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Diazoxide-Mediated Insulin Suppression in Hyperinsulinemic Obese Men

Diazoxide-Mediated Insulin Suppression in Hyperinsulinemic Obese Men: a Dose Response Study, Part II

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00151684
Enrollment
25
Registered
2005-09-09
Start date
2004-11-30
Completion date
Unknown
Last updated
2008-02-29

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Obesity, Hyperinsulinism

Keywords

Obesity, Hyperinsulinism, Diazoxide

Brief summary

The purpose of this study is to explore diazoxide efficacy in treatment of obese men and assessment of maximal insulin suppression in obese men without hyperglycaemia. Obesity is associated with markedly elevated plasma insulin levels throughout the day. The concept is that obese subjects predominantly develop lean tissue resistance against the glucoregulatory actions of insulin, but remain relatively sensitive to the lipogenic and antilipolytic effects of insulin in adipose tissue. According to this theory, suppression of hyperinsulinism by diazoxide, a well known inhibitor of glucose stimulated insulin secretion, might be useful to treat obesity because it will help to reverse the process of lipid storage.

Detailed description

The purpose of this study is to explore diazoxide efficacy in treatment of obese men and assessment of maximal insulin suppression in obese men without hyperglycaemia. Study design: This study is an open-labelled, non-randomized, phase IIa study. Treatment: During a 6 month period, the dosage of Diazoxide will be raised gradually until a maximum of 900 mg/day, under control of bloodpressure and glucose levels. Endpoints, monthly determined: * body weight * abdominal circumference * body composition measured by Dual Energy X-ray Absorptiometry * glucose tolerance

Interventions

Sponsors

Rijnstate Hospital
Lead SponsorOTHER

Study design

Allocation
NON_RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
MALE
Age
30 Years to 50 Years
Healthy volunteers
Yes

Inclusion criteria

* fasting glucose \< 7.0 mmol/L * fasting C-peptide plasma level \> 1.0 nmol/L * HbA1c of 6.0% or lower * Absence of comorbidity * Absence of medication use

Exclusion criteria

* Plasma Creatinine \> 120 micromol/L * Liverenzymes \> 2 times the upper normal limit * Gout * Alcohol use \> 2 units/day * Illicit drug use * Quit smoking less than 6 months ago

Design outcomes

Primary

MeasureTime frame
body weight
abdominal circumference
body composition measured by Dual Energy X-ray Absorptiometry
glucose tolerance

Countries

Netherlands

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026