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IL-6 Regulation of Energy Stores During Recovery From an Acute Exercise Bout (REX-6)

25 de outubro de 2022 atualizado por: Helga Ellingsgaard

Role of IL-6 in Regulating Energy Stores During Recovery From an Acute Exercise Bout

The aim of the study is to investigate the role of exercise-induced IL-6 in regulating energy stores and energy metabolism during recovery after an acute exercise bout. To achieve this, 30 men will be randomized to infusion placebo or tocilizumab (IL-6 receptor antibody) combined with a 2-hour exercise bout. Stable isotope tracers will be infused to determine substrate kinetics. Indirect calorimetry will be applied to determine substrate oxidation, and muscle biopsies will be taken to determine substrate uptake and storage.

Visão geral do estudo

Tipo de estudo

Intervencional

Inscrição (Real)

30

Estágio

  • Não aplicável

Contactos e Locais

Esta seção fornece os detalhes de contato para aqueles que conduzem o estudo e informações sobre onde este estudo está sendo realizado.

Locais de estudo

    • Capital Region
      • Copenhagen, Capital Region, Dinamarca, 2100
        • Centre for Physical Activity Research, Rigshospitalet Section 7641

Critérios de participação

Os pesquisadores procuram pessoas que se encaixem em uma determinada descrição, chamada de critérios de elegibilidade. Alguns exemplos desses critérios são a condição geral de saúde de uma pessoa ou tratamentos anteriores.

Critérios de elegibilidade

Idades elegíveis para estudo

18 anos a 40 anos (Adulto)

Aceita Voluntários Saudáveis

Não

Gêneros Elegíveis para o Estudo

Macho

Descrição

Inclusion Criteria:

  • Physically active (defined as meeting the ACSM's guidelines of 2.5h per week of moderate to vigorous physical activity per week), young, healthy males will be included. Participants may be included in the study if they meet all the following criteria:

    • Age ≥ 18 years and ≤ 40 years
    • BMI < 18 and > 25 kg/m2
    • Healthy (based on screening)
    • Stable body weight for 6 months
    • ≥ 2.5h/week moderate to vigorous physical activity

Exclusion Criteria:

  • • Cardiovascular disease

    • Rheumatologic disease
    • Metabolic disease
    • Elite sports or high aerobic training status (VO2max > 60 mL O2/min/kg)
    • Frequent/chronic use of medications affecting physical performance or inflammation (NSAIDS, DMARDS, corticosteroids)
    • Aspirin use >100 mg/d
    • Thyroid disease
    • Current infection
    • Aspartate amino transferase (AST) or alanine amino transferase (ALT) >2x upper normal range
    • History of carcinoma
    • History of tuberculosis
    • Ketogenic diet
    • Smoking
    • Anemia (hematocrit <33%)
    • Neutrophil count <0,5x 109/l
    • Thrombocytes <50x 109/l or bleeding disorders

Plano de estudo

Esta seção fornece detalhes do plano de estudo, incluindo como o estudo é projetado e o que o estudo está medindo.

Como o estudo é projetado?

Detalhes do projeto

  • Finalidade Principal: Ciência básica
  • Alocação: Randomizado
  • Modelo Intervencional: Atribuição Paralela
  • Mascaramento: Dobro

Armas e Intervenções

Grupo de Participantes / Braço
Intervenção / Tratamento
Experimental: Tocilizumab
Participants will receive one 30 min intravenous infusion of tocilizumab/Actemra® (Roche). The dose will be 8 mg/kg bodyweight or a maximum of 800mg. Tocilizumab is dissolved in 100 mL 0.9% saline.
The infusion of tocilizumab will antagonize IL-6 signaling for the duration of the study, allowing us to determine the role of IL-6 in regulating energy stores following acute exercise
Comparador de Placebo: Saline
As placebo, participants will receive one 30 min intravenous infusion of 100 mL 0.9% saline.
The infusion of saline will serve as placebo for tocilizumab, allowing us to determine the role of IL-6 in regulating energy stores following acute exercise

O que o estudo está medindo?

