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Effects of Exercise and GLP-1 Agonism on Muscle Microvascular Perfusion and Insulin Action in Adults With Metabolic Syndrome (ZQL008)

Primary Purpose

Metabolic Syndrome

Status
Recruiting
Phase
Phase 4
Locations
United States
Study Type
Interventional
Intervention
Liraglutide
Exercise training
Liraglutide + Exercise training
Sponsored by
University of Virginia
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Metabolic Syndrome

Eligibility Criteria

21 Years - 60 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Male or female ≥21 and ≤60 years old.
  • Body mass index >25 and ≤35 kg/m2 and is weight stable (<5 kg weight change in the past 6 months). BMI is limited to ≤35 kg/m2 for easier vascular access and cardiac imaging.
  • Meet 3 of 5 National Cholesterol Education Program Adult Treatment Panel III Metabolic Syndrome criteria:

    • Increased waist circumference (≥102 cm in men; ≥88 cm in women)
    • Elevated triglycerides (≥150 mg/dl)
    • Reduced HDL-cholesterol (<40mg/dl in men, <50 mg/dl in women)
    • High blood pressure (≥130 mmHg systolic or ≥85mmHg diastolic)
    • Elevated fasting glucose (≥100 mg/dl)
    • Subject may participate if on the following drugs, provided the drug doses have been stable for at least 3 months.
    • Ace inhibitor
    • ARB
    • HMG CoA reductase inhibitor
    • Beta blocker
    • Calcium channel blockers
    • Alpha-adrenergic antagonist
    • Statin

Exclusion Criteria:

  • A diagnosis of any type of diabetes or history of diabetes medication use
  • Recently active (>20 min of moderate/high intensity exercise, 2 times/week)
  • Subjects who are smokers or who have quit smoking <5 years
  • Subjects with hypertriglyceridemia (>400 mg/dl) or hypercholesterolemia (>260 mg/dl)
  • Subjects with BP>160/90
  • Subjects with a history of significant metabolic, cardiac, cerebrovascular, hematological, pulmonary, gastrointestinal, liver, renal, or endocrine disease or malignancy
  • Pregnant (as evidenced by positive pregnancy test) or nursing women
  • Subjects with contraindications to participation in an exercise training program
  • Allergic to perflutren
  • A prior use of Liraglutide

Sites / Locations

  • University of VirginiaRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Experimental

Arm Label

Exercise Alone

Liraglutide Alone

Exercise + Liraglutide

Arm Description

24 weeks of treatment

24 weeks of treatment

24 weeks f treatment

Outcomes

Primary Outcome Measures

Microvascular Blood Volume - change from baseline
measured at baseline and 24 weeks

Secondary Outcome Measures

Augmentation Index - change from baseline
measured at baseline and 24 weeks
Flow Mediated Dilation
measured at baseline and 24 weeks
Pulse Wave Velocity
measured at baseline and 24 weeks
Post Ischemic Flow Velocity - change from baseline
measured at baseline and 24 weeks
Insulin Sensitivity - change from baseline
measured at baseline and 24 weeks

Full Information

First Posted
September 27, 2020
Last Updated
July 15, 2022
Sponsor
University of Virginia
Collaborators
National Institutes of Health (NIH), National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
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1. Study Identification

Unique Protocol Identification Number
NCT04575844
Brief Title
Effects of Exercise and GLP-1 Agonism on Muscle Microvascular Perfusion and Insulin Action in Adults With Metabolic Syndrome
Acronym
ZQL008
Official Title
Effects of Exercise and GLP-1 Agonism on Muscle Microvascular Perfusion and Insulin Action in Adults With Metabolic Syndrome
Study Type
Interventional

2. Study Status

Record Verification Date
July 2022
Overall Recruitment Status
Recruiting
Study Start Date
November 1, 2020 (Actual)
Primary Completion Date
April 1, 2025 (Anticipated)
Study Completion Date
April 1, 2025 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
University of Virginia
Collaborators
National Institutes of Health (NIH), National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
Yes
Data Monitoring Committee
No

5. Study Description

Brief Summary
The primary objective of this study is to examine whether exercise training alone, liraglutide treatment alone or exercise training plus liraglutide treatment increases cardiac and skeletal muscle microvascular blood volume, improves vascular function of the conduit vessels, and enhances insulin's metabolic action in humans with Metabolic Syndrome. Subjects will be randomized to one of the 4 groups: control, exercise training, liraglutide treatment, and exercise + liraglutide. They will be studied at the baseline and then after 24 weeks of intervention.
Detailed Description
Our hypothesis is that sustained activation of the GLP-1 receptor with Liraglutide and exercise training each will enhance microvascular insulin responses and angiogenesis in both cardiac and skeletal muscle to increase muscle insulin delivery and action and the combination of both is more effective than either alone in adults with metabolic syndrome.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Metabolic Syndrome

