Role of Interleukin (IL)-1 in Postprandial Fatigue - The Chäschüechli 2 Study (Chäs2)
Role of IL-1 in Postprandial Fatigue - The Chäschüechli 2 Study
Role of IL-1 in postprandial fatigue - The Chäschüechli 2 Study It is a randomized, single dose, placebo-controlled, double blind, cross-over, proof-of-concept study.
16 healthy young men will be included in this study. The objective of this study is to evaluate if severity of postprandial fatigue is driven by IL-1.
Since fatigue is associated with increased cytokine levels, and since fatigue in chronic inflammatory settings, such as type 2 diabetes, can be reduced by inhibition of IL-1β, postprandial fatigue might also respond to anti-inflammatory intervention with IL-1 inhibition.
The aim of the study is to investigate whether postprandial fatigue is, at least in part, driven by the IL-1 system.
調査の概要
研究の種類
入学 (実際)
段階
- 適用できない
連絡先と場所
研究場所
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Basel、スイス、CH-4031 Basel
- University Hospital Basel, Department of Endocrinology, Diabetes and Metabolism
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参加基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
説明
Inclusion Criteria:
Male subjects
- non-smoking
- apparently healthy
- BMI >18 and ≤28 kg/m2 or BMI >30 and ≤35 kg/m2
- Age 20-65 years
- Subject is usually eating breakfast and lunch
- Willingness to use contraceptive measures adequate to prevent the subject's partner from becoming pregnant during the study. Adequate contraceptive measures include hormonal methods used for two or more cycles prior to screening (e.g., oral contraceptive pills, contraceptive patch, or contraceptive vaginal ring), double barrier methods (e.g., contraceptive sponge, diaphragm used in conjunction with contraceptive foam or jelly, and condom used in conjunction with contraceptive foam or jelly), intrauterine methods (IUD) and sterilization (e.g., tubal ligation or a monogamous relationship with a vasectomized partner).
- Owner of a smartphone so they will be able to download and use the sleeping APP, Sleep cycle, prior to the study days.
Exclusion Criteria:
Subjects will be excluded from the study if they meet any of the following criteria:
- Night shift workers
- Subjects suffering from sleep disturbances
- Clinical signs of infection in the week before inclusion or history of infection during the last 2 months (CRP >5mg/l)
- Impaired fasting glucose (fasting plasma glucose >5.5mmol/l)
- Hematologic disease (leukocyte count < 1.5x109/l, hemoglobin <11 g/dl, platelets <100 x 103/ul)
- Kidney disease (creatinine > 1.5 mg/dl))
- Liver disease (transaminases >2x upper normal range)
- Heart disease
- Pulmonary disease
- Inflammatory disease
- History of carcinoma
- History of tuberculosis
- Alcohol consumption >40g/d
- Smoking
- Known allergy towards Kineret
- Known allergy to ingredients of the test meal
- Current treatment with any drug in the week before inclusion, including vitamin supplementation (especially vitamin C and E)
- Use of any investigational drug within 30 days prior to enrolment or within 5 half-lives of the investigational drug, whichever is longer
- Subject refusing or unable to give written informed consent
研究計画
研究はどのように設計されていますか?
デザインの詳細
- 主な目的:他の
- 割り当て:ランダム化
- 介入モデル:クロスオーバー割り当て
- マスキング:ダブル
武器と介入
参加者グループ / アーム |
介入・治療 |
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実験的:Normal BMI
Healthy young men, normal BMI (BMI >18 and ≤28 kg/m2) will receive interventions Anakinra and sodium Chloride (NaCl)
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Subjects will receive Anakinra infusion and afterwards they will be fed a very fat containing meal, and postprandial fatigue will be measured regularly until 3,5 hour after the meal.
他の名前:
subjects will receive NaCl infusion and afterwards they will be fed a very fat containing meal, and postprandial fatigue will be measured regularly until 3,5 hour after the meal.
