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The effect of interleukin-1 receptor antagonist on insulin secretion - Anakinra and insulin secretio

Phase 1
Conditions
Beta-cell dysfunction
MedDRA version: 12.1Level: LLTClassification code 10052341Term: Impaired insulin secretion
Registration Number
EUCTR2010-019660-36-NL
Lead Sponsor
MC St Radboud
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Recruiting
Sex
All
Target Recruitment
16
Inclusion Criteria

- Impaired glucose tolerance assessed by oral glucose tolerance test and/or impaired fasting glucose ( = 5.6 mmol/L) and/or HbA1c levels of 5.7-6.4%
- BMI >25 kg/m2
- Age 40-70 years

Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range

Exclusion Criteria

- Known diabetes mellitus
- Fasting plasma glucose > 7.0 mmol/L or HbA1c > 6.5%
- Elevated risk for infections
- Pregnancy or breast-feeding

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Main Objective: The primary objective is to determine whether blocking interleukin-1 by recombinant human interleukin-1 receptor antagonist (IL-1ra) improves beta-cell function in subjects with impaired beta-cell function .;Secondary Objective: Secondary Objective(s): <br>•To determine the effect of IL-1 blockade on insulin sensitivity following four week treatment with anakinra and placebo<br>• To determine the effect of IL-1 blockade on fat cell morphology, fat cell insulin sensitivity and fat cell gene expression following four week treatment with anakinra and placebo.<br>•To determine the effect of IL-1 blockade on plasma levels of inflammatory markers and adipokines following four week treatment with anakinra and placebo. <br>;Primary end point(s): Insulin secretion
Secondary Outcome Measures
NameTimeMethod
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