Gastrectomy, eating behaviour and GLP-1

  • Research type

    Research Study

  • Full title

    The effect of Glucagon like peptide-1 (GLP-1) on glycaemic profile and eating behaviour following gastrectomy.

  • IRAS ID

    218762

  • Contact name

    Geoffrey Roberts

  • Contact email

    gpr25@cam.ac.uk

  • Sponsor organisation

    Cambridge University Hospitals NHS Foundation Trust and the University of Cambridge

  • Duration of Study in the UK

    1 years, 10 months, 31 days

  • Research summary

    Patients who have undergone gastrectomy (removal of the stomach) to treat or prevent cancer are known to have a significantly reduced quality of life. To date, there is very little information on the physiological causes of this. We suspect that overproduction of a hormone (chemical) called glucagon like peptide-1 (GLP-1) released by the lining of the gut may play a role in the reduced appetite, weight loss and low blood sugar symptoms seen in this group. To investigate this, we will study the response of 16 patients who have previously had a gastrectomy to a glucose drink, and a meal, while receiving an infusion of a specific blocker of GLP-1 or placebo. We will examine the levels of sugar and associated hormones in the blood, food consumption and food reward behaviour using standard tools.
    Participants will be invited to attend the Clinical Research Facility at Addenbrooke's Hospital for a screening visit, and two whole day study visits. The study has been designed to assess the role of overproduction of GLP-1 by completely blocking its actions, rather than assess the use of the blocking compound as a medication, and is therefore regarded as a physiological study, not a clinical trial.
    The goal of this study is to demonstrate the magnitude of effect of GLP-1 on blood sugar and appetite derangement in patients who have had a gastrectomy. This will guide future work on the development of novel treatment paradigms for the post-gastrectomy patient group.

  • REC name

    East of England - Cambridge East Research Ethics Committee

  • REC reference

    16/EE/0545

  • Date of REC Opinion

    9 Jan 2017

  • REC opinion

    Further Information Favourable Opinion