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CompletedNCT01935791Updated May 18, 2021Results posted

Investigating Brown Adipose Tissue Activation in Humans

An interventional study of Period 1 Visit 1 - Cold PET-CT Vehicle, Visit 2 -Warm PET-CT Vehicle and Period 1 Visit 1 - Cold PET-CT Vehicle, Visit 2 -Warm PET-CT Glucagon in Metabolic Diseases, sponsored by Imperial College London. Completed at 1 site in United Kingdom. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2021-05-18.

Sponsored by Imperial College London · Not applicable, Interventional, and Basic science

Phase
Not applicable
Study type
Interventional
Enrollment
11
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to determine what can activate brown adipose tissue (BAT).

Read the detailed description

We will investigate different stimuli (i.e. hormones) to determine which can stimulate BAT.

02

Conditions studied

  • Metabolic Diseases

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Keywords

  • Metabolic Diseases
03

In context

Metabolic Diseases

997 studies on the registry are indexed under Metabolic Diseases; 234 are open to participants now.

This study's enrollment of 11 is below the median of 48 across 670 interventional studies indexed under Metabolic Diseases.

Browse Metabolic Diseases studies →

Lead sponsor

Imperial College London is the lead sponsor of 824 studies on the registry; 178 are open to participants now.

Of its 9 completed or terminated interventional studies of FDA-regulated products, 6 (67%) have results posted.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • aged >18 years

Exclusion criteria

Exclusion Criteria:

  • medical conditions
  • recreational drug use
  • participation in other trials within the preceding 2 months
  • blood donation within 3 months of study participation
05

Study design

Phase
Not applicable
Primary purpose
Basic science
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Single (Participant)
Enrollment
11 participants (actual)

Study arms

  • Active comparator
    Period 1 Visit 1 - Cold PET-CT Vehicle, Visit 2 -Warm PET-CT Vehicle

    Visit 1. Participants underwent F-fluorodeoxyglucose (18F-FDG) positron emission tomography, computerised tomography-(PET)CT, whilst wearing a cooling vest and receiving an infusion of gelofusine. Visit 2 Participants underwent F-fluorodeoxyglucose (18F-FDG) positron emission tomography, computerised tomography-(PET)CT, whilst receiving an infusion of gelofusine without a cooling vest.

    Other: Period 1 Visit 1 - Cold PET-CT Vehicle, Visit 2 -Warm PET-CT Vehicle

  • Experimental
    Period 1 Visit 1 - Cold PET-CT Vehicle, Visit 2 -Warm PET-CT Glucagon

    Visit 1. Participants underwent F-fluorodeoxyglucose (18F-FDG) positron emission tomography, computerised tomography-(PET)CT, whilst wearing a cooling vest and receiving an infusion of gelofusine Visit 2 Participants underwent F-fluorodeoxyglucose (18F-FDG) positron emission tomography, computerised tomography-(PET)CT, whilst receiving an infusion of Glucagon at a dose of 50ng/kg/min without a cooling vest.

    Drug: Period 1 Visit 1 - Cold PET-CT Vehicle, Visit 2 -Warm PET-CT Glucagon

  • Active comparator
    Period 1 Visit 1 - Cold PET-CT Vehicle, no visit 2 as BAT negative

    Visit 1. Participants underwent F-fluorodeoxyglucose (18F-FDG) positron emission tomography, computerised tomography-(PET)CT, whilst wearing a cooling vest and receiving an infusion of gelofusine. No brown adipose tissue (BAT) identified on visit 1, therefore no visit 2.

    Other: Period 1 Visit 1 - Cold PET-CT Vehicle, no visit 2 as BAT negative

  • Experimental
    Period 2 - Visit 1 Warm Control vehicle, Visit 2 Warm Glucagon, Visit 3 Cold control

    Visit 1- Each participant had calorimetry testing and thermal imaging whilst receiving an infusion of gelofusine. They were situated in an ambient temperature of 22-25 degrees celsius. Visit 2 - Each participant had calorimetry testing and thermal imaging whilst receiving an infusion of Glucagon at a dose of 50ng/kg/min. They were situated in an ambient temperature of 22-25 degrees celsius. Visit 3 - Each participant had calorimetry testing and thermal imaging whilst receiving an infusion of gelofusine and wearing a cooling vest.