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Factorial Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
80 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Exercise Alone
Arm Type
Experimental
Arm Description
24 weeks of treatment
Arm Title
Liraglutide Alone
Arm Type
Experimental
Arm Description
24 weeks of treatment
Arm Title
Exercise + Liraglutide
Arm Type
Experimental
Arm Description
24 weeks f treatment
Intervention Type
Drug
Intervention Name(s)
Liraglutide
Intervention Description
24 weeks of Liraglutide
Intervention Type
Other
Intervention Name(s)
Exercise training
Intervention Description
24 weeks of Exercise training
Intervention Type
Drug
Intervention Name(s)
Liraglutide + Exercise training
Intervention Description
24 weeks of Liraglutide + Exercise training
Primary Outcome Measure Information:
Title
Microvascular Blood Volume - change from baseline
Description
measured at baseline and 24 weeks
Time Frame
24 weeks
Secondary Outcome Measure Information:
Title
Augmentation Index - change from baseline
Description
measured at baseline and 24 weeks
Time Frame
24 weeks
Title
Flow Mediated Dilation
Description
measured at baseline and 24 weeks
Time Frame
24 weeks
Title
Pulse Wave Velocity
Description
measured at baseline and 24 weeks
Time Frame
24 weeks
Title
Post Ischemic Flow Velocity - change from baseline
Description
measured at baseline and 24 weeks
Time Frame
24weeks
Title
Insulin Sensitivity - change from baseline
Description
measured at baseline and 24 weeks
Time Frame
24 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
21 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Male or female ≥21 and ≤60 years old. Body mass index >25 and ≤35 kg/m2 and is weight stable (<5 kg weight change in the past 6 months). BMI is limited to ≤35 kg/m2 for easier vascular access and cardiac imaging. Meet 3 of 5 National Cholesterol Education Program Adult Treatment Panel III Metabolic Syndrome criteria: Increased waist circumference (≥102 cm in men; ≥88 cm in women) Elevated triglycerides (≥150 mg/dl) Reduced HDL-cholesterol (<40mg/dl in men, <50 mg/dl in women) High blood pressure (≥130 mmHg systolic or ≥85mmHg diastolic) Elevated fasting glucose (≥100 mg/dl) Subject may participate if on the following drugs, provided the drug doses have been stable for at least 3 months. Ace inhibitor ARB HMG CoA reductase inhibitor Beta blocker Calcium channel blockers Alpha-adrenergic antagonist Statin Exclusion Criteria: A diagnosis of any type of diabetes or history of diabetes medication use Recently active (>20 min of moderate/high intensity exercise, 2 times/week) Subjects who are smokers or who have quit smoking <5 years Subjects with hypertriglyceridemia (>400 mg/dl) or hypercholesterolemia (>260 mg/dl) Subjects with BP>160/90 Subjects with a history of significant metabolic, cardiac, cerebrovascular, hematological, pulmonary, gastrointestinal, liver, renal, or endocrine disease or malignancy Pregnant (as evidenced by positive pregnancy test) or nursing women Subjects with contraindications to participation in an exercise training program Allergic to perflutren A prior use of Liraglutide
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Lee Hartline, MEd
Phone
434-924-5247
Email
lmh9d@virginia.edu
First Name & Middle Initial & Last Name or Official Title & Degree
Linda Jahn, MEd
Phone
434-924-1134
Email
las6e@virginia.edu
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Zhenqi Liu, MD
Organizational Affiliation
Division of Endocrinology and Metabolism, University of Virginia
Official's Role
Principal Investigator
Facility Information:
Facility Name
University of Virginia
City
Charlottesville
State/Province
Virginia
ZIP/Postal Code
22906
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Zhenqi Liu, MD
Phone
434-243-2603
Email
zl3e@virginia.edu
First Name & Middle Initial & Last Name & Degree
Eugene Barrett, MD, PhD
Phone
434-924-1175
Email
ejb8x@virginia.edu

12. IPD Sharing Statement

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Effects of Exercise and GLP-1 Agonism on Muscle Microvascular Perfusion and Insulin Action in Adults With Metabolic Syndrome

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