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Cardiovascular DiseasesCOCOANCT03835013

Haemodynamic Effects of GLP-1 and Glucagon in Healthy Male Volunteers

A study testing Saline 0.9%, Glucagon (25ng/kg/min) and Glucagon (50ng/kg/min) in people with Cardiovascular Diseases, run by Cambridge University Hospitals NHS Foundation Trust at 1 site in United Kingdom.

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

The study seeks to explore the cardiovascular effects of co-agonism at two peptide receptors, GLP-1 and glucagon. Glucagon, exenatide and 0.9% saline will be intravenously infused, both in isolation, and combination into healthy male participants. Read more about this study

Who is it for?
Ages 18 to 40 years, men onlyHealthy volunteers can take part
Conditions the study is for
Cardiovascular Diseases
What is being tested?
Saline 0.9%, Glucagon (25ng/kg/min) and Glucagon (50ng/kg/min)
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
26 participants
Where
1 siteUnited Kingdom
Study dates
11 Feb 2019to 1 Nov 2021
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
  • Men only
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Written informed consent to participate
  • Aged 18 to 40
  • Male
  • Current non-smoker
  • BMI >18.0 and <30kg/m2

Who cannot join

  • Female
  • Sustained Hypertension (sustained BP >160/100mmHg) or hypotension (systolic BP below 90 mmHg)
  • Clinically significant heart disease
  • Implanted heart pace-maker or implantable cardioverter defibrillator (ICD)
  • Known active malignancy
  • Known renal failure (creatinine >140μmol/L)
Show all 11Show fewer
  • Known diabetes mellitus (type 1 or 2)
  • Use of vasoactive medications or NSAIDS/aspirin within 24 hours of study visits
  • Use of formal anticoagulant therapy such as, but not limited to, heparin, warfarin or rivaroxaban
  • Current involvement in the active treatment phase of other research studies, (excluding observations/noninterventional)
  • Any other clinical reason which may preclude entry in the opinion of the investigator

Trial locations and contacts

1 site in 1 country.

United Kingdom1 site
  • Addenbrooke's Hospital

    Cambridge, Cambridgeshire, CB2 0QQ

Other trials in United Kingdom

About this study

Official title: A Comparison of the Haemodynamic and Metabolic Effects of Intravenous Glucagon-like Peptide-1, Glucagon and Glucagon-like Peptide-1:Glucagon Co-agonism in Healthy Male Participants

The study seeks to explore the cardiovascular effects of co-agonism at two peptide receptors, GLP-1 and glucagon. Glucagon, exenatide and 0.9% saline will be intravenously infused, both in isolation, and combination into healthy male participants. Overall, the aim of the study is to further our understanding on the role these endogenous substances play (both in isolation and combination) in haemodynamic regulation.

Read the detailed description

Co-agonist peptides (such as at the GLP-1:glucagon receptor) are currently in clinical development for type 2 diabetes with the dual intention of reducing body weight and controlling blood glucose. However, there is a lack of data on the effects that co-agonism has on haemodynamic regulation.

Part A - Healthy male participants, by acting as their own control, will attend for two intravenous infusion visits (combination of 0.9% saline and glucagon). These will occur in a predefined but random order so that participants will be blinded to the infusion they are receiving. Each infusion visit will comprise of 15 minute baseline followed by a 120 minute infusion. Detailed non-invasive cardiovascular measurements (including peripheral/central blood pressure, heart rate, stroke volume, heart rate variability) and bloods (including insulin, glucose, GLP-1, glucagon) will be collected as part of the study. It was previously planned that GLP-1 7-36 amide 0.6pmol/kg/min and 1.2pmol/kg/min would be infused for Part A resulting in 5 infusions (rather than current 2 infusions). However due to supply/technical issues this was not possible and therefore exenatide (GLP-1 receptor agonist) shall be used in Part B.

Part B - Healthy male participants, by acting as their own control, will attend for four intravenous infusion visits (combination of 0.9% saline, glucagon, exenatide). These will occur in a predefined but random order so that participants will be blinded to the infusion they are receiving. Each infusion visit will comprise of 15 minute baseline followed by a 60 minute infusion. Detailed non-invasive cardiovascular measurements (including peripheral/central blood pressure, heart rate, stroke volume, heart rate variability) and bloods (including insulin, glucose, GLP-1, glucagon) will be collected as part of the study.

