Study of the Durability of Glycemic Control With Nateglinide

NCT ID: NCT00858013

Last Updated: 2017-05-16

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

88 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-04-24

Study Completion Date

2014-06-25

Brief Summary

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This multi-center, randomized controlled study aims to evaluate the durability and efficacy of nateglinide therapy for long term glycemic control compared with glimepiride.

Detailed Description

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Selected patients will be randomly assigned to receive nateglinide or glimepiride.

Previous treatment with oral antidiabetic drugs (metformin, a-glucosidase inhibitor, nateglinide or sulfonylurea) will be discontinued. After a 1 month wash-out period (if 6.5 ≤ HbA1c ≤ 8.5), patients will take randomly assigned drugs for 24 months.

Patients will be met by the trial investigator every 3 months following randomization. At each visit, patients whose HbA1c is \> 8.0% will be retested 2 weeks later, and if the retested HbA1c is also above 8.0%, those patients will be withdrawn considering monotherapy failure. We will evaluate the durability of nateglinide in comparison with that of glimepiride based on the withdrawal rate.

Conditions

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Type 2 Diabetes Mellitus

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Nateglinide

Nateglinide 90\~120mg three times a day

Group Type ACTIVE_COMPARATOR

Nateglinide

Intervention Type DRUG

Nateglinide 90\~120mg three times a day

Glimepiride

Glimepiride 1\~2mg once a day

Group Type ACTIVE_COMPARATOR

Glimepiride

Intervention Type DRUG

Glimepiride 1\~2mg once a day

Interventions

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Nateglinide

Nateglinide 90\~120mg three times a day

Intervention Type DRUG

Glimepiride

Glimepiride 1\~2mg once a day

Intervention Type DRUG

Other Intervention Names

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fastic amaryl

Eligibility Criteria

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Inclusion Criteria

* type 2 diabetes mellitus
* age\>=18years
* no anti hyperglycemic agent for 3 months or low-dose oral hypoglycemic therapy

* metformin≤1g/day, acarbose≤300mg/day, voglibose≤0.9mg/day, nateglinide≤270mg/day, gliclazide≤80mg/day, glimepiride≤2mg/day, glibenclamide≤5mg/day (nateglinide or sulfonylurea \<6months)
* 6.5% ≤ HbA1c ≤ 8.5%

* patients on no anti hyperglycemic agent for 3 months : HbA1c at screening
* patients on oral hypoglycemic therapy in 3months : HbA1c after wash-out

Exclusion Criteria

* attending other clinical trials in 3months
* type I diabetes mellitus
* taking systemic steroid in 1month or requiring steroid therapy during clinical trial
* acute myocardial infarction in 6months
* alcoholics, pituitary or adrenal insufficiency, severe ketosis, diabetic ketoacidosis
* severe liver disease or AST, ALT ≥ 2.5 x ULN
* renal insufficiency (serum creatinine \> 2.0mg/dl)
* other severe diabetic complication
* drug hypersensitivity history to nateglinide or sulfonylurea
* pregnant or plan to become pregnant during the clinical trial, lactation
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Korea University Guro Hospital

OTHER

Sponsor Role collaborator

Hanyang University

OTHER

Sponsor Role collaborator

Inha University Hospital

OTHER

Sponsor Role collaborator

Kyunghee University Medical Center

OTHER

Sponsor Role collaborator

Myongji Hospital

OTHER

Sponsor Role collaborator

Bundang CHA Hospital

OTHER

Sponsor Role collaborator

Wonju Severance Christian Hospital

OTHER

Sponsor Role collaborator

Hallym University Medical Center

OTHER

Sponsor Role collaborator

Ajou University School of Medicine

OTHER

Sponsor Role lead

Responsible Party

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Kwan Woo Lee

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Kwan Woo Lee, MD,PhD

Role: PRINCIPAL_INVESTIGATOR

Ajou University School of Medicine

Locations

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Hanyang University Medical Center

Guri-si, Gyeonggi-do, South Korea

Site Status

Myongji Hospital

Ilsan, Kyounggi, South Korea

Site Status

Inha University Hospital

Incheon, , South Korea

Site Status

Hallym University Medical Center

Seoul, , South Korea

Site Status

Korea University Guro Hospital

Seoul, , South Korea

Site Status

Kyung hee University Medical Center

Seoul, , South Korea

Site Status

Ajou University Hospital

Suwon, , South Korea

Site Status

Countries

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South Korea

Other Identifiers

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AJIRB-CRO-08-197

Identifier Type: -

Identifier Source: org_study_id

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