Glycemic Durability After Metformin Failure

NCT ID: NCT02142309

Last Updated: 2016-04-20

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

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

450 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-10-31

Study Completion Date

2017-01-31

Brief Summary

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Type 2 diabetes is epidemic and its treatment has become more and more difficult. Consensus algorithms have been developed to help clinicians to select among the numerous medications and their combinations for achieving and maintaining a target glycated hemoglobin A1c (HbA1c) of \<7%.

AMAZING, a pragmatic clinical trial, aims to compare commonly used oral diabetes medications, when combined with metformin, on glycemia-lowering effectiveness.

Detailed Description

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* Source data verification: paper or electronic medical records.
* Statistical analysis: All analyses will compare the randomly assigned treatment groups under the intention- to-treat principle

Conditions

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Type 2 Diabetes

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Glimepiride

up to 4 mg/day

Group Type EXPERIMENTAL

Glimepiride

Intervention Type DRUG

Weekly adjustment based on self-monitoring of blood glucose level to a maximum of 4 mg daily

Vildagliptin

50 mg bid

Group Type EXPERIMENTAL

Vildagliptin

Intervention Type DRUG

Reduce to 50 mg if estimated glomerular filtration rate (eGFR) \<45 mL/min

Pioglitazone

up to 30 mg/day

Group Type EXPERIMENTAL

Pioglitazone

Intervention Type DRUG

Start with 15 mg/day and advance to 30 mg/day

Canagliflozin

300 mg/day

Group Type EXPERIMENTAL

Canagliflozin

Intervention Type DRUG

Start with 200 mg/day and advance to 300 mg/day on the basis of fasting glucose monitoring

Interventions

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Glimepiride

Weekly adjustment based on self-monitoring of blood glucose level to a maximum of 4 mg daily

Intervention Type DRUG

Vildagliptin

Reduce to 50 mg if estimated glomerular filtration rate (eGFR) \<45 mL/min

Intervention Type DRUG

Pioglitazone

Start with 15 mg/day and advance to 30 mg/day

Intervention Type DRUG

Canagliflozin

Start with 200 mg/day and advance to 300 mg/day on the basis of fasting glucose monitoring

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Newly-diagnosed, type 2 diabetic patients, failing to diet

Exclusion Criteria

* Suspected type 1 diabetes or secondary diabetes resulting from specific causes
* Current or previous (within past 3 months) treatment with any investigational drug
* Any major cardiovascular event in previous year
* Plans for pregnancy during the course of the study for women of childbearing potential
* Serum creatinine level \>1.3 mg/dL in women and \>1.4 mg/dL in men
* History of cancer, other than nonmelanoma skin cancer, that required therapy in the 5 years before randomization
* Treatment with oral, loal, systemic glucocorticoids 14. Treatment with atypical antipsychotics
Minimum Eligible Age

30 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Campania Luigi Vanvitelli

OTHER

Sponsor Role lead

Responsible Party

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Dario Giugliano

Full Prof of Endocrinology and Metbaolism

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Dario Giugliano, MD PHD

Role: PRINCIPAL_INVESTIGATOR

University of Campania Luigi Vanvitelli

Locations

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Katherine Esposito

Naples, Naples, Italy

Site Status RECRUITING

Department of Geriatrics and Metabolic Diseases

Naples, , Italy

Site Status ACTIVE_NOT_RECRUITING

Countries

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Italy

Central Contacts

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Dario Giugliano, MD

Role: CONTACT

39 081 5665054

Facility Contacts

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Maria Ida Maiorino, MD

Role: primary

Other Identifiers

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DGM 7-2006

Identifier Type: -

Identifier Source: org_study_id

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