Medidas de resultados primários

Medida de resultado
Descrição da medida
Prazo
Change in muscle glycogen content (mmol/kg/h)
Prazo: Measured at 0, 120, 180 and 360 minutes
Comparing change in muscle glycogen in the two groups from before exercise to immediately after exercise, and after 1 hour and 4 hours of recovery
Measured at 0, 120, 180 and 360 minutes
Change in muscle triglycerides content
Prazo: Measured at 0, 120, 180 and 360 minutes
Comparing change in muscle triglycerides in the two groups from before exercise to immediately after exercise, and after 1 hour and 4 hours of recovery
Measured at 0, 120, 180 and 360 minutes
Change in muscle expression of glucose transporter type 4 (GLUT4)
Prazo: Measured at 0, 120 and 360 min
Comparing muscle expression of GLUT4 before and immediately after exercise and 4 hours after recovery in the two groups
Measured at 0, 120 and 360 min
Change in muscle expression of fatty acid translocase (FAT/CD36)
Prazo: Measured at 0, 120 and 360 min
Comparing muscle expression of FAT/CD36 before and immediately after exercise and 4 hours after recovery in the two groups
Measured at 0, 120 and 360 min
Change in muscle expression of muscle fatty acid binding protein (FABPm)
Prazo: Measured at 0, 120 and 360 min
Comparing muscle expression of FABPm before and immediately after exercise and 4 hours after recovery in the two groups
Measured at 0, 120 and 360 min
Change in muscle expression of fatty acid transporter 4 (FATP4)
Prazo: Measured at 0, 120 and 360 min
Comparing muscle expression of FATP4 before and immediately after exercise and 4 hours after recovery in the two groups
Measured at 0, 120 and 360 min
Change in muscle expression of glycerol transporters
Prazo: Measured at 0, 120 and 360 min
Comparing muscle expression of glycerol transporters before and immediately after exercise and 4 hours after recovery in the two groups
Measured at 0, 120 and 360 min

