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Insulin-Mediated Glucose Uptake and Organ Perfusion Assessed by Total-Body PET During GIP and GLP-1 Infusion 36 Novel Treatment

Recruiting
Clinical Trial NCT07398300 is an interventional study for Type 2 Diabetes, Healhty that is recruiting. It started on March 12, 2026 with plans to enroll 36 participants. Led by Rigshospitalet, Denmark, it is expected to complete by May 1, 2027. The latest data from ClinicalTrials.gov was last updated on February 9, 2026.
Brief Summary
This study investigates how the naturally occurring gut hormones GIP and GLP-1 influence whole-body glucose uptake and organ perfusion in humans. Using a state-of-the-art total-body PET-CT scanner, the study measures dynamic uptake of the glucose analogue 18F-FDG and blood flow using H₂¹⁵O across multiple organs during controlled elevations of plasma glucose and endogenous insulin secretion.

The project consists of ...

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Official Title

Dynamic Whole-Body FDG and H₂¹⁵O PET-CT to Assess Insulin-Mediated Glucose Uptake and Organ Perfusion During GIP and GLP-1 Infusion in Healthy Individuals and Patients With Type 2 Diabetes

Conditions
Type 2 DiabetesHealhty
Other Study IDs
  • H-25055805
NCT ID Number
Start Date (Actual)
2026-03-12
Last Update Posted
2026-02-09
Completion Date (Estimated)
2027-05
Enrollment (Estimated)
36
Study Type
Interventional
PHASE
N/A
Status
Recruiting
Keywords
IncretinPET
Primary Purpose
Basic Science
Design Allocation
Randomized
Interventional Model
Crossover Assignment
Masking
None (Open Label)
Arms / Interventions
Participant Group/ArmIntervention/Treatment
ExperimentalGIP infusion
GIP
Intravenous infusion of glucose-dependent insulinotropic polypeptide (GIP) consisting of a priming dose of 18 pmol/kg/min for 10 minutes followed by a steady-state infusion of 6 pmol/kg/min during a hyperglycemic clamp. Used to stimulate endogenous insulin secretion and mimic postprandial physiology
ExperimentalGLP-1 infusion
GLP-1
Intravenous infusion of glucagon-like peptide-1 (GLP-1) consisting of a priming dose of 4.5 pmol/kg/min for 10 minutes followed by a steady-state infusion of 1.5 pmol/kg/min during a hyperglycemic clamp. Used to stimulate endogenous insulin secretion and mimic postprandial physiology.
ExperimentalSaline Placebo
Saline (0.9% Sodium Chloride)
Intravenous infusion of isotonic saline administered as placebo. In sub-study 1, saline serves as a control condition; in sub-study 2, saline is infused for 15 minutes prior to hormone infusion.
Primary Outcome Measures
Outcome MeasureMeasure DescriptionTime Frame
Metabolic Rate of FDG
MRFDG quantified using dynamic total-body 18F-FDG PET with 3-compartment kinetic modelling during infusion of GIP, GLP-1, or placebo.
75 minuts
Secondary Outcome Measures
Outcome MeasureMeasure DescriptionTime Frame
Perfusion of skeletal muscle
75 min
Participation Assistant
Eligibility Criteria

Sub-study 1 (Healthy individuals):

  • Age 23-50 years
  • BMI 20.0-26.9 kg/m²
  • HbA1c < 42 mmol/mol
  • Able to provide informed consent

Sub-study 2 - Participants with Type 2 Diabetes:

  • Age 23-60 years
  • Diagnosed with type 2 diabetes for ≥3 months
  • HbA1c > 53 mmol/mol
  • Treatment with metformin only
  • Able to provide informed consent

Sub-study 2 - Healthy control participants:

  • Age 23-64 years

  • HbA1c < 42 mmol/mol

  • Able to provide informed consent

  • Anaemia (haemoglobin below normal range)

  • ALT > 2× upper normal limit or any known hepatobiliary or gastrointestinal disorder

  • Kidney disease (creatinine above normal range)

  • Previous gastric or intestinal resection (except appendectomy or cholecystectomy) or major abdominal surgery (including bariatric surgery)

  • For Sub-study 1: Type 1 or type 2 diabetes or HbA1c ≥ 42 mmol/mol

  • Use of glucose-lowering medications other than metformin (Sub-study 2 only)

  • Chronic obstructive pulmonary disease (Sub-study 2 only)

  • Regular tobacco smoking or use of nicotine-containing products

  • Claustrophobia

  • Pregnancy, breastfeeding, or intention to become pregnant during the study period

  • Initiation of special diets, major lifestyle changes, or weight loss > 5% within 3 months prior to or during the study

  • Any medication or physical/psychological condition that may interfere with participation (per investigator judgement)

  • Inability to speak or read Danish

Rigshospitalet, Denmark logoRigshospitalet, Denmark
Study Responsible Party
Mathilde Borring Brogaard, Principal Investigator, Doctor, Rigshospitalet, Denmark
Study Central Contact
Contact: Mathilde Borring Brogaard, Doctor, +4535454498, [email protected]
Contact: Per Cramon, Doctor, [email protected]
1 Study Locations in 1 Countries
Copenhagen University Hospital - Rigshospitalet, Copenhagen, 2100, Denmark
Peter Hovind, Cheif doctor, Contact, +4535459824, [email protected]
Recruiting