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Lipolytic Effects of GH in Human Subjects in Vivo

Primary Purpose

Metabolic Diseases, Growth Hormone Treatment

Status
Completed
Phase
Not Applicable
Locations
Denmark
Study Type
Interventional
Intervention
Growth Hormone
Pegisomant
Sponsored by
University of Aarhus
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Metabolic Diseases focused on measuring lipolysis, ATGL

Eligibility Criteria

18 Years - 60 Years (Adult)MaleAccepts Healthy Volunteers

Inclusion Criteria:

  • healthy males
  • no medication
  • BMI 28-35

Exclusion Criteria:

  • known diseases
  • regular medication

Sites / Locations

  • University Hospital of Aarhus

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Placebo Comparator

Arm Label

Growth hormone

Placebo

Arm Description

Subjects are receiving growth hormone

Subjects are receiving pegvisomant to block the action of growth hormone

Outcomes

Primary Outcome Measures

Lipolytic activity measured as area under the curve (AUC) for FFA (blood sample).

Secondary Outcome Measures

Substrate metabolism as measured by indirect calorimetry
GH signaling proteins in adipose tissue measured by western blotting
Intracellular lipolytic activity measured by an ATGL assay
GH signaling gene targets in adipose tissue measured by qPCR

Full Information

First Posted
May 18, 2016
Last Updated
March 25, 2020
Sponsor
University of Aarhus
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1. Study Identification

Unique Protocol Identification Number
NCT02782221
Brief Title
Lipolytic Effects of GH in Human Subjects in Vivo
Official Title
Lipolytic Effects of GH in Human Subjects in Vivo: Molecular Mechanisms and Temporal Patterns
Study Type
Interventional

2. Study Status

Record Verification Date
October 2017
Overall Recruitment Status
Completed
Study Start Date
May 30, 2016 (Actual)
Primary Completion Date
September 22, 2016 (Actual)
Study Completion Date
January 15, 2017 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
University of Aarhus

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Growth hormone (GH) induces fat metabolism. The mechanisms underlying the fat metabolizing effects of GH remain elusive. However, it is known that insulin suppresses fat metabolism, and GH inhibits the expression of certain insulin-dependent signaling proteins. We therefore hypothesize that the fat metabolizing effects of GH depend on abrogation of insulin-dependent signaling pathways. In order to investigate the fat metabolizing effects of GH, we'll analyze consecutive adipose tissue biopsies taken after GH exposure and GH blocking, respectively. Knowledge of the effects of growth hormone and fat metabolism can in shot-sight as well as in long-sight have great importance for the understanding of growth disorders from overweight and type 2 diabetes to malnutrition and eating disorders.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Metabolic Diseases, Growth Hormone Treatment
Keywords
lipolysis, ATGL

7. Study Design

Primary Purpose
Basic Science
Study Phase
Not Applicable
Interventional Study Model
Crossover Assignment
Masking
Participant
Allocation
Randomized
Enrollment
9 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Growth hormone
Arm Type
Active Comparator
Arm Description
Subjects are receiving growth hormone
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Subjects are receiving pegvisomant to block the action of growth hormone
Intervention Type
Drug
Intervention Name(s)
Growth Hormone
Other Intervention Name(s)
Genotropin
Intervention Description
Subjects are receiving one injection of growth hormone (Genotropin) 0,5 mg
Intervention Type
Drug
Intervention Name(s)
Pegisomant
Other Intervention Name(s)
Somavert
Intervention Description
One the placebo day the subjects are receiving injection with pegvisomant (Somavert 30 mg) to block the action of endogenous growth hormone
Primary Outcome Measure Information:
Title
Lipolytic activity measured as area under the curve (AUC) for FFA (blood sample).
Time Frame
1 year
Secondary Outcome Measure Information:
Title
Substrate metabolism as measured by indirect calorimetry
Time Frame
3 months
Title
GH signaling proteins in adipose tissue measured by western blotting
Time Frame
1,5 years
Title
Intracellular lipolytic activity measured by an ATGL assay
Time Frame
1 year
Title
GH signaling gene targets in adipose tissue measured by qPCR
Time Frame
1,5 years

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: healthy males no medication BMI 28-35 Exclusion Criteria: known diseases regular medication
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jens Otto L Jørgensen, Professor
Organizational Affiliation
University Hospital of Aarhus
Official's Role
Principal Investigator
Facility Information:
Facility Name
University Hospital of Aarhus
City
Aarhus
ZIP/Postal Code
8000
Country
Denmark

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
24577718
Citation
Nielsen TS, Jessen N, Jorgensen JO, Moller N, Lund S. Dissecting adipose tissue lipolysis: molecular regulation and implications for metabolic disease. J Mol Endocrinol. 2014 Jun;52(3):R199-222. doi: 10.1530/JME-13-0277. Epub 2014 Feb 27.
Results Reference
background
PubMed Identifier
19240267
Citation
Moller N, Jorgensen JO. Effects of growth hormone on glucose, lipid, and protein metabolism in human subjects. Endocr Rev. 2009 Apr;30(2):152-77. doi: 10.1210/er.2008-0027. Epub 2009 Feb 24.
Results Reference
background
PubMed Identifier
31668393
Citation
Hjelholt AJ, Lee KY, Arlien-Soborg MC, Pedersen SB, Kopchick JJ, Puri V, Jessen N, Jorgensen JOL. Temporal patterns of lipolytic regulators in adipose tissue after acute growth hormone exposure in human subjects: A randomized controlled crossover trial. Mol Metab. 2019 Nov;29:65-75. doi: 10.1016/j.molmet.2019.08.013. Epub 2019 Aug 20.
Results Reference
derived

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Lipolytic Effects of GH in Human Subjects in Vivo

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