Medidas de resultados secundários

Medida de resultado
Descrição da medida
Prazo
Change in glucose rate of appearance
Prazo: Measured at -150, -60, -45, -30, 10, 30, 60, 90, 120, 130, 150, 180, 210, 240, 300 and 360 minutes
Comparing glucose rate of appearance during exercise and recovery in the two groups
Measured at -150, -60, -45, -30, 10, 30, 60, 90, 120, 130, 150, 180, 210, 240, 300 and 360 minutes
Change in glucose rate of disappearance
Prazo: Measured at -150, -60, -45, -30, 10, 30, 60, 90, 120, 130, 150, 180, 210, 240, 300 and 360 minutes
Comparing glucose rate of disappearance during exercise and recovery in the two groups
Measured at -150, -60, -45, -30, 10, 30, 60, 90, 120, 130, 150, 180, 210, 240, 300 and 360 minutes
Change in glucose concentration
Prazo: Measured at -150, -60, -45, -30, 10, 30, 60, 90, 120, 130, 150, 180, 210, 240, 300 and 360 minutes
Comparing glucose concentration during exercise and recovery in the two groups
Measured at -150, -60, -45, -30, 10, 30, 60, 90, 120, 130, 150, 180, 210, 240, 300 and 360 minutes
Change in glucose enrichment in intramuscular glycogen
Prazo: Measured at 0, 120, 180 and 360 minutes
Comparing glucose enrichment in intramuscular glycogen during rest, exercise and recovery in the two groups
Measured at 0, 120, 180 and 360 minutes
Change in intramuscular glucose concentration
Prazo: Measured at 0, 120, 180 and 360 minutes
Comparing intramuscular glucose concentration during rest, exercise and recovery in the two groups
Measured at 0, 120, 180 and 360 minutes
Change in glycogen fractional synthesis rate
Prazo: Measured at 0, 120, 180 and 360 minutes
Comparing intramuscular glycogen fractional synthesis rate during rest, exercise and recovery in the two groups
Measured at 0, 120, 180 and 360 minutes
Change in gylcerol rate of appearance
Prazo: Measured at -150, -60, -45, -30, 10, 30, 60, 90, 120, 130, 150, 180, 210, 240, 300 and 360 minutes
Comparing gylcerol rate of appearance during rest, exercise and recovery in the two groups
Measured at -150, -60, -45, -30, 10, 30, 60, 90, 120, 130, 150, 180, 210, 240, 300 and 360 minutes
Change in gylcerol rate of disappearance
Prazo: Measured at -150, -60, -45, -30, 10, 30, 60, 90, 120, 130, 150, 180, 210, 240, 300 and 360 minutes
Comparing gylcerol rate of disappearance during rest, exercise and recovery in the two groups
Measured at -150, -60, -45, -30, 10, 30, 60, 90, 120, 130, 150, 180, 210, 240, 300 and 360 minutes
Change in gylcerol concentration
Prazo: Measured at -150, -60, -45, -30, 10, 30, 60, 90, 120, 130, 150, 180, 210, 240, 300 and 360 minutes
Comparing gylcerol concentration during rest, exercise and recovery in the two groups
Measured at -150, -60, -45, -30, 10, 30, 60, 90, 120, 130, 150, 180, 210, 240, 300 and 360 minutes
Change in palmitate rate of appearance
Prazo: Measured at -150, -60, -45, -30, 10, 30, 60, 90, 120, 130, 150, 180, 210, 240, 300 and 360 minutes
Comparing palmitate rate of appearance during rest, exercise and recovery in the two groups
Measured at -150, -60, -45, -30, 10, 30, 60, 90, 120, 130, 150, 180, 210, 240, 300 and 360 minutes
Change in palmitate rate of disappearance
Prazo: Measured at -150, -60, -45, -30, 10, 30, 60, 90, 120, 130, 150, 180, 210, 240, 300 and 360 minutes
Comparing palmitate rate of disappearance during rest, exercise and recovery in the two groups
Measured at -150, -60, -45, -30, 10, 30, 60, 90, 120, 130, 150, 180, 210, 240, 300 and 360 minutes
Change in palmitate concentration
Prazo: Measured at -150, -60, -45, -30, 10, 30, 60, 90, 120, 130, 150, 180, 210, 240, 300 and 360 minutes
Comparing palmitate kinetics during rest, exercise and recovery in the two groups
Measured at -150, -60, -45, -30, 10, 30, 60, 90, 120, 130, 150, 180, 210, 240, 300 and 360 minutes
Change in palmitate oxidation
Prazo: Measured at -150, -60, -45, -30, 10, 30, 60, 90, 120, 130, 150, 180, 210, 240, 300 and 360 minutes
Comparing palmitate oxidation during rest, exercise and recovery in the two groups
