Liraglutide as Additional Treatment to Insulin in Patients With Autoimmune Diabetes Mellitus

NCT ID: NCT03011008

Last Updated: 2020-03-18

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

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-01-31

Study Completion Date

2021-06-30

Brief Summary

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The purpose of this study is to investigate the therapeutic effect of Liraglutide on autoimmune diabetes.

Detailed Description

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Autoimmune Diabetes Mellitus (AIDM) is a subtype of diabetes mellitus caused by autoimmune destruction of beta cells in the islet, including Type 1 diabetes and Latent Autoimmune Diabetes in Adults (LADA). Insulin has been used as a routine therapy for AIDM to alleviate the hyperglycemic status, yet cannot effectively prevent the progressing destruction of beta cells or preserve its function. Glucagon-like peptide (GLP-1) analog Liraglutide has been tested in large-scale clinical trial to prove its various benefits for beta cells and glucolipid metabolism in Type 2 diabetes and obesity patients. However, its clinical application in AIDM is not well-defined so far. The aim of this study is to investigate the potential use of Liraglutide on glycemic control in AIDM.

Conditions

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Type 1 Diabetes Mellitus Autoimmune Diabetes

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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Liraglutide + insulin

Patients will be subjected to a dose escalation of liraglutide up to 1.2 mg, then continue to receive the reached liraglutide dose once daily for 6 months thereafter. Insulin will be continued as routine therapy.

Group Type EXPERIMENTAL

Liraglutide

Intervention Type DRUG

Dose escalation of liraglutide starts from 0.6 mg up to 1.2 mg per day.

Insulin

Intervention Type DRUG

Receive insulin following clinician's instruction.

Insulin

Patients will receive insulin injection as a routine therapy.

Group Type ACTIVE_COMPARATOR

Insulin

Intervention Type DRUG

Receive insulin following clinician's instruction.

Interventions

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Liraglutide

Dose escalation of liraglutide starts from 0.6 mg up to 1.2 mg per day.

Intervention Type DRUG

Insulin

Receive insulin following clinician's instruction.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Type 1 diabetes according to ADA criteria \<3 years.
* Age≥ 18 years.
* Positive for at least one of the anti-islet autoantibodies: GADA, IA2A, ZnT8A
* Fasting or postprandial plasma C-peptide more than 100 pmol/L
* Written informed consent from the patient or family representative

Exclusion Criteria

* History or family history of medullary thyroid carcinoma or MEN 2 syndrome;
* History of chronic or acute pancreatitis;
* Allergic to liraglutide or any components in Victoza®;
* Hepatic abnormalities (transaminase \> 2 times normal);
* Renal impairments (serum creatinine \>133 umol/L);
* Cardiovascular diseases (hypertension, coronary heart disease, etc.);
* Presence of acute metabolic disorders; In the case of acute ketone acidosis, with blood ketone over 0.3mmol/L and pH lower than 7.30;
* Any history of malignancy;
* Female patients who are pregnant or breastfeeding; any female who is unwilling to use a reliable and effective form of contraception for 2 years after recruitment;
* Presence of any infectious diseases, including active skin infections, flu, fever, upper or lower respiratory tract infections; those who wish to participate in the study should keep the infection under control for at least 1 week before receiving Treg product infusion;
* Any medical condition that, in the opinion of the investigator, will interfere with safe participation in the trial.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Second Xiangya Hospital of Central South University

OTHER

Sponsor Role lead

Responsible Party

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Zhiguang Zhou

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Institute of Metabolism and Endocrinology, Second Xiangya Hospital, Central South University

Changsha, Hunan, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Zhiguang Zhou, MD/PhD

Role: CONTACT

86-731-85292154

Facility Contacts

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Zhiguang Zhou, MD/PhD

Role: primary

86-731-85292154

References

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Rondas D, D'Hertog W, Overbergh L, Mathieu C. Glucagon-like peptide-1: modulator of beta-cell dysfunction and death. Diabetes Obes Metab. 2013 Sep;15 Suppl 3:185-92. doi: 10.1111/dom.12165.

Reference Type BACKGROUND
PMID: 24003936 (View on PubMed)

Chang TJ, Tseng HC, Liu MW, Chang YC, Hsieh ML, Chuang LM. Glucagon-like peptide-1 prevents methylglyoxal-induced apoptosis of beta cells through improving mitochondrial function and suppressing prolonged AMPK activation. Sci Rep. 2016 Mar 21;6:23403. doi: 10.1038/srep23403.

Reference Type BACKGROUND
PMID: 26997114 (View on PubMed)

Mathieu C, Gillard P. Arresting type 1 diabetes after diagnosis: GAD is not enough. Lancet. 2011 Jul 23;378(9788):291-2. doi: 10.1016/S0140-6736(11)60978-1. Epub 2011 Jun 27. No abstract available.

Reference Type BACKGROUND
PMID: 21715000 (View on PubMed)

Other Identifiers

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0002

Identifier Type: -

Identifier Source: org_study_id

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