Safety and metabolic effects of tesamorelin, a growth hormone-releasing factor analogue, in patients with type 2 diabetes: A randomized, placebo-controlled trial.
Clemmons. David R DR; Miller. Sam S; Mamputu. Jean-Claude JC
Key Findings
- Tesamorelin (both 1 mg and 2 mg) did not worsen fasting glucose, HbA1c, or insulin response over 12 weeks.
- The 2 mg dose significantly reduced total cholesterol and non‑HDL cholesterol compared with placebo.
- No participants discontinued due to loss of diabetes control, indicating good short‑term safety in diabetics.
Practical Outcomes
- Tesamorelin appears safe for short‑term use in type‑2 diabetics without harming glucose control, and the 2 mg dose may offer modest cholesterol benefits. Biohackers can consider it a low‑risk option for body‑composition or anti‑aging protocols, but should monitor lipids and not expect major blood‑sugar improvements.
Summary
A 12‑week study gave people with type 2 diabetes either a placebo or tesamorelin (1 mg or 2 mg daily). The drug didn’t change blood sugar, insulin response, or overall diabetes control, but the higher dose lowered total and non‑HDL cholesterol a bit. No one had to stop because their diabetes got worse.
Abstract
Use of growth hormone is associated with side effects, including insulin resistance. The objective of this study was to determine whether tesamorelin, a stabilized growth hormone-releasing hormone analogue, would alter insulin sensitivity or control of diabetes. A 12-week randomized, placebo-controlled study of 53 patients with type 2 diabetes. Three treatment groups: placebo, 1 and 2 mg tesamorelin. Fasting glucose, glucose and insulin from oral glucose tolerance test, glycosylated hemoglobin (HbA1c), home blood glucose, insulin-like growth factor-1, and lipids. Relative insulin response following oral ingestion of glucose. No significant differences were observed between groups in relative insulin response over the 12-week treatment period. At Week 12, fasting glucose, HbA1c and overall diabetes control were not significantly different between groups. In addition, relevant modifications in diabetes medications were similar between groups. Total cholesterol (-0.3±0.6 mmol/L) and non-HDL cholesterol (-0.3±0.5 mmol/L) significantly decreased from baseline to Week 12 in the tesamorelin 2 mg group (p<0.05 vs. placebo). No patient discontinued the study due to loss of diabetes control. Treatment of type 2 diabetic patients with tesamorelin for 12 weeks did not alter insulin response or glycemic control. ClinicalTrials.gov NCT01264497.
Study Information
pubmed
2017
2017-06-15T00:00:00.000Z
10.1371/journal.pone.0179538
11
40