Studies of Insulin and Glucagon Action in the Liver

This study is looking at how two hormones, insulin and glucagon, work together in the liver to control blood sugar. Researchers are trying to understand new ways glucagon affects the body, which could lead to better treatments for diabetes. You might be able to join if you are a healthy adult between 18 and 45 years old, with a BMI (Body Mass Index) under 27.0 kg/m², and normal blood sugar levels. Participants will receive either glucagon (a drug) or saline (a placebo, or inactive substance) through an IV while blood sugar is carefully monitored. The main goal is to see if insulin and glucagon working together can improve how sensitive the liver is to insulin. The current status of this study is unclear, and it plans to enroll 40 people.

Study design
This is an interventional study involving 40 participants. It uses a hyperinsulinemic glucose clamp procedure where participants receive either glucagon or saline.
What's involved
You would undergo screening, and if eligible, participate in two or four 5-hour visits where you receive IV infusions and have blood samples taken. The study participation will last approximately 5-12 weeks.
Compensation
Not stated in the trial record.
Follow-up
Outcomes will be measured during the final 90 minutes of the hyperinsulinemic glucose clamp procedure and at specific time points during the visits.

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NCT07300982

Studies of Insulin and Glucagon Action in the Liver

Not Yet Recruiting
PHASE1Ages 18–45InterventionalBasic science
Duke University
~40 participants
Updated 2026-08-05 on ClinicalTrials.gov
What's tested:GlucagonSaline (placebo)

At a glance

Recruiting sites
0 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Glucose appearance (Ra)
Measured over In these experiments outcomes will be based on measurements made in the final 90 minutes of the hyperinsulinemic glucose clamp.
+2 more outcomes measured
Diabetes (DM)
1 sites across 1 states
North Carolina1
  • David D'Alessio, MD · PRINCIPAL_INVESTIGATOR · Duke University

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Eligibility criteria

Inclusion

Healthy adults age 18-45 years
Body Mass Index (BMI) \< 27.0 kg/m²
Fasting plasma glucose ≤ 95 mg/dL or HbA1c ≤ 5.8% as measured at screening visit

Exclusion

Active medical disease: e.g. active infectious, inflammatory, neurodegenerative or mental health disorders
No personal history of diabetes or pancreatitis
No personal history of cardiac, gastrointestinal, renal or liver disease
No history of diabetes among any first-degree family members
Renal insufficiency (eGFR \< 60 mL/kg/min)
Anemia (hematocrit \< 34%) as measured at screening visit
Pregnant females
Consumption of daily medications that alter glucose metabolism of GI function (glucocorticoids, psychotropics, narcotics, metoclopramide)
  • Glucose appearance (Ra)In these experiments outcomes will be based on measurements made in the final 90 minutes of the hyperinsulinemic glucose clamp.

    Glucose appearance will be determined using steady state computations, unless a stable tracer:tracee ratio is not maintained

  • Glucose disappearance (Rd)In the experiments described here glucose turnover (Ra and Rd) will be determined in the final 90 minutes of the hyperinsulinemic glucose clamp.

    Glucose disappearance (Rd) will be determined using steady state computations, unless a stable tracer:tracee ratio is not maintained

  • Hepatic insulin sensitivityBasal period (time -30-0 min), after the insulin infusion alone (60-90 min), and during the glucagon/saline infusions (120-180 min)

    Hepatic insulin sensitivity will be calculated as EGP divided by insulin concentration