Measured at -150, -60, -45, -30, 10, 30, 60, 90, 120, 130, 150, 180, 210, 240, 300 and 360 minutes
Change in intramuscular palmitate content
Prazo: Measured at 0, 120, 180 and 360 minutes
Comparing intramuscular palmitate content during rest, exercise and recovery in the two groups
Measured at 0, 120, 180 and 360 minutes
Change in palmitate enrichment in intramuscular triglycerides
Prazo: Measured at 0, 120, 180 and 360 minutes
Comparing palmitate enrichment in intramuscular triglycerides during rest, exercise and recovery in the two groups
Measured at 0, 120, 180 and 360 minutes
Change in intramuscular triglycerides fractional synthesis rate
Prazo: Measured at 0, 120, 180 and 360 minutes
Comparing intramuscular triglycerides fractional synthesis rate during rest, exercise and recovery in the two groups
Measured at 0, 120, 180 and 360 minutes
Change in haemoglobin
Prazo: Measured at -150, -30, 10, 30, 60, 90, 120, 130, 150, 180, 210, 240, 300 and 360 minutes
Comparing haemoglobin during rest, exercise and recovery in the two groups
Measured at -150, -30, 10, 30, 60, 90, 120, 130, 150, 180, 210, 240, 300 and 360 minutes
Change in haematocrit
Prazo: Measured at -150, -30, 10, 30, 60, 90, 120, 130, 150, 180, 210, 240, 300 and 360 minutes
Comparing haematocrit during rest, exercise and recovery in the two groups
Measured at -150, -30, 10, 30, 60, 90, 120, 130, 150, 180, 210, 240, 300 and 360 minutes
Change in differential blood count
Prazo: Measured at -150, -30, 10, 30, 60, 90, 120, 130, 150, 180, 210, 240, 300 and 360 minutes
Comparing differential blood count during rest, exercise and recovery in the two groups
Measured at -150, -30, 10, 30, 60, 90, 120, 130, 150, 180, 210, 240, 300 and 360 minutes
Change in plasma IL-6 concentration
Prazo: Measured at -150, -30, 10, 30, 60, 90, 120, 130, 150, 180, 210, 240, 300 and 360 minutes
Comparing plasma IL-6 concentration during rest, exercise and recovery in the two groups
Measured at -150, -30, 10, 30, 60, 90, 120, 130, 150, 180, 210, 240, 300 and 360 minutes
Change in plasma TNF-alpha concentration
Prazo: Measured at -150, -30, 10, 30, 60, 90, 120, 130, 150, 180, 210, 240, 300 and 360 minutes
Comparing plasma TNF-alpha concentration during rest, exercise and recovery in the two groups
Measured at -150, -30, 10, 30, 60, 90, 120, 130, 150, 180, 210, 240, 300 and 360 minutes
Change in plasma IL-8 concentration
Prazo: Measured at -150, -30, 10, 30, 60, 90, 120, 130, 150, 180, 210, 240, 300 and 360 minutes
Comparing plasma IL-8 concentration during rest, exercise and recovery in the two groups
Measured at -150, -30, 10, 30, 60, 90, 120, 130, 150, 180, 210, 240, 300 and 360 minutes
Change in plasma IL-10 concentration
Prazo: Measured at -150, -30, 10, 30, 60, 90, 120, 130, 150, 180, 210, 240, 300 and 360 minutes
Comparing plasma IL-10 concentration during rest, exercise and recovery in the two groups
Measured at -150, -30, 10, 30, 60, 90, 120, 130, 150, 180, 210, 240, 300 and 360 minutes
Change in plasma IL-1beta concentration
Prazo: Measured at -150, -30, 10, 30, 60, 90, 120, 130, 150, 180, 210, 240, 300 and 360 minutes
Comparing plasma IL-1beta concentration during rest, exercise and recovery in the two groups
Measured at -150, -30, 10, 30, 60, 90, 120, 130, 150, 180, 210, 240, 300 and 360 minutes
Change in plasma IL-1Ra concentration
Prazo: Measured at -150, -30, 10, 30, 60, 90, 120, 130, 150, 180, 210, 240, 300 and 360 minutes
Comparing plasma IL-1Ra concentration during rest, exercise and recovery in the two groups
Measured at -150, -30, 10, 30, 60, 90, 120, 130, 150, 180, 210, 240, 300 and 360 minutes
Change in plasma IL-4 concentration
Prazo: Measured at -150, -30, 10, 30, 60, 90, 120, 130, 150, 180, 210, 240, 300 and 360 minutes
Comparing plasma IL-4 concentration during rest, exercise and recovery in the two groups
Measured at -150, -30, 10, 30, 60, 90, 120, 130, 150, 180, 210, 240, 300 and 360 minutes
Change in plasma sIL-6R concentration
