Effect of Glucagon-like Peptide 1 (GLP-1) on Microvascular Myocardial Function in Patients With Type 2 Diabetes. (EGOFIP)
Effect of GLP-1 on Microvascular Myocardial Function in Patients With Type 2
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
-
-
Capital region
-
Copenhagen, Capital region, Denmark, 2400
- Bispebjerg Hospital
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Type 2 diabetes on monotherapy with metformin or sulfonylurea or combination therapy of metformin and sulfonylurea.
- Age: 25-75 years
- BMI>25 kg/m2
- HbA1c 6,0-10 %
Exclusion Criteria:
- Current treatment with insulin or Dipeptidyl peptidase IV inhibitor.
- Haemoglobin < 6.5 mmol/l
- Documented significant stenosis of the left anterior descending artery (LAD) at coronary angiography or CT-angiography or regional dysfunction documented during dipyridamol stress-echocardiography. If stress test at baseline shows significant stenosis the patient will be excluded from the study.
- Allergy towards victoza ® (liraglutide ), Dipyridamol, Nitroglycerin or rescue medicine: Theophyllin
- Pregnancy
- Severe asthma
- Active cancer
- Severe co-morbidity with limited life-expectancy
- Estimated glomerular filtration rate (eGFR) <60 (measured at baseline)
- Severe hepatic co-morbidity
- Chronic alcohol abuse
- Heart failure with a left ventricular ejection fraction </= 45%
- Atrial fibrillation
- Chronic or previous acute pancreatitis
- Inflammatory bowel disease.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Crossover Assignment
- Masking: Single
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
No Intervention: No treