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The purpose of the study is to determine the contribution of endogenous Glucagon-like peptide 1 (GLP-1) to the postprandial secretion of insulin and glucagon and the incretin effect in healthy subjects and patients with type 2 diabetes mellitus (T2DM).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| intravenous infusion | Active Comparator |
| |
| intraduodenal perfusion | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| exendin(9-39)amide | Drug | intravenous infusion of exendin(9-39) |
| |
| Measure | Description | Time Frame |
|---|---|---|
| The incretin effect | The incretin effect is the difference between postprandial plasma concentrations of insulin and C-peptide, respectively, and those during the isoglycemic fasting control experiment. The AUC is calculated after priming intravenous infusion (saline or exendin(9-39)) and under steady state duodenal meal perfusion. | Area Under Curve (AUC) Time Frame: from 0 to 90 minutes under duodenal meal perfusion |
| Measure | Description | Time Frame |
|---|---|---|
| Plasma concentrations of glucagon | The AUC is calculated after priming intravenous infusion (saline or exendin(9-39)) and under steady state duodenal meal perfusion. | Area Under Curve (AUC) Time Frame: from 0 to 90 minutes under duodenal meal perfusion |
| Plasma concentrations of insulin |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Joerg Schirra, MD | Clinical Research Unit (CRU), Department of Internal Medicine, Campus Großhadern, Clinical Center of Ludwig-Maximilians-University of Munich | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ludwig Maximilians-University, Clinical Research Unit | Munich | 80999 | Germany | |||
| Clinical Research unit, Dept. of Internal Medicine II - Großhadern, University of Munich |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 22721966 | Derived | Woerle HJ, Carneiro L, Derani A, Goke B, Schirra J. The role of endogenous incretin secretion as amplifier of glucose-stimulated insulin secretion in healthy subjects and patients with type 2 diabetes. Diabetes. 2012 Sep;61(9):2349-58. doi: 10.2337/db11-1701. Epub 2012 Jun 20. |
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| ID | Term |
|---|---|
| D003924 | Diabetes Mellitus, Type 2 |
| D007333 | Insulin Resistance |
| ID | Term |
|---|---|
| D003920 | Diabetes Mellitus |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
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| ID | Term |
|---|---|
| C083773 | exendin (9-39) |
| D012965 | Sodium Chloride |
| ID | Term |
|---|---|
| D002712 | Chlorides |
| D006851 | Hydrochloric Acid |
| D017606 | Chlorine Compounds |
| D007287 | Inorganic Chemicals |
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| saline |
| Drug |
intravenous infusion of saline |
|
| duodenal meal | Other | duodenal perfusion of a meal |
|
| duodenal saline | Other | duodenal perfusion of saline |
|
The AUC is calculated after priming intravenous infusion (saline or exendin(9-39)) and under steady state duodenal meal perfusion. |
| Area Under Curve (AUC) Time Frame: from 0 to 90 minutes under duodenal meal perfusion |
| Plasma concentrations of C-peptide | The AUC is calculated after priming intravenous infusion (saline or exendin(9-39)) and under steady state duodenal meal perfusion. | Area Under Curve (AUC) Time Frame: from 0 to 90 minutes under duodenal meal perfusion |
| Plasma concentrations of Glucagon-like peptide-1(7-36) (GLP-1(7-36)) | The AUC is calculated after priming intravenous infusion (saline or exendin(9-39)) and under steady state duodenal meal perfusion. | Area Under Curve (AUC) Time Frame: from 0 to 90 minutes under duodenal meal perfusion |
| Plasma concentrations of Glucose-dependent insulinotropic polpypeptide (GIP) | The AUC is calculated after priming intravenous infusion (saline or exendin(9-39)) and under steady state duodenal meal perfusion. | Area Under Curve (AUC) Time Frame: from 0 to 90 minutes under duodenal meal perfusion |
| Munich |
| 81377 |
| Germany |
| D004700 | Endocrine System Diseases |
| D006946 | Hyperinsulinism |
| D017670 |
| Sodium Compounds |