Not yet recruiting NCT07653464
Interplay of Central and Peripheral Vascular Effects of Insulin in Obesity
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: human insulin.
- Who it may be relevant to
- Registry conditions: Obesity (BMI>30), Insulin Resistance. Basic parameters: 18 years — 65 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- United States
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Unsure about the terms? Read our patient guide →
Overview
Determine the impact of obesity with insulin resistance on the neurovascular response to brain insulin stimulation.
Interventions
- Drug human insulin
Participants will be administered human insulin (160 IU) using an intra-nasal device.
Primary outcome measures
- Amount of muscle sympathetic nerve activity (MSNA) [Time frame: Change from baseline at minute 30]
- Amount of cerebral blood flow [Time frame: Change from baseline at minute 30]
- Amount of leg blood flow [Time frame: Change from baseline at minute 30]
Eligibility criteria
Inclusion criteria
- 18 to 65 years of age
Individuals with obesity and comorbid IR
- BMI 30-45 kg/m2
- Waist circumference ≥102 cm (men) or ≥88 cm (women)
- HOMA-IR ≥2.5
Healthy normal weight adults
- BMI 18-25 kg/m2
- Waist circumference <94 cm (men) and <80 cm (women)
- HOMA-IR <2
Exclusion criteria
- Pregnancy, breastfeeding
- Unable to provide consent
- Diabetes or polycystic ovarian syndrome
- Known history of cardiovascular disease: heart failure, ischemic heart disease, peripheral artery disease, stroke
- Nerve/neurologic disease
- Uncontrolled hypertension (systolic blood pressure >180 mmHg and/or diastolic blood pressure >100 mmHg)
- Active cancer (excluding basal cell carcinoma or stage 1 squamous cell carcinoma of the skin)
- Current smoking, tobacco, nicotine use
- Use of pharmacological therapy for weight loss
- Body weight change >10% within the last 6 months
- Adherence to >150 min/week of moderate-to-vigorous physical activity/exercise
- Participation in any other research study or medical procedure involving significant ionizing radiation exposure in the past 12 months
- Claustrophobia
- Non-MRI compatible metal implants
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: Yes
Study design
- Allocation
- Non-randomized
- Model
- Parallel assignment
- Masking
- Open label
- Primary purpose
- Basic science
Study locations
United States · 1 center
- University of Missouri — Columbia
Identifiers
NCT: NCT07653464 · 2134707