Activation of Cervical and Upper Thoracic Brown Adipose Tissue in Humans Via Beta-adrenergic Stimulation
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Purpose
In this study the investigators aim to quantitate the extent of cervical and upper thoracic brown adipose tissue (BAT) activation in lean and obese humans via positron emission tomography-computed tomography (PET-CT) in response to the non-specific beta adrenergic receptor (AR) agonist ephedrine. The investigators hypothesise that this pharmacological adrenergic stimulus will result in activation of BAT in these participants, and that this activation will be reduced in obese patients. This study will provide important preliminary information with respect to allowing the investigators to progress with longer trials with specific beta 3 AR agonists.
| Condition | Intervention |
|---|---|
|
Obesity |
Drug: ephedrine hydrochloride |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Crossover Assignment Masking: Double Blind (Subject, Caregiver, Investigator) Primary Purpose: Basic Science |
| Official Title: | Activation of Cervical and Upper Thoracic Brown Adipose Tissue in Humans Via Beta-adrenergic Stimulation |
- BAT activity via PET-CT [ Time Frame: Baseline and 3 weeks ] [ Designated as safety issue: No ]
| Enrollment: | 25 |
| Study Start Date: | December 2009 |
| Primary Completion Date: | December 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: Adrenergic agonist |
Drug: ephedrine hydrochloride
single oral dose, 1mg/kg body weight
Drug: ephedrine hydrochloride
single dose of 1 mg/kg body weight
|
Eligibility| Ages Eligible for Study: | 20 Years to 40 Years |
| Genders Eligible for Study: | Male |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria: healthy group
- Males aged 20 - 40 years
- Free of overt coronary disease (on history, medical examination and ECG)
- Fasting plasma glucose < 6.1 mmol/L and 2 hour OGTT glucose < 7.8 mmol/L
- Unmedicated
- No major illness
- BMI 18 - 25
Inclusion Criteria: obese group
- Males aged 20 - 40 years
- Free of overt coronary disease (on history, medical examination and ECG)
- Unmedicated
- No major illness
- BMI 30+
- Weight < 100 kg
- Height < 185 cm
The inclusion criteria (Obese participants) of body weight less than ~100 kg is implemented as the PET-CT scanner to be utilised (protocol described subsequently) has a limited patient volume. Therefore to fit within the criteria of BMI > 30, only patients of height ~183 cm or less can be recruited, and inclusion of borderline participants will be discussed with co-investigators from the Alfred Hospital Nuclear Medicine Department.
Exclusion Criteria: healthy group
- Unable to give informed consent
- Smokers
- Lactose intolerance
Exclusion Criteria: obese group
- Unable to give informed consent
- Smokers
- Lactose intolerance
- Participant in research projects involving ionising radiation within the past 5 years
- claustrophobia
Contacts and Locations
More Information
Publications:
| Responsible Party: | Bayside Health |
| ClinicalTrials.gov Identifier: | NCT01015794 History of Changes |
| Other Study ID Numbers: | 404/09 |
| Study First Received: | October 29, 2009 |
| Last Updated: | February 12, 2013 |
| Health Authority: | Australia: Therapeutic Goods Administration |
Additional relevant MeSH terms:
|
Obesity Overnutrition Nutrition Disorders Overweight Body Weight Signs and Symptoms Adrenergic Agents Ephedrine Pseudoephedrine Neurotransmitter Agents Molecular Mechanisms of Pharmacological Action Pharmacologic Actions Physiological Effects of Drugs |
Central Nervous System Stimulants Central Nervous System Agents Therapeutic Uses Sympathomimetics Autonomic Agents Peripheral Nervous System Agents Vasoconstrictor Agents Cardiovascular Agents Nasal Decongestants Respiratory System Agents Bronchodilator Agents Anti-Asthmatic Agents |
ClinicalTrials.gov processed this record on May 16, 2013