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Completed

NCT Number: NCT05947370

Berberine on the Secretion of Incretin

Berberine (BBR) is the main active ingredient of the ancient Chinese herb medicine Coptis. The hypoglycemic effect of BBR has been demonstrated in numerous studies. Although BBR is safe and effective in the treatment of diabetes, its exact hypoglycemic mechanism is still unclear. Jin-Kui Yang found that BBR can promote GLP-1 secretion from intestinal L cells in mice in vitro and in vivo, thereby achieving the effect of lowering blood glucose, but it is still unknown whether BBR can promote incretin secretion in humans. In this study, investigators plan to examine the effect of BBR on secretion of incretin in human.

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Key information

Age range

18 year–45 year

Sex eligibility

Male

Study type

Interventional

Phase

Early Phase 1

Primary location

Beijing Tongren Hospital, Capital Medical University, Beijing, Beijing Municipality, China

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Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Voluntary participation in the trial and signed informed consent form.
  • Healthy male subjects aged 18-45 years (including 18 and 45 years).
  • No history of current or former diseases such as heart, liver, kidney, gastrointestinal tract, nervous system, respiratory system, mental disorders and metabolic abnormalities that the investigator considers meaningful; no physical examination, electrocardiogram, and laboratory examination results abnormality or abnormality has no clinical significance (subject to the judgment of the physician).
  • Body mass index of 18.0-25.0 kg/cm2 (including 18.0 and 25.0 kg/cm2) and no centripetal obesity (waist-to-hip ratio less than 0.9).
  • No family history of diabetes mellitus and obesity.
  • Normal glucose tolerance (fasting blood glucose <6.1 mmol/L and 2h blood glucose <7.8mmol/L after oral administration of 75g glucose) and normal insulin secretion function (as judged by the investigator through the results of insulin release experiment).
  • Able to communicate well with the investigator and complete the study in accordance with the study regulations.

Exclusion criteria

  • Infection with hepatitis (A, B, or C), HIV and syphilis.
  • Those with clear allergy to berberine hydrochloride or its preparation components; those with drug (including salicylic acid) allergy, history of allergic diseases or allergic constitution.
  • Patients with hemolytic anemia and glucose-6-phosphate dehydrogenase deficiency.
  • Those who have used any prescription medication, herbal medicine within 4 weeks prior to dosing and/or taken over-the-counter medication (except for subjects with occasional or restricted use of paracetamol), supplements (except for routine vitamin supplementation) within 2 weeks prior to dosing.
  • Cumulative amount of blood loss (eg. blood donation) over 400mL within 3 months prior to baseline visit and during the study.
  • Heavy smokers (25 or more cigarettes per day) and heavy drinkers (14 units of alcohol per week, 1 unit = 285ml of beer, or 25ml of spirits, or 100ml of wine).
  • Those with a history of substance abuse or positive urine test for prohibited drugs.
  • Those who participated in any clinical trial within 1 month prior to the trial, or those who plan to participate in other clinical trials during or within 1 month after the end of the trial.
  • Other circumstances that the investigator considers unsuitable for participation in this study.

Treatment and study plan

Berberine Chloride

Drug

Traditional Chinese medicine

Placebo

Drug

Placebo control

Primary outcomes

  1. Differences of serum GLP-1 levels between BBR and placebo treatment groups during the glucose tolerance test.

    Time frame: 4 hours

    To compare the mean serum GLP-1 in the two groups during glucose tolerance test.

  2. Differences of serum GIP levels between BBR and placebo treatment groups during the glucose tolerance test.

    Time frame: 4 hours

    To compare the mean serum GIP levels in the two groups during glucose tolerance test.

  3. Differences of blood glucose levels between BBR and placebo treatment groups during the glucose tolerance test.

    Time frame: 4 hours

    To compare the mean blood glucose levels in the two groups during glucose tolerance test.

Secondary outcomes

  1. Differences of serum insulin levels between BBR and placebo treatment groups during the glucose tolerance test.

    Time frame: The time frame is the same as Primary Outcome Measure 1

    To compare the mean insulin levels in the two groups during glucose tolerance test.

  2. Differences of serum C-peptide levels between BBR and placebo treatment groups during the glucose tolerance test.

    Time frame: 4 hours

    To compare the mean serum C-peptide levels in the two groups during glucose tolerance test.

  3. Differences of serum potassium levels between BBR and placebo treatment groups during the glucose tolerance test.

    Time frame: 4 hours

    To compare the mean serum potassium levels in the two groups during glucose tolerance test.

  4. Differences of serum sodium levels between BBR and placebo treatment groups during the glucose tolerance test.

    Time frame: 4 hours

    To compare the mean serum sodium levels in the two groups during glucose tolerance test.

  5. Differences of serum chloride levels between BBR and placebo treatment groups during the glucose tolerance test.

    Time frame: 4 hours

    To compare the mean serum chloride levels in the two groups during glucose tolerance test.

  6. Differences of serum calcium levels between BBR and placebo treatment groups during the glucose tolerance test.

    Time frame: 4 hours

    To compare the mean serum calcium levels in the two groups during glucose tolerance test.

Other outcomes

  1. Differences of heart rate between BBR and placebo treatment groups during the glucose tolerance test.

    Time frame: 4 hours

    To compare the mean heart rate in the two groups during glucose tolerance test.

  2. Differences of QT-interval duration between BBR and placebo treatment groups during the glucose tolerance test.

    Time frame: 4 hours

    To compare the mean QT-interval duration in the two groups during glucose tolerance test.

Sponsors and collaborators

Lead sponsor

Beijing Tongren Hospital

Other

Registry information

Official study title

The Effect of Berberine on the Secretion of Incretin in Normal Man

Important dates

Study start
2022
Primary completion
2023
Study completion
2023
First posted
Jul 17, 2023
Registry last updated
Jul 17, 2023

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

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This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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