The Effects of Glucagon on Hepatic Metabolism
Whether impaired postprandial glucagon suppression in prediabetes and T2DM is an attempt to overcome resistance to glucagon's actions on hepatic AA catabolism, a defect in α-cell function, or a combination of both are important, unanswered questions. NAFLD is associated with T2DM risk and impaired insulin action. Unfortunately, it is unclear if glucagon resistance is caused by obesity, hepatic steatosis or both. The experiments outlined will determine if glucagon's actions on hepatic amino acid catabolism and EGP interact with hepatic lipid metabolism in lean and obese subjects with and without T2DM (and with varying degrees of hepatic steatosis).
Conditions:
🦠 Obesity 🦠 Type2diabetes 🦠 NAFLD
🗓️ Study Start (Actual) 20 October 2022
🗓️ Primary Completion (Estimated) 30 September 2025
✅ Study Completion (Estimated) 31 December 2025
👥 Enrollment (Estimated) 60
🔬 Study Type INTERVENTIONAL
📊 Phase PHASE1
Locations:
📍 Rochester, Minnesota, United States

📋 Eligibility Criteria

Description

    Inclusion Criteria:

    • * Willing to participate
    • * Able to give consent

    Exclusion Criteria:

    • * History of prior upper abdominal surgery e.g. gastric banding, pyloroplasty, vagotomy.
    • * Active systemic illness or malignancy.
    • * Symptomatic macrovascular or microvascular disease.
    • * Contraindications to MRI (e.g. metal implants, claustrophobia).
    • * Hematocrit \< 35%
    • * TSH \< 0.4 or \> 5.5.
    • * Consumption of \> 2 alcohol drinks per day or \> 14 per week or a positive AUDIT questionnaire
Ages Eligible for Study: 25 Years to 65 Years (ADULT, OLDER_ADULT)
Sexes Eligible for Study: ALL
Accepts Healthy Volunteers: Yes

🗓️ 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 Registration Dates

  • First Submitted 10 August 2022
  • First Submitted that Met QC Criteria 11 August 2022
  • First Posted 15 August 2022

Study Record Updates

  • Last Update Submitted that Met QC Criteria 28 May 2024
  • Last Update Posted 29 May 2024
  • Last Verified May 2024