Effect of Hyperglycemia on Gastric Emptying Interactions With Pramlintide
Type 1 Diabetes

About this trial
This is an interventional diagnostic trial for Type 1 Diabetes focused on measuring pramlintide, gastric emptying, T1DM, postprandial
Eligibility Criteria
Inclusion Criteria:
All of the following criteria are to be fulfilled for inclusion of an individual in the study unless the investigator grants an exception:
- Clinical diagnosis of type 1 diabetes (otherwise healthy) with an HbA1 ≤ 9%, and on a stable insulin treatment for at least 3 months (preferably on pump regimen) prior to screening OR is a healthy individual.
- 20-40 years of age, inclusive.
- Understand and sign an informed consent document, communicate with the investigator, and understand and comply with the requirements of the study.
- Euthyroid, including subjects receiving thyroid replacement therapy.
If female:
- Is surgically sterilized by hysterectomy; OR
- Is post-menopausal, as documented by a history of amenorrhea for 6 months and follicle stimulating hormone (FSH) level within the range specified as post-menopausal by the reporting laboratory at screen (post menopausal women on estrogen may enter the study without obtaining an FSH level); OR
- If of childbearing potential, meets the following criteria:
negative pregnancy test (ß-HCG), regardless of birth control method (including subjects with tubal ligation);
- Practicing and willing to continue throughout the study the appropriate contraception (defined as oral, injected, or implanted contraceptives for at least 3 months prior to entry, or barrier contraception).
- Agree to take every precaution to ensure that pregnancy will not occur during the study.
Exclusion Criteria:
- Individuals meeting any of the following criteria are to be excluded from the study unless the investigator grants an exception:
- History of severe hypoglycemia.
- Body mass index (BMI) ≥ 30 kg/m2.
- Autonomic nerve dysfunction: abnormal result in the cardiovascular parasympathetic and/or sympathetic tests (screening visit).
Hepatic disease:
- Known hepatic disease or transaminases (GOT, GPT) ≥ 2x above normal values.
Renal disease:
- Known or serum urea, serum creatinine ≥ 1.5x above normal values
- Cardiovascular or pulmonary disease:
- Arterial hypertension
- Blood pressure >150/95 mmHg at screening in a sitting position)
- Arterial occlusive disease
- Known coronary heart disease
- Abnormal ECG at screening visit.
- Gastrointestinal disease:
- Any known structural gastrointestinal disorder,
- Gastrointestinal surgery except for appendectomy,
- Symptoms indicating functional or structural upper gastrointestinal disorder (pain, bloating, postprandial fullness, nausea, emesis,
- Gastroectomy, gastroparesis, lactose intolerance, and diseases known to alter small bowel absorption; e.g., inflammatory bowel disease.
CNS disease:
- Epilepsy (including subjects with a past history of convulsions associated with hypoglycaemia),
- Psychiatric illness (including history of eating disorder such as bulimia or anorexia).
- Autoimmune disease other than thyroid, pernicious anemia, or vitiligo.
- Malignant disease requiring chemotherapy,
- Any acute febrile illness within 2 weeks of Screening (Visit 1) with a temperature of 100°F,
- Currently abusing alcohol or drugs, or have a history of alcohol or drug abuse that in the investigator's opinion could cause the subject to be non-compliant; or have a general history of non-compliance with medications.
- Receipt of any investigational drug within 90 days of Screening (Visit 1) (prior treatment with pramlintide is permissible).
Currently treated with medications known to interfere with gastric emptying such as, but not limited to:
- Ca2+ channel antagonists, ß-receptor antagonists, prokinetic agents metoclopramide (Reglan®) and cisapride (Propulsid®); and
- Chronic (more than 10 days within a 6-month period) macrolide antibiotics such as erythromycin and newer derivatives.
Currently treated with:
- Bile acid sequestering resins cholestyramine (Questran®) and colestipol (Colestid®),
- Systemic steroids,
- Anti-obesity agents (including orlistat [Xenical®] and sibutramine [Meridia®]),
- Alpha-glucosidase inhibitors (acarbose [Precose®] and miglitol [Glyset®]) and meglitinides ([Prandin®] and [Starlix®]).
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Placebo Comparator
Experimental
Placebo Comparator
Experimental
1
2
3
4
Placebo, euglycemia
Pramlintide, euglycemia
placebo, hyperglycemia
pramlintide, hyperglycemia