Acute effects of GIP and GLP ‐1 receptor antagonism in totally pancreatectomized individuals: A randomized double‐blind, placebo‐controlled crossover study

Diabetes Obes MetabPublished Randomised controlled trial

Authors' conclusion

Endogenous GIP contributes to the regulation of postprandial bone resorption independently of pancreatic factors. In contrast, GIP receptor and/or GLP-1 receptor antagonism had no measurable effects on glucose metabolism, gastric emptying, appetite, food intake, triglycerides, or haemodynamics, supporting a pancreatic contribution to some of these effects of the endogenous hormones, although the surgical reconstruction may have influenced the sensitivity of the targets.

Study context

Population
Totally pancreatectomized individuals; basal insulin continued, morning bolus insulin omittedeach had 4 meal tests
Participants
12 participants
Comparison
GIP receptor antagonist GIP(3-30)NH2, GLP-1 receptor antagonist exendin(9-39)NH2, their combination, vs saline (placebo) during liquid mixed meal tests
Methodological detailsdouble-blind, placebo-controlled, crossover
  • Double-blind
  • Placebo-controlled
  • Crossover

Primary result

As reported in the abstract

Meal-induced inhibition of bone resorption (CTX), nadir as % of baseline

GIP(3-30)NH2 vs Placebo: ps <0.05 · GIP(3-30)NH2 + exendin(9-39)NH2 vs Placebo: ps <0.05

Further findings

GLP-1 plasma responses

GLP-1 plasma responses increased during exendin(9-39)NH2 and exendin(9-39)NH2 + GIP(3-30)NH2 infusion (ps <0.05)

Other measurements

GIP(3-30)NH2 or exendin(9-39)NH2 did not affect other measurements

Original publication

Acute effects of GIP and GLP ‐1 receptor antagonism in totally pancreatectomized individuals: A randomized double‐blind, placebo‐controlled crossover study. Diabetes Obes Metab. Published 10 October 2025. doi:10.1111/dom.70186

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