other interventional study during the study duration
- Conditions causing intestinal malabsorption, including celiac disease or a history of intestinal or gastric bypass surgery
- Dietary restrictions that would prevent consumption of a MMTT
- Objection or inability to take metformin
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Carriers of the SLC16A11 risk allele
Day 1: Mixed Meal Tolerance Test Day 3-7: 500mg metformin, twice daily Day 8: Mixed Meal Tolerance Test in presence of Metformin |
The meal will provide a standard amount of total calories, protein, fat, and carbohydrate to each participant at both study visits.
Pre-packaged and prepared food, weighed to the nearest gram, will be used.
Metformin will be administered during this study.
This medication is safely prescribed at a maximum dose of 1000 mg twice daily for the treatment or prevention of type 2 diabetes, as well as for other metabolic conditions.
To minimize potential side effects of metformin (e.g., GI upset), participants will take ½ the maximum dose of this medication (500 mg twice daily) and for only 5 days.
Participants will be informed of the potential side effects of metformin.
They will be asked to contact study staff and discontinue the medication if symptoms are very uncomfortable.
Other Names:
|
Placebo Comparator: Non-carriers of the SLC16A11 risk allele
Day 1: Mixed Meal Tolerance Test Day 3-7: 500mg metformin, twice daily Day 8: Mixed Meal Tolerance Test in presence of Metformin |
The meal will provide a standard amount of total calories, protein, fat, and carbohydrate to each participant at both study visits.
Pre-packaged and prepared food, weighed to the nearest gram, will be used.
Metformin will be administered during this study.
This medication is safely prescribed at a maximum dose of 1000 mg twice daily for the treatment or prevention of type 2 diabetes, as well as for other metabolic conditions.
To minimize potential side effects of metformin (e.g., GI upset), participants will take ½ the maximum dose of this medication (500 mg twice daily) and for only 5 days.
Participants will be informed of the potential side effects of metformin.
They will be asked to contact study staff and discontinue the medication if symptoms are very uncomfortable.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Response to the Mixed Meal Tolerance Test
Time Frame: 2 hours after the meal
|
Primary endpoint point: 2 hr glucose after the MMTT Secondary endpoints: 2 hr insulin after the MMTT, change in glucose, insulin, and amino acid and lipid metabolites from baseline to 60 and 120 minutes after the MMTT; change in GLP-1 concentrations from baseline to 5,10, 15, 30, 60, and 120 minutes after the MMTT; and glucose, insulin, and GLP-1 AUC over 120 minutes |
2 hours after the meal
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Response to Metformin
Time Frame: Day 8 of the study
|
Primary endpoint: change in fasting glucose from Visit 1 to Visit 2 Secondary endpoints: change in fasting insulin, amino acid and lipid metabolites, GLP-1, and HOMA-IR from Visit 1 to Visit 2 |
Day 8 of the study
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Response to a Mixed Meal Tolerance Test after Metformin
Time Frame: 2 hours after the meal
|
Primary endpoint point: 2 hr glucose after the MMTT Secondary endpoints: 2 hr insulin after the MMTT, change in glucose, insulin, and amino acid and lipid metabolites from baseline to 60 and 120 minutes after the MMTT; glucose, insulin, and GLP-1 AUC over 120 minutes; and intra-individual change in the above variables from Visit 1 to Visit 2 |
2 hours after the meal
|
Collaborators and Investigators
Sponsor
Investigators
- Study Director: Jose C Florez, MD, Massachusetts General Hospital
Study record dates
Study Major Dates
Study Start
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 2014P000255
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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