The Reduction in Glucose Stimulated Insulin Secretion Induced by Cytokines May be Prevented by Copper Addition - Studies in Diabetic Patients
Primary Purpose
Hyperglycemia, Diabetes
Status
Unknown status
Phase
Not Applicable
Locations
Israel
Study Type
Interventional
Intervention
copper sulfate
Sponsored by
About this trial
This is an interventional prevention trial for Hyperglycemia focused on measuring Glucose stimulated insulin secretion, copper, cytokines, diabetes, Reduction in insulin secretion
Eligibility Criteria
Inclusion Criteria:
- diabetic subjects with BMI < 33
- HbA1C < 8
- plasma copper levels of < 90 ul/dl
Exclusion Criteria:
- patients with bad physical conditions
Sites / Locations
- Diabetes Unit, Hadassah Medical Organization
Outcomes
Primary Outcome Measures
Identify humans with marginal Cu status that may benefit from copper supplementation and normalize their GSIS.
Secondary Outcome Measures
Full Information
NCT ID
NCT00846144
First Posted
February 17, 2009
Last Updated
February 17, 2009
Sponsor
Hadassah Medical Organization
1. Study Identification
Unique Protocol Identification Number
NCT00846144
Brief Title
The Reduction in Glucose Stimulated Insulin Secretion Induced by Cytokines May be Prevented by Copper Addition - Studies in Diabetic Patients
Official Title
This Study is a Small Preliminary Study to Evaluate the Possibility of Performing a Phase 1 Study.
Study Type
Interventional
2. Study Status
Record Verification Date
February 2009
Overall Recruitment Status
Unknown status
Study Start Date
September 2009 (undefined)
Primary Completion Date
September 2010 (Anticipated)
Study Completion Date
December 2010 (Anticipated)
3. Sponsor/Collaborators
Name of the Sponsor
Hadassah Medical Organization
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
In the CDs rat model, beta-cell dysfunction and pancreatic exocrine damage are triggered and prevented by altering dietary Cu content suggesting a chronic and acute role for Cu. These abnormalities become apparent when the CDs rats are exposed to high sucrose low copper diet, triggering a vicious sequence of events: exocrine damage, recruitment of macrophages expressing IL-1beta leading to oxidative stress and even more reduction in the activity of Cu-dependent enzymes (chronic effect). When Cu levels are re-established (acute effect) they may prevent the inhibitory effect of IL-1beta on insulin release and may restore the activity of enzymes inhibited by IL-1beta. In this study we will identify humans with marginal Cu status that may benefit from copper supplementation to normalize their GSIS. These patients will be given a daily Cu supplement (3mg/d), or placebo for a period of 6 months. GSIS, pancreatic dysfunction and biomarkers of marginal Cu status will be measured in different blood components before and every 4 weeks during treatments or placebo.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hyperglycemia, Diabetes
Keywords
Glucose stimulated insulin secretion, copper, cytokines, diabetes, Reduction in insulin secretion
7. Study Design
Primary Purpose
Prevention
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
100 (Anticipated)
8. Arms, Groups, and Interventions
Intervention Type
Dietary Supplement
Intervention Name(s)
copper sulfate
Intervention Description
copper sulfate 3mg/d for a period of 6 months
Primary Outcome Measure Information:
Title
Identify humans with marginal Cu status that may benefit from copper supplementation and normalize their GSIS.
Time Frame
6 months
10. Eligibility
Sex
All
Minimum Age & Unit of Time
30 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
diabetic subjects with BMI < 33
HbA1C < 8
plasma copper levels of < 90 ul/dl
Exclusion Criteria:
patients with bad physical conditions
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Itamar Raz, Prof
Phone
972-2-6778021
Email
ntv502@netvision.net.il
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Itamar Raz, Prof
Organizational Affiliation
Hadassah Medical Organization
Official's Role
Principal Investigator
Facility Information:
Facility Name
Diabetes Unit, Hadassah Medical Organization
City
Jerusalem
ZIP/Postal Code
91120
Country
Israel
12. IPD Sharing Statement
Citations:
PubMed Identifier
17977959
Citation
Weksler-Zangen S, Raz I, Lenzen S, Jorns A, Ehrenfeld S, Amir G, Oprescu A, Yagil Y, Yagil C, Zangen DH, Kaiser N. Impaired glucose-stimulated insulin secretion is coupled with exocrine pancreatic lesions in the Cohen diabetic rat. Diabetes. 2008 Feb;57(2):279-87. doi: 10.2337/db07-0520. Epub 2007 Oct 31.
Results Reference
background
PubMed Identifier
11679430
Citation
Weksler-Zangen S, Yagil C, Zangen DH, Ornoy A, Jacob HJ, Yagil Y. The newly inbred cohen diabetic rat: a nonobese normolipidemic genetic model of diet-induced type 2 diabetes expressing sex differences. Diabetes. 2001 Nov;50(11):2521-9. doi: 10.2337/diabetes.50.11.2521.
Results Reference
background
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The Reduction in Glucose Stimulated Insulin Secretion Induced by Cytokines May be Prevented by Copper Addition - Studies in Diabetic Patients
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