Prazo: Measured at -150, -30, 10, 30, 60, 90, 120, 130, 150, 180, 210, 240, 300 and 360 minutes
Comparing plasma sIL-6R concentration during rest, exercise and recovery in the two groups
Measured at -150, -30, 10, 30, 60, 90, 120, 130, 150, 180, 210, 240, 300 and 360 minutes
Change in insulin
Prazo: Measured at -150, -30, 10, 30, 60, 90, 120, 130, 150, 180, 210, 240, 300 and 360 minutes
Comparing insulin during rest, exercise and recovery in the two groups
Measured at -150, -30, 10, 30, 60, 90, 120, 130, 150, 180, 210, 240, 300 and 360 minutes
Change in c-peptide
Prazo: Measured at -150, -30, 10, 30, 60, 90, 120, 130, 150, 180, 210, 240, 300 and 360 minutes
Comparing c-peptide during rest, exercise and recovery in the two groups
Measured at -150, -30, 10, 30, 60, 90, 120, 130, 150, 180, 210, 240, 300 and 360 minutes
Change in glucagon
Prazo: Measured at -150, -30, 10, 30, 60, 90, 120, 130, 150, 180, 210, 240, 300 and 360 minutes
Comparing glucagon during rest, exercise and recovery in the two groups
Measured at -150, -30, 10, 30, 60, 90, 120, 130, 150, 180, 210, 240, 300 and 360 minutes
Change in growth hormone (GH)
Prazo: Measured at -150, -30, 10, 30, 60, 90, 120, 130, 150, 180, 210, 240, 300 and 360 minutes
Comparing GH during rest, exercise and recovery in the two groups
Measured at -150, -30, 10, 30, 60, 90, 120, 130, 150, 180, 210, 240, 300 and 360 minutes
Change in adrenaline
Prazo: Measured at -150, -30, 10, 30, 60, 90, 120, 130, 150, 180, 210, 240, 300 and 360 minutes
Comparing adrenaline during rest, exercise and recovery in the two groups
Measured at -150, -30, 10, 30, 60, 90, 120, 130, 150, 180, 210, 240, 300 and 360 minutes
Change in noradrenaline
Prazo: Measured at -150, -30, 10, 30, 60, 90, 120, 130, 150, 180, 210, 240, 300 and 360 minutes
Comparing noradrenaline during rest, exercise and recovery in the two groups
Measured at -150, -30, 10, 30, 60, 90, 120, 130, 150, 180, 210, 240, 300 and 360 minutes
Change in cortisol
Prazo: Measured at -150, -30, 10, 30, 60, 90, 120, 130, 150, 180, 210, 240, 300 and 360 minutes
Comparing cortisol during rest, exercise and recovery in the two groups
Measured at -150, -30, 10, 30, 60, 90, 120, 130, 150, 180, 210, 240, 300 and 360 minutes
Change in total glucagon-like peptide-1 (GLP-1)
Prazo: Measured at -150, -30, 10, 30, 60, 90, 120, 130, 150, 180, 210, 240, 300 and 360 minutes
Comparing total GLP-1 during rest, exercise and recovery in the two groups
Measured at -150, -30, 10, 30, 60, 90, 120, 130, 150, 180, 210, 240, 300 and 360 minutes
Change in active GLP-1
Prazo: Measured at -150, -30, 10, 30, 60, 90, 120, 130, 150, 180, 210, 240, 300 and 360 minutes
Comparing active GLP-1 during rest, exercise and recovery in the two groups
Measured at -150, -30, 10, 30, 60, 90, 120, 130, 150, 180, 210, 240, 300 and 360 minutes
Change in gastric inhibitory peptide (GIP)
Prazo: Measured at -150, -30, 10, 30, 60, 90, 120, 130, 150, 180, 210, 240, 300 and 360 minutes
Comparing GIP during rest, exercise and recovery in the two groups
Measured at -150, -30, 10, 30, 60, 90, 120, 130, 150, 180, 210, 240, 300 and 360 minutes
Change in peptide YY (PYY)
Prazo: Measured at -150, -30, 10, 30, 60, 90, 120, 130, 150, 180, 210, 240, 300 and 360 minutes
Comparing PYY during rest, exercise and recovery in the two groups
Measured at -150, -30, 10, 30, 60, 90, 120, 130, 150, 180, 210, 240, 300 and 360 minutes
Change in leptin
Prazo: Measured at -150, -30, 10, 30, 60, 90, 120, 130, 150, 180, 210, 240, 300 and 360 minutes
Comparing leptin during rest, exercise and recovery in the two groups
Measured at -150, -30, 10, 30, 60, 90, 120, 130, 150, 180, 210, 240, 300 and 360 minutes
Change in triglycerides
Prazo: Measured at -150, -30, 10, 30, 60, 90, 120, 130, 150, 180, 210, 240, 300 and 360 minutes
Comparing triglycerides during rest, exercise and recovery in the two groups
Measured at -150, -30, 10, 30, 60, 90, 120, 130, 150, 180, 210, 240, 300 and 360 minutes

