Effect of Vildagliptin vs. Glibenclamide on Circulating Endothelial Progenitor Cell Number Type 2 Diabetes

NCT ID: NCT01822548

Last Updated: 2017-08-02

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: PHASE3
• Total Enrollment: 64 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2010-10-31
• Study Completion Date: 2015-01-31

Brief Summary

The purpose of this study is to evaluate the effect of Dipeptidyl peptidase (DPP) -IV inhibitor Vildagliptin vs. Glibenclamide on circulating endothelial progenitor cells (EPCs) number in type 2 diabetes patients in metformin failure. Subjects will be followed for 12 months after randomization.

Detailed Description

Diabetic patients show a higher cardiovascular risk compared with non-diabetic patients. It is therefore crucial that blood glucose lowering drugs reveal a favorable cardiovascular risk profile independently of metabolic control.

EPCs are a subset of circulating mononuclear cells derived from the bone marrow. EPCs play a fundamental role in the formation of new blood vessels (neo-endothelization) and repairing of existing blood vessels (re-endothelization) in order to maintain endothelial homeostasis and integrity. Endothelial damage and tissue ischemia, through the release of growth factors and cytokines, represent a strong stimulus for the mobilization of EPCs from the bone marrow. Reduced EPC number has been related to the presence of traditional risk factors for cardiovascular disease and to the development of atherosclerosis and has been shown to predict cardiovascular (CV)risk. Type 2 diabetes is known to be associated with an increased CV risk and a reduced EPC number. Recent data suggest that DPP-IV inhibitors might be involved in the mechanisms promoting bone-marrow EPC mobilization. This putative ancillary effect of DPP-IV might have a favorable impact on type 2 diabetes, a condition characterized by an increased CV risk.

This is a randomized, open-label, active-treatment-controlled, two parallel arm (2:1), intervention trial comparing DPP-IV inhibitor Vildagliptin (100 mg daily) with Glibenclamide (maximum daily dose of 10 mg). Treatment allocation and titration regimens are not blinded.

Primary end-point:Absolute change in the EPC number at visit: V0 (randomization), V2 (month 4), V3 (month 8) and V4 (month 12).

Secondary end-point: Absolute change in HbA1C compared to baseline.

Conditions

Type 2 Diabetes

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

Vildagliptin & metformin

Vildagliptin 100 mg tablet and metformin (max dose=2500 mg) tablet daily oral administration

Group Type: EXPERIMENTAL

Vildagliptin

Intervention Type: DRUG

100 mg daily

Metformin

Intervention Type: DRUG

concomitant therapy with metformin is present in each arm (MAX dose: 2500 mg/die)

Glibenclamide & metformin

Glibenclamide maximum dose of 10 mg tablet and metformin (max dose=2500 mg) tablet daily oral administration

Group Type: ACTIVE_COMPARATOR

Glibenclamide

Intervention Type: DRUG

2.5 mg (total daily), progressively increased up to a maximum dose of 5 mg x 2/ day.

Metformin

Intervention Type: DRUG

concomitant therapy with metformin is present in each arm (MAX dose: 2500 mg/die)

Interventions

Vildagliptin

100 mg daily

Intervention Type: DRUG

Glibenclamide

2.5 mg (total daily), progressively increased up to a maximum dose of 5 mg x 2/ day.

Intervention Type: DRUG

Metformin

concomitant therapy with metformin is present in each arm (MAX dose: 2500 mg/die)

Intervention Type: DRUG

Other Intervention Names

LAF237A

Eligibility Criteria

Inclusion Criteria

• Age equal or above 35 years;
• Diagnosis of type 2 diabetes mellitus as defined by the American Diabetes Association , with at least one year of disease duration at the time of the screening visit;
• Blood glucose lowering treatment with Metformin alone (monotherapy) at a stable dose of at least 1.5 g/day (or maximum tolerated dose) in the 3 months prior to the screening visit;
• Insufficient metabolic control as defined by recent (last six months) HbA1c ≥ 7% in any peripheral laboratory and confirmed at the time of the screening;

Exclusion Criteria

• Written informed consent to participate to the study.

