ClinicalTrials.gg
RecruitingNCT05597475Updated Apr 15, 2024

GLP1R-imaging in Post-RYGB Hypoglycemia

An interventional study of GLP-1R PET in Obesity, Hypoglycemia Post Gastric Bypass Surgery and Hyperinsulinemic Hypoglycemia, sponsored by Rijnstate Hospital. Recruiting at 1 site in Netherlands. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-04-15.

Sponsored by Rijnstate Hospital · Not applicable, Interventional, and Basic science

From the registry’s dates

  • Primary completion was expected by May 2024, 2 years 5 months ago, but the record still lists the study as recruiting.
  • Registered 3 years 11 months after the study started (first participant enrolled Nov 2016, registered Oct 2020).
  • Started Nov 2016; still recruiting 10 years later.
Phase
Not applicable
Study type
Interventional
Enrollment
24
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

In order to evaluate the difference in beta cell mass in patients with and without hyperinsulinemic hypoglycemia after Roux en Y gastric bypass (RYGB) investigators aim to compare quantitative PET imaging of the pancreas between these patient groups.

These highly relevant data will provide investigators with more information on the possible role of beta cell mass in the mechanisms of hyperinsulinemic hypoglycemia bariatric surgery.

02

Conditions studied

  • Obesity
  • Hypoglycemia Post Gastric Bypass Surgery
  • Hyperinsulinemic Hypoglycemia
03

In context

Obesity

11,522 studies on the registry are indexed under Obesity; 2,033 are open to participants now.

This study's planned enrollment of 24 is below the median of 67 across 9,006 interventional studies indexed under Obesity.

Browse Obesity studies →

Lead sponsor

Rijnstate Hospital is the lead sponsor of 130 studies on the registry; 14 are open to participants now.

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

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

  • Signed

Patients:

  • Persisting hyperinsulinemic hypoglycemia after a low-carbohydrate diet and/or insulin suppressive medication for one year.

Controls:

  • RYGB at least 2 years ago
  • Normal glucose levels before and after RYGB (fasting glucose between 4 and 6 mmol/l or between 20 and 42 mmol/mol)
  • Score ≤ 7 on Sigstad's scoring system (Table 1)
  • Hypoglycemia excluded by 14-day continuous glucose monitoring
  • Individual matched to HH group on age (± 5 years), sex and at time of inclusion (± 2 kg/m2)

Exclusion criteria

Exclusion Criteria:

  • Anti-diabetic medication in the past 6 months
  • Treatment with synthetic Exendin (Exenatide, Byetta®) or Dipeptidyl-Peptidase IV inhibitors in the past six months.
  • Known liver failure or serum liver values over 2 times normal value at the time of standard laboratory assessment. Normal values of total , γ-GT, ASAT and albumin are \<21 μmol, \<40 U/l, \<30 U/l and 35-50 g/l respectively
  • Pregnancy or the wish to become pregnant within 6 months
  • Breast feeding
  • Kidney failure, i.e. calculated below 40 ml/min
  • Age \< 18 years
  • No signed
Terms in these criteria, in plain language(5)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

HbA1c

A blood test of average blood sugar over the past two to three months, given as a percentage or in mmol/mol. 6.5% (48 mmol/mol) or more is the usual threshold for diabetes, normally confirmed by a second test.

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.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

05

Study design

Phase
Not applicable
Primary purpose
Basic science
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
24 participants (estimated)

Study arms

  • Other
    Patients

    Patients with hypoglycemia

    Diagnostic Test: GLP-1R PET

  • Other
    Controls

    Patients without post-bariatric hypoglycemia

    Diagnostic Test: GLP-1R PET

Interventions

  • Diagnostic testGLP-1R PET

    Beta cell function (tests) and measure for beta cell mass (PET)

    Also known as: Meal tolerance test, Arginine stimulation test

06

What researchers measure

Primary outcomes

  1. Pancreatic uptake of 68Ga-NODAGA-exendin-4

    Time frame: baseline

Secondary outcomes

  1. Beta cell function

    Measured as total insulin during MTT and insulin peak during arginine test

    Time frame: baseline

07

Study locations

1 of 1 sites recruiting
08

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

Started Nov 2016 (actual). Primary completion is estimated for May 2024, 90 months after the start.

Of 3,680 non-industry interventional studies with no phase under Obesity, half reached primary completion within 23 months of starting (the median), counting those still running; a quarter within 10 and three quarters within 43. This study's planned 90 months is above that.

Counting every sponsor, half of 3,843 studies reached it within 22 months; a quarter within 10 and three quarters within 42.

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

Registered
Oct 5, 2020
First posted
Oct 28, 2022
StartActual
Nov 1, 2016
Primary completionEst.
May 30, 2024
CompletionEst.
Dec 30, 2024
Last update
Apr 15, 2024
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 Apr 15, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT05597475
Lead sponsor
Rijnstate Hospital
Responsible party
Laura Deden (Principal Investigator, Rijnstate Hospital) — Principal investigator
First posted
Oct 28, 2022
Start date
Nov 1, 2016
Primary completion
May 30, 2024 (estimated)
Completion
Dec 30, 2024 (estimated)
Last update
Apr 15, 2024
View the source record on ClinicalTrials.gov ↗

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