Glucagon-like peptide-1 (GLP-1) is a gastrointestinal hormone used to treat type 2 diabetes and severe overweight (Liraglutide).The two pancreas enzymes: amylase and lipase are slightly elevated in GLP-1 treated compared with placebo-treated individuals. Increased levels of these two enzymes (amylase and lipase) are associated with acute inflammation of the pancreas (acute pancreatitis). In humans treated with GLP-1 (receptor agonist) there have not been found an increased risk of acute pancreatitis. Animal and cell studies have shown that the increased levels of amylase and lipase in the blood are not due to an inflammatory state but adaptive changes (volume increase) of the pancreas. The investigators (professor Jens Juul Holst, professor Sten Madsbad) want to investigate whether the increased levels of amylase and lipase in the blood of individuals treated with the GLP-1 analogue Saxenda are due adaptive changes of the pancreas. This will be achieved by measuring amylase and lipase before, during and after treatment with a GLP-1 receptor agonist, and at the same time use advanced scanning equipment (PET-MR) from the Clinical Physiological and Nuclear Medical Department at Rigshospitalet, which can determine any volumetric changes in the pancreas with high reproducibility. The scan will be centered on the pancreas, other organs are not evaluated why the study is not designed to detect any malignant findings in the pancreas or other organs.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
BASIC_SCIENCE
Masking
NONE
Enrollment
14
Treatment with Liraglutide (3.0mg per day) for \~6 weeks
Department of Endocrinology
Hvidovre, Denmark
Volumetric Changes of the Pancreas
Measurements of the pancreas volumen using magnetic resonance imaging-positron emission tomography based technology
Time frame: 6 weeks
Changes in Plasma Concentrations of Pancreatic Amylase and Lipase
Time frame: 6 weeks
Changes in body weight
Time frame: 6 weeks
Changes in glycemic index
Time frame: 6 weeks
Plasma concentrations of glucagon, insulin and citrullin
Time frame: 6 weeks
Plasma concentrations of the drug
Time frame: 6 weeks
Other MR based changes in the pancreas (edema, cellularity and structural changes)
Time frame: 6 weeks
Uptake of fluorothymidine tracer in the pancreas measured by PET
Time frame: 4 weeks
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