No registrations found.
ID
Source
Brief title
Health condition
-Diabetes Mellitus type II (DMII)
-obsessive compulsive disorder (OCD)/obsessief compulsieve stoornis
- insulin resistance/insuline resistentie
Sponsors and support
Intervention
Outcome measures
Primary outcome
1. HPS axis activity;
2. Endogenous glucose production.
Secondary outcome
1. Lipid metabolism;
2. Resting energy expenditure.
Background summary
Central regulation of glucose- and lipid metabolism is an area of research in the field of obesity and insulin. Especially the nucleus accumbens has become an area of interest, because of its involvement in food intake, satiety and energy expenditure. It has been shown that dopamine metabolism in the mesoaccumbens system may be altered in obesity with contradictory rsults showing either reduced or increased dopamine signaling. The procedure of DBS in de nucleus accumbens provides an exceptional opportunity to gain insight in the role of the nucleus accumbens in these metabolic processes.
We will perform a hyperinsulinemic euglycemic clamp with stable isotopes in the off and on situation, to measure glucose- and lipid metabolism and use plasma ACTH and urine cortisol levels to measure HPA axis activity.
Study objective
Deep brain stimulation influences the HPA axis and glucose- and lipid metabolism in patients with obsessive compulsive disorder (OCD).
Study design
N/A
Intervention
Hyperinsulinemic euglycemic clamp with stable isotopes.
Department of Endocrinology & Metabolism<br>
F5-162
N.M. Lammers
Meibergdreef 9
Amsterdam 1105 AZ
The Netherlands
+31 (0)20 5662663
N.M.Lammers@amc.uva.nl
Department of Endocrinology & Metabolism<br>
F5-162
N.M. Lammers
Meibergdreef 9
Amsterdam 1105 AZ
The Netherlands
+31 (0)20 5662663
N.M.Lammers@amc.uva.nl
Inclusion criteria
Patients with OCD with deep brain stimulation in the nucleus accumbens.
Exclusion criteria
1. Use of psychotropic drugs;
2. Use of drugs or abuse;
3. Pregnancy;
4. Use of medication known to interfere with glucose or lipid metabolism;
5. DMII or impaired fasting glucose;
6. Primary lipid disorder;
7. Performance of vigorous exercise;
8. Renal insufficiency or elevated liver enzymes.
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| NTR-new | NL1886 |
| NTR-old | NTR2000 |
| Other | METC Academic medical center : MEC 08/276 |
| ISRCTN | ISRCTN wordt niet meer aangevraagd. |