ClinicalTrials.gg
CompletedNCT03284216GlucotoxExUpdated Dec 11, 2018

Hyperglycemia and Exercise.

An interventional study of Steady-state hyperglycemia and Fluctuating hyperglycemia in Aerobic Exercise, Hyperglycemia and Glucose Metabolism Disorders (Including Diabetes Mellitus), sponsored by University of Birmingham. Completed at 1 site in United Kingdom. Open to male participants aged 18 Years to 50 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2018-12-11.

Sponsored by University of Birmingham · Not applicable, Interventional, and Basic science

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Phase
Not applicable
Study type
Interventional
Enrollment
12
Allocation
Randomized
Ages
18 Years to 50 Years
Sex
Male
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 33 studies in Hyperglycemia with a site in United Kingdom — 2 open to participants now, 3 under way, none of them phase 3. Hyperglycemia · United Kingdom.

Enrollment
26th of 30
12 · median 28
Started
2017
with 5 others
No phase
23 of 33
1 open now
Registered
16th of 33
by date
Lead sponsor
2 of 33
University of Birmingham

Among the 33 studies in Hyperglycemia with a site in United Kingdom, this one is the 26th largest by enrollment of the 30 interventional ones that give a count, is one of 6 that started in 2017, is one of 23 with no phase, and was the 16th registered.

Hyperglycemia

801 studies on the registry are indexed under Hyperglycemia; 115 are open to participants now.

Browse Hyperglycemia studies →

Open to participants now

2 of the 33 studies in Hyperglycemia with a site in United Kingdom are open now. Recruiting first, the newest first:

All 2 open studies →

A study can be open while its sites in United Kingdom have not opened yet or have stopped. Only those recruiting at a site in United Kingdom →

Who these studies take

Of the 71 Hyperglycemia studies recruiting now, 42 (59%) set no upper age limit and 23 (32%) stop at 75 or younger; 10 take children under 18; 15 take healthy volunteers.

This study: 18 Years to 50 Years · male · healthy volunteers too.

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02

Study summary

This study will determine whether exposure to short-term high blood glucose levels impairs exercise-induced adaptations in glucose tolerance, and whether the pattern of high blood glucose levels plays a role.

Read the detailed description

Healthy male volunteers will undergo a screening visit and four experimental trials.

Screening Visit: Having read the participant info sheet, a study investigator will discuss the project with the potential participant who will have the chance to ask any questions. Informed consent will be sought and a General Health Questionnaire will be completed. Body weight, height, and skinfold measurements will be taken. Participants will also complete an exercise test to measure V̇O2max test along with heart rate and blood pressure measurements.

Individuals eligible for inclusion in the study will then return to the lab for four experimental trials, each separated by \~1 week. Trials will be completed using a randomised, counter-balanced, cross-over design. Between experimental trials, participants will be instructed to maintain their normal diet and activity habits. During the 48 hours prior to each experimental trial participants will be instructed to refrain from vigorous exercise and alcohol. For 3 days prior to each experimental trial, participants will record their dietary intake, and wear an accelerometer and a continuous glucose monitor to measure physical activity levels and glucose control.

Experimental Trials: Participants will arrive at the laboratory in the morning (\~8 am) following an overnight (\~10 hour) fast from food and drink (except water) since 10pm the previous evening. Upon entering the laboratory, body composition (height, weight, waist circumference) will be assessed and a cannula will be placed into a vein in each arm (one for infusion of glucose, one for blood sampling). Resting cardiovascular measures (heart rate, blood pressure, oxygen saturation) will be collected followed by an assessment of cognitive function followed immediately by one of the four 3.5 hour interventions:

  • Trial A (normoglycaemia prior to exercise): This will involve no glycaemic intervention and the participant will remain in a rested, normoglycaemic state throughout all subsequent procedures.
  • Trial B (steady hyperglycaemia prior to exercise): This will involve a continuous constant-rate glucose infusion to establish a steady hyperglycaemic profile. Specifically, 1.2g/kg glucose will be infused at a constant infusion rate across 3.5 hrs (equivalent to 5.71 mg/kg/min).
  • Trial C (fluctuating hyperglycaemia prior to exercise): This will involve repeated glucose injections so as to cause multiple fluctuations in glycaemia. Specifically, 1.2 g/kg glucose will be infused via 8 equal boluses every 30 minutes across 3.5 hrs (the equivalent of 0.15 g/kg per bolus infused over 3.5 minutes at a rate of 42.86 mg/kg/min) interspersed with periods of no infusion.
  • Trial D (normoglycaemia, no exercise): This will be identical to trial A, except there will be no exercise bout.

After 3.5 hours, the above-described glycaemic intervention will stop, and be followed immediately by the collection of post-intervention blood samples, assessment of cardiovascular response and assessment of cognitive function. Participants will then complete an exercise bout consisting of 45 minutes of moderate intensity (70% HRmax) continuous cycling, during which energy expenditure will be measured by indirect calorimetry. Post-exercise blood samples will be collected, and catheters will be removed. Participants will be fed a meal. Before leaving the lab, they will also be provided with an evening meal to be consumed at home at 7 pm, and a breakfast and lunch meal for the following day (to be consumed at 7 am and 12 pm, respectively). Participants will then return to the laboratory for 5 minutes the afternoon after the trial day (\~3 pm) to remove the accelerometer and continuous glucose monitor, marking the end of the trial.

