Acromegaly Due to Pituitary Adenoma
Conditions
Brief summary
Modulation of the GIP System in Patients With Acromegaly Due to a Pituitary adenoma
Detailed description
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
Interventions
GIP-A
Placebo
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients under clinical investigation of acromegaly disease with normal kidney function, liver function and hemoglobin levels.
Exclusion criteria
* Medication for acromegaly, adenectomy, liver disease, uncontrolled anemia, severe heart disease, uncontrolled high blood pressure (\>170/100 mmHg), current pregnancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Growth hormone levels | 240 min | Plasma growth hormone area under the curve (AUC) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| GIP levels | 240 min | Plasma GIP AUC |
| Insulin levels | 240 min | Serum insulin AUC |
| C-peptide levels | 240 min | Serum C-peptide AUC |
| Insulin-like growth factor-1 (IGF-1) levels | 240 min | Plasma IGF-1 AUC |
| Free fatty acids (FFA) levels | 240 min | serum FFA AUC |
| Glucagon levels | 240 min | plasma glucagon AUC |
| Glucose levels | 240 min | Plasma glucose AUC |
| GLP-1 levels | 240 min | Plasma GLP-1 AUC |
| GLP-2 levels | 240 min | Plasma GLP-2 AUC |
| Plasma cholesterol | 240 min | Plasma cholesterol AUC |
| Plasma triglyceride | 240 min | Plasma triglyceride AUC |
| Plasma TSH | 240 min | Plasma TSH AUC |
| Plasma prolactin | 240 min | Plasma prolactin AUC |
| Ghrelin levels | 240 min | plasma ghrelin AUC |
Countries
Denmark