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Diabetes Mellitus, Type 2NCT01553968

Effects of Acute Exercise on Acetylcarnitine Concentration in Endurance Trained and Untrained Subjects

A study testing Cycling in people with Diabetes Mellitus, Type 2, run by Maastricht University Medical Center at 1 site in Netherlands.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

It has been suggested that imbalance between TCA-cycle flux and β-oxidation may underlie insulin resistance, a predisposing factor for the development of type 2 diabetes mellitus. Acetylcarnitine concentration is suggested to be a marker of such imbalance. Read more about this study

Who is it for?
Ages 18 to 40 yearsHealthy volunteers can take part
Conditions the study is for
Diabetes Mellitus, Type 2
What is being tested?
Cycling
Could I receive a placebo?
No, everyone receives an active treatment
How many people
9 participants
Where
1 siteNetherlands
Study dates
Apr 2012to Jun 2014
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 40 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Normal weight (BMI 18-25 kg/m2)
  • Healthy
  • Stable dietary habits
  • No use of medication
  • VO2-max for trained subjects above 50 mL/min/kg
  • VO2-max for untrained subjects below 40 mL/min/kg

Who cannot join

  • Any medical condition requiring treatment and/or medication use OR diminishing exercise tolerance
  • Alcohol consumption of more than 20 g per day (± 2 units)
  • Unstable body weight (weight gain or loss > 3 kg in the past three months)
  • Participation in another biomedical study within 1 month prior to the screening visit
  • Contraindications for MRI scan:
  • Central nervous system aneurysm clips
Show all 12Show fewer
  • Implanted neural stimulator
  • Implanted cardiac pacemaker of defibrillator
  • Cochlear implant
  • Iron- containing corpora aliena in the eye or brain
  • Hearing aids and artificial (heart) valves which is contraindicated for MRS
  • Subjects, who do not want to be informed about unexpected medical findings cannot participate in the study.

Trial locations and contacts

1 site in 1 country.

Netherlands1 site
  • Maastricht University Medical Center

    Maastricht, Limburg, 6202 AZ

Other trials in Netherlands

About this study

It has been suggested that imbalance between TCA-cycle flux and β-oxidation may underlie insulin resistance, a predisposing factor for the development of type 2 diabetes mellitus. Acetylcarnitine concentration is suggested to be a marker of such imbalance. It is expected that when TCA-cycle capacity is high (a high oxidative capacity), less acetylcarnitine will accumulate, because of an improved balance between supply and demand of lipids.

The major research objective is to examine if acute exercise results in a more pronounced increase in acetylcarnitine concentration in sedentary subjects compared to endurance-trained subjects and if the exercise-induced increase in acetylcarnitine is restored more quickly in endurance-trained subjects when compared to sedentary subjects.

Read more

The investigators hypothesize that the increase in acetylcarnitine levels will be lower in trained subjects when compared to sedentary subjects, due to a better balance between lipid supply and utilization by the TCA-cycle. Furthermore it is expected that acetylcarnitine concentrations will be restored faster in these trained subjects, because of a tighter regulation of influx of fatty acids.

To test this hypothesis the investigators want to compare the acetylcarnitine response to exercise in a group of sedentary subjects and a group of endurance trained subjects. This response will be measured for 30 minutes after exercise with the use of 1H-MRS.

Being tested
Cycling
Medical subject headings
Diabetes Mellitus, Type 2

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • CyclingOther

    30 minutes of cycling at 50% of predetermined maximal performance

Study groups in NCT01553968
Study groupRoleWhat they receive
Endurance Trained SubjectsOtherNot described
Receives: Other: Cycling
Untrained SubjectsOtherNot described
Receives: Other: Cycling

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Exercise-induced changes in acetylcarnitine concentrations and dynamics of acetylcarnitine restoration after exercise

    Acetylcarnitine concentration measured with Proton Magnetic Resonance Spectroscopy (1H-MRS)

    Measured: During 30 minutes prior to the exercise and for 30 minutes after exercise

Secondary outcomes (4)
  1. Substrate oxidation

    Measured with indirect calorimetry

    Measured: Measured during the 30 minutes of exercise

  2. Blood plasma free fatty acids

    Blood sample of 10 mL

    Measured: At the start and at the end of 30 minutes of exercise

  3. Blood plasma triglycerides

    Blood sample of 10 mL

    Measured: At the start and at the end of 30 minutes of exercise

  4. Blood plasma glucose

    Blood sample of 10 mL

    Measured: At the start and at the end of 30 minutes of exercise

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted14 Mar 2012 (estimated)
  2. Study startApr 2012
  3. Primary completionMar 2014
  4. Study completionJun 2014

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Basic science
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
9 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01553968
Sponsor's protocol ID
11-2-069
Status last verified
Jul 2012
First submitted
7 Mar 2012
Last updated
20 Sep 2016
Results posted
No
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A study testing Cycling in people with Diabetes Mellitus, Type 2, run by Maastricht University Medical Center at 1 site in Netherlands.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 12 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 20 Sep 2016. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Netherlands. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Exercise-induced changes in acetylcarnitine concentrations and dynamics of acetylcarnitine restoration after exercise (time frame: During 30 minutes prior to the exercise and for 30 minutes after exercise). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 20 Sep 2016.

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