Effects of Degludec/Liraglutide on Time in Range, Inflammation and Endothelial Function vs Insulin Basal Bolus in Diabetic Inpatients

NCT ID: NCT05360537

Last Updated: 2023-12-15

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

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-04-01

Study Completion Date

2022-04-20

Brief Summary

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The study aims to evaluate the effects of Insulin Degludec/Liraglutide on glycemic variability assessed by continuous glycemic monitoring with the function time in range, serum markers of inflammation, markers of endothelial dysfunction and a possible correlation with intra and extra-hospital mortality rates in a group of hospitalized diabetic patients compared to a control group of in-patient diabetic in treatment on insulin Basal-bolus.

Detailed Description

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100 patients with type 2 diabetes mellitus were recruited at the Internal Medicine with Stroke care ward of the University hospital of Palermo "P. Giaccone" from April 2022 to April 2024. 50 patients were treated with Insulin Degludec/Liraglutide, 50 were undertaken treatment regime with Insulin Basal Bolus (control group).

The study was carried out in accordance with the principles of the Helsinki Declaration revised in 2001 and all patients gave their written consent to take part in this research.

Each patient treated was compared for age, sex and cardiovascular risk with control patients. The diagnosis of type 2 diabetes mellitus was based on the revised criteria of the American Diabetes Association (ADA), and using a clinical algorithm that considered the age of onset of the disease, the symptoms and weight present, the family history and the therapy practiced. Arterial hypertension was defined according to the 2017 ESC-ESH criteria. Dyslipidemia was defined based on total cholesterol levels\> 200 mg/dl, triglycerides\> 150 mg/dl and HDL levels \<40 mg/dl regardless of the patient's gender.

Among the cases enrolled, 135 (100%) had type 2 diabetes mellitus, 110 (80 %) had arterial hypertension and 74 (55%) hypercholesterolemia.

Clinical and anthropometric data were collected at the time of recruitment. Blood samples were taken from each patient (cases and controls) to determine serum glucose, HbA1c, CRP, Ferritin, IL-6. These withdrawals were then repeated three months and six months from the time of recruitment.

The glycemic variability was assessed by continuous glycemic monitoring with the analysis of Time in Range

The digital endothelial function was evaluated through the RHI-pat analysis using Endo-PAT2000.

Conditions

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Diabetes Mellitus, Type 2

Keywords

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Insulin Degludec/Liraglutide

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Parallel Assignment
Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Caregivers
Double (Participant, Care Provider)

Study Groups

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patients treated with Insulin Degludec/Liraglutide

Diabetes therapy with Insulin Degludec/Liraglutide and various combinations of metformin, repaglinide, sulfonylureas.

Group Type EXPERIMENTAL

Insulin Degludec / Liraglutide Injectable Product

Intervention Type DRUG

administration of Insulin Degludec/Liraglutide

patients treated with Insulin regime Basal Bolus

Diabetes therapy with the combination of a single administration of glargine insulin and three administration of Aspart Insulin.

Group Type ACTIVE_COMPARATOR

Insulin Glargine

Intervention Type DRUG

Administration of glargine insulin

Interventions

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Insulin Degludec / Liraglutide Injectable Product

administration of Insulin Degludec/Liraglutide

Intervention Type DRUG

Insulin Glargine

Administration of glargine insulin

Intervention Type DRUG

Other Intervention Names

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Insulin Degludec/Liraglutide glargine

Eligibility Criteria

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Inclusion Criteria

* Diabetes mellitus type 2
* Mild-moderate Hyperglycemia (180-400 mg/dl)
* Acute events (Pneumonia, Acute cardiac Ischemia, Ictus, IVU)

Exclusion Criteria

* Diabetes mellitus type 1
* Diabetic ketoacidosis
* Hyperosmolar coma
* Severe hypoglycaemia
* Acute Pancreatitis
* Cancer
* use of corticosteroids
* pregnancy
* Chronic kidney disease (\< 30 ml/min) or hemodialysis
Minimum Eligible Age

18 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Palermo

OTHER

Sponsor Role lead

Responsible Party

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Antonino Tuttolomondo

University professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Antonino Tuttolomondo, Professor

Role: STUDY_DIRECTOR

University of Palermo

Locations

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Internal Medicine Ward, University of Palermo

Palermo, , Italy

Site Status

Countries

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Italy

Other Identifiers

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U Palermo

Identifier Type: -

Identifier Source: org_study_id