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CompletedNCT00673894Updated May 13, 2019Results posted

Effects of Glutamine on GLP-1 and Insulin Secretion in Man

An interventional study of Sitagliptin and Placebo in Type 2 Diabetes, sponsored by Garvan Institute of Medical Research. Completed at 1 site in Australia. Open to participants aged 40 Years to 70 Years. Per ClinicalTrials.gov, last updated 2019-05-13.

Sponsored by Garvan Institute of Medical Research · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
22
Allocation
Randomized
Ages
40 Years to 70 Years
Sex
All
01

Study summary

This study investigated the effect of glutamine, an amino acid, glycemia, glucagon-like peptide-1 (GLP-1) and insulin in participants with type 2 diabetes.

Read the detailed description

In this study, we investigated the effect of glutamine, an amino acid, on glycemia and on GLP-1 and insulin in participants with type 2 diabetes. Preliminary data published by our group suggests that glutamine is a strong determinant of GLP-1 secretion in vitro. We tested the hypothesis that glutamine lowers postprandial blood glucose and investigated whether the dipeptidyl peptidase-4 (DPP-4) inhibitor sitagliptin modifies this effect.

02

Conditions studied

  • Type 2 Diabetes
03

In context

Lead sponsor

Garvan Institute of Medical Research is the lead sponsor of 10 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
40 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Type 2 diabetes, on metformin or diet alone (not sulphonylureas or insulin)

Exclusion criteria

Exclusion Criteria:

  • Malabsorption, renal or liver disease, treatment with steroids
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
22 participants (actual)

Study arms

  • Experimental
    Glutamine+Sitagliptin

    Glutamine 30 g/d (15 g with breakfast and dinner) + Sitagliptin

    Drug: Sitagliptin

  • Placebo comparator
    Glutamine+Placebo

    Glutamine 30 g/d (15 g with breakfast and dinner) + placebo

    Drug: Placebo

Interventions

  • DrugSitagliptin

    Glutamine 30g +sitagliptin 100mg

    Also known as: Januvia

  • DrugPlacebo

    Glutamine 30g +placebo (matching sitagliptin 100 mg)

06

What researchers measure

Primary outcomes

  1. Postprandial Glucose Area Under the Curve (AUC)

    The area under the curve (AUC) of the postprandial glucose following a meal challenge

    Time frame: 0 to 180 minutes

Secondary outcomes

  1. Fructosamine

    The blood concentration of the glycemic control marker fructosamine

    Time frame: 4 weeks

07

Results

Posted May 13, 2019

Participant flow

First Intervention 4 Weeks
Participant flow — First Intervention 4 Weeks
MilestoneSitagliptin, Then PlaceboPlacebo, Then Sitagliptin
Started87
Completed67
Not completed20
Withdrew: Withdrawal by subject10
Withdrew: Adverse event10
Washout 4-6 Weeks
Participant flow — Washout 4-6 Weeks
MilestoneSitagliptin, Then PlaceboPlacebo, Then Sitagliptin
Started67
Completed67
Not completed00
Second Intervention 4 Weeks
Participant flow — Second Intervention 4 Weeks
MilestoneSitagliptin, Then PlaceboPlacebo, Then Sitagliptin
Started67
Completed67
Not completed00

Outcome measures

PrimaryPostprandial Glucose Area Under the Curve (AUC)

The area under the curve (AUC) of the postprandial glucose following a meal challenge

Time frame:
0 to 180 minutes
Reported as:
Mean · mmol/L*t
Postprandial Glucose Area Under the Curve (AUC)
mmol/L*tGlutamine+SitagliptinGlutamine+Placebo
Postprandial Glucose Area Under the Curve (AUC)1341 ± 1801463 ± 179
SecondaryFructosamine

The blood concentration of the glycemic control marker fructosamine

Time frame:
4 weeks
Reported as:
Mean · micro mol per litre
Fructosamine
micro mol per litreGlutamine+SitagliptinGlutamine+Placebo
Fructosamine244 ± 41240 ± 30

Adverse events

Collected over Adverse events were collected during the 4 weeks treatment with the first arm and then during the 4 weeks of treatment with the second arm. Total of 8 weeks.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Sitagliptin0/13 (0%)0/13 (0%)0/13 (0%)
Placebo0/13 (0%)0/13 (0%)0/13 (0%)

Baseline characteristics

Participants who were randomized to receive either sitagliptin 100 mg tablet or placebo tablet (matching sitagliptin 100 mg)

Age, Categorical
Age, Categorical(Participants)First Received Sitagliptin, Then PlaceboFirst Received Placebo, Then SitagliptinTotal
<=18 years000
Between 18 and 65 years336
>=65 years347
Age, Continuous
Age, Continuous(years)First Received Sitagliptin, Then PlaceboFirst Received Placebo, Then SitagliptinTotal
Mean64 ± 865 ± 565 ± 6
Sex: Female, Male
Sex: Female, Male(Participants)First Received Sitagliptin, Then PlaceboFirst Received Placebo, Then SitagliptinTotal
Female224
Male459
Region of Enrollment
Region of Enrollment(participants)First Received Sitagliptin, Then PlaceboFirst Received Placebo, Then SitagliptinTotal
Australia6713
08

Study locations

1 site
  • Clinical Research Facility
    Sydney, New South Wales 2010, Australia
09

References and documents

Publications

  • Samocha-Bonet D, Wong O, Synnott EL, Piyaratna N, Douglas A, Gribble FM, Holst JJ, Chisholm DJ, Greenfield JR. Glutamine reduces postprandial glycemia and augments the glucagon-like peptide-1 response in type 2 diabetes patients. J Nutr. 2011 Jul;141(7):1233-8. doi: 10.3945/jn.111.139824. Epub 2011 May 18. PubMed 21593352 ↗
  • Samocha-Bonet D, Chisholm DJ, Holst JJ, Greenfield JR. L-glutamine and whole protein restore first-phase insulin response and increase glucagon-like peptide-1 in type 2 diabetes patients. Nutrients. 2015 Mar 24;7(4):2101-8. doi: 10.3390/nu7042101. PubMed 25811109 ↗
  • Samocha-Bonet D, Chisholm DJ, Gribble FM, Coster AC, Carpenter KH, Jones GR, Holst JJ, Greenfield JR. Glycemic effects and safety of L-Glutamine supplementation with or without sitagliptin in type 2 diabetes patients-a randomized study. PLoS One. 2014 Nov 20;9(11):e113366. doi: 10.1371/journal.pone.0113366. eCollection 2014. PubMed 25412338 ↗

Individual participant data

Plan to share: No

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 13, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT00673894
Lead sponsor
Garvan Institute of Medical Research
Responsible party
Dr Jerry Greenfield (Prof, Garvan Institute of Medical Research) — Principal investigator
First posted
May 7, 2008
Start date
Apr 2008
Primary completion
Dec 2011
Completion
Nov 2014
Results posted
May 13, 2019
Last update
May 13, 2019

Study contacts

Jerry R Greenfield, MD, PhD
principal investigator · Garvan Institute of Medical Research

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Feb 2019. You cannot join it, but the record below documents what was studied.

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