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Active, not recruitingNCT05310292IKH_MetExUpdated May 12, 2023

A Glucometabolic Evaluation of Patients With Idiopathic Ketotic Hypoglycemia

An interventional study of Oral glucose tolerance test and Mixed meal test in Idiopathic Ketotic Hypoglycemia, sponsored by University Hospital, Gentofte, Copenhagen. Active, not recruiting at 1 site in Denmark. Open to participants aged 18 Years to 80 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-05-12.

Sponsored by University Hospital, Gentofte, Copenhagen · Not applicable, Interventional, and Basic science

From the registry’s dates

  • Primary completion was expected by Apr 2024, 2 years 6 months ago, but the record still lists the study as active, not recruiting.
Phase
Not applicable
Study type
Interventional
Enrollment
20
Allocation
Non-randomized
Ages
18 Years to 80 Years
Sex
All
01

Study summary

The project will evaluate 1) the postprandial metabolism and 2) continuous glucose levels in subjects diagnosed with Idiopathic Ketotic Hypoglycemia (IKH)) and healthy control subjects.

Read the detailed description

IKH is a common, but not fully understood, condition in children, and in some the condition may persist in adulthood. In the present study we seek to evaluate the postprandial metabolism in adult subjects diagnosed with IKH through a clinical study including:

  1. two test days, where the subjects completes a) an oral glucose tolerance test (OGTT) and b) a miced meal test (MMT). Before, during and after ingestion of the OGTT/MMT, blood samples will be frequently drawn for the evaluation of plasma glucose, hormones, amino acids and more. During both tests, the subjects will recieve a continuous infusion of primed glucose tracer to further evaluate the glucose metabolism.
  2. a 14-day period where the subjects will lead the usual lives, wearing a continuous glucose monitor (CGM). This will enable us to evaluate long-term differences in plasma glucose levels in IKH.
02

Conditions studied

  • Idiopathic Ketotic Hypoglycemia

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Keywords

  • Idiopathic ketotic hypoglycemia
  • Glucose metabolism
  • Gut homones
  • Amino acids
  • Glucagon
  • Insulin
  • Continuous glucose monitor
  • CGM
  • Oral glucose tolerance test
  • Mixed meal test
03

In context

Hypoglycemia

640 studies on the registry are indexed under Hypoglycemia; 86 are open to participants now.

This study's planned enrollment of 20 is below the median of 29 across 471 interventional studies indexed under Hypoglycemia.

Browse Hypoglycemia studies →

Lead sponsor

University Hospital, Gentofte, Copenhagen is the lead sponsor of 154 studies on the registry; 9 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • IKH-participants:
  • Verified diagnosis of IKH by health professional
  • BMI of 18-30 kg/m2
  • Normal liver- and kidney function
  • informed consent

Healthy control participants

  • Normal glucose tolerance
  • BMI of 18-30 kg/m2
  • Normal liver- and kidney function
  • informed consent

Exclusion criteria

Exclusion Criteria:

  • A history of diabetes
  • close family members with diabetes
  • use of drugs affecting the glucose metabolism that cannot be paused
  • anemia
  • any condition that the study investigators deem unacceptable for participation
  • pregnancy or breastfeeding.
05

Study design

Phase
Not applicable
Primary purpose
Basic science
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
20 participants (estimated)

Study arms

  • Experimental
    Subjects diagnosed with IKH

    10 patients, diagnosed with IKH

    Biological: Oral glucose tolerance test · Biological: Mixed meal test

  • Experimental
    Healthy control subjects

    10 subjects, healthy, matched for gender, BMI, age

    Biological: Oral glucose tolerance test · Biological: Mixed meal test

Interventions

  • BiologicalOral glucose tolerance test

    Consumption of 75 grams of glucose, diluted in water, added 1,5 g of acetaminophen.

    Also known as: OGTT

  • BiologicalMixed meal test

    Consumption of a standardized liquid meal, with caloric and dietary content equal to a standard meal.

    Also known as: MMT

06

What researchers measure

Primary outcomes

  1. Plasma glucose

    The intergroup difference in peak to nadir difference in plasma glucose following OGTT/MMT

    Time frame: -120, -60, -30, 0, 15, 30, 45, 60, 90, 120, 150, 180 minutes

  2. Time in range (CGM)

    The intergroup difference in time spend in glycemic range, measured by CGM

    Time frame: 0-14 days of CGM-period

Secondary outcomes

  1. Endogenous glucose production

    Rate of appearance of glucose, measured by tracer dilution technique

    Time frame: -120,, -60, -30, 0, 15, 30, 45, 60, 90, 120, 150, 180 minutes

  2. Glucose revomal

    Rate of disappearance of glucose, measured by tracer dilution technique

    Time frame: -120, -60, -30, 0, 15, 30, 45, 60, 90, 120, 150, 180 minutes

  3. Amino acids

    Plasma concentrations of amino acids

    Time frame: -120,-60, -30, 0, 15, 30, 45, 60, 90, 120, 150, 180 minutes

  4. Insulin

    Plasma concentrations of insulin

    Time frame: -120,-60, -30, 0, 15, 30, 45, 60, 90, 120, 150, 180 minutes

  5. Glucagon

    Plasma concentrations of glucagon

    Time frame: -120,-60, -30, 0, 15, 30, 45, 60, 90, 120, 150, 180 minutes

  6. Glucagon like peptide-1 (GLP-1)

    Plasma concentrations of GLP-1

    Time frame: -120,-60, -30, 0, 15, 30, 45, 60, 90, 120, 150, 180 minutes

  7. Glucose-dependent insulinotropic polypeptide (GIP)

    Plasma concentrations of GIP

    Time frame: -120,-60, -30, 0, 15, 30, 45, 60, 90, 120, 150, 180 minutes

  8. Coefficients of variation (CV) of plasma glucose

    CV of plasma glucose measured by CGM

    Time frame: 0-14 days of CGM-period

  9. Mean plasma glucose

    Average value of plasma glucose measured by CGM

    Time frame: 0-14 days of CGM-period

  10. Risk of hypoglycemia

    Time spend in hypoglycemia measured by CGM

    Time frame: 0-14 days of CGM-period

07

Study locations

1 site
  • Center for Clinical Metabolic Research, Department of Medicine, Gentofte Hospital
    Hellerup, Copenhagen 2900, Denmark
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 12, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05310292
Lead sponsor
University Hospital, Gentofte, Copenhagen
Collaborators
Odense University Hospital
Responsible party
Magnus Frederik Gluud Grøndahl (Principal investigator, Medical Doctor, PhD student, University Hospital, Gentofte, Copenhagen) — Principal investigator
First posted
Apr 4, 2022
Start date
Mar 21, 2022
Primary completion
Apr 1, 2024 (estimated)
Completion
Apr 1, 2025 (estimated)
Last update
May 12, 2023

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 active, not recruiting, as verified in May 2023. You cannot join it, but the record below documents what was studied.

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