Prevent/Delay Development of Type 2 Diabetes in Subjects With Impaired Glucose Homeostasis Treated With Acarbose in Primary Care
A Multi-centre, Parallel, Double-blind, Randomised and Placebo Controlled Spanish Study, to Prevent or Delay the Development of Type 2 Diabetes in Subjects With Impaired Glucose Homeostasis Treated With Acarbose in Primary Care (PREDIAP)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
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-
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Alicante, Spain, 03007
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Madrid, Spain, 28033
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Tarragona, Spain, 43005
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Tarragona, Spain, 43006
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-
Alicante
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Agost, Alicante, Spain, 03698
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Crevillente, Alicante, Spain
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Novelda, Alicante, Spain, 03660
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San Vicente del Raspeig, Alicante, Spain, 03690
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Barcelona
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Terrassa, Barcelona, Spain, 08223
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León
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Trobajo del Camino, León, Spain, 24010
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-
Lugo
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Begonte, Lugo, Spain, 27373
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Villalba, Lugo, Spain, 27800
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Sevilla
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Camas, Sevilla, Spain, 41900
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Tarragona
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Constanti, Tarragona, Spain, 43120
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Cornudella, Tarragona, Spain, 43360
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El Morell, Tarragona, Spain, 43760
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Falset, Tarragona, Spain, 43730
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Les Borges del Camp, Tarragona, Spain, 43350
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Reus, Tarragona, Spain, 43201
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Reus, Tarragona, Spain, 43202
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Reus, Tarragona, Spain, 43203
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Tortosa, Tarragona, Spain, 43500
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Vinebre, Tarragona, Spain, 43729
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Age > 40 and < 75 years old
- Men and women
- Able to give voluntary informed consent
- Existence of one or more of the following risk factors:
- Body Mass Index (BMI) > 27 mg/Kg2
- One or more family members with diabetes determined by anamnesis.
- Personal antecedents of previous blood glucose anomalies (gestational diabetes reverted after the lactation time, before-during surgical stress, fasting glycaemia > 110 mg/dL (6,1 mM) and < 126 mg/dL (7 mM) registered in the Clinical History during the last 3 years, etc.)
- Previous consumption of drugs with hyperglycaemic capacity for a period of 3 months continuously or more than 6 months discontinuously
Exclusion Criteria:
- Type 2 DM
- Pregnancy during the study
- Nursing women
- Major debilitating (e.g. collagen vascular diseases, failure of major organ, psychosis, severe infections, neutropenia, BMI < 20 mg/Kg2)
- Subjects taking a prohibited drug (see protocol)
- Subjects taking drugs that can impair intestinal motility and/or carbohydrate absorption (i.e. cholestyramine, neomycin)
- Recent cardiovascular events (within last 6 months) such as myocardial infarction, cerebrovascular accident, congestive heart failure
- Serum creatinine > 2 mg/Dl
- Fasting triglycerides > 10 mm/L (> 885 mg/dL)
- AST elevation > 2.5 times above the upper limit of normal
- Subjects with hyper/hypothyroidism non compensated
- Subjects with documented gastrointestinal diseases that are likely to be associated with abnormal intestinal motility or altered absorption of nutrients (e.g. gastroparesia, malabsorption syndrome, chronic diarrhoea states, enteropathies, inflammatory bowel diseases, partial intestinal obstruction, large hernias)
- Subjects with any emotional disorder or substance abuse (e.g. severe depression, alcohol or drug abuse)
- Hypersensitivity to Acarbose
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: QUADRUPLE
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
EXPERIMENTAL: Arm 1
|
50 mg TID
|
|
PLACEBO_COMPARATOR: Arm 2
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50 mg TID
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
The principal objective was to determine if the administration of small doses of Acarbose could prevent or delay the appearance of Type 2 DM in a population of subjects with impaired glucose homeostasis.
Time Frame: The main criterion for the evaluation of the primary objective was the proportion of diabetic subjects after three years of treatment and another time after three months of wash-out with placebo.
|
The main criterion for the evaluation of the primary objective was the proportion of diabetic subjects after three years of treatment and another time after three months of wash-out with placebo.
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Regression to the normality (NO impaired glucose homeostasis)
Time Frame: Proportion of subjects that had regressed to normality after three years of treatment.
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Proportion of subjects that had regressed to normality after three years of treatment.
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Evolution of the cardiovascular risk markers (microalbuminuria, triglycerides, fasting glycaemia, after overload glycaemia, HbA1c, C-peptide, insulinemia)
Time Frame: Three years and three months.
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Three years and three months.
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Evolution of blood pressure
Time Frame: Three years and three months.
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Three years and three months.
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Evolution of lipid profile
Time Frame: Three years and three months.
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Three years and three months.
|
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Evolution of anthropometric measurements
Time Frame: Three years and three months. (BMI)
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Three years and three months. (BMI)
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The appearance or progression of cardiovascular events: angina, myocardial infarction, cerebrovascular accident, congestive heart failure, peripheral vascular disease, revascularisation procedure
Time Frame: Time until the appearance or progression of cardiovascular episodes
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Time until the appearance or progression of cardiovascular episodes
|
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Delay in the conversion to diabetes mellitus
Time Frame: Time until the confirmation of the diagnosis of Diabetes Mellitus
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Time until the confirmation of the diagnosis of Diabetes Mellitus
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Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (ACTUAL)
Primary Completion
Study Completion (ACTUAL)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (ESTIMATE)
First Posted
Study Record Updates
Last Update Posted (ESTIMATE)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 10139 (Other Identifier: CTEP)
- PREDIAP
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