Treatment of Diabetic Neuropathy With Liraglutide

NCT ID: NCT02138045

Last Updated: 2021-08-10

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

39 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-05-31

Study Completion Date

2017-02-28

Brief Summary

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The purpose of this trial is to explore whether liraglutide has a long term effect on clinical symptoms and biomarkers in patients with diabetic neuropathy.

Detailed Description

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Conditions

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Diabetes Mellitus, Type 1 Type 1 Diabetes Mellitus

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Placebo treatment

Placebo solution will be slowly titrated to maximum tolerable dose in order to minimize potential side-effects, hence treatment will follow:

First and second week: 0.6 mg/day; Third and fourth week: 1.2 mg/day and Fifth and to sixth week: 1.8 mg/day.

Group Type PLACEBO_COMPARATOR

Placebo treatment

Intervention Type DRUG

Treatment continues at highest tolereable dose (minimum 1.2 mg/day). Intervention time 26 weeks at target dose.

Liraglutide treatment

Liraglutide will be slowly titrated to maximum tolerable dose in order to minimize potential side-effects, hence treatment will follow:

First and second week: 0.6 mg/day; Third and fourth week: 1.2 mg/day and Fifth and to sixth week: 1.8 mg/day.

Group Type ACTIVE_COMPARATOR

Liraglutide treatment

Intervention Type DRUG

Treatment continues at highest tolereable dose (minimum 1.2 mg/day). Intervention time 26 weeks at target dose.

Interventions

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Placebo treatment

Treatment continues at highest tolereable dose (minimum 1.2 mg/day). Intervention time 26 weeks at target dose.

Intervention Type DRUG

Liraglutide treatment

Treatment continues at highest tolereable dose (minimum 1.2 mg/day). Intervention time 26 weeks at target dose.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Abile person of Northern European descent
* Age between 18 to 65 years
* A verified diagnosis of DM type 1 for minimum 2 years (HbA1C=7%)
* Stable DM treatment (Treatment is considered stable when the patient has been treated with basal-bolus insulin, premixed insulin or continously infused insulin with an insulin dose considered stable by investigator for at least 3 months prior to screening.)
* The participants must be able to read and understand Danish.
* Peripheral diabetic neuropathy ensured by having abnormal nerve conduction velocity
* BMI equal to or above 22
* Personally signed and dated informed consent document indicating that the patient has been informed of all pertinent aspects of the trial.
* Patients willing and able to comply with the scheduled visits, treatment plan, laboratory tests and other trial procedures.

Exclusion Criteria

* Diabetes mellitus type II
* Estimated glomerular filtration rate (s-creatinin/eGRF) \< 60 ml/min/1.37m2
* Calcitonin \> 25
* HbA1c level \< 7%
* Patients with any clinically significant laboratory abnormalities, that in the opinion of the investigator may increase the risk associated with trial participation or may interfere with the interpretation of the trial results.
* Patients on GLP-1 receptor agonist treatment (exenatide, liraglutide or others) or pramlintide or any DPP-4 inhibitor within 3 months prior to screening.
* Other neurological and/or psychiatric disease
* Treatment of other endocrinological disease except hypothyreosis
* Malignant neoplasms requiring chemotherapy, surgery, radiation or palliative care in the previous 5 years.
* Family or personal history of multiple endocrine neoplasia type 2 (MEN2) or familial medullary thyroid carcinoma.
* Personal history of non-familial medullary thyroid carcinoma
* Known abuse or alcohol and/or medicine (Alcohol use in accordance with the recommendations by the Danish Health and Medicines Authority are allowed).
* Known allergy to liraglutide.
* Participation in other clinical trials less than 3 months prior to inclusion
* Female patients who are pregnant or lactating, or intend to become pregnant and male patients who intend to father a child during course of the study.
* In women, a serum pregnancy test will be conducted at baseline based on h-CG in the blood. The investigator will have to ensure that fertile female patients use a safe contraception method during the study and for at least 15 hours after termination of the study medication period.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Novo Nordisk A/S

INDUSTRY

Sponsor Role collaborator

Aalborg University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Asbjørn Mohr Drewes

Professor, MD, PhD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Asbjørn M. Drewes, Professor

Role: PRINCIPAL_INVESTIGATOR

Mech-Sense, Department of Medical Gastroenterology, Aalborg Hospital

Locations

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Mech-Sense, Department of Medical Gastroenterology, Aalborg University Hospital

Aalborg, Jutland, Denmark

Site Status

Countries

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Denmark

References

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Arendt Nielsen T, Sega R, Uggerhoj Andersen C, Vorum H, Drewes AM, Jakobsen PE, Brock B, Brock C. Liraglutide Treatment Does Not Induce Changes in the Peripapillary Retinal Nerve Fiber Layer Thickness in Patients with Diabetic Retinopathy. J Ocul Pharmacol Ther. 2022 Jan-Feb;38(1):114-121. doi: 10.1089/jop.2021.0055. Epub 2021 Dec 16.

Reference Type DERIVED
PMID: 34918951 (View on PubMed)

Nissen TD, Meldgaard T, Nedergaard RW, Juhl AH, Jakobsen PE, Karmisholt J, Drewes AM, Brock B, Brock C. Peripheral, synaptic and central neuronal transmission is affected in type 1 diabetes. J Diabetes Complications. 2020 Sep;34(9):107614. doi: 10.1016/j.jdiacomp.2020.107614. Epub 2020 May 8.

Reference Type DERIVED
PMID: 32571684 (View on PubMed)

Nedergaard RB, Nissen TD, Morch CD, Meldgaard T, Juhl AH, Jakobsen PE, Karmisholt J, Brock B, Drewes AM, Brock C. Diabetic Neuropathy Influences Control of Spinal Mechanisms. J Clin Neurophysiol. 2021 Jul 1;38(4):299-305. doi: 10.1097/WNP.0000000000000691.

Reference Type DERIVED
PMID: 32501945 (View on PubMed)

Brock C, Hansen CS, Karmisholt J, Moller HJ, Juhl A, Farmer AD, Drewes AM, Riahi S, Lervang HH, Jakobsen PE, Brock B. Liraglutide treatment reduced interleukin-6 in adults with type 1 diabetes but did not improve established autonomic or polyneuropathy. Br J Clin Pharmacol. 2019 Nov;85(11):2512-2523. doi: 10.1111/bcp.14063. Epub 2019 Aug 30.

Reference Type DERIVED
PMID: 31338868 (View on PubMed)

Other Identifiers

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TODINELI

Identifier Type: -

Identifier Source: org_study_id

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