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The incretin effect is impaired in patients with type 2 diabetes mellitus (T2DM), thus GLP-1 receptor agonists are used for the treatment of T2DM. Insulin resistance is a pathophysiologic hallmark of non-alcoholic fatty liver disease (NAFLD). The incretin effect in patients with NAFLD has not been studied. The aim of this study is to quantify GLP-1 secretion in response to oral glucose tolerance test (oGTT) in patients with NAFLD compared to healthy controls. The results of this study will expand the knowledge of the pathophysiology of NAFLD and serve as a rational for potential future treatment strategies.
Primary endpoint: GLP-1 response to oral glucose Secondary endpoints: glucose and insulin responses to oral glucose challenge
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| NAFLD | Patients with biopsy proven NAFLD |
| |
| Control | Matched healthy control subjects |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Oral glucose tolerance test | Other | Oral intake of 75 g glucose after overnight fast |
|
| Measure | Description | Time Frame |
|---|---|---|
| Glucagon-like Peptide 1 (GLP-1) secretion in response to oGTT | The difference in GLP-1 secretion in response to oGTT as assessed by area under the curve (AUC) and peak plasma concentration (cmax) in patients with NAFLD compared to healthy controls. | 0, 15, 30, 60, 90, 120 min. after glucose administration |
| Measure | Description | Time Frame |
|---|---|---|
| Insulin secretion and glucose curves in response to oGTT | 0, 15, 30, 60, 90, 120 min. after glucose administration |
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Inclusion Criteria:
Exclusion Criteria:
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Patients with biopsy proven NAFLD and NASH will be recruited from the Hepatology Outpatient Clinic, Division of Gastroenterology and Hepatology, University Hospital Basel.
Healthy control subjects will be matched to NAFLD and NASH patients.
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| Name | Affiliation | Role |
|---|---|---|
| Christoph Beglinger, MD | University Hospital Basel, Division of Gastroenterology and Hepatology | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Hospital Basel, Division of Gastroenterology and Hepatology | Basel | Switzerland |
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| ID | Term |
|---|---|
| D065626 | Non-alcoholic Fatty Liver Disease |
| ID | Term |
|---|---|
| D005234 | Fatty Liver |
| D008107 | Liver Diseases |
| D004066 | Digestive System Diseases |
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| ID | Term |
|---|---|
| D005951 | Glucose Tolerance Test |
| ID | Term |
|---|---|
| D001774 | Blood Chemical Analysis |
| D019963 | Clinical Chemistry Tests |
| D019411 | Clinical Laboratory Techniques |
| D019937 | Diagnostic Techniques and Procedures |
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Plasma samples
| D003933 | Diagnosis |
| D003940 | Diagnostic Techniques, Endocrine |
| D008919 | Investigative Techniques |