Efficacy Study of Liraglutide vs.Sitagliptin vs. Glargine on Liver Fat in T2DM Subjects

NCT ID: NCT02147925

Last Updated: 2018-05-18

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

75 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-08-31

Study Completion Date

2017-04-30

Brief Summary

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The aim of this study is to explore the effectiveness of liraglutide combined with metformin in non-alcoholic fatty-liver disease patients with type 2 diabetes mellitus (T2DM) compared to sitagliptin and insulin glargine in combination with metformin.

Detailed Description

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This is a 26-week, randomized, open-label, active controlled, parallel group, multi-centre trial.To compare the change of intrahepatic lipids (IHL) as measured by magnetic resonance spectroscopy(MRS) or MRI estimated proton density fat fraction (MRI-PDFF) as measured by MRI IDEAL IQ (Iterative Decomposition of water andfat with Echo Asymmetryand Least-squares estimation) in type 2 diabetic patients with non-alcoholic fatty-liver disease after a 26-week treatment of liraglutide, sitagliptin or insulin glargine per day combined with metformin.The primary endpoint will be defined by intrahepatic lipids (IHL) as measured by magnetic resonance spectroscopy (MRS) or MRI-PDFF as measured by MRI IDEAL IQ.

Conditions

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Non-alcoholic Fatty Liver Disease

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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Sitagliptin

Sitagliptin combined with metformin

Group Type ACTIVE_COMPARATOR

Sitagliptin combined with metformin

Intervention Type DRUG

The dose throughout the study will be 100mg per day.

Liraglutide

Liraglutide combined with metformin

Group Type ACTIVE_COMPARATOR

Liraglutide combined with metformin

Intervention Type DRUG

Liraglutide, 0.6mg per day for the first week, and will be increased to 1.2mg per day for the second week, and finally 1.8mg per day since the third week

Insulin glargine

Insulin glargine combined with metformin

Group Type ACTIVE_COMPARATOR

Insulin glargine combined with metformin

Intervention Type DRUG

The initial dose will be 0.2 unit/kg/d

Interventions

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Liraglutide combined with metformin

Liraglutide, 0.6mg per day for the first week, and will be increased to 1.2mg per day for the second week, and finally 1.8mg per day since the third week

Intervention Type DRUG

Insulin glargine combined with metformin

The initial dose will be 0.2 unit/kg/d

Intervention Type DRUG

Sitagliptin combined with metformin

The dose throughout the study will be 100mg per day.

Intervention Type DRUG

Other Intervention Names

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Victoza®, Novo Nordisk Lantus®, Sanofi Januvia®, Merck & Co. Inc.

Eligibility Criteria

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Inclusion Criteria

* Recorded Type 2 diabetes diagnosed at least 3 months before the study; At least 3 months treatment on a stable dose(≧1500mg/d)of metformin before the study
* 6.5%\<HbA1c ≤10%
* Clinically diagnosed simple liver steatosis
* 30-75 years old
* Female subjects should be postmenopausal, surgically sterile, or using contraceptives for 3 months before screening and continuing throughout the study;
* BMI 20\~35 kg/m2 and with a history of stable body weight (≤10%variation for ≥3 months)
* intrahepatic lipids (IHL) \>10%

Exclusion Criteria

* Type 1 diabetes
* Treatment within the last 3 months with Thiazolidinediones(TZDs), orlistat, insulin, any history of incretin based therapy or any other drugs associated with hepatic steatosis (including but not limited to glucocorticoids, tamoxifen, amiodarone or methotrexate)
* History or current episode of pancreatitis or other disease of the pancrea; Impaired liver function, defined as plasma alanine transaminase(ALT) \>2.5 times of upper normal limit
* Moderate and severe renal insufficiency defined as MDRD formula glomerular filtration rate\<60ml/min/1.73m2
* Weekly alcohol intake\>14 units for women or \>21 units for men
* Any history of liver disease including metabolic or auto-immune liver diseases or viral hepatitis
* History or family history of medullary thyroid cancer(MTC), or multiple endocrine neoplasia type 2(MEN-2)
* Congestive heart failure(NYHA III\~IV)
* Severe gastric-intestinal diseases
* Pregnancy and/or intention of becoming pregnant
* Known proliferative retinopathy or maculopathy requiring acute treatment as judged by the Investigator; Use of non-herbal Chinese medicine or other non-herbal local medicine with unknown/unspecified content. Herbal traditional Chinese medicine or other local herbal medicines may, at the Investigator's discretion, be continued throughout the trial at an unchanged dose
Minimum Eligible Age

30 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sun Yat-sen University

OTHER

Sponsor Role lead

Responsible Party

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Jianping Weng

professor, vice president, the third affiliated hospital of Sun Yat-sen University

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Jianping Weng, Doctor

Role: STUDY_DIRECTOR

Third Affiliated Hospital, Sun Yat-Sen University

Locations

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The Third Affiliated Hospital of Sun Yat-sen University

Guangzhou, Guangdong, China

Site Status

Countries

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China

Other Identifiers

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IIS201404

Identifier Type: -

Identifier Source: org_study_id

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