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Substrate Metabolism, Growth Hormone Signaling, and Insulin Sensitivity During Fasting

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University of Aarhus

Status

Completed

Conditions

Healthy

Treatments

Other: Fasting
Drug: Saline
Drug: Pegvisomant

Study type

Interventional

Funder types

Other

Identifiers

NCT02500095
fasting8000

Details and patient eligibility

About

Background: Calorie restriction increases longevity in many species and attenuate the development of chronic disorders including type 2 diabetes, cardiovascular diseases and cancer. In mice reduced activity of insulin-like growth factor I (IGF-I) and/or insulin is associated with extended longevity. Growth hormone (GH) is the main regulator of IGF-I production, but the molecular mechanism whereby GH switches from IGF-I stimulation (protein anabolism) to fatty acid oxidation (fatty acid catabolism) as well as induction of insulin resistance during fasting remains enigmatic.

Hypotheses: The changes of the global set of metabolites, induction of insulin resistance, and the shift in metabolism from protein anabolism to lipolysis together with the potentially favorable effect of calorie restriction during fasting depend on preserved fasting-induced GH secretion.

Aim: The investigators wish to provide knowledge on changes in metabolites and shift in signaling pathways that take place at the transition to the fasting state among healthy overweight and obese subjects. Furthermore the investigators wish to determine the effect of GH on the adaption of the metabolism to a fasting state.

Enrollment

10 estimated patients

Sex

Male

Ages

20 to 60 years old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

  • healthy men
  • written consent
  • body mass index (BMI) 25-40
  • age 20-60 years

Exclusion criteria

  • any kind of disease
  • regular medication

Trial design

Primary purpose

Basic Science

Allocation

Randomized

Interventional model

Crossover Assignment

Masking

Single Blind

10 participants in 3 patient groups

Control
No Intervention group
Description:
12 hours of fasting
Fasting and saline
Experimental group
Description:
72 hours of fasting and concomitant saline
Treatment:
Other: Fasting
Drug: Saline
Fasting and GHR blockade
Experimental group
Description:
72 hours of fasting and concomitant Growth hormone receptor (GHR) blockade with Pegvisomant (Somavert) for inhibition of the fasting-induced GH secretion
Treatment:
Other: Fasting
Drug: Pegvisomant

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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