    Drug: Period 2 - Visit 1 Warm Control vehicle, Visit 2 Warm Glucagon, Visit 3 Cold control

  • Experimental
    Period 2 - Visit 1 Warm Glucagon, Visit 2 Cold control , Visit 3 Warm control

    Visit 1- Each participant had calorimetry testing and thermal imaging whilst receiving an infusion of Glucagon at a dose of 50ng/kg/min. They were situated in an ambient temperature of 22-25 degrees celsius. Visit 2 - Each participant had calorimetry testing and thermal imaging whilst receiving an infusion of gelofusine and wearing a cooling vest. Visit 3 Each participant had calorimetry testing and thermal imaging whilst receiving an infusion of gelofusine. They were situated in an ambient temperature of 22-25 degrees celsius.

    Drug: Period 2 - Visit 1 Warm Glucagon, Visit 2 Cold control , Visit 3 Warm control

  • Experimental
    Period 2 -Visit 1 cold control, Visit 2 warm control, Visit 3 Warm glucagon

    Visit 1 - Each participant had calorimetry testing and thermal imaging whilst receiving an infusion of gelofusine and wearing a cooling vest. Visit 2 - Each participant had calorimetry testing and thermal imaging whilst receiving an infusion of gelofusine. They were situated in an ambient temperature of 22-25 degrees celsius. Visit 3 - Each participant had calorimetry testing and thermal imaging whilst receiving an infusion of Glucagon at a dose of 50ng/kg/min. They were situated in an ambient temperature of 22-25 degrees celsius.

    Drug: Period 2 -Visit 1 cold control, Visit 2 warm control, Visit 3 Warm glucagon

  • Experimental
    Period 2 -Visit 1 cold control, visit 2 warm glucagon, visit 3 warm control

    Visit 1 - Each participant had calorimetry testing and thermal imaging whilst receiving an infusion of gelofusine and wearing a cooling vest. Visit 2- Each participant had calorimetry testing and thermal imaging whilst receiving an infusion of Glucagon at a dose of 50ng/kg/min. They were situated in an ambient temperature of 22-25 degrees Celsius. Visit 3 - Each participant had calorimetry testing and thermal imaging whilst receiving an infusion of gelofusine. They were situated in an ambient temperature of 22-25 degrees Celsius.

    Drug: Period 2 -Visit 1 cold control, visit 2 warm glucagon, visit 3 warm control

  • Experimental
    Period 2- Visit 1 Warm glucagon, visit 2 warm control, visit 3 cold control

    Visit 1- Each participant had calorimetry testing and thermal imaging whilst receiving an infusion of Glucagon at a dose of 50ng/kg/min. They were situated in an ambient temperature of 22-25 degrees Celsius. Visit 2 Each participant had calorimetry testing and thermal imaging whilst receiving an infusion of gelofusine. They were situated in an ambient temperature of 22-25 degrees Celsius. Visit 3- Each participant had calorimetry testing and thermal imaging whilst receiving an infusion of gelofusine and wearing a cooling vest.

    Drug: Period 2- Visit 1 Warm glucagon, visit 2 warm control, visit 3 cold control

  • Experimental
    Period 2 - Visit 1 Warm control, visit 2 cold control, visit 3 warm glucagon

    Visit 1 Each participant had calorimetry testing and thermal imaging whilst receiving an infusion of gelofusine. They were situated in an ambient temperature of 22-25 degrees Celsius. Visit 2- Each participant had calorimetry testing and thermal imaging whilst receiving an infusion of gelofusine and wearing a cooling vest. Visit 3 Each participant had calorimetry testing and thermal imaging whilst receiving an infusion of Glucagon at a dose of 50ng/kg/min. They were situated in an ambient temperature of 22-25 degrees Celsius

    Drug: Period 2 - Visit 1 Warm control, visit 2 cold control, visit 3 warm glucagon

Interventions

  • OtherPeriod 1 Visit 1 - Cold PET-CT Vehicle, Visit 2 -Warm PET-CT Vehicle

    Temperature

  • DrugPeriod 1 Visit 1 - Cold PET-CT Vehicle, Visit 2 -Warm PET-CT Glucagon

    Hormone

  • OtherPeriod 1 Visit 1 - Cold PET-CT Vehicle, no visit 2 as BAT negative

    Temperature

  • DrugPeriod 2 - Visit 1 Warm Control vehicle, Visit 2 Warm Glucagon, Visit 3 Cold control