Being tested
Saline 0.9%, Glucagon (25ng/kg/min), Glucagon (50ng/kg/min), Exenatide
Medical subject headings
Cardiovascular Diseases

What participants receive

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

  • Saline 0.9%Drug

    Also called Placebo

    Intravenous infusion of 0.9% saline

  • Glucagon (25ng/kg/min)Drug

    Also called Glucagon

    Intravenous infusion of glucagon 25ng/kg/min

  • Glucagon (50ng/kg/min)Drug

    Also called Glucagon

    Intravenous infusion of glucagon 50ng/kg/min

  • ExenatideDrug

    Intravenous infusion of Exenatide (loading 50ng/min for 30 minutes followed by 25ng/min for 30 minutes

Study groups in NCT03835013
Study groupRoleWhat they receive
Part A - Infusion APlacebo comparator1. 60 minute intravenous infusion of 0.9% saline Followed by: 2. 60 minute intravenous infusion of 0.9% saline
Receives: Drug: Saline 0.9%
Part A - Infusion BActive comparator1. 60 minute intravenous infusion of glucagon 25ng/kg/min and 0.9% saline. Followed by: 2. 60 minute infusion of glucagon 50ng/kg/min and 0.9% saline
Receives: Drug: Saline 0.9%; Drug: Glucagon (25ng/kg/min); Drug: Glucagon (50ng/kg/min)
Part B - Infusion AActive comparatorA 60 minute intravenous infusion of 0.9% saline
Receives: Drug: Saline 0.9%
Part B - Infusion BActive comparatorA 60 minute intravenous infusion of exenatide (50ng/min for 30 minutes followed by 25ng/min) and 0.9% saline
Receives: Drug: Saline 0.9%; Drug: Exenatide
Part B - Infusion CActive comparatorA 60 minute intravenous infusion of glucagon (25ng/kg/min) and 0.9% saline
Receives: Drug: Saline 0.9%; Drug: Glucagon (25ng/kg/min)
Part B - Infusion DActive comparatorA 60 minute intravenous infusion of exenatide (50ng/min for 30 minutes then 25ng/min) and glucagon (25ng/kg/min)
Receives: Drug: Glucagon (25ng/kg/min); Drug: Exenatide

What is being measured

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

  1. Changes in haemodynamic parameters following intravenous infusion of 0.9% saline, glucagon, exenatide and their combination.

    Heart rate (bpm)

    Measured: Comparison between 2 hour infusion visit 1-2 (Part A) / 1 hour infusion visit 1-4 (Part B), over a maximum period of 15 weeks

  2. Changes in haemodynamic parameters following intravenous infusion of 0.9% saline, glucagon, exenatide and their combination.

    Brachial systolic and diastolic blood pressure (mmHg)

    Measured: Comparison between 2 hour infusion visit 1-2 (Part A) / 1 hour infusion visit 1-4 (Part B), over a maximum period of 15 weeks

  3. Changes in haemodynamic parameters following intravenous infusion of 0.9% saline, glucagon, exenatide and their combination.

    Central systolic and diastolic blood pressure and mean arterial pressure (mmHg) measured with SphygmoCor XCEL

    Measured: Comparison between 2 hour infusion visit 1-2 (Part A) / 1 hour infusion visit 1-4 (Part B), over a maximum period of 15 weeks

  4. Changes in haemodynamic parameters following intravenous infusion of 0.9% saline, glucagon, exenatide and their combination.

    Stroke volume (ml) measured by bioimpedance

    Measured: Comparison between 2 hour infusion visit 1-2 (Part A) / 1 hour infusion visit 1-4 (Part B), over a maximum period of 15 weeks

  5. Changes in haemodynamic parameters following intravenous infusion of 0.9% saline, glucagon, exenatide and their combination.

