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Glucose metabolism in familial hypobetalipoproteinemia
ISRCTN ISRCTN35161775
ClinicalTrials.gov identifier
Public title Glucose metabolism in familial hypobetalipoproteinemia
Scientific title
Acronym FHBL
Serial number at source N/A
Study hypothesis Patients with familial hypobetalipoproteinemia (FHBL) could have increased hepatic glucose production because of hepatic steatosis. In addition, peripheral insulin sensitivity could be enhanced since these patients have lower concentrations of intramyocellular lipids.
Lay summary Not provided at time of registration
Ethics approval Not provided at time of registration
Study design Non-randomized controlled trial
Countries of recruitment Netherlands
Disease/condition/study domain Familial hypobetalipoproteinemia (FHBL), hepatic steatosis
Participants - inclusion criteria 1. Male
2. Age >18 years of age
3. Body mass index (BMI) 20-35 kg/m^2
Participants - exclusion criteria 1. Known somatic illness
2. Use of medication influencing metabolism or blood clotting
3. Seropositive for hepatitis B surface antigen (HbsAg), hepatitis B surface antigen (HbcAg), hepatitis C virus (HCV), hepatitis A virus (HAV) or human immunodeficiency virus (HIV)
4. Having a metal device in the body
Anticipated start date 11/05/2006
Anticipated end date 01/10/2006
Status of trial Completed
Patient information material
Target number of participants 22
Interventions A hyperinsulinaemic clamp will be performed for 4.5 hours
using stabile isotopes (d2-glucose and D5-glycerol). In addition, muscle
biopsies will be taken and fat distribution will be studied by a dual energy x-ray absorptiometry (DEXA)-scan, a
computed tomography (CT)-scan and magnetic resonance spectroscopy (MRS). Patients with FHBL will be compared to healthy
controls matched for age,sex, BMI and waist circumference.
Primary outcome measure(s) 1. Insulin sensitivity at the level of glucose production by liver, glucose uptake by muscle and fat and lipolysis
2. Fat distribution by a DEXA, a CT-scan and MRS-spectroscopy
Secondary outcome measure(s) 1. Lipid levels
2. Glucoregulatory levels
3. (Adipo)cytokines
Sources of funding Academic Medical Center (AMC), Department of Endocrinology and Metabolism
Trial website
Publications 2011 results in http://www.ncbi.nlm.nih.gov/pubmed/21547498
Contact name Mr  R.  Blumer
  Address Academic Medical Center (AMC)

Department of Endocrinology and Metabolism

F5-162

P.O. Box 22660
  City/town Amsterdam
  Zip/Postcode 1100 DD
  Country Netherlands
  Tel +31 (0)20 5669111
  Email r.blumer@amc.uva.nl
Sponsor Academic Medical Center (AMC), Department of Endocrinology and Metabolism (The Netherlands)
  Address P.O. Box 22660
  City/town Amsterdam
  Zip/Postcode 1100 DD
  Country Netherlands
Date applied 07/06/2006
Last edited 10/11/2011
Date ISRCTN assigned 07/06/2006
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