Status:

COMPLETED

Effect of Nesiritide Infusion on Insulin Sensitivity in Healthy Obese Insulin Resistant Subjects

Lead Sponsor:

AdventHealth Translational Research Institute

Conditions:

Diabetes

Eligibility:

All Genders

40-65 years

Phase:

PHASE1

Brief Summary

The purpose of the study is to compare the effects of nesiritide to placebo administered by a continuous IV infusion over 48 hours for the treatment of insulin resistance in healthy, obese, insulin re...

Eligibility Criteria

Inclusion

  • Age 40-65 years inclusive
  • Men and women
  • Able to provide written, informed consent
  • Weight stable (± 3 kg) during the 3 months prior to enrollment
  • BMI ≥ 30 kg/m2; body weight ≤ 106 kg
  • Resting blood pressure ≥ 110/60 mmHg and ≤ 150/100 mmHg

Exclusion

  • Known coronary artery disease, angina or heart failure
  • Type 1 or Type 2 Diabetes (A1c ≥ 6.5% and/or fasting plasma glucose \>125mg/dL)
  • Bleeding disorders
  • Hemoglobin level \< 12.5 g/dL for women; \< 13.0 g/dL for men
  • Acute or chronic infections
  • Hepatitis and/or cirrhosis (AST or Alanine Aminotransferase 2.5 times upper limit of normal)
  • Severe asthma or chronic obstructive pulmonary disease
  • Renal insufficiency (creatinine \> 1.6 mg/dL)
  • Prior bariatric surgery
  • Inflammatory bowel disease or malabsorption
  • Cancer within the last 3 years (except non-melanoma skin cancer or treated cervical carcinoma in situ)
  • Psychiatric or eating disorders
  • Untreated or inadequately controlled thyroid (abnormal TSH) or other endocrine disorders
  • Active rheumatoid arthritis or other inflammatory rheumatic disorder
  • Pregnant or nursing women
  • Presence of clinically significant abnormalities on electrocardiogram
  • Smoking (within the last 3 months)
  • Known hypersensitivity to nesiritide or any of its excipients
  • Poor intravenous access
  • Use of medications: a) nitrates, b) beta-blockers, c) digoxin, d) anti-diabetic agents, e) oral, injected or chronic topical steroids (inhaled steroids for mild asthma are acceptable), f) chronic use of aspirin or other non-steroidal anti-inflammatory drugs, including cyclooxygenase-2 inhibitors, g) other drugs known to affect immune or metabolic function and h) orlistat, phenteramine or other weight loss or anorectic agents.

Key Trial Info

Start Date :

July 13 2017

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

February 19 2020

Estimated Enrollment :

6 Patients enrolled

Trial Details

Trial ID

NCT03234751

Start Date

July 13 2017

End Date

February 19 2020

Last Update

March 10 2020

Active Locations (1)

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Translational Research Institute for Metabolism and Diabetes

Orlando, Florida, United States, 32804