Effect of Diacerein in the Metabolic Control of Patients With DM Type 2 and Secondary Failure to Metformin

NCT ID: NCT02177643

Last Updated: 2015-09-17

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

PHASE2

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-01-31

Brief Summary

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Considering that, Diacerein is on the market for almost 20 years, being used continuously in elderly patients with osteoarthritis without present significant side effects, and considering the anti-hyperglycemic effect and the improvement in the insulin resistance observed in animal models of type 2 diabetes and in a previously study from Mexico. The aim of our study is to investigate the effect of Diacerein, a medication with anti-osteoarthritic properties and moderately analgesic activity, anti-inflammatory and antipyretic, which demonstrates inhibit properties for the synthesis of pro-inflammatory cytokines such as interleukin 1 (IL-1). Administered for 12 weeks and the effect in the glycemic and metabolic control in patients with diabetes mellitus 2 and secondary failure to metformin treatment.

Detailed Description

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This proof of concept study aims to access the metabolic control in patients with type 2 diabetes mellitus and secondary failure to metformin.

The Study is a Phase II, Multicenter, National, Prospective, Randomized, Double blind, Parallel Groups, Placebo Comparative Trial. UNICAMP (Hospital of Unicamp) is the coordinating center and we have the participation of the State University of Feira de Santana and the Center for Diabetes and Hypertension in Fortaleza.

Study Objectives: To investigate the effect of Diacerein administered for 12 weeks; glycemic and metabolic control in patients with diabetes mellitus 2 and secondary failure to metformin treatment. The Total Number of patients will be approximately 60, 30 patients in each group.

Conditions

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Diabetes-Related Complications Diabetes Mellitus, Type 2 Insulin Resistance

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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Diacerein

Diacerein 50 mg immediate release capsule, once daily for the starting 28 days and Diacerein 50 mg immediate release capsule twice a day for the remains of the study.

Group Type ACTIVE_COMPARATOR

Diacerein

Intervention Type DRUG

Diacerein oral capsules

Placebo

Placebo capsules once a day for the starting 28 days and two times daily for the remainder of the study.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo oral capsules

Interventions

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Diacerein

Diacerein oral capsules

Intervention Type DRUG

Placebo

Placebo oral capsules

Intervention Type DRUG

Other Intervention Names

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Artrodar - TRB Pharma

Eligibility Criteria

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Inclusion Criteria

* Diabetes mellitus (DM) type 2 between 6 months to 10 years of disease
* Body mass index between 25 and 35 kg/m2
* Fasting glucose between 120 and 250 mg/dL
* Glycated Hb A1c greater than 7,5 %
* Taking Metformin (dose above 1700 mg/day) with or without other secretagogue.

Exclusion Criteria

* Subjects with DM1
* Subjects with DM2 using insulin
* Subjects with DM2 with chronic complications that already have clinical consequences
* Subjects with other types of diabetes
* Creatinine serum greater than 1.4 mg/dl (female) and 1.5 mg/dl (male)
* History of heart disease and/or severe concomitant diseases such as liver, coronary artery, renal
* History of severe psychiatric or neurological disorders
* History of alcohol abuse and/or illegal drugs or psychotropic medicines in the past six months
* Hypersensitivity to any component of the of study drug and placebo formulation.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Conselho Nacional de Desenvolvimento Científico e Tecnológico

OTHER_GOV

Sponsor Role collaborator

ANS Pharma

INDUSTRY

Sponsor Role collaborator

University of Campinas, Brazil

OTHER

Sponsor Role lead

Responsible Party

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Aleksandra Alves Silva

Study Director - Dr. Mario José Abdalla Saad - National Institute of Science and Technology of Obesity and Diabetes

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Dr. Mario JA Saad, MD PhD

Role: STUDY_DIRECTOR

National Institute of Science and Technology of Obesity and Diabetes (CNPq)

Locations

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Centro de Estudos em Diabetes e Hipertensão

Fortaleza, Ceará, Brazil

Site Status RECRUITING

Universidade Estadual de Feira de Santana

Feira de Santana, Estado de Bahia, Brazil

Site Status RECRUITING

Universidade Estadual de Campinas

Campinas, São Paulo, Brazil

Site Status RECRUITING

Countries

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Brazil

Central Contacts

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Dra. Maria Cândida R. Parisi, PhD

Role: CONTACT

+55 (019) 981962242

Aleksandra A. Silva, MSc

Role: CONTACT

+55 (019) 99233-9701

Facility Contacts

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Dra. Adriana C. Forti, PhD

Role: primary

+55 (085) 3105-8300

Dra. Ana Mayra A. Oliveira, PhD

Role: primary

+55 (075) 3625-4027

Dra. Maria Cândida R. Parisi, PhD

Role: primary

+55 (019) 98196-2242

Dr. Daniel Minuti, MD Msc

Role: backup

+55 (019) 98128-2535

References

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Ramos-Zavala MG, Gonzalez-Ortiz M, Martinez-Abundis E, Robles-Cervantes JA, Gonzalez-Lopez R, Santiago-Hernandez NJ. Effect of diacerein on insulin secretion and metabolic control in drug-naive patients with type 2 diabetes: a randomized clinical trial. Diabetes Care. 2011 Jul;34(7):1591-4. doi: 10.2337/dc11-0357. Epub 2011 May 24.

Reference Type BACKGROUND
PMID: 21610123 (View on PubMed)

Tobar N, Oliveira AG, Guadagnini D, Bagarolli RA, Rocha GZ, Araujo TG, Prada PO, Saad MJ. Comment on: Ramos-Zavala et al. Effect of diacerein on insulin secretion and metabolic control in drug-naive patients with type 2 diabetes: a randomized clinical trial. Diabetes Care 2011;34:1591-1594. Diabetes Care. 2012 Feb;35(2):e13; author reply e14. doi: 10.2337/dc11-1856. No abstract available.

Reference Type BACKGROUND
PMID: 22275450 (View on PubMed)

Tobar N, Oliveira AG, Guadagnini D, Bagarolli RA, Rocha GZ, Araujo TG, Santos-Silva JC, Zollner RL, Boechat LH, Carvalheira JB, Prada PO, Saad MJ. Diacerhein improves glucose tolerance and insulin sensitivity in mice on a high-fat diet. Endocrinology. 2011 Nov;152(11):4080-93. doi: 10.1210/en.2011-0249. Epub 2011 Sep 6.

Reference Type BACKGROUND
PMID: 21896669 (View on PubMed)

Velloso LA, Folli F, Perego L, Saad MJ. The multi-faceted cross-talk between the insulin and angiotensin II signaling systems. Diabetes Metab Res Rev. 2006 Mar-Apr;22(2):98-107. doi: 10.1002/dmrr.611.

Reference Type BACKGROUND
PMID: 16389635 (View on PubMed)

Other Identifiers

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CAAE: 07943212.5.2002.0053

Identifier Type: OTHER

Identifier Source: secondary_id

07943212.5.2002.0053

Identifier Type: -

Identifier Source: org_study_id

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