Effects of Sitagliptin on Type 2 Diabetes Mellitus Patients on Treatment With Metformin and Insulin

NCT ID: NCT01341717

Last Updated: 2014-05-30

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

440 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-02-29

Study Completion Date

2014-05-31

Brief Summary

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The purpose of the study is to determine the efficacy and safety of sitaglipin in the treatment of Type 2 diabetes mellitus (T2DM) patients with inadequate glycemic control using metformin and insulin.

Detailed Description

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DPP-4 inhibitors enhance function of endogenous incretin that helps with glucose homoeostasis. DPP-4 inhibitors have been proved to promote glycemic control without increasing risk of hypoglycemia and weight gain. In addition, they may improve beta-cell function and do not have any known associations with overt cardiovascular or hepatic safety risks.

Addition of sitagliptin to treatment of T2DM patients poorly controlled on insulin +/- metformin has been shown to reduce HbA1c while being generally well-tolerated.

It could be clinically useful to add sitaglipin to treatment regimen of T2DM patients on stable therapy with insulin \& metformin. Apart from glycemic reduction, secondary effects like prevention of weight gain, reduction in insulin dose, improved cardiovascular risk profile, etc. may be expected from addition of sitagliptin to treatment.

Conditions

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Diabetes Mellitus, Type 2

Keywords

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Diabetes Mellitus, Type 2 Sitagliptin Insulin

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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Sitagliptin along with metformin and insulin

Group Type EXPERIMENTAL

Sitagliptin

Intervention Type DRUG

100 mg once daily for 6 months

Glimepiride

Intervention Type DRUG

1 mg/2 mg/3 mg once daily

Metformin

Intervention Type DRUG

\>=1000 mg twice daily

Insulin

Intervention Type DRUG

TDD \> 10 IU once/twice daily

Glimepiride as an active comparator to Sitagliptin

Group Type ACTIVE_COMPARATOR

Sitagliptin

Intervention Type DRUG

100 mg once daily for 6 months

Glimepiride

Intervention Type DRUG

1 mg/2 mg/3 mg once daily

Metformin

Intervention Type DRUG

\>=1000 mg twice daily

Insulin

Intervention Type DRUG

TDD \> 10 IU once/twice daily

Interventions

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Sitagliptin

100 mg once daily for 6 months

Intervention Type DRUG

Glimepiride

1 mg/2 mg/3 mg once daily

Intervention Type DRUG

Metformin

\>=1000 mg twice daily

Intervention Type DRUG

Insulin

TDD \> 10 IU once/twice daily

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* T2DM patients on metformin and biphasic or basal regimens of insulin
* HbA1c ≥7.3% to ≤8.5%
* Age: 25 to 60 yrs
* Insulin TDD \> 10 IU

Exclusion Criteria

* Use of acarbose, pioglitazone or short-acting insulin analogues at time of run-in phase
* History of type 1 diabetes mellitus
* Creatinine clearance ≤50 mL/min
* Chronic liver \& kidney diseases, SGOT/PT≥2.5x upper limit of normal, uncontrolled thyroid disorders , cardiac failure, hemochromatosis, autoimmune disorders, corticosteroid intake.
* BMI \>40 kg/m2
Minimum Eligible Age

25 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Jothydev's Diabetes and Research Centre

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jothydev Kesavadev, MD

Role: PRINCIPAL_INVESTIGATOR

Jothydev's Diabetes and Research Center

Locations

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Jothydev's Diabetes and Research Center

Thiruvananthapuram, Kerala, India

Site Status

Countries

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India

Other Identifiers

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JDC/SITA/021/2011

Identifier Type: -

Identifier Source: org_study_id