Spinal Muscular Atrophy (SMA), Cerebral Palsy (CP), Duchenne Muscular Dystrophy (DMD)
Conditions
Brief summary
Both GIP and GLP-2 reduce bone resorption (measured as CTX) in healthy adult individuals. In this study, we will investigate whether GIP and GLP-2 reduce CTX in children with spinal muscular atrophy, duchenne muscular dystrophy, or cerebral palsy.
Interventions
Ingestion of an oral liquid meal (nutridrink), 3.3 mL/kg body weight.
Subcutaneous GIP + GLP-2 injection (1 mL containing 100 microgram GIP + 1 mL containing 400 microgram GLP-2).
Subcutaneous saline injection (2 mL isotonic saline).
Sponsors
Study design
Eligibility
Inclusion criteria
\- Diagnosis with Cerebral palsy (CP), Duchenne muscular dystrophy (DMD) or Spinal muscular atrophy (SMA) resulting in the need of a wheelchair
Exclusion criteria
* Use of anti-resorptive medication * Confounding illnesses * Pregnancy * Allergy towards the components given on the test days * Hgb\<6.5 mmol/L
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| CTX | -10 to 240 minutes | Bone resorption measured as carboxy-terminal telopeptide of type I collagen (CTX) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| PTH | -10 to 240 minutes | Parathyroid hormone (PTH) measured in plasma |
| Glucose | -10 to 240 minutes | Blood glucose measured in plasma |
| GIP | -10 to 240 minutes | Glucose-dependent insulinotropic polypeptide (GIP) measured in plasma |
| P1NP | -10 to 240 minutes | Bone formation measured as procollagen type I N-terminal propeptide (P1NP) |
| Blood pressure | -10 to 240 minutes | Measured before blood sampling |
| Heart rate | -10 to 240 minutes | Measured before blood sampling |
| GLP-2 | -10 to 240 minutes | Glucagon-like-peptide 2 (GLP-2) measured in plasma |
Countries
Denmark