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临床试验/NCT06189001
NCT06189001已完成不适用

The Role of Oxytocin-receptor Signalling in Physiological Regulation of Eating Behaviour in Individuals with Obesity

University Hospital, Gentofte, Copenhagen1 个研究点 分布在 1 个国家目标入组 25 人开始时间: 2024年1月1日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
不适用
状态
已完成
发起方
入组人数
25
试验地点
1
主要终点
Ad libitum food intake

研究概览

简要总结

The present study evaluates appetite, glucose metabolism, gastrointestinal motility and energy expenditure in men and women with obesity (BMI 30-40 kg/m2) under oxytocin exposure compared to placebo.

详细描述

In a randomised, double-blind, placebo-controlled, crossover fashion, 24 participants will complete two experimental days (A and B) including a mixed meal test and an ad libitum meal test. The procedures during the two experimental days are similar except for intravenous infusion of oxytocin on experimental day A and placebo (saline) on experimental day B, respectively. On experimental days, oxytocin or placebo infusion will be started at timepoint -60 minutes. At timepoint 0 minutes, participants will ingest a liquid mixed meal. After 190 minutes, participants are served an ad libitum meal followed by ad libitum snacks.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Crossover
主要目的
Basic Science
盲法
Double (Participant, Investigator)

入排标准

年龄范围
18 Years 至 65 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Age 18-65 years
  • BMI between 30 and 40 kg/m2 (both included)
  • Percentage body fat (BF%) ≥25 for men and ≥32 for women (assessed by bioelectrical impedance analysis)
  • Informed oral and written consent

排除标准

  • Anaemia (haemoglobin below normal range)
  • Alanine aminotransferase (ALT) >2 times normal values
  • History of hepatobiliary and/or gastrointestinal disorder(s)
  • Kidney disease (serum creatinine above normal range and/or urine albumin-creatinine ratio (uACR) >30 mg/g confirmed by two measures)
  • Previous gastric or intestinal resection, cholecystectomy and/or any major intra-abdominal surgery (including bariatric surgery)
  • Previous pancreatic disease and/or neoplasia
  • Regular tobacco smoking and/or use of other nicotine products
  • Glycated haemoglobin (HbA1c) ≥48 and/or type 1 diabetes or type 2 diabetes requiring medical treatment
  • Pituitary gland disorders
  • Initiation of special diets, lifestyle changes and/or weight loss >5% of total body weight within three months prior to or during study period
  • Pregnancy or breastfeeding
  • Long QTc on electrocardiogram (ECG) at screening (≥0.45 seconds for men and ≥0.46 seconds for women)
  • Any physical or psychological condition or ongoing medication the investigator group suspect would interfere with trial participation

研究组 & 干预措施

Oxytocin

Experimental

Intravenous oxytocin 0.2 IU/minute for 300 minutes Approx. 500 ml

干预措施: Oxytocin (Drug)

Placebo

Other

intravenous saline (0.9% NaCl) infusion for 300 minutes Approx. 500 ml

干预措施: Placebo (saline) (Other)

结局指标

主要结局

Ad libitum food intake

时间窗: Timepoint 190-220 minutes

Amount consumed (kcal)

次要结局

  • Heart rate(Timepoint -75 to 185 minutes and timpoint 240 minutes)
  • Plasma concentrations of sodium(Timepoint -95 and 235 minutes)
  • Sensations of hunger(Timepoint -100 to 160 minutes)
  • Gastric emptying (paracetamol absorption method)(Timepoint -95 to 180 minutes)
  • Water intake during ad libitum meal(Timepoint 190-220 minutes)
  • Blood pressure(Timepoint -75 to 185 minutes and timpoint 240 minutes)
  • Plasma concentrations of creatinine(Timepoint -95 and 235 minutes)
  • Plasma concentrations of potassium(Timepoint -95 and 235 minutes)
  • Circulating levels of high-sensitive C-reactive protein (hsCRP)(Timepoint -95 and 235 minutes)
  • Circulating levels of C-reactive protein (hsCRP)(Timepoint -95 and 235 minutes)
  • Sensations of nausea(Timepoint -100 to 160 minutes)
  • Sensations of prospective food intake(Timepoint -100 to 160 minutes)
  • Sensations of thirst(Timepoint -100 to 160 minutes)
  • Sensations of comfort(Timepoint -100 to 160 minutes)
  • Composite appetite score(Timepoint -100 to 160)
  • Serum concentrations of insulin(Timepoint -95 to 180 minutes)
  • Serum concentrations of C-peptide(Timepoint -95 to 180 minutes)
  • Beta cell function (C-peptide/glucose-ratio)(Timepoint -95 to 180 minutes)
  • Ad libitum food intake(Timepoint 190-220 minutes)
  • Gallbladder volume (ml)(Timepoint -120 to 180 minutes)
  • Gallbladder ejection fraction (%)(Timepoint -120 to 180 minutes)
  • Sensations of satiety(Timepoint -100 to 160 minutes)
  • Sensations of fullness(Timepoint -100 to 160 minutes)
  • Plasma concentrations of glucose(Timepoint -95 to 180 minutes)
  • Plasma concentrations of cholecystokinin(Timepoint -95 to 180 minutes)
  • Energy expenditure (indirect calorimetry)(Timepoint -90 to 150 minutes)
  • Snacking (ad libitum snack test)(Timepoint 225-235 minutes)
  • Plasma concentrations of GLP-1(Timepoint -95 to 180 minutes)
  • Plasma concentrations of peptide YY(Timepoint -95 to 180 minutes)
  • Plasma concentrations of secretin(Timepoint -95 to 180 minutes)
  • Circulating levels of P1NP(Timepoint -95 to 180 minutes)
  • Gallbladder volume(Timepoint -120 to 180 minutes)
  • Plasma concentrations of glucagon(Timepoint -95 to 180 minutes)
  • Plasma concentrations of GIP(Timepoint -95 to 180 minutes)
  • Plasma concentrations of leptin(Timepoint -95 to 180 minutes)
  • Plasma concentrations of ghrelin(Timepoint -95 to 180 minutes)
  • Circulating levels of total amino acids(Timepoint -95 to 180 minutes)
  • Lipid profile(Timepoint -95 to 180 minutes)
  • Circulating levels of CTx(Timepoint -95 to 180 minutes)
  • Circulating levels of PTH(Timepoint -95 to 180 minutes)
  • Circulating levels of calcium(Timepoint -95 to 180 minutes)
  • Desire for specific foods(Timepoint -100 to 160 minutes)
  • Duration of ad libitum meal(Timepoint 190-220 minutes)
  • Happiness (Oxford Happiness Questionnaire (translated to Danish))(Timepoint -65 and 160 minutes)

研究者

发起方
University Hospital, Gentofte, Copenhagen
申办方类型
Other
责任方
Principal Investigator
主要研究者

Filip Krag Knop

Professor, MD, PhD

University Hospital, Gentofte, Copenhagen

研究点 (1)

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