Type 2 Diabetes Mellitus
Conditions
Keywords
liraglutide, victoza, GLP-1, kidney, diabetes, renal, diabetic nephropathy
Brief summary
Recent studies in rodents show that glucagon-like peptide-1 (GLP-1) analogues protect against diabetic nephropathy. We hypothesise that this is also the case in humans. This study will investigate the short-term effect of liraglutide (GLP-1 analogue) on the kidneys in type 2 diabetic patients. Impact on basic kidney physiological will be determined and kidney injury markers will be measured as surrogate parameters of kidney protection.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Informed consent obtained before any trial-related activities. * Male gender * T2DM, diagnosed according to international guidelines * Age 20-60 years, both included * Body Mass Index (BMI): 20-32 kg/m2, both included * Metformin treatment * Albumin/creatinine ratio \<25 mg/mmol
Exclusion criteria
* Known or suspected allergy to trial product or related products * Previous participation in this trial * Previous treatment with GLP-1 analogues or DPP-4 inhibitors * Current treatment with any antidiabetic drug other than metformin * Poorly regulated glycemic control (HbA1c \> 8%) * Impaired kidney function: estimated GFR \< 70ml/min * Impaired liver function: liver parameters exceed 2 times upper normal limit * Subjects with active malignancy * Severe cardiac insufficiency classified according to NYHA III-IV * Unstable angina pectoris, acute myocardial infarction (AMI) within the last 12 months * Severe, uncontrolled hypertension: sitting blood pressure (BP) \> 180/110 mmHg * Antihypertensive treatment consisting of more than two different pharmaceutical products * Symptoms related to benign prostate hyperplasia * Claustrophobia * Any metal body implants * History of pancreatitis, type 1 diabetes, gastroparesis or multiple endocrine neoplasia syndrome type 2 * Personal or family history of medullary thyroid carcinoma * Any diseases judged by the investigator that could affect the trial * Any medication judged by the investigator that could affect the trial
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Glomerular Filtration Rate (51Cr-EDTA plasma clearance) | 10-15 hours post-dose |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Renal Blood Flow (functional magnetic resonance imaging) | 15 hours post-dose | — |
| Renal electrolyte clearance | 10-15 hours post-dose | Sodium, potassium, calcium, lithium and osmotically active substances. |
| Excretion of kidney injury markers | 0-10 hours and 10-15 hours post-dose | Albumin, NGAL, KIM-1, angiotensinogen and 8-OHdG. |
| Plasma concentrations of various hormones | 10-15 hours post-dose | Angiotensin II, renin, aldosterone, atrial natriuretic peptide, catecholamines. |
Countries
Denmark