Status:

RECRUITING

The Role of Amylin in Bone Metabolism

Lead Sponsor:

Filip Krag Knop

Conditions:

Bone Diseases, Metabolic

Type 1 Diabetes

Eligibility:

All Genders

18-60 years

Phase:

NA

Brief Summary

The clinical study aims to investigate the effect of the intravenously administrated amylin analogue (pramlintide) on the circulating levels of C-terminal telopeptide of type I collagen (CTX-1) (a mar...

Detailed Description

Using a randomised double blinded placebo-controlled crossover design the investigators will evaluate the effects of the intravenously administrated amylin analogue (pramlintide) on circulating levels...

Eligibility Criteria

Inclusion

  • Inclusion criteria type 1 diabetes:
  • Caucasian ethnicity
  • Age between 18 and 60 years
  • BMI between 18.5 and 27 kg/m2
  • Type 1 diabetes (diagnosed according to the criteria of the World Health Organization) with HbA1c \<69 mmol/mol (\<8.5%) and
  • Type 1 diabetes duration of 2-20 years
  • C-peptide negative (stimulated C-peptide ≤30 pmol/l)
  • Treatment with a stable basal-bolus or insulin pump regimen for ≥3 months
  • Normal vitamin D (\>50 nmol/l)
  • Informed consent
  • Exclusion criteria type 1 diabetes:
  • Anaemia (haemoglobin below normal range)
  • Liver disease (ALAT and/or ASAT \>2 times normal values) or history of hepatobiliary disorder
  • Nephropathy (eGFR \<60 ml/min/1,73m2 and/or microalbuminuria)
  • Microvascular complications except non-proliferative retinopathy
  • Treatment with anti-osteoporosis medication or glucocorticoids
  • Fractures within the last 6 months
  • For women: currently perimenopausal or postmenopausal
  • Diseases affecting calcium metabolism (e.g. hypoparathyroidism, hyperparathyroidism, osteoporosis, vitamin D deficiency and cancer)
  • Pregnancy or breastfeeding
  • Any physical or psychological condition that the investigator feels would interfere with trial participation
  • Treatment with any glucose-lowering drugs beside insulin, treatment with medication against osteoporosis or treatment with any form of glucocorticoids
  • Inclusion criteria healthy controls:
  • Caucasian ethnicity
  • Age between 18 and 60 years
  • BMI between 18.5 and 27 kg/m2
  • Fasting plasma glucose ≤7.0 mmol/l and glycated haemoglobin (HbA1c) \<48 mmol/mol
  • Normal blood haemoglobin (8.3-10.5 mmol/l (males) and 7.3 - 9.5 mmol/l (females))
  • Normal plasma vitamin D (\>50 nmol/l)
  • Informed consent
  • Exclusion criteria healthy controls:
  • Any form of diabetes (according to World Health Organization criteria)
  • Anaemia (haemoglobin below normal range)
  • Nephropathy (eGFR \<60 ml/min/1,73m2 and/or microalbuminuria)
  • Known liver disease and/or alanine transaminase (ALAT) or aspartate transaminase (ASAT) \>2 × upper normal limit
  • Any fractures within the last 6 months
  • For women: currently perimenopausal or postmenopausal
  • Diseases affecting calcium metabolism (e.g. hypoparathyroidism, hyperparathyroidism, osteoporosis, vitamin D deficiency and cancer)
  • Pregnancy or breastfeeding
  • Any condition considered incompatible with participation by the investigators

Exclusion

    Key Trial Info

    Start Date :

    February 12 2024

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ESTIMATED

    End Date :

    August 1 2024

    Estimated Enrollment :

    20 Patients enrolled

    Trial Details

    Trial ID

    NCT06186063

    Start Date

    February 12 2024

    End Date

    August 1 2024

    Last Update

    February 21 2024

    Active Locations (1)

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    Page 1 of 1 (1 locations)

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    Center for Clinical Metabolic Research, Gentofte Hospital

    Hellerup, Capital Region, Denmark, 2900

    The Role of Amylin in Bone Metabolism | DecenTrialz