Outras medidas de resultado

Medida de resultado
Descrição da medida
Prazo
Change in muscle total antioxidant capacity (TAC)
Prazo: Measured in muscle biopsies taken at 0, 120 and 360 minutes
Comparing muscle total antioxidant capacity (TAC) at rest, after exercise and recovery in the two groups
Measured in muscle biopsies taken at 0, 120 and 360 minutes
Change in muscle superoxide levels (SOD)
Prazo: Measured in muscle biopsies taken at 0, 120 and 360 minutes
Comparing muscle superoxide levels (SOD) at rest, after exercise and recovery in the two groups
Measured in muscle biopsies taken at 0, 120 and 360 minutes
Excess post-exercise oxygen consumption
Prazo: Measured at -130, 0, 60, 120, 180, 240, 300 and 360 minutes
Comparing excess post-exercise oxygen consumption between the two groups
Measured at -130, 0, 60, 120, 180, 240, 300 and 360 minutes

Colaboradores e Investigadores

É aqui que você encontrará pessoas e organizações envolvidas com este estudo.

Patrocinador

Investigadores

  • Cadeira de estudo: Bente K Pedersen, MD, Rigshospitalet, Denmark

Datas de registro do estudo

Essas datas acompanham o progresso do registro do estudo e os envios de resumo dos resultados para ClinicalTrials.gov. Os registros do estudo e os resultados relatados são revisados ​​pela National Library of Medicine (NLM) para garantir que atendam aos padrões específicos de controle de qualidade antes de serem publicados no site público.

Datas Principais do Estudo

Início do estudo (Real)

20 de abril de 2022

Conclusão Primária (Real)

11 de outubro de 2022

Conclusão do estudo (Real)

11 de outubro de 2022

Datas de inscrição no estudo

Enviado pela primeira vez

6 de abril de 2022

Enviado pela primeira vez que atendeu aos critérios de CQ

21 de abril de 2022

Primeira postagem (Real)

27 de abril de 2022

Atualizações de registro de estudo

Última Atualização Postada (Real)

26 de outubro de 2022

Última atualização enviada que atendeu aos critérios de controle de qualidade

25 de outubro de 2022

Última verificação

1 de outubro de 2022

Mais Informações

Termos relacionados a este estudo

Outros números de identificação do estudo

  • H-21063697

Plano para dados de participantes individuais (IPD)

Planeja compartilhar dados de participantes individuais (IPD)?

Não

Informações sobre medicamentos e dispositivos, documentos de estudo

Estuda um medicamento regulamentado pela FDA dos EUA

Não

Estuda um produto de dispositivo regulamentado pela FDA dos EUA

Não

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