Efficacy of Trimetazidine in Diabetic Patients

NCT ID: NCT05556005

Last Updated: 2022-09-27

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

2022-09-18

Study Completion Date

2023-09-30

Brief Summary

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Subclinical diastolic dysfunction represents the early phase of diabetic cardiomyopathy and is a common complication among type 2 diabetic patients that increases mortality rate among those patients and can progress to heart failure with preserved ejection fraction. Trimetazidine is an anti-ischemic agent widely used in the treatment of coronary artery disease and it has positive effects on energy metabolism in heart failure.

Therefore, we hypothesized that trimetazidine may have potential benefit on the amelioration of the inflammatory insult and improving the clinical outcomes in patients with diabetic cardiomyopathy especially if applied in the early stages.

Detailed Description

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Conditions

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Diabetes Mellitus, Type 2 Diabetic Cardiomyopathies

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Outcome Assessors

Study Groups

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Group 1

Patients will receive 35 mg of Trimetazidine modified release tablet twice daily in addition to their standard treatment for three months.

Group Type EXPERIMENTAL

Trimetazidine Dihydrochloride

Intervention Type DRUG

Trimetazidine Dihydrochloride 35 mg modified release tablet used twice daily

Group 2

Patients will receive Placebo tablet twice daily in addition to their standard treatment for three months.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Starch tablets used twice daily

Interventions

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Trimetazidine Dihydrochloride

Trimetazidine Dihydrochloride 35 mg modified release tablet used twice daily

Intervention Type DRUG

Placebo

Starch tablets used twice daily

Intervention Type DRUG

Other Intervention Names

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Vasteral mr

Eligibility Criteria

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Inclusion Criteria

1. Age from 40-75 years
2. Patients with echocardiographic evidence of grade I or II diastolic dysfunction with LVEF ≥50%

Exclusion Criteria

1. Patients with valvular, congenital or ischemic heart disease.
2. Patients with inadequately controlled hypertension (blood pressure\>140/90 mm Hg)
3. Patients with HbA1c% \<10 %
4. Patients with history of intolerance or allergic response to TMZ
5. Patients with severe liver dysfunction or severe renal dysfunction (creatinine clearance \< 30 ml/min)
6. Patients with other significant comorbidities such as malignancy, significant psychiatric illness, autoimmune diseases.
7. Patients with Parkinson's disease or motor disorders
8. Pregnancy and breast feeding
Minimum Eligible Age

40 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ain Shams University

OTHER

Sponsor Role lead

Responsible Party

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Heba ibrahim Mohamed serag

Assistant lecturer of clinical pharmacy- faculty of pharmacy

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Ainshams university hospitals

Cairo, , Egypt

Site Status RECRUITING

Countries

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Egypt

Central Contacts

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heba I serag, Master

Role: CONTACT

01008344689 ext. 002

Facility Contacts

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lamia El wakeel, Professor

Role: primary

References

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Serag H, Wakeel LE, William V, Abdelsalam M, Abdelsalam A, Sayed R. Effect of trimetazidine on left ventricular functions and cardiac biomarkers in diabetic patients with left ventricular diastolic dysfunction: a randomized controlled trial. Sci Rep. 2025 Jan 16;15(1):2115. doi: 10.1038/s41598-024-83213-w.

Reference Type DERIVED
PMID: 39814796 (View on PubMed)

Other Identifiers

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RHDIRB2020110301

Identifier Type: -

Identifier Source: org_study_id

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