CClinicalTrials.gg
CompletedNCT03189511FluvaBATUpdated May 31, 2018

Effect of Fluvastatin on Brown Fat Activity

A Phase 4 interventional study of Fluvastatin in Adipose Tissue, Brown, Insulin Resistance and Clinical Trial, sponsored by University of Zurich. Completed at 2 sites in Switzerland. Open to male participants aged 18 Years to 40 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2018-05-31.

Sponsored by University of Zurich · Phase 4, Interventional, and Basic science

Phase
Phase 4
Study type
Interventional
Enrollment
17
Ages
18 Years to 40 Years
Sex
Male
01

Study summary

The purpose of this study is to elucidate the effects of Fluvastatin on brown adipose tissue activity in humans.

Read the detailed description

Statins, inhibitors of cholesterol biosynthesis, act by inhibiting the enzyme of the mevalonate pathway. Although the clinical benefits of statins are undisputable, they have been shown to increase insulin resistance and incidence of type 2 diabetes mellitus, the mechanism of which is currently not clear.

The main function of brown adipose tissue (BAT) is non-shivering thermogenesis (i.e. heat production through energy dissipation) in brown adipocytes. There has been a growing interest in BAT as a novel therapeutic approach to increase energy expenditure in order to facilitate weight-loss and increase insulin sensitivity.

BAT activity will be assessed using calorimetric test and [18F]-Fluorodeoxyglucose (FDG) positron emission tomography (PET).

We speculate that statins inhibit BAT function and that this mechanism may contribute to the above mentioned increase in insulin resistance.

02

Conditions studied

  • Adipose Tissue, Brown
  • Insulin Resistance
  • Clinical Trial

Browse trials for

Keywords

  • Brown Adipose Tissue
  • Brown Fat
  • Fluvastatin
  • Prospective Clinical Trial
03

In context

Insulin Resistance

1,960 studies on the registry are indexed under Insulin Resistance; 306 are open to participants now.

This study's enrollment of 17 is below the median of 40 across 1,536 interventional studies indexed under Insulin Resistance.

Browse Insulin Resistance studies →

Lead sponsor

University of Zurich is the lead sponsor of 1,030 studies on the registry; 130 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 40 Years
Sexes eligible
Male
Accepts healthy volunteers
Yes

Inclusion criteria

  • Male volunteers (18-40 y)
  • body mass index 19 to 27 kg/m²
  • Fluent in German or English

Exclusion criteria

Exclusion Criteria:

  • Regular physical exercise of more than >150 min of exercise per week.
  • Contraindications to the class of drugs under study, e.g. known hypersensitivity or allergy to class of drugs or the investigational product,
  • Other clinically significant concomitant disease states (e.g., renal failure, hepatic dysfunction, cardiovascular disease, etc.),
  • Clinically indicated intake of the following medications: Corticosteroids, CYP3A4-Inhibitors (Itraconazol, Voriconazol, Fluconazol, Clarithromycin, Erythromycin, Indinavir, Nelfinavir, Ritonavir, Grapefruit juice), Beta-Blocker, Neuroleptics, Tricyclic Antidepressants,
  • Known or suspected non-compliance, drug or alcohol abuse,
  • Inability to follow the procedures of the study, e.g. due to language problems, psychological disorders, dementia, etc. of the participant,
  • Participation in another study with investigational drug within the 30 days preceding and during the present study,
  • Participation in another study involving ionizing radiation in the same year,
  • Previous enrolment into the current study,
  • Enrolment of the investigator, his/her family members, employees and other dependent persons,
  • MRI contraindications: Not MRI-compatible metal in the body, cardiac pacemaker, History of surgery with possible metal clips/parts still in the body, claustrophobia.
  • Resting pulse rate > 70 bpm
  • Known arterial hypertension or resting blood pressure > 130/80 mmHg.
  • frequence corrected QT-time (QTc) >430 ms
  • Serum creatinine > 1.5x upper limit of norm (ULN), i.e.> 145 µmol/L
  • creatine kinase > 1.5x ULN, i.e. > 300 U/L
  • aspartate transaminase (ASAT) > 1.5x ULN, i.e. > 51 U/L
  • alanine aminotransferase (ALAT) > 1.5x ULN, i.e. > 88 U/L
  • Hypothyroidism
  • Vitamin D deficiency, Vitamin D3 \< 25 nmol/L
  • Intake of anticoagulants or inhibitors of platelet aggregation (e.g. Aspirin, clopidogrel).
  • Known tendency to form keloids (hypertrophic scar tissue)
05

Study design

Phase
Phase 4
Primary purpose
Basic science
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
17 participants (actual)

Study arms

  • Experimental
    Experimental

    Volunteers receive calorimetric tests and FDG PET scans pre and post 2 weeks of Fluvastatine.

    Drug: Fluvastatin

Interventions

  • DrugFluvastatin

    Fluvastatin 40 mg twice daily per mouth for 14 days.

    Also known as: Lescol

06

What researchers measure

Primary outcomes

  1. (18)F-FDG uptake in the supraclavicular brown adipose tissue measured by PET by the maximum standardized uptake value (SUVmax)

    Cold and Mirabegron induced 18F-FDG uptake into the supra-clavicular brown adipose tissue (scBAT) as determined by 18F-FDG PET/MR standardized uptake value (SUVmax) after two weeks of treatment with Fluvastatin.

