Safety Evaluation of Adverse Reactions in Diabetes

NCT ID: NCT02092597

Last Updated: 2018-02-07

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

42 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-10-31

Study Completion Date

2016-09-30

Brief Summary

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The purpose of this study is to assess the effects of incretin-based antidiabetic therapies (DPP-4 inhibitors and GLP-1 agonists) on cardiovascular, gastrointestinal and renal system and to detail the mechanisms underlying their action in these systems.

Detailed Description

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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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GLP-1 agonist

Exenatide 5 ug s.c. bid for the 1st month, 10 ug s.c. bid for the next 2 months

Group Type ACTIVE_COMPARATOR

Exenatide

Intervention Type DRUG

DPP-4 inhibitor

Linagliptin 5 mg tbl qd for 3 months

Group Type ACTIVE_COMPARATOR

Linagliptin

Intervention Type DRUG

Sulfonylurea derivate

Gliclazid 30 mg tbl qd for 3 months

Group Type ACTIVE_COMPARATOR

Gliclazide

Intervention Type DRUG

Interventions

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Exenatide

Intervention Type DRUG

Linagliptin

Intervention Type DRUG

Gliclazide

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Type 2 diabetes mellitus
* Metformin monotherapy - stable dose during last 3 months
* HbA1C 48-75 mmol/mol (IFCC)
* BMI 25-40 kg/m2
* Age 35-70 years (women postmenopausal)
* Use of ACE inhibitors or ATII receptor blockers for at least 3 months before enrollment

Exclusion Criteria

* eGFR\<30 ml/min/1.73m2 (MDRD)
* Treatment with incretin mimetics during 3 months before enrollment
* Chronic insulin therapy
* Chronic use of loop diuretics, glucocorticoids, NSAID, immune suppressants, antimicrobial agents, chemotherapeutics, bile acid sequestrants (colestyramin, colesevelam)
* History of pancreatic disease or impaired pancreatic function (defined as the need to use pancreatic enzymes)
* Active liver disease or a 3-fold elevation of liver transaminases (ALT, AST)
* Active malignancy
* History of severe cardiovascular disease including acute coronary syndrome, stroke or transient ischemic neurologic disorder during previous 6 months, atrial fibrillation or other arrhythmia requiring chronic antiarrhythmic medication, chronic heart failure (New York Heart Association grade III/IV)
* History of alcohol abuse, defined as \>4 units of alcohol/day (32 g or 40 ml of 100% alcohol)
* History of allergy for GLP-1 receptor agonists or DPP-4 inhibitors
* Any disease that could interfere with study procedures (e.g. decreased mobility, mental incapacity)
* Inability to give informed consent
Minimum Eligible Age

35 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Charles University, Czech Republic

OTHER

Sponsor Role lead

Responsible Party

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Martin Haluzik

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Martin Haluzik, MD DSc

Role: PRINCIPAL_INVESTIGATOR

3rd Department of Medicine, General University Hospital and Charles University 1st Faculty of Medicine

Locations

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General University Hospital

Prague, , Czechia

Site Status

Countries

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Czechia

Other Identifiers

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HEALTH-282521-CUNI

Identifier Type: -

Identifier Source: org_study_id

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