Status:

COMPLETED

Pathophysiological Implications of the Incretin Hormones in Patients With Liver Disease With and Without Diabetes

Lead Sponsor:

University Hospital, Gentofte, Copenhagen

Conditions:

Non Alcoholic Fatty Liver Disease

Type 2 Diabetes

Eligibility:

All Genders

18-80 years

Brief Summary

The main objective of this study is to analyze the pathophysiological implications of glucagon and the incretin hormones in patients with liver disease (Non alcoholic fatty liver disease (NAFLD) or ci...

Detailed Description

Comparison of of insulin secretion (Area Under the Curve (AUC)) during the experimental days. Furthermore a comparison of GIP, GLP1 and glucagon responses as well as plasma glucose levels.

Eligibility Criteria

Inclusion

  • I) Group 1: NAFLD patients with normal glucose tolerance Inclusion criteria
  • NAFLD verified by a liver biopsy
  • Caucasian \>18 years of age
  • Negative islet cell (ICA) and glutamic acid decarboxylase 65 (GAD65) autoantibodies
  • Normal 75-g OGTT as specified in the WHO Criteria
  • Normal haemoglobin and blood pressure (BP)
  • Written informed consent
  • II) Group 2: NAFLD patients with type 2 diabetes Inclusion criteria
  • NAFLD verified by liver biopsy
  • T2DM according to the WHO Criteria
  • Caucasian \>18 years of age
  • Negative ICA and GAD65, normal haemoglobin, normal BP
  • Written informed consent
  • III) Group 3: NAFLD patients without type 2 diabetes Inclusion criteria
  • NAFLD verified by liver biopsy
  • Caucasian \>18 years of age
  • Normal 75-g OGTT
  • Negative ICA and GAD65-autoantibodies
  • Normal haemoglobin and BP
  • Written informed consent
  • IV) Group 4: Cirrhosis with or without type 2 diabetes Inclusion criteria
  • Liver cirrhosis verified by liver biopsy
  • Caucasian \> 18 years of age
  • Negative ICA and GAD65-autoantibodies
  • Normal haemoglobin and BP
  • Written informed consent
  • V) Group 5: Healthy controls Inclusion criteria
  • Caucasian \>18 years of age
  • Normal 75-g OGTT according to the WHO Criteria
  • Negative ICA and GAD65-autoantibodies
  • Normal haemoglobin and BP
  • Written informed consent
  • Exclusion criteria (all groups)
  • Other known liver disease - viral hepatitis, hereditary haemochromatosis, autoimmune liver disease, alpha-1 trypsin deficiency, Wilson disease, drug induced liver Injury (DILI)
  • Treatment with medications that cannot be discontinued for 12 hours
  • Unwillingness to participate in protocols
  • Pregnancy or lactation

Exclusion

    Key Trial Info

    Start Date :

    December 1 2011

    Trial Type :

    OBSERVATIONAL

    Allocation :

    ACTUAL

    End Date :

    July 1 2014

    Estimated Enrollment :

    48 Patients enrolled

    Trial Details

    Trial ID

    NCT01492283

    Start Date

    December 1 2011

    End Date

    July 1 2014

    Last Update

    July 10 2014

    Active Locations (1)

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    Page 1 of 1 (1 locations)

    1

    Diabetes Research Division, Gentofte University Hospital, Niels Andersens Vej 65, opgang 4b, 1. sal

    Hellerup, Denmark, 2900