Preclinical studies have demonstrated in mouse models that (PYR1)-apelin-13 exerts a glucose-regulating action in vivo. The (PYR1)-apelin-13 effect on insulin sensitivity in healthy overweighed volunteers has been previously assessed in a phase I clinical trial (APELINS study; NCT02033473). The APELINS-2 clinical trial aims to expand the initial proof of concept to the population targeted by future innovative insulin-sensitizing therapies: patients living with type 2 diabetes.
Insulin sensitivity is measured using the hyperinsulinemic euglycemic glucose clamp method. The hypothesis of the investigators is that a continuous (pyr1)-apelin-13 infusion improves insulin sensitivity of type 2 diabetic patients compared to placebo infusion. This study could bring new elements for understanding the pathophysiology of insulin resistance and type 2 diabetes mellitus in humans and could lead to the development of innovative therapies in type 2 diabetes mellitus.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
BASIC_SCIENCE
Masking
DOUBLE
Enrollment
9
Assessing the difference between the insulin sensitivity measured during hyperinsulinemic euglycemic clamps in the presence of a 2 hours continuous infusion of (PYR1)-apelin-13 (30nmol/kg) versus a 2 hours continuous infusion of placebo (vehicle alone).
2 hours continuous infusion of placebo (vehicle alone) to compare with 2 hours infusion of apelin
University Hospitals of Toulouse (Rangueil)
Toulouse, Midi-Pyrénées, France
Delta between Glucose Infusion Rate
Difference between glucose infusion rate measured during investigational product infusion (mean of values measured at 210, 215, 220, 225, 230, 235 and 240 minutes) and basal glucose infusion rate (mean of values measured at 90, 95, 100, 105, 110, 115 and 120 minutes).
Time frame: 240 minutes
Measure of M-value (a glucose physiological parameter)
Difference between value of product time (mean of values measured at 210, 215, 220, 225, 230, 235 and 240 minutes) and value of basal (mean of values measured at 90, 95, 100, 105, 110, 115 and 120 minutes).
Time frame: 240 minutes
systolic blood pressure and diastolic blood pressure
Time frame: 240 minutes
heart rate
Time frame: 240 minutes
Measure of QTc interval with electrocardiogram examination
Time frame: 240 minutes
Clinic sign of apelin intolerance
Time frame: 240 minutes
Dosage of plasma proteins
A kinetic is realized with samples at 0, 15, 30, 45, 60, 75, 90, 100, 110, 120, 135, 150, 165, 180, 195, 200, 220, 230 and 240 minutes
Time frame: 240 minutes
Clinic sign of apelin allergy
Modification in physiological parameters
Time frame: 240 minutes
Clinic sign of apelin toxicity
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Modification in physiological parameters
Time frame: 240 minutes