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Human Beta-2 Adrenergic Stimulation and Muscle Glucose Uptake

Targeting the Beta-2-adrenergic Pathway to Improve Skeletal Muscle Glucose Uptake in Healthy Humans

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03800290
Enrollment
11
Registered
2019-01-11
Start date
2019-06-01
Completion date
2021-04-23
Last updated
2022-12-01

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

Conditions

Healthy

Keywords

Beta-2 adrenergic agonist, Glucose homeostasis, Skeletal muscle, Human

Brief summary

The purpose of this study is to investigate the effect of two weeks clenbuterol/placebo supplementation on skeletal muscle glucose disposal in healthy male volunteers.

Interventions

Daily ingestion of clenbuterol hydrochloride capsules (40 microgram/day) for a total period of 14 days with a wash-out period of 4 weeks.

DRUGPlacebos

Daily ingestion of placebo capsules for a total period of 14 days with a wash-out period of 4 weeks.

Sponsors

Maastricht University
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)

Intervention model description

Randomized, double-blinded, placebo-controlled, cross-over, single-center study

Eligibility

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

Inclusion criteria

1. Caucasian; 2. Male sex; 3. Age: 18-30 4. BMI: 18-25 kg/m2; 5. Normal physical activity levels;

Exclusion criteria

1. Not meeting all inclusion criteria 2. Cardiovascular diseases (determined by means of questionnaires, heart rate/blood pressure measurements) 3. Respiratory diseases (including asthma, bronchitis and COPD); 4. Unstable body weight (weight gain or loss \> 5 kg in the last three months); 5. Intention to lose or gain body weight (e.g. with caloric restriction or physical activity) 6. Excessive alcohol and/or drug abuse; 7. Hypokalaemia; 8. Hb \< 8.4 mmol/L; 9. Epilepsy; 10. Smoking; 11. Renal and/or liver insufficiency; 12. Participation in another biomedical study within 1 month before the first study visit, possibly interfering with the study results; 13. Medication use known to hamper subject's safety during the study procedures; 14. Subjects who do not want to be informed about unexpected medical findings; 15. Subjects who do not want that their treating physician to be informed; 16. Inability to participate and/or complete the required measurements; 17. Participation in organised or structured physical exercise; 18. Any condition, disease or abnormal laboratory test result that, in the opinion of the Investigator, would interfere with the study outcome, affect trial participation or put the subject at undue risk; 19. Hyperthyroidism

Design outcomes

Primary

MeasureTime frameDescription
Insulin-stimulated peripheral glucose disposal (Rd)2 weeksComparison between prolonged (2 weeks) clenbuterol hydrochloride or placebo supplementation on insulin-stimulated peripheral glucose disposal (Rd) during the high-insulin infusion step during the two-step hyperinsulinemic-euglycemic clamp.

Secondary

MeasureTime frameDescription
Skeletal muscle GLUT4 translocationacute (4 hours) and long-term (2 weeks)Comparison between acute (4h) and prolonged (2 weeks) clenbuterol hydrochloride or placebo supplementation on skeletal muscle GLUT4 translocation as assessed by means of wide-field microscopy in skeletal muscle biopsies

Other

MeasureTime frameDescription
Heart rateAcute (4 hours) and long-term (1 and 2 weeks)Comparison between acute (4h) and prolonged (1 and 2 weeks) clenbuterol hydrochloride or placebo supplementation on heart rate as measured by means of an automated cuff.
Blood pressureAcute (4 hours) and long-term (1 and 2 weeks)Comparison between acute (4h) and prolonged (1 and 2 weeks) clenbuterol hydrochloride or placebo supplementation on blood pressure (systolic and diastolic) as measured by means of an automated cuff.
Insulin-mediated suppression of hepatic glucose production2 weeksComparison between prolonged (2 weeks) clenbuterol hydrochloride or placebo supplementation on hepatic glucose production as assessed during the two-step hyperinsulinemic-euglycemic clamp.
Energy expenditure and substrate oxidationAcute (4 hours) and long-term (2 weeks)Comparison between acute (4h) and prolonged (2 weeks) clenbuterol hydrochloride or placebo supplementation on energy expenditure and substrate oxidation as assessed by means of indirect calorimetry.
Body weight/composition2 weeksComparison between prolonged (2 weeks) clenbuterol hydrochloride or placebo supplementation on body weight and composition as assessed by means of a Bodpod measurement.
Skeletal muscle glycogen2 weeksComparison between prolonged (2 weeks) clenbuterol hydrochloride or placebo supplementation on skeletal muscle glycogen as assessed in muscle biopsies.
Skeletal muscle lipid content using wide-field microscopie2 weeksComparison between prolonged (2 weeks) clenbuterol hydrochloride or placebo supplementation on skeletal muscle lipid content as assessed in muscle biopsies by wide-field microscopie.
Skeletal muscle gene expressionAcute (4 hours) and long-term (1 and 2 weeks)Comparison between acute (4h) and prolonged (2 weeks) clenbuterol hydrochloride or placebo supplementation on skeletal muscle gene expression of specific pathways as determined in muscle biopsies by means of RT-qPCR
Skeletal muscle protein expression using western blottingAcute (4 hours) and long-term (1 and 2 weeks)Comparison between acute (4h) and prolonged (2 weeks) clenbuterol hydrochloride or placebo supplementation on skeletal muscle protein expression of specific pathways as determined in muscle biopsies as determined by means of Western Blotting
Sleeping energy expenditure and substrate oxidation2-weeksComparison between prolonged (2 weeks) clenbuterol hydrochloride or placebo supplementation on sleeping energy expenditure and substrate oxidation as assessed by means of a metabolic chamber (indirect calorimetry).
Plasma substratesAcute (4 hours) and long-term (1 and 2 weeks)Comparison between acute (4h) and prolonged (1 and 2 weeks) clenbuterol hydrochloride or placebo supplementation on plasma substrate concentrations, including insulin, glucose, free fatty acids and TAGs.

Countries

Netherlands

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 10, 2026