Metabolic Heterogeneity Underlying Hypertriglyceridemia: Hepatic Triglyceride Biosynthesis in Humans With Different Insulin Resistance Phenotypes

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-65
SponsorYale University

About this trial

The focus of this cross-sectional study is to determine the effects of tissue-specific (adipose tissue or muscle) vs global (combined) insulin resistance (IR) on hepatic triglyceride biosynthesis in humans, and to determine differential effects of an acute exercise intervention on hepatic triglyceride biosynthesis in these groups.

Eligibility criteria

Qualifiers

Ability to give informed consent

Overweight, defined as BMI 25-30 kg/m2

Modest hypertriglyceridemia, defined as fasting plasma triglycerides 1.5-3.0mM

High risk of insulin resistance, defined as fasting plasma insulin >64pM

Disqualifiers

Active or chronic liver disease, kidney disease, congestive heart failure, unstable angina, history of acute cardiovascular events within 6mo of screening, history of seizures or syncope, or an active infection requiring antimicrobial therapy;

Use of insulin, thiazolidinediones, SGLT2 inhibitors, or sulfonylureas;

Use of fibrates, omega 3 (fish oil), niacin, or PCSK9 antagonists;

Use of systemic glucocorticoids within 60d prior to participation;

Trial design

Treatments tested in this trial

  • Standardized Dinner
  • Premeal exercise

Treatment groups

40 Participants
are divided into 2 treatment groups

Sponsors and collaborators

Yale University

Lead sponsor

Amsterdam UMC

Collaborator

National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

Collaborator