• Age below 35 years
• Type 1 diabetes or other causes of diabetes (pancreatectomy, gestational diabetes, etc.)
• HbA1c < 7% or ≥ 9% at the screening visit
• Treatment with any blood glucose lowering treatment other than Metformin in the six months before screening visit
• BMI < 20 or ≥ 40 kg/m2, or current/ past history of clinically-relevant eating disorders (including -but no limited to- nervous anorexia, bulimia, binge-eating disorders, etc.)
• Significant progression of diabetic macro-angiopathy or cardiovascular disease in the six months prior to study visit
• Significant progression of diabetic micro-angiopathy in the six months prior to study visit
• Organ failure or other severe diseases limiting life expectancy;
• Beginning, in the three months before screening visit, of any kind of drug which can modify glycemic levels (beta-blockers, diuretics…), or acute disease (acute infection, urinary tract infection…) in three months before screening visit
• History of inflammatory/infective/autoimmune chronic disease
• History of unexplained pancreatitis, chronic pancreatitis, pancreatectomy, gastric surgery, inflammatory bowel disease;
• Any clinically significant abnormality identified on physical examination, laboratory tests, ECG or vital signs at screening that in the judgment of the investigator would preclude safe completion of the study;
• Uncontrolled or inadequately controlled hypertension at screening (Systolic Blood Pressure (SBP)>190 or Diastolic Blood Pressure (DBP) >100 mmHg)
• Ongoing pregnancy or absence of effective contraception in women with childbearing potential
• Contraindications to the maintenance of the background therapy (Metformin), including -but not limited to- chronic kidney failure or plasma creatinine concentrations > 1.5 mg/dL, severe respiratory failure, etc.;
• Contraindications to the use of a Sulfonylurea;
• Contraindications to the use of a DPP-IV Inhibitor;
• Laboratory findings, or other disease conditions, at the screening visit that might interfere with study measurements:

1. Hemoglobinopathy known to affect HbA1c assays;

2. Known chronic liver diseases, including HBV (hepatitis B virus) and HCV (hepatitis C virus) infection;

3. Liver makers (aspartate transaminase (AST), alanine aminotransferase (ALT), alkaline phosphatase (ALP), Gamma-glutamyltransferase (GGT) , bilirubin) above 2 times the upper normal limit;

4. Amylase and/or lipase above 2 times the upper normal limit;

• Chronic use of systemic and/or inhaled corticosteroids (only topical corticosteroids are allowed);
• History of low compliance, clinically-relevant psychiatric disorders or any current/ historical finding suggesting the patient as inappropriate to follow the study procedures.

• Minimum Eligible Age: 35 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Azienda Ospedaliero-Universitaria di Parma

OTHER

Sponsor Role: lead

Responsible Party

Ivana Zavaroni

Prof.

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Ivana Zavaroni, MD

Role: PRINCIPAL_INVESTIGATOR

Azienda Ospedaliera-Universitaria di Parma

Locations

Azienda Opedaliera-Universitaria

Parma, , Italy

Azienda Ospedaliera-Universitaria

Parma, , Italy

Countries

Italy

References

Dei Cas A, Spigoni V, Cito M, Aldigeri R, Ridolfi V, Marchesi E, Marina M, Derlindati E, Aloe R, Bonadonna RC, Zavaroni I. Vildagliptin, but not glibenclamide, increases circulating endothelial progenitor cell number: a 12-month randomized controlled trial in patients with type 2 diabetes. Cardiovasc Diabetol. 2017 Feb 23;16(1):27. doi: 10.1186/s12933-017-0503-0.

Reference Type: DERIVED

PMID: 28231835 (View on PubMed)

Other Identifiers

2012-005399-32

Identifier Type: -

Identifier Source: org_study_id