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WithdrawnNCT02982551Updated Dec 4, 2017

Insulin Modulation of fMRI Connectivity in Healthy Adults

An Early Phase 1 interventional study of Insulin and Taste Task in Healthy Volunteers, sponsored by University of Pittsburgh. Withdrawn at 1 site in United States. Open to participants aged 21 Years to 30 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2017-12-04.

Sponsored by University of Pittsburgh · Early Phase 1, Interventional, and Basic science

Why this study was withdrawn
Principal Investigator Departed University

From the registry’s dates

  • Registered 10 months after the study started (first participant enrolled Jan 2016, registered Nov 2016).
Phase
Early Phase 1
Study type
Interventional
Enrollment
0
Allocation
Not applicable
Ages
21 Years to 30 Years
Sex
All
01

Study summary

This study evaluates the effects of changing insulin levels on brain activity. Participants will complete functional magnetic resonance imaging (fMRI) scans during fasting conditions, then during an insulin infusion.

Read the detailed description

Insulin is a hormone released by the pancreas in response to increases in glucose levels that result from food intake. In addition to stimulating glucose uptake in the periphery, insulin signals the central nervous system to induce satiety and inhibit feeding behavior.

To begin to identify the specific effects of circulating insulin on brain networks, the current study will recruit healthy participants who will undergo two functional magnetic resonance imaging scans. One scan will be performed in the fasted state, and the alternate scan will be conducted during an isoglycemic hyperinsulinemic clamp.

This project will allow us to identify the specific effects of circulating insulin on brain reactivity to palatable food.

02

Conditions studied

  • Healthy Volunteers
03

In context

Lead sponsor

University of Pittsburgh is the lead sponsor of 1,414 studies on the registry; 168 are open to participants now.

Of its 8 completed or terminated interventional studies of FDA-regulated products, 4 (50%) have results posted.

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

04

Who can participate

Ages eligible
21 Years to 30 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Body mass index between 18 and 24
  • HOMA-IR \< 1.55 (homeostatic model assessment of insulin resistance - ((glucose x insulin) / 405)).

Exclusion criteria

Exclusion Criteria:

  • Current or lifetime history of any cardiovascular disease or surgery (including hypertension, stroke, myocardial infarction, congestive heart failure, atrial or ventricular arrhythmias, coronary bypass, carotid artery, or peripheral vascular surgery)
  • Current or lifetime history of cancer, a chronic kidney or liver condition, type I or II diabetes, or any pulmonary or respiratory disease
  • Current or lifetime diagnoses of any substance abuse
  • Positive urine drug screen
  • Current or lifetime use of glucocorticoid medications for >1 month
  • A previous cerebrovascular accident or trauma involving loss of consciousness
  • Previous neurosurgery or history of a neurological condition
  • Pregnancy (females)
  • Claustrophobia
  • Ferrous metallic implants or any surgically placed medical device not cleared for safety at 3Tesla MRI strength
  • Peripheral vascular disease
  • Liver, kidney, or active blood disease
  • Peripheral neuropathy
  • Anemia (hematocrit \<34%)
  • Inability and/or willingness to comply with the protocol as written
  • Fasting glucose > 126 mg/dL
  • Currently taking blood thinners such as coumadin, Lovenox, etc.
  • Currently taking any medications that can alter glucose homeostasis (steroids, glucocorticoids, nicotinic acid)
  • Current use of any psychotropic medications (SSRI, SNRI, etc.)
  • Currently taking thiazolidinediones or insulin
  • Currently use of statins or anti-hypertensive medications
  • Use of medications related to HIV that can affect insulin sensitivity. We will NOT specifically test for HIV serostatus.
  • Females currently on hormone replacement therapy (HRT) less than 6 months
  • Participants will be instructed to abstain from eating, drinking (other than water), smoking and exercise for the 12 hours prior to each study visit.
  • Being left handed
  • Body mass index above 24 or below 18
  • Milk allergy / lactose intolerance
  • Polycystic ovary syndrome
05

Study design

Phase
Early Phase 1
Primary purpose
Basic science
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
0 participants (actual)

Study arms

  • Experimental
    Hyperinsulinemic Clamp

    Participants will complete two MRI scans approximately one hour apart - one under baseline conditions and the second during an insulin infusion. Each scan will include data collected during rest, and a taste task. The taste task involves receiving milkshake or a tasteless solution. After the first scan, an isoglycemic-hyperinsulinemic clamp will be implemented. An IV will be placed in the antecubital vein of of arm for infusion of insulin and dextrose. HumuLIN®-R regular insulin will be infused at 40 mU/m2/min. A second IV will be inserted in the back of the hand on the opposite arm to allow for frequent sampling of blood glucose levels. Dextrose infusion will be used to keep the blood sugar level within 5mg/dl of the baseline value. The study team will monitor blood glucose levels and adjust dextrose infusions as necessary. Thirty minutes after starting the insulin infusion, participants will be moved back into the bore of the MRI scanner for the repeat scans.

    Drug: Insulin · Other: Taste Task · Other: Magnetic Resonance Imaging · Drug: Dextrose

Interventions

  • Insulin will be administered peripherally to observe the effects of circulating insulin on brain activity

    Also known as: HumuLIN®-R

  • OtherTaste Task

    Participants will taste milkshakes and a tasteless solution to observe the brain responses to palatable taste.

  • OtherMagnetic Resonance Imaging

    Participants will complete two MRI scans approximately 60 minutes apart - one under baseline fasting conditions and the second during isoglycemic-hyperinsulinemia. Each functional scan will include a resting-state BOLD sequence followed by a taste-reward task. Functional MRI sequences will last approximately 30 minutes. MRI scanning will also include approximately 30 minutes of structural MRI scans.

  • During hyperinsulinemic clamp, participants will be infused with a variable rate dextrose infusion will be used to keep the blood sugar level within 5mg/dl of the baseline glucose value.

06

What researchers measure

Primary outcomes

  1. fMRI BOLD Response in Brain

    The investigators will monitor the blood oxygen level dependent response using fMRI and compare activation during "taste" trials vs. "no taste" trials.

    Time frame: During Taste Task in fMRI Scanner. Task Duration is approximately 14 minutes.

07

Study locations

1 site
  • Western Psychiatric Institute and Clinic
    Pittsburgh, Pennsylvania 15213, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Jan 2016 (actual). Primary completion is estimated for Dec 2017, 23 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 22, 2016
First posted
Dec 5, 2016
StartActual
Jan 1, 2016
Primary completionEst.
Dec 2017
CompletionActual
Dec 2017
Last update
Dec 4, 2017
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Dec 4, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02982551
Responsible party
John Patrick Ryan (PhD, University of Pittsburgh) — Principal investigator
First posted
Dec 5, 2016
Start date
Jan 1, 2016
Primary completion
Dec 2017 (estimated)
Completion
Dec 2017
Last update
Dec 4, 2017

Study contacts

John P Ryan, PhD
principal investigator · University of Pittsburgh

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is withdrawn, as verified in Nov 2017. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Insulin

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