Compare the Effect of DPP-IV Inhibitor or TZD on Glycemic Variability and Oxidative Stress in Patient With 2 Diabetes
Recruitment status was Recruiting
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Purpose
The purpose of this study is to compare the effect of vildagliptin vs. pioglitazone to oxidative stress on daily blood glucose fluctuations, in patients with type 2 diabetes that was inadequately controlled by metformin.
| Condition | Intervention | Phase |
|---|---|---|
|
Diabetes Mellitus Oxidative Stress |
Drug: Galvus (vildagliptin) Drug: pioglitazone |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | An Open-label, Randomized, Active-controlled Study to Compare the Effect of DPP-IV Inhibitor and TZD as add-on Therapy to Metformin on Glycemic Variability and Oxidative Stress in Patients With Type 2 Diabetes Inadequately Controlled With Metformin Monotherapy |
- Glycemic Variability [ Time Frame: 16 weeks ] [ Designated as safety issue: No ]
- Oxidative stress [ Time Frame: 16 weeks ] [ Designated as safety issue: No ]
- HbA1C [ Time Frame: 16 weeks ] [ Designated as safety issue: No ]
- hypoglycemia [ Time Frame: 16 weeks ] [ Designated as safety issue: Yes ]
| Estimated Enrollment: | 80 |
| Study Start Date: | April 2010 |
| Estimated Study Completion Date: | May 2013 |
| Estimated Primary Completion Date: | December 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: Pioglitazone
pioglitazone: 15mg, QD, PO, 16 weeks
|
Drug: pioglitazone
15mg, QD, PO, 16 weeks
|
|
Experimental: vildagliptin
vildagliptin 50mg,BID,PO,16 weeks
|
Drug: Galvus (vildagliptin)
50mg BID, PO, for 16 weeks
|
Detailed Description:
Activation of oxidative stress by glucose fluctuations plays a major role in the pathogenesis of diabetic complication. Dipeptidyl peptidase IV (DPP-IV), such as vildagliptin, enhances glucose-induced insulin secretion, decreases glucagon secretion, and reduces postprandial hyperglycemia and may also improve acute fluctuations of glucose. We believe that vildagliptin may exert an effect of decreasing oxidative stress by reducing glucose excursion.
Eligibility| Ages Eligible for Study: | 18 Years to 80 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Male or female with age 18-80 years
- Type 2 diabetes mellitus
- On stable dose of metformin (more than 1000mg) for at least 1 month
- HbA1c 7~10%
- Subjects on statins, ACE inhibitors, ARBs and antioxidants will be allowed as long as they are on stable doses of these compounds and the dosage is not changed during the course of study
- BP under control - no change required to BP medications
- Agreement to maintain prior diet & exercise
Exclusion Criteria:
- Type 1 DM or Any kind of secondary DM
- Pregnant or lactating women.
- Treatment with sulfonylurea, α-glucosidase inhibitor, glinide, GLP-1 analogues, DPP-IV inhibitors or insulin therapy within 1 month prior to informed consent.
- Treatment with rosiglitazone or pioglitazone within 3 months prior to informed consent.
- HbA1c <7% or >10%
- Uncontrolled hypertension ( BP > 160/100 mmHg)
- Congestive heart failure (NYHA class I to IV).
Contacts and Locations| Contact: Sin-Gon Kim, Dr., Ph.D. | 82-2-920-5830 | k50367@korea.ac.kr |
| Contact: Juri Park, Dr.,Ph.D | 82-2-2224-2590 | poirio@naver.com |
| Korea, Republic of | |
| Korea University Anam Hospital | Recruiting |
| Seoul, Korea, Republic of | |
More Information
No publications provided
| Responsible Party: | Sin-Gon Kim, Korea University Anam Hospital |
| ClinicalTrials.gov Identifier: | NCT01339143 History of Changes |
| Other Study ID Numbers: | AN10016-002 |
| Study First Received: | April 15, 2011 |
| Last Updated: | May 5, 2011 |
| Health Authority: | Korea: Food and Drug Administration |
Keywords provided by Korea University Anam Hospital:
|
Vildagliptin |
Additional relevant MeSH terms:
|
Diabetes Mellitus Glucose Metabolism Disorders Metabolic Diseases Endocrine System Diseases Pioglitazone Vildagliptin Hypoglycemic Agents |
Physiological Effects of Drugs Pharmacologic Actions Dipeptidyl-Peptidase IV Inhibitors Protease Inhibitors Enzyme Inhibitors Molecular Mechanisms of Pharmacological Action |
ClinicalTrials.gov processed this record on May 21, 2013