Short Term Effect of Liraglutide Versus Vildagliptine on Insulin Secretion and Insulin Sensitivity in Type 2 Diabetes

NCT ID: NCT02832999

Last Updated: 2017-12-26

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

14 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-01-31

Study Completion Date

2016-12-31

Brief Summary

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This is a single blind randomised controlled clinical trial in uncontrolled type 2 Diabetes mellitus patients on oral glucose lowering agents, and naive to incretinomimetic. Participants will be randomised in two Arms : arm 1 receiving Liraglutide at 1,2 mg/day and arm 2 Vildagliptine at 100mg/day over 14 days. The two arms will be compared for 14-day changes in insulin secretion and insulin sensitivity.

Detailed Description

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Incretinomimetics include exogenous Glucagon-Like Peptide analogs (GLP1a) such as Liraglutide, and inhibitors of Dipeptidyl peptidase IV (DPP4i) that prolong the half-life of endogenous GLP1 such as Vildagliptin. It remains unclear which of the two strategies (exogenous GLP1 or prolonging half-life of endogenous GLP1) have better short term effect on insulin sensitivity and insulin secretion in people living with type 2 diabetes.

This study aims to investigate the short-term metabolic effects of a GLP-1 analog Liraglutide versus a DPP4i Vildagliptin. It is a randomized, controlled, single-blinded clinical trial. Study population consists of uncontrolled type 2 diabetes mellitus patients (HbA1c≥7%) under mono or bi oral anti-diabetic therapy, naïve of any incretinomimetic treatment. Participants are randomized in 2 arms. The intervention in arm 1 consists of add-on subcutaneous Liraglutide at 0.6mg/day for 1 week increased to 1.2mg the second week. In the second arm, it consists of oral Vildagliptine at 100mg daily for two weeks. The primary outcome is the variation in euglycaemic hyperinsulinaemic clamp-derived insulin sensitivity before randomization and the day after intervention, secondary outcomes include 14-day changes in insulin secretion during a mixed meal tolarance test, body weight and body composition, and an indirect calorimetry measured resting energy expenditure. Changes from baseline to 14 days in serum creatinine and alanine amino transferase, C-reactive protein and lipid profile will also be recorded.

Conditions

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Type 2 Diabetes Mellitus

Keywords

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Diabetes GLP-1 Insulin secretion insulin sensitivity Africa Liraglutide Vildaglipin

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Investigators

Study Groups

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sub cutaneous liraglutide

once daily add-on subcutaneous injection of Liraglutide at 0.6mg/day for 1 week increased to 1.2mg the second week

Group Type EXPERIMENTAL

sub cutaneous liraglutide

Intervention Type DRUG

Liraglutide 1.2mg/day

Oral Vildagliptin

Once daily oral 100mg of Vildagliptine for two weeks

Group Type ACTIVE_COMPARATOR

Oral Vildagliptin

Intervention Type DRUG

Vildagliptin 50mg/day

Interventions

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sub cutaneous liraglutide

Liraglutide 1.2mg/day

Intervention Type DRUG

Oral Vildagliptin

Vildagliptin 50mg/day

Intervention Type DRUG

Other Intervention Names

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Victoza Galvus

Eligibility Criteria

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Inclusion Criteria

* Type 2 diabetes mellitus known for at least one year
* Uncontrolled glycaemic profile with HbA1c ≥ 7% on oral antidiabetic mono or bi-therapy
* Naïve of incretinomimetic treatment
* Informed consent

Exclusion Criteria

* Change in antidiabetic treatment less than 3 months prior to inclusion
* Pancreatitis
* Alanine amino transferase \> 3 times the normal values
* Pregnant or breastfeeding women
* Estimated glomerular filtration rate \< 60ml/min
* Infection less than 10 days prior to inclusion or during the study
* Acute complication of diabetes
* Total haemoglobin \< 11g/dL in women or \< 13g/dL in men
* Withdrawal of consent
Minimum Eligible Age

21 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Yaounde 1

OTHER

Sponsor Role collaborator

University of Buea

OTHER

Sponsor Role collaborator

Yaounde Central Hospital

OTHER_GOV

Sponsor Role lead

Responsible Party

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Sobngwi Eugene

Professor of Endocrinology and Diabetes

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Eugène Sobngwi

Role: PRINCIPAL_INVESTIGATOR

Yaounde Central Hospital

Locations

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National Obesity Centre

Yaoundé, , Cameroon

Site Status

Countries

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Cameroon

Other Identifiers

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CNO20163

Identifier Type: -

Identifier Source: org_study_id