    Time frame: 14 days

Secondary outcomes

  1. The mean standardized uptake value for 18F-FDG uptake (SUVmean) in the supraclavicular adipose tissue depot

    SUVmean in the supraclavicular adipose tissue depot (analog. SUVmax)

    Time frame: 14 days

  2. Volume of supraclavicular BAT

    Volume of supraclavicular BAT as determined on Magnetic Resonance Imaging (MRI)

    Time frame: 14 days

  3. fat fraction with T2 relaxation time of the BAT depot

    fat fraction with T2 relaxation time of the scBAT depot as determined by MRI

    Time frame: 14 days

  4. Cold induced thermogenesis

    Cold induced thermogenesis: Increase in energy expenditure above resting metabolic rate in response to a mild cold stimulus and pharmacologic stimulation with Mirabegron.

    Time frame: 14 days

  5. Supraclavicular skin temperature in response to mild cold stimulus

    Supraclavicular skin temperature in response to mild cold stimulus measured by local probe

    Time frame: 14 days

07

Study locations

2 sites
  • University Hospital of Zurich, PET/MR Center
    Schlieren, Zurich 8952, Switzerland
  • University Hospital of Basel
    Basel, 4031, Switzerland
08

References and documents

Publications

  • Cypess AM, Weiner LS, Roberts-Toler C, Franquet Elia E, Kessler SH, Kahn PA, English J, Chatman K, Trauger SA, Doria A, Kolodny GM. Activation of human brown adipose tissue by a beta3-adrenergic receptor agonist. Cell Metab. 2015 Jan 6;21(1):33-8. doi: 10.1016/j.cmet.2014.12.009. PubMed 25565203 ↗
  • Preiss D, Seshasai SR, Welsh P, Murphy SA, Ho JE, Waters DD, DeMicco DA, Barter P, Cannon CP, Sabatine MS, Braunwald E, Kastelein JJ, de Lemos JA, Blazing MA, Pedersen TR, Tikkanen MJ, Sattar N, Ray KK. Risk of incident diabetes with intensive-dose compared with moderate-dose statin therapy: a meta-analysis. JAMA. 2011 Jun 22;305(24):2556-64. doi: 10.1001/jama.2011.860. PubMed 21693744 ↗
  • Puurunen J, Piltonen T, Puukka K, Ruokonen A, Savolainen MJ, Bloigu R, Morin-Papunen L, Tapanainen JS. Statin therapy worsens insulin sensitivity in women with polycystic ovary syndrome (PCOS): a prospective, randomized, double-blind, placebo-controlled study. J Clin Endocrinol Metab. 2013 Dec;98(12):4798-807. doi: 10.1210/jc.2013-2674. Epub 2013 Oct 23. PubMed 24152688 ↗
  • Duvnjak L, Blaslov K. Statin treatment is associated with insulin sensitivity decrease in type 1 diabetes mellitus: A prospective, observational 56-month follow-up study. J Clin Lipidol. 2016 Jul-Aug;10(4):1004-1010. doi: 10.1016/j.jacl.2016.04.012. Epub 2016 May 10. PubMed 27578133 ↗
  • Chapple CR, Dvorak V, Radziszewski P, Van Kerrebroeck P, Wyndaele JJ, Bosman B, Boerrigter P, Drogendijk T, Ridder A, Van Der Putten-Slob I, Yamaguchi O; Dragon Investigator Group. A phase II dose-ranging study of mirabegron in patients with overactive bladder. Int Urogynecol J. 2013 Sep;24(9):1447-58. doi: 10.1007/s00192-013-2042-x. Epub 2013 Mar 8. PubMed 23471546 ↗
  • Loeliger RC, Maushart CI, Gashi G, Senn JR, Felder M, Becker AS, Muller J, Balaz M, Wolfrum C, Burger IA, Betz MJ. Relation of diet-induced thermogenesis to brown adipose tissue activity in healthy men. Am J Physiol Endocrinol Metab. 2021 Jan 1;320(1):E93-E101. doi: 10.1152/ajpendo.00237.2020. Epub 2020 Nov 23. PubMed 33225717 ↗
  • Fischer JGW, Maushart CI, Becker AS, Muller J, Madoerin P, Chirindel A, Wild D, Ter Voert EEGW, Bieri O, Burger I, Betz MJ. Comparison of [18F]FDG PET/CT with magnetic resonance imaging for the assessment of human brown adipose tissue activity. EJNMMI Res. 2020 Jul 22;10(1):85. doi: 10.1186/s13550-020-00665-7. PubMed 32699996 ↗

Individual participant data

Plan to share: Undecided

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 31, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03189511
Lead sponsor
University of Zurich
Collaborators
University of Basel
Responsible party
Sponsor
First posted
Jun 16, 2017
Start date
May 31, 2017
Primary completion
Jan 23, 2018
Completion
Feb 19, 2018
Last update
May 31, 2018

Study contacts

Irene A Burger, M.D.
principal investigator · University of Zurich

Oversight

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

Not currently enrolling

This study is completed, as verified in May 2018. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion