- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03650582
Intranasal Glucagon and Energy Balance (INGEB)
August 28, 2018 updated by: University Health Network, Toronto
Assessing the Effects of Intranasal Glucagon on Energy Balance in Humans
People who are overweight often find it difficult to lose weight through diet and medications because weight loss reduces the amount of energy spent by the body and increases appetite.
Glucagon, when given as an injection, reduces appetite and increases the amount of energy spent by the body, even when resting.
Based on studies in animals, it does so by working on the brain.
However, when gives as an injection it raises blood sugar levels by acting on the liver and therefore it is not used as a weight loss drug.
It has previously been shown that hormones such as glucagon, when given as a spray through the nose, can reach the brain with no major effect on the liver.
Importantly it does not increase blood sugar.
In this study the research team is investigating whether nasal glucagon reduces appetite and increases energy spent by the body compared to a placebo spray.
If it does, it may be a potential treatment for losing weight.
Study Overview
Detailed Description
Resting energy expenditure, appetite and food intake is being investigated in up to 20 individuals.
Participants are their own control in a single-blind, placebo-controlled, crossover design.
Participants are admitted after an overnight fast and allowed to rest for 1 hour before either intranasal glucagon (0.7mg) or intranasal placebo (sterile diluent) is administered.
Study visits occur 1-3 weeks apart with intranasal glucagon or placebo applied in random order.
Resting energy expenditure is measured via indirect calorimetry at baseline and over 90 minutes post-spray in 10-20 minute segments.
Blood samples are taken at baseline and at regular intervals post-spray to measure glucagon, glucose and other hormones/metabolites. Appetite is assessed by visual analogue scale at 90 minutes post-spray followed by provision of a buffet-style meal for ad libitum food intake measurement.
Study Type
Interventional
Enrollment (Anticipated)
20
Phase
- Phase 2
- Phase 3
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
Ontario
-
Toronto, Ontario, Canada, M5G 2C4
- Recruiting
- Toronto General Hospital
-
Contact:
- Priska Stahel, PhD
- Phone Number: 415-581-7487
- Email: priska.stahel@uhn.ca
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years to 65 years (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Body mass index 25- 40 kg/m2
- Hemoglobin in the normal range
- Normal fasting glucose and HbA1C
- Women of reproductive age should be on contraception (oral contraceptive pill or intra-uterine device/coil) for at least 1 month prior to and after the study.
Exclusion Criteria:
- Any history of heart disease or clinically significant, active, cardiovascular history
- Study participant with active hepatic disease (except hepatic steatosis which is frequently seen in overweight/obese individuals)
- Any current or previous history of biliary disease (including gall stones, biliary atresia and cholecystitis) or pancreatitis.
- Any current or previous history of malignancy
- Any significant active (over the past 12 months) disease of the gastrointestinal, pulmonary, neurological, renal (Cr > 1.5 mg/dL) genitourinary, hematological systems, or has severe uncontrolled treated or untreated hyper/ hypotension (sitting diastolic BP > 100 or systolic > 180 or systolic BP<100).
- Allergy to any study medication
- Pregnancy or breastfeeding
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Basic Science
- Allocation: Randomized
- Interventional Model: Crossover Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Glucagon
Glucagon, 0.7mg, intranasal, single dose
|
Intranasal glucagon
|
Placebo Comparator: Placebo
Placebo, intranasal, single dose
|
Intranasal placebo
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Energy Expenditure
Time Frame: 90 minutes
|
Resting energy expenditure measured by indirect calorimetry
|
90 minutes
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Food intake
Time Frame: 90 minutes
|
Ad libitum food intake
|
90 minutes
|
Appetite
Time Frame: 90 minutes
|
Appetite assessed by visual analogue scale ranging from 0 to 10 where 0 indicates no appetite and 10 indicates the highest appetite
|
90 minutes
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Investigators
- Principal Investigator: Satya Dash, MD, UHN
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
June 6, 2017
Primary Completion (Anticipated)
September 30, 2018
Study Completion (Anticipated)
October 30, 2018
Study Registration Dates
First Submitted
February 27, 2018
First Submitted That Met QC Criteria
August 24, 2018
First Posted (Actual)
August 28, 2018
Study Record Updates
Last Update Posted (Actual)
August 31, 2018
Last Update Submitted That Met QC Criteria
August 28, 2018
Last Verified
February 1, 2018
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- ING 16-5909
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
No
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
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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