Modulation of the GIP System in Patients With Acromegaly Due to a Pituitary adenoma
Aim: To determine the importance of the GIP system in patients with acromegaly who has paradoxical growth hormone secretion during an oral glucose tolerance test (OGTT) using a GIP antagonist (GIP-A). Thirty participants (age 18-75 years) with normal kidney and liver parameters and hemoglobin levels will be included in a placebo-controlled cross-over study. The study consists of two study days with concomitant infusions of A) GIP-A or B) saline (placebo). A paradoxical growth hormone secretion to an OGTT is here defined as an increase in plasma growth hormone levels of ≥30% from baseline based on a mean value of the definitions in the literature. Regazzo et al. (2017) European Journal of Endocrinology 176, 543-553 Mukai et al. (2018) The Journal of Clinical Endocrinology and Metabolism 104(5), 1637-1644 Hage et al. (2019) The Journal of Clinical Endocrinology and Metabolism 104(5), 1777-1787 Scaroni et al. (2019) J Clin Endocrinol Metab 104(3), 856-862
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
BASIC_SCIENCE
Masking
NONE
Enrollment
25
Department of Biomedical Sciences
Copenhagen, Denmark
Growth hormone levels
Plasma growth hormone area under the curve (AUC)
Time frame: 240 min
Glucose levels
Plasma glucose AUC
Time frame: 240 min
GIP levels
Plasma GIP AUC
Time frame: 240 min
Insulin levels
Serum insulin AUC
Time frame: 240 min
C-peptide levels
Serum C-peptide AUC
Time frame: 240 min
Insulin-like growth factor-1 (IGF-1) levels
Plasma IGF-1 AUC
Time frame: 240 min
Free fatty acids (FFA) levels
serum FFA AUC
Time frame: 240 min
Glucagon levels
plasma glucagon AUC
Time frame: 240 min
Ghrelin levels
plasma ghrelin AUC
Time frame: 240 min
GLP-1 levels
Plasma GLP-1 AUC
Time frame: 240 min
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GLP-2 levels
Plasma GLP-2 AUC
Time frame: 240 min
Plasma cholesterol
Plasma cholesterol AUC
Time frame: 240 min
Plasma triglyceride
Plasma triglyceride AUC
Time frame: 240 min
Plasma TSH
Plasma TSH AUC
Time frame: 240 min
Plasma prolactin
Plasma prolactin AUC
Time frame: 240 min