他の名前:
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実験的:Overweight
Healthy young men (BMI >30 and ≤35 kg/m2) will receive interventions Anakinra and NaCl
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Subjects will receive Anakinra infusion and afterwards they will be fed a very fat containing meal, and postprandial fatigue will be measured regularly until 3,5 hour after the meal.
他の名前:
subjects will receive NaCl infusion and afterwards they will be fed a very fat containing meal, and postprandial fatigue will be measured regularly until 3,5 hour after the meal.
他の名前:
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この研究は何を測定していますか?
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
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The primary outcome is change in fatigue measured by the SSS (Stanford Sleepiness Scale) between groups treated with Anakinra vs. placebo
時間枠:7 to 9 days (change between study day 1 and study day 2)
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Fatigue will be measured by using the SSS (Stanford Sleepiness Scale)
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7 to 9 days (change between study day 1 and study day 2)
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二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
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Change in postprandial glucose, insulin, C-peptide, glucagon-like Peptide (GLP)-1(active/total), GIP(active/total), PYY, IL-6, tumor necrosis factor (TNF)-alfa, sCRP and cortisol due to any treatment (Anakinra vs. saline).
時間枠:7 to 9 days (change between study day 1 and study day 2)
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Blood sampling
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7 to 9 days (change between study day 1 and study day 2)
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Change in heart rate due to any treatment (Anakinra vs. saline)
時間枠:7 to 9 days (change between study day 1 and study day 2)
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Pulse watch
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7 to 9 days (change between study day 1 and study day 2)
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Change in insulin due to any treatment (Anakinra vs. saline).
時間枠:7 to 9 days (change between study day 1 and study day 2)
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Blood sampling
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7 to 9 days (change between study day 1 and study day 2)
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Change in C-peptide due to any treatment (Anakinra vs. saline).
時間枠:7 to 9 days (change between study day 1 and study day 2)
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Blood sampling
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7 to 9 days (change between study day 1 and study day 2)
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Change in GLP-1(active/total) due to any treatment (Anakinra vs. saline).
時間枠:7 to 9 days (change between study day 1 and study day 2)
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Blood sampling
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7 to 9 days (change between study day 1 and study day 2)
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Change in GIP(active/total) due to any treatment (Anakinra vs. saline).
時間枠:7 to 9 days (change between study day 1 and study day 2)
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Blood sampling
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7 to 9 days (change between study day 1 and study day 2)
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Change in PYY due to any treatment (Anakinra vs. saline).
時間枠:7 to 9 days (change between study day 1 and study day 2)
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Blood sampling
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7 to 9 days (change between study day 1 and study day 2)
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Change in IL-6 due to any treatment (Anakinra vs. saline).
時間枠:7 to 9 days (change between study day 1 and study day 2)
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Blood sampling
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7 to 9 days (change between study day 1 and study day 2)
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Change in TNF-alfa due to any treatment (Anakinra vs. saline).
時間枠:7 to 9 days (change between study day 1 and study day 2)
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Blood sampling
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7 to 9 days (change between study day 1 and study day 2)
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Change in sCRP due to any treatment (Anakinra vs. saline).
時間枠:7 to 9 days (change between study day 1 and study day 2)
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Blood sampling
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7 to 9 days (change between study day 1 and study day 2)
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Change in cortisol due to any treatment (Anakinra vs. saline).
時間枠:7 to 9 days (change between study day 1 and study day 2)
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Blood sampling
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7 to 9 days (change between study day 1 and study day 2)
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協力者と研究者
捜査官
- 主任研究者:Marc Y Donath, MD、University Hospital, Basel, Switzerland
研究記録日
主要日程の研究
研究開始
一次修了 (実際)
研究の完了 (実際)
試験登録日
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QC基準を満たした最初の提出物
最初の投稿 (見積もり)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
本研究に関する用語
追加の関連 MeSH 用語
その他の研究ID番号
- EKNZ BASEC 2016-00816
個々の参加者データ (IPD) の計画
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Anakinraの臨床試験
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Mid and South Essex NHS Foundation TrustUniversity of East Anglia; National Institute for Health Research, United Kingdom; Anglia Ruskin... と他の協力者完了