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NCT06392854 | Not yet recruiting | Obesity

Regional Lipolysis Insulin Regulation
Sponsor:

Mayo Clinic

Information provided by (Responsible Party):

Michael D. Jensen

Brief Summary:

Adults who gain most of their excess weight in the abdominal area typically do not respond to insulin in the same way as lean adults. Researchers are trying to understand why fat tissue responds differently in people with different body types.

Condition or disease

Obesity

Intervention/treatment

Insulin

Phase

Early Phase 1

Detailed Description:

Measure regional FFA release in volunteers with and without UBO under two different conditions that suppress lipolysis and a condition that markedly stimulates lipolysis.

Study Type : Interventional
Estimated Enrollment : 48 participants
Masking : None (Open Label)
Primary Purpose : Basic Science
Official Title : Insulin Regulation of Regional Lipolysis
Actual Study Start Date : June 1, 2024
Estimated Primary Completion Date : June 1, 2028
Estimated Study Completion Date : July 1, 2028
Arm Intervention/treatment

Other: obesity status

obesity

Drug: Insulin

Other: lean

non-obese

Drug: Insulin
Ages Eligible for Study: 18 Years to 65 Years
Sexes Eligible for Study: All
Accepts Healthy Volunteers: Accepts Healthy Volunteers
Criteria
Inclusion Criteria
  • Males and females 18-65years who are able to comprehend instructions, follow study procedures and who willing to provide written, informed consent will be included. The volunteers will consume an isoenergetic diet eating all meals from Mayo CRTU for 3 days prior to study.
  • Overweight/Obese volunteers will have a BMI 29.0 - 37.0 kg/m2
  • Upper body/visceral obesity (UBO) in women will be defined as those with a waist-hip ratio (WHR) > 0.85 and/or increased visceral fat by single slice CT scan, usually with > 120 cm2 of visceral fat by CT scanning or a visceral fat/total fat ratio of > 0.30, and/or biochemical evidence of metabolic syndrome as defined by ATP III criteria (fasting plasma triglycerides ≥ 150 mg/dL, HDL-cholesterol < 50 mg/dL for women and < 40 mg/dL for men, fasting plasma glucose ≥ 100 mg/dL). Upper body obesity in men will be defined as a waist-hip ratio of >0.95 and/or increased visceral fat (visceral fat area > 180 cm2 or a visceral/total fat abdominal ratio by CT of > 0.40) by single slice CT scan and/or biochemical evidence of metabolic syndrome as defined by ATP III criteria. These visceral fat values are based upon the data collected at Mayo Clinic using our methods, and are correlated with dyslipidemia and hyperinsulinemia.
  • Lower body obesity (LBO) in women will be defined as a waist-hip ratio of <0.75 and/or a lower visceral fat by single slice CT scan, usually < 120 cm2 or a visceral fat/total fat ratio of ≤ 0.30 and fasting plasma triglycerides within the normal range. The term "lower body men" is used to describe a male phenotype that is characteristic of adipose insulin sensitivity even with excess body fat. A waist to hip ratio isn't suitable for this description as it is for women. LBO men will be defined as obese men with normal fasting plasma triglycerides, normal fasting plasma glucose and greater proportional leg fat via DEXA.
  • Female subjects are eligible if they meet the following criteria
    • Are not pregnant or nursing.
    • All women of childbearing potential will have a negative urine pregnancy test at screening and a negative urine pregnancy test day of admission for inpatient study visit.
    Exclusion Criteria
    • Individuals with a history of a disease process such as
      • Ischemic heart disease
      • Atherosclerotic valvular disease
      • Persistent blood pressure greater than 160/95 despite antihypertensive medication
      • Smokers
      • Diagnosis Diabetes Mellitus
      • Concomitant use of medications that can alter free fatty acid metabolism, including, but not limited to niacin, thiazolidinediones, beta-blockers, oral or injected corticosteroids or anabolic steroids.
      • Allergy to lidocaine
      • Allergy to indocyanine green.
Regional Lipolysis Insulin Regulation

Location Details

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Regional Lipolysis Insulin Regulation

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Locations

Not yet recruiting

United States, Minnesota

Mayo Clinic in Rochester

Rochester, Minnesota, United States, 55905