The Swiss Glucose Variability Study
The purpose of this study is to explore long term glucose variability of a combination therapy of metformin and vildagliptin compared to a metformin - gliclazide combination.
Multicenter, randomized, open, parallel group, Phase IV study, of 18 months duration.
- Trial with medicinal product
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Anticipated)
Enrollment
Phase
Phase
- Phase 4
Contacts and Locations
Study Locations
-
-
-
Zurich, Switzerland
- Recruiting
- Universitiy Hospital
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion criteria:
- Male or female patients aged =30 -= 75 years.
- History of type 2 diabetes for at least 6 months.
- Patients inadequately controlled (i.e. not reaching target) with maximum tolerated doses of metformin with HbA1c of 6.5-9.0%.
- Patients inadequately controlled (i.e. not reaching target) with maximum tolerated doses of metformin with a body mass index (BMI) of 25-40 kg/m2.
- Patients that are currently treated with metformin, gliclazide or both but not with other glucose lowering agents.
- Outpatient.
- If female of childbearing potential: Will to practice reliable birth control measures [e.g., surgical sterilization, hormonal contraception, double-barrier methods (any double combination of IUD, male or female condom with spermicidal gel, diaphragm, sponge, cervical cap)] during study treatment and for at least 28 days after completion of study medication; not lactating or pregnant; and has a documented negative pregnancy test result at baseline.
Exclusion criteria:
- Type 1 diabetes as defined by the American Diabetes Association (ADA).
- Type 2 diabetes currently (last 3 months) treated with insulin or glitazones.
Acute or chronic diseases causing tissue hypoxia such as:
- cardiac or respiratory insufficiency
- myocardial infarct within the last 6 months
- Active liver disease with alanine aminotransferase (ALAT) and / or aspartate aminotransferase (ASAT) > 3 x upper limit of normal.
Relevant kidney disease such as :
- serum creatinine =133 µmol/l in males and > 124 µmol/l in females
- proteinuria > 300 mg/l
- status post kidney transplantation
- severe infection
- intravascular administration of contrast medium containing iod within the last 7 days
- Severe neuropathy (vibration perception at the base of the big toes <2/8).
- Active proliferative diabetic retinopathy.
- Any clinically relevant major organ system disease including mental illnesses
- History of malignancy
- Pancreatitis
- Porphyria
- Severe disturbances of the adrenal gland
- Severe disturbances of the thyroid gland
- Allergy to vildagliptin or one of the excipients
- Allergy to metformin or one of the excipients
- Allergy to gliclazide, sulfonylurea or sulfonamides or one of the excipients.
- Drug or alcohol abuse.
- Pregnant or nursing (lactating) women, where pregnancy is defined as the state of a female after conception and until the termination of gestation, confirmed by a positive pregnancy test (serum or urine).
- Any other condition that could interfere with the participation in the study according to the study protocol or with the ability to cooperate and comply with the study procedures.
- Treatment with any investigational drug, within 30 days or 5 half-lives before screening, whichever is longer.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Mean amplitude of glycemic excursion as described by Service et al. (1970) calculated from the glucose excursions of the CGMS profiles using MiniMedSolution Software (MedtronicMiniMed).
Time Frame: 48h
|
48h
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Anticipated)
Primary Completion
Study Completion (Anticipated)
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
- CLAF237ACH02T
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