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NOT YET RECRUITING
NCT07300982
PHASE1/PHASE2

Studies of Insulin and Glucagon Action in the Liver

Sponsor: Duke University

View on ClinicalTrials.gov

Summary

This study examines how glucagon works to regulate glucose metabolism, based on new findings that suggest glucagon signaling in the liver has more than one role, and that these multiple roles can be opposing in nature. Understanding this biology provides an opportunity to develop new generations of glucagon-based drugs that target specific pathways, making them more effective at controlling blood glucose. Participants will complete paired, 5-hour hyperinsulinemic glucose clamp visits in which they receive either glucagon or saline infusions while blood glucose is maintained and frequent blood samples are collected. The primary focus is whether coordinated glucagon and insulin signaling enhances hepatic insulin sensitivity.

Key Details

Gender

All

Age Range

18 Years - 45 Years

Study Type

INTERVENTIONAL

Enrollment

40

Start Date

2026-04

Completion Date

2029-12

Last Updated

2025-12-24

Healthy Volunteers

Yes

Conditions

Interventions

DRUG

Glucagon

Glucagon infusion either graded (0.2→0.4→0.6 ng/kg/min) or continuous (0.4 ng/kg/min) during the final 90 minutes of a hyperinsulinemic glucose clamp. The graded or continuous glucagon infusions are given as a component of 2 separate protocols. Glucagon prepared per pharmacy/bedside protocol.

DRUG

Saline (placebo)

IV saline infusion during clamp for 90 minutes as control.

Locations (1)

Duke Center for Living

Durham, North Carolina, United States