03

Conditions studied

  • Aerobic Exercise
  • Hyperglycemia
  • Glucose Metabolism Disorders (Including Diabetes Mellitus)
04

Who can participate

Ages eligible
18 Years to 50 Years
Sexes eligible
Male
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

  • Male
  • Aged between 18 and 50 years.
  • of between 19 and 30 kg/m2.

Exclusion criteria

Exclusion Criteria:

  • Smoking.
  • Regularly use of anti-inflammatory medication.
  • More than 2 kg weight change in the last 6 months, and/or have undergone weight loss surgery.
  • Previous or current cancer or chronic haematological, pulmonary, cardiac, hepatic, renal, metabolic, or gastrointestinal diseases.
  • Currently engaged in moderate or vigorous exercise on more than 5 days per week.
  • to exercise.
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Not applicable
Primary purpose
Basic science
Allocation
Randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
12 participants (actual)

Study arms

  • Other
    Normal glycemia + exercise

    Participants will be studied in the fasting state under normal blood glucose conditions whereby no glucose will be administered, but an exercise bout will be completed.

    Behavioral: Exercise

  • Experimental
    Steady-state hyperglycemia + exercise

    Participants will be studied during experimental steady-state hyperglycemia-induced via a variable-rate intravenous glucose infusion, and an exercise bout will be completed.

    Procedure: Steady-state hyperglycemia · Behavioral: Exercise

  • Experimental
    Fluctuating hyperglycemia + exercise

    Participants will be studied during experimental fluctuating hyperglycemia-induced via repeated intravenous glucose injections, and an exercise bout will be completed.

    Procedure: Fluctuating hyperglycemia · Behavioral: Exercise

  • No intervention
    Normal glycemia, no exercise

    Participants will be studied in the fasting state under normal blood glucose conditions whereby no glucose will be administered and no exercise will be completed.

Interventions

  • ProcedureSteady-state hyperglycemia

    Experimental "diabetic like" steady-state hyperglycemia will be induced via a continuous-rate intravenous glucose infusion.

    Also known as: Drug (metabolite infusion)

  • ProcedureFluctuating hyperglycemia

    Experimental "diabetic like" fluctuating hyperglycemia will be induced via repeated intravenous glucose injections.

    Also known as: Drug (metabolite injection)

  • BehavioralExercise

    Moderate-intensity exercise bout (45-minutes of cycling at 70% of their heart rate max) at T=4.5 hours

06

What researchers measure

Primary outcomes

  1. Exercise-induced change in blood glucose control.

    In all trials, continuous glucose monitoring (CGM) will be used to assess the change in glucose control compared to baseline for 24 hours after-exercise, under diet-controlled but otherwise free-living conditions.

    Time frame: In all trials, glucose control will be determined between the time-point immediately after exercise and 24 hours after exercise.

Secondary outcomes

  1. Hyperglycemia-induced change in inflammation.

    In all trials, plasma cytokine levels (IL-6, TNF-alpha, IL-1ra) will be measured at baseline (T=0 hours) and immediately after each glycaemic intervention (T=3.5 hours). The interventions will take place between baseline (T=0 hours) and T=3.5 hours.

    Time frame: In all trials, inflammation will be determined at baseline (T=0 hours) and at T=3.5 hours. The glycemic interventions take place between baseline (T=0 hours) and T=3.5 hours.

  2. Hyperglycemia-induced change in cognitive function.

    In all trials, cognitive function tests (CANTAB) to measure executive functioning and verbal memory will be administered at baseline (T=0 hours) and immediately after each glycaemic intervention (T=3.5 hours). The interventions will take place between baseline (T=0 hours) and T=3.5 hours.

    Time frame: In all trials, cognitive function will be determined at baseline (T=0 hours) and at T=3.5 hours. The glycemic interventions take place between baseline (T=0 hours) and T=3.5 hours.

07

Study locations

1 site
  • University of Birmingham
    Birmingham, West Midlands B15 2TT, United Kingdom
08

References and documents

Publications

  • Carter S, Solomon TPJ. Exercise-Induced Improvements in Postprandial Glucose Response Are Blunted by Pre-Exercise Hyperglycemia: A Randomized Crossover Trial in Healthy Individuals. Front Endocrinol (Lausanne). 2020 Oct 15;11:566548. doi: 10.3389/fendo.2020.566548. eCollection 2020. PubMed 33178135 ↗

Individual participant data

Plan to share: Undecided

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Aug 2017 to primary completion in Nov 2018, 15 months.

Of 208 non-industry interventional studies with no phase under Hyperglycemia, half reached primary completion within 14 months of starting (the median), counting those still running; a quarter within 9 and three quarters within 27. This study's 15 months is close to that.

Counting every sponsor, half of 225 studies reached it within 14 months; a quarter within 7 and three quarters within 27.

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

Registered
Feb 28, 2017
First posted
Sep 15, 2017
StartActual
Aug 1, 2017
Primary completionActual
Nov 30, 2018
CompletionActual
Dec 8, 2018
Last update
Dec 11, 2018
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 11, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03284216
Responsible party
Sponsor
First posted
Sep 15, 2017
Start date
Aug 1, 2017
Primary completion
Nov 30, 2018
Completion
Dec 8, 2018
Last update
Dec 11, 2018

Study contacts

Thomas P Solomon, PhD
principal investigator · University of Birmingham

Oversight

Data monitoring committee
No
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 Dec 2018. You cannot join it, but the record below documents what was studied.

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