    Hormone

  • DrugPeriod 2 - Visit 1 Warm Glucagon, Visit 2 Cold control , Visit 3 Warm control

    Hormone

  • DrugPeriod 2 -Visit 1 cold control, Visit 2 warm control, Visit 3 Warm glucagon

    hormone

  • DrugPeriod 2 -Visit 1 cold control, visit 2 warm glucagon, visit 3 warm control

    hormone

  • DrugPeriod 2- Visit 1 Warm glucagon, visit 2 warm control, visit 3 cold control

    hormone

  • DrugPeriod 2 - Visit 1 Warm control, visit 2 cold control, visit 3 warm glucagon

    Hormone

06

What researchers measure

Primary outcomes

  1. Brown Adipose Tissue Activation Following Glucagon or Saline Infusion

    Period 1 Brown Adipose Tissue (BAT) activation measured using metabolic rate of glucose (MR\[gluc\]) during F-fluorodeoxyglucose (18F-FDG) positron emission tomography (PET-CT) for Cold PET-CT Vehicle vs Warm PET-CT Vehicle vs warm PET-CT Glucagon.

    Time frame: 2hours

  2. Increase in Energy Expenditure Following Glucagon or Saline Infusion

    Period 2 Increase in energy expenditure measured using indirect calorimetry for Cold control vs Warm Control vs Warm Glucagon.

    Time frame: 2hours

07

Results

Posted May 18, 2021

Participant flow

Period 1
Participant flow — Period 1
MilestonePeriod 1 Visit 1 - Cold PET-CT Vehicle, Visit 2 -Warm PET-CT VehiclePeriod 1 Visit 1 - Cold PET-CT Vehicle, Visit 2 -Warm PET-CT GlucagonPeriod 1 Visit 1 - Cold PET-CT Vehicle, no Visit 2 as BAT NegativePeriod 2 - Visit 1 Warm Control Vehicle, Visit 2 Warm Glucagon, Visit 3 Cold ControlPeriod 2 - Visit 1 Warm Glucagon, Visit 2 Cold Control , Visit 3 Warm ControlPeriod 2 -Visit 1 Cold Control, Visit 2 Warm Control, Visit 3 Warm GlucagonPeriod 2 -Visit 1 Cold Control, Visit 2 Warm Glucagon, Visit 3 Warm ControlPeriod 2- Visit 1 Warm Glucagon, Visit 2 Warm Control, Visit 3 Cold ControlPeriod 2 -Visit 1 Warm Control, Visit 2 Cold Control, Visit 3 Warm Glucagon
Started443000000
Completed443000000
Not completed000000000
Period 2
Participant flow — Period 2
MilestonePeriod 1 Visit 1 - Cold PET-CT Vehicle, Visit 2 -Warm PET-CT VehiclePeriod 1 Visit 1 - Cold PET-CT Vehicle, Visit 2 -Warm PET-CT GlucagonPeriod 1 Visit 1 - Cold PET-CT Vehicle, no Visit 2 as BAT NegativePeriod 2 - Visit 1 Warm Control Vehicle, Visit 2 Warm Glucagon, Visit 3 Cold ControlPeriod 2 - Visit 1 Warm Glucagon, Visit 2 Cold Control , Visit 3 Warm ControlPeriod 2 -Visit 1 Cold Control, Visit 2 Warm Control, Visit 3 Warm GlucagonPeriod 2 -Visit 1 Cold Control, Visit 2 Warm Glucagon, Visit 3 Warm ControlPeriod 2- Visit 1 Warm Glucagon, Visit 2 Warm Control, Visit 3 Cold ControlPeriod 2 -Visit 1 Warm Control, Visit 2 Cold Control, Visit 3 Warm Glucagon
Started000231131
Completed000231131
Not completed000000000

Outcome measures

PrimaryBrown Adipose Tissue Activation Following Glucagon or Saline Infusion

Period 1 Brown Adipose Tissue (BAT) activation measured using metabolic rate of glucose (MR\[gluc\]) during F-fluorodeoxyglucose (18F-FDG) positron emission tomography (PET-CT) for Cold PET-CT Vehicle vs Warm PET-CT Vehicle vs warm PET-CT Glucagon.

Time frame:
2hours
Reported as:
Mean · MR[gluc] umol/kg/min
Brown Adipose Tissue Activation Following Glucagon or Saline Infusion
MR[gluc] umol/kg/minPeriod 1 Cold PET-CT VehiclePeriod 1 Warm PET-CT VehiclePeriod 1 Warm PET(CT) Glucagon
Brown Adipose Tissue Activation Following Glucagon or Saline Infusion0.074 ± 0.0070.010 ± 0.0030.029 ± 0.008
Statistical analysis
  • Period 1 Cold PET-CT Vehicle vs Period 1 Warm PET-CT Vehicle vs Period 1 Warm PET(CT) Glucagon · ANOVA · p = <0.01 (The p-values were adjusted for multiple comparisons. The a priori threshold for statistical significance is p\<0.05.)plus Tukey test
PrimaryIncrease in Energy Expenditure Following Glucagon or Saline Infusion

Period 2 Increase in energy expenditure measured using indirect calorimetry for Cold control vs Warm Control vs Warm Glucagon.

Time frame:
2hours
Reported as:
Mean · increase in energy expenditure kcal/day
Increase in Energy Expenditure Following Glucagon or Saline Infusion
increase in energy expenditure kcal/dayPeriod 2 - Cold ControlPeriod 2 - Warm ControlPeriod 2 -Warm Glucagon
Increase in Energy Expenditure Following Glucagon or Saline Infusion193.0 ± 27.241.1 ± 70230.8 ± 30.1
Statistical analysis
  • Period 2 - Cold Control vs Period 2 - Warm Control vs Period 2 -Warm Glucagon · ANOVA · p = <0.001plus Tukey test

Adverse events

Collected over 3 years. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Period 1 Visit 1 Cold Vehicle0/11 (0%)0/11 (0%)0/11 (0%)
Period 1 Visit 2 Warm Glucagon0/4 (0%)0/4 (0%)0/4 (0%)
Period 1 Visit 2 Warm Vehicle0/4 (0%)0/4 (0%)0/4 (0%)
Period 2 Cold Control0/11 (0%)0/11 (0%)0/11 (0%)
Period 2 Warm Control0/11 (0%)0/11 (0%)0/11 (0%)
Period 2 Warm Glucagon0/11 (0%)0/11 (0%)0/11 (0%)

Baseline characteristics

Age, Continuous
Age, Continuous(years)All Participants
Mean26 (20 to 40)
Sex: Female, Male
Sex: Female, Male(Participants)All Participants
Female0
Male11
Race and Ethnicity Not Collected
Race and Ethnicity Not Collected(Participants)All Participants
Region of Enrollment
Region of Enrollment(Participants)All Participants
United Kingdom11
BMI
BMI(kg/m2)All Participants
Mean22.5 (20.5 to 25.2)
08

Study locations

1 site
  • Imperial College London
    London, United Kingdom
09

References and documents

Publications

  • Salem V, Izzi-Engbeaya C, Coello C, Thomas DB, Chambers ES, Comninos AN, Buckley A, Win Z, Al-Nahhas A, Rabiner EA, Gunn RN, Budge H, Symonds ME, Bloom SR, Tan TM, Dhillo WS. Glucagon increases energy expenditure independently of brown adipose tissue activation in humans. Diabetes Obes Metab. 2016 Jan;18(1):72-81. doi: 10.1111/dom.12585. Epub 2015 Nov 20. PubMed 26434748 ↗

Study documents

  • Study protocol · May 29, 2014
  • Statistical analysis plan · May 29, 2014

Documents are hosted by the registry — open the source record to download them.

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 18, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT01935791
Lead sponsor
Imperial College London
Responsible party
Sponsor
First posted
Sep 5, 2013
Start date
Jul 2013
Primary completion
Nov 5, 2018
Completion
Nov 5, 2018
Results posted
May 18, 2021
Last update
May 18, 2021

Study contacts

Waljit Dhillo
principal investigator · Imperial College London

Oversight

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

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