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The effects of 5-aminoimidazole-4-carboxamide ribonucleoside (AICAR) infusion in type two diabetes patients
ISRCTN ISRCTN31384581
ClinicalTrials.gov identifier
Public title The effects of 5-aminoimidazole-4-carboxamide ribonucleoside (AICAR) infusion in type two diabetes patients
Scientific title The effects of intravenous 5-aminoimidazole-4-carboxamide ribonucleoside (AICAR) infusion on glucose and fat metabolism in type two diabetes
Acronym N/A
Serial number at source N/A
Study hypothesis To determine the impact of intravenous 5-aminoimidazole-4-carboxamide ribonucleoside (AICAR) administration on plasma glucose and fatty acid kinetics and skeletal muscle adenosine monophosphate (AMP)-activated protein kinase (AMPK) activation in vivo in type two diabetes patients.
Ethics approval Ethics approval received from the Medical Ethical Committee of the Radboud University Nijmegen Medical Centre (Nijmegen, The Netherlands) in May 2006 (ref: 2005/262).
Study design Single-blinded randomised trial
Countries of recruitment The Netherlands
Disease/condition/study domain Type two diabetes mellitus
Participants - inclusion criteria 1. Type two diabetes patients
2. Male
3. Aged 45 - 65 years
Participants - exclusion criteria 1. Renal or liver dysfunction
2. Gout
3. Exogenous insulin therapy
Anticipated start date 01/06/2006
Anticipated end date 01/04/2007
Status of trial Completed
Patient information material
Target number of participants 10
Interventions Each subject participates in two experimental tests; one test in which AICAR (0.75 mg/kg/min) is infused and one test in which only saline (0.9% NaCl) is infused to ensure equal volume administration. The trial consists of two test days separated by at least two weeks to allow wash-out. After 90 minutes of saline infusion, AICAR infusion was started for 120 minutes (so total duration of the infusion/day = 210 minutes). In the other test, no AICAR was infused, only saline. The order of the tests is randomised.
Primary outcome measure(s) Tracer kinetics (rate of appearance and rate of disappearance) of glucose and free fatty acids. During both test days, outcomes were measured at the following timepoints: t = 0, 30, 45, 60, 75, 90, 105, 120, 135, 150, 165, 180, 195 and 210 minutes.
Secondary outcome measure(s) Plasma concentrations of:
1. Glucose
2. Free fatty acids (FFA)
3. Insulin
4. Lactate
5. Triglycerides
6. Free glycerol

During both test days, outcomes were measured at the following timepoints: t = 0, 30, 45, 60, 75, 90, 105, 120, 135, 150, 165, 180, 195 and 210 minutes.
Sources of funding The Dutch Diabetes Research Foundation (The Netherlands) (ref: 2002.00.004)
Trial website
Publications
Contact name Miss  Hanneke  Boon
  Address Maastricht University
PO Box 616
  City/town Maastricht
  Zip/Postcode 6229 ER
  Country Netherlands
Sponsor The Dutch Diabetes Research Foundation (The Netherlands)
  Address Division of Research
Stationsplein 139
  City/town Amersfoort
  Zip/Postcode 3818 LE
  Country Netherlands
  Email research@diabetesfonds.nl
  Sponsor website: http://www.diabetesfonds.nl/
Date applied 09/06/2008
Last edited 13/06/2008
Date ISRCTN assigned 13/06/2008
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