Comparison of Hypoglycaemic Regimens During Ramadan Fasting in Type 2 Diabetes

NCT ID: NCT01624116

Last Updated: 2012-06-20

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

NA

Total Enrollment

161 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-08-31

Study Completion Date

2011-09-30

Brief Summary

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Type 2 diabetic patients who fast during Ramadan experience swings in glycaemic control between hypoglycaemic troughs and hyperglycaemic spikes. Hence, the dual challenge in fasting diabetics is to identify which treatment modality leads to the most stable blood glucose levels during a fast and how to smooth out these excursions and reduce risks of fast to a minimum.

Detailed Description

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Study Objectives:

* To compare changes in clinical and metabolic parameters from baseline to the end of four weeks fasting in Ramadan between four treatment arms:

* diet and lifestyle measures alone.
* metformin monotherapy.
* combination therapy with metformin + sulfonylurea.
* combination therapy with metformin + sitagliptin.
* To compare the 24 hour CGMS profile during Ramadan fasting in type 2 diabetic patients before and after addition of acarbose to these pre-existing sub-maximal hypoglycaemic regimens.

Conditions

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Diabetes, Type 2

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Diet and lifestyle measures alone.

Type 2 diabetic subjects on lifestyle counselling as part of diabetes treatment would continue as such during Ramadan. They would receive acarbose on one day to be followed by CGMS for a 24 hour period

Group Type ACTIVE_COMPARATOR

Acarbose

Intervention Type DRUG

Tab.Acarbose 50mg BD for one day in addition to existing medication to 10% of patients in each treatment arm.

Diet and lifestyle

Intervention Type OTHER

Patients would follow a 1200 KCal Ramadan diet plan, and exercise for 30 minutes per day

Metformin monotherapy

Type 2 diabetics on biguanide treatment.

Group Type ACTIVE_COMPARATOR

Acarbose

Intervention Type DRUG

Tab.Acarbose 50mg BD for one day in addition to existing medication to 10% of patients in each treatment arm.

Diet and lifestyle

Intervention Type OTHER

Patients would follow a 1200 KCal Ramadan diet plan, and exercise for 30 minutes per day

Metformin

Intervention Type DRUG

Patients on metformin monotherapy prior to Ramadan will continue on it, in the same dose

Metformin + Sulphonylurea.

Type 2 diabetics on dual oral hypoglycaemics-metformin and glimepiride.

Group Type ACTIVE_COMPARATOR

Acarbose

Intervention Type DRUG

Tab.Acarbose 50mg BD for one day in addition to existing medication to 10% of patients in each treatment arm.

Diet and lifestyle

Intervention Type OTHER

Patients would follow a 1200 KCal Ramadan diet plan, and exercise for 30 minutes per day

Metformin/ Glimepride

Intervention Type DRUG

Metformin 500mg and Glimepride 1mg in a combination tablet. Dosage frequency BD

Metformin + Sitagliptin

Type 2 diabetics managed on dual oral hypoglycaemic therapies: metformin and sitagliptin.

Group Type ACTIVE_COMPARATOR

Acarbose

Intervention Type DRUG

Tab.Acarbose 50mg BD for one day in addition to existing medication to 10% of patients in each treatment arm.

Diet and lifestyle

Intervention Type OTHER

Patients would follow a 1200 KCal Ramadan diet plan, and exercise for 30 minutes per day

Metformin/Sitagliptin

Intervention Type DRUG

Metformin 500 and sitagliptin 50mg in a combination tablet,dosage frequency BD.

Interventions

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Acarbose

Tab.Acarbose 50mg BD for one day in addition to existing medication to 10% of patients in each treatment arm.

Intervention Type DRUG

Diet and lifestyle

Patients would follow a 1200 KCal Ramadan diet plan, and exercise for 30 minutes per day

Intervention Type OTHER

Metformin

Patients on metformin monotherapy prior to Ramadan will continue on it, in the same dose

Intervention Type DRUG

Metformin/ Glimepride

Metformin 500mg and Glimepride 1mg in a combination tablet. Dosage frequency BD

Intervention Type DRUG

Metformin/Sitagliptin

Metformin 500 and sitagliptin 50mg in a combination tablet,dosage frequency BD.

Intervention Type DRUG

Other Intervention Names

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*Tab.Glucobay 50mg (Bayer). Tablets Glucophage (Merck) Tablet Getformin 1/500 (Getz Pharma) Tab.TreviaMet 50/500 (Getz Pharma)

Eligibility Criteria

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Inclusion Criteria

* HbA1c 6.5-9.5%.
* Type 2 diabetics on two or less oral hypoglycaemic agents.

Exclusion Criteria

* Any contraindications either to fasting or to any of the trial medication.
* Pregnancy.
* Serum creatinine \> 1.4 mg/dl.
* Serum ALT \> twice upper limit normal.
* History of pancreatitis, serum amylase \> twice upper limit normal.
* History of intolerance to acarbose.
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Services Hospital, Lahore

OTHER_GOV

Sponsor Role lead

Responsible Party

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Dr Saira Burney

Senior Registrar, Endocrinology Unit & Diabetes Management Centre, Services Institute of Medical Sciences,Lahore,Pakistan.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Dr Khadija Irfan, MBBS,FCPS

Role: PRINCIPAL_INVESTIGATOR

Services Hospital.

Locations

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Endocrinology Unit & Diabetes Management Centre, Services Hospital.

Lahore, , Pakistan

Site Status

Countries

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Pakistan

Other Identifiers

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RT2011

Identifier Type: -

Identifier Source: org_study_id

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