Spinal Cord Injuries
Conditions
Keywords
Spinal cord injury, GIP, GLP-2, CTX, P1NP, Bone resorption, Bone formation, Bone turnover, Bone remodeling
Brief summary
Both GLP-2 and GIP reduce bone resorption (measured as CTX) in healthy persons. In this study, we will investigate whether GLP-2 and GIP is reducing CTX in individuals with spinal cord injury.
Interventions
Ingestion of an oral liquid meal (nutridrink), 200 mL.
Subcutaneous GIP injection.
Subcutaneous GLP-2 injection.
Subcutaneous GIP + GLP-2 injection.
Subcutaneous saline injection.
Sponsors
Study design
Eligibility
Inclusion criteria
(Individuals with spinal cord injury): * Spinal cord injury resulting in the need of a wheelchair * BMI: 16-32 kg/m2 Inclusion Criteria (Healthy controls): * Intact spinal cord * Matched on gender, age and BMI to the group with spinal cord injury
Exclusion criteria
* Treatment with antidiabetics * Treatment with anti-resorptive agents * Gastrointestinal disease * Smoking * Long term steroid treatment * Weight change more than 3 kg within the last 3 months. * Overweight or intestinal surgery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| CTX | -10 to 240 minutes | Bone resorption measured as collagen type 1 C-terminal telopeptide (CTX) in serum. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| PTH | -10 to 240 minutes | PTH measured in serum PTH measured in serum |
| Sclerostin | -10 to 240 minutes | Bone marker |
| Glucose | -10 to 240 minutes | Measured in serum |
| Insulin | -10 to 240 minutes | Measured in serum |
| C-peptide | -10 to 240 minutes | Measured in serum |
| P1NP | -10 to 240 minutes | Bone formation measured as procollagen type 1 N-terminal propeptide (P1NP) in serum. |
| GLP-2 | -10 to 240 minutes | Glucagon-like peptide 2 measured in plasma. |
| Glucagon | -10 to 240 minutes | Glucagon measured in plasma |
| Blood pressure | -10 to 240 minutes | Measured before blood sampling |
| Heart rate | -10 to 240 minutes | Measured before blood sampling |
| GIP | -10 to 240 minutes | Glucose-dependent insulinotropic polypeptide measured in plasma |
Countries
Denmark