    Cardiac output (L/min) measured by bioimpedance

    Measured: Comparison between 2 hour infusion visit 1-2 (Part A) / 1 hour infusion visit 1-4 (Part B), over a maximum period of 15 weeks

  6. Changes in haemodynamic parameters following intravenous infusion of 0.9% saline, glucagon, exenatide and their combination.

    peripheral vascular resistance (dynes/sec/cm)

    Measured: Comparison between 2 hour infusion visit 1-2 (Part A) / 1 hour infusion visit 1-4 (Part B), over a maximum period of 15 weeks

  7. Changes in haemodynamic parameters following intravenous infusion of 0.9% saline, glucagon, exenatide and their combination.

    Heart rate variability (normalised low frequency, LF, high frequency, HF and LF/HF ratio)

    Measured: Comparison between 2 hour infusion visit 1-2 (Part A) / 1 hour infusion visit 1-4 (Part B), over a maximum period of 15 weeks

Secondary outcomes (7)
  1. Changes in glucose homeostasis following intravenous infusion of 0.9% saline, glucagon, exenatide and their combination.

    Glucose, in mmol/L

    Measured: Comparison between 2 hour infusion visit 1-5 (Part A) / 1 hour infusion visit 1-4 (Part B), over a maximum period of 15 weeks

  2. Changes in glucose homeostasis following intravenous infusion of 0.9% saline, glucagon, exenatide and their combination.

    C-peptide, in pmol/L

    Measured: Comparison between 2 hour infusion visit 1-2 (Part A) / 1 hour infusion visit 1-4 (Part B), over a maximum period of 15 weeks

  3. Changes in glucose homeostasis following intravenous infusion of 0.9% saline, glucagon, exenatide and their combination.

    Glucagon, in pg/ml

    Measured: Comparison between 2 hour infusion visit 1-2 (Part A) / 1 hour infusion visit 1-4 (Part B), over a maximum period of 15 weeks

  4. Changes in glucose homeostasis following intravenous infusion of 0.9% saline, glucagon, exenatide and their combination.

    Insulin, in pmol/L

    Measured: Comparison between 2 hour infusion visit 1-2 (Part A) / 1 hour infusion visit 1-4 (Part B), over a maximum period of 15 weeks

  5. Changes in glucose homeostasis following intravenous infusion of 0.9% saline, glucagon, exenatide and their combination.

    Free fatty acids, in μmol/L

    Measured: Comparison between 2 hour infusion visit 1-2 (Part A) / 1 hour infusion visit 1-4 (Part B), over a maximum period of 15 weeks

  6. Changes in glucose homeostasis following intravenous infusion of 0.9% saline, glucagon, exenatide and their combination.

    Total GLP-1 and total active GLP-1, in pg/ml

    Measured: Comparison between 2 hour infusion visit 1-2 (Part A) / 1 hour infusion visit 1-4 (Part B), over a maximum period of 15 weeks

  7. Changes in glucose homeostasis following intravenous infusion of 0.9% saline, glucagon, exenatide and their combination.

    Gastric inhibitory polypeptide, in pg/ml

    Measured: Comparison between 2 hour infusion visit 1-2 (Part A) / 1 hour infusion visit 1-4 (Part B), over a maximum period of 15 weeks

Timeline

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

  1. First posted8 Feb 2019
  2. Study start11 Feb 2019
  3. Primary completion1 Nov 2021
  4. Study completion1 Nov 2021

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
Randomised
Intervention model
Parallel groups
Model description
Part A - 2 infusions Part B - 4 infusions
Masking
Single blind
Who is masked
Participant
Enrolment
26 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03835013
Sponsor's protocol ID
COCOA
Other IDs
18/EM/0417, 250402
Acronym
COCOA
Status last verified
Apr 2024
First submitted
25 Jan 2019
Last updated
3 Apr 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing Saline 0.9%, Glucagon (25ng/kg/min) and Glucagon (50ng/kg/min) in people with Cardiovascular Diseases, run by Cambridge University Hospitals NHS Foundation Trust at 1 site in United Kingdom.

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 5 inclusion and 11 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 3 Apr 2024. 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 United Kingdom. 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. Some participants in this study may receive a placebo. 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?

Changes in haemodynamic parameters following intravenous infusion of 0.9% saline, glucagon, exenatide and their combination. (time frame: Comparison between 2 hour infusion visit 1-2 (Part A) / 1 hour infusion visit 1-4 (Part B), over a maximum period of 15 weeks). The study lists 7 primary outcomes in all. 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 3 Apr 2024.

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