Effects of Gemigliptin Versus Sitagliptin or Glimepiride With Metformin on Glucose Variability(MAGE, Glucose SD) Patients With Type 2 DM(STABLE Study) (STABLE)
A Multicenter, Randomized, Active-controlled, Parallel Group, Open-label, Exploratory Study to Evaluate the Efficacy on Glucose Variability(MAGE, Glucose SD) and Safety of Initial Combination Therapy of Gemigliptin 50mg q.d., Versus Sitagliptin 100mg q.d., or Glimepiride 2mg q.d. With Metformin 500-1,000mg q.d. in Patients With Type 2 Diabetes
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 4
Contacts and Locations
Study Locations
-
-
-
Seoul, Korea, Republic of, 120-752
- Severance Hospital
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Patients with Type 2 Diabetes Mellitus
- adults aged ≥ 20 and aged ≤ 70 years old
- Patients who had not taken anti diabetes drug for 8 weeks prior to screening visit with HbA1c ≥ 7.5%
- All patients give written informed consent
Patients applicable to any one of following 3 categories
- Patients with surgically induced infertility
- Post-menopause woman ≥45 years of age with over 2 years from the last menstruation
- Fertile pre-menopause woman or male patients who has consented for use of two or more contraceptive methods at least up to 14 days after final administration of the investigational product to avoid getting pregnant
Exclusion Criteria:
- Patients with Type 1 Diabetes, Patients with Diabetic Ketoacidosis or Diabetic Coma as well as Pre-coma
- Patients with Gestational Diabetes Mellitus or with Secondary Diabetes
- Patients with NYHA Class III, IV Congestive Heart Failure or with Treatment-requiring Arrhythmia
- Patients with Thyroid Dysfunction whose TSH is out of normal range, requiring medication therapy
- Patients with pituitary insufficiency or hypoadrenalism
- Patients whose BMI is less than 20 Kg/m2 or exceeds 40 Kg/m2
- Patients whose Total Bilirubin level is 1.5 times higher than the upper limit of normal range and ALT/AST are > 2.5 times higher than the upper limit of normal range
- Patients currently taking strong CYP3A4 inducers
- Patients currently taking Warfarin, Dicoumar or Digoxin
- Patients currently taking any medication from within 4 weeks before Visit 1 (screening) likely to have significant effects on glycemic control or who require to take such medication
- Patients who had taken anti-obesity drugs within 12 weeks in prior to Visit 1 (screening)
- Subject who had been treated with Insulin or GLP-1 analogue within 6 months before Visit 1 (screening)
- Patients who had participated in other clinical study in the past 3 months before Visit 1 (screening)
- Any other patients whom the investigator considers as inadequate for this study
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: NONE
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
EXPERIMENTAL: Gemigliptin + Metformin
Gemigliptin 50 mg + Metformin 500 mg to 1000mg for 12 weeks
|
|
|
ACTIVE_COMPARATOR: Sitagliptin + Metformin
Sitagliptin 100 mg + Metformin 500 mg to 1000mg for 12 weeks
|
|
|
ACTIVE_COMPARATOR: Glimepiride + Metformin
Glimepiride 2 mg + Metformin 500 mg to 1000mg for 12 weeks
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Mean Amplitude Glycemic Excursion
Time Frame: Change of MAGE at Week 12 from baseline
|
Change of MAGE at Week 12 from baseline
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Glucagon
Time Frame: Change of Glucagon at Week 12 from baseline
|
Change of Glucagon at Week 12 from baseline
|
|
Active GLP-1
Time Frame: Change of Active GLP-1 at Week 12 from baseline
|
Change of Active GLP-1 at Week 12 from baseline
|
|
CRP
Time Frame: Change of CRP at Week 12 from baseline
|
Change of CRP at Week 12 from baseline
|
|
Nitrotyrosine
Time Frame: Change of nitrotyrosine at Week 12 from baseline
|
Change of nitrotyrosine at Week 12 from baseline
|
|
Glycated albumin
Time Frame: Change of glycated albumin at Week 4 from baseline
|
Change of glycated albumin at Week 4 from baseline
|
|
Fructosamine
Time Frame: Change of fructosamine at Week 4 from baseline
|
Change of fructosamine at Week 4 from baseline
|
|
Glucose Standard Deviation in CGMS data
Time Frame: Change of Glucose SD at Week 12 from baseline
|
Change of Glucose SD at Week 12 from baseline
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: SE Park, Kangbuk Samsung Hospital
- Principal Investigator: BW Lee, Severance Hospital
- Principal Investigator: JH Jo, Seoul St. Mary's Hospital
- Principal Investigator: JH Jung, Asan Medical Center
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
Keywords
Additional Relevant MeSH Terms
- Glucose Metabolism Disorders
- Metabolic Diseases
- Endocrine System Diseases
- Diabetes Mellitus
- Diabetes Mellitus, Type 2
- Hypoglycemic Agents
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Anti-Arrhythmia Agents
- Enzyme Inhibitors
- Immunosuppressive Agents
- Immunologic Factors
- Hormones
- Hormones, Hormone Substitutes, and Hormone Antagonists
- Protease Inhibitors
- Incretins
- Dipeptidyl-Peptidase IV Inhibitors
- Metformin
- Sitagliptin Phosphate
- Glimepiride
Other Study ID Numbers
Other Study ID Numbers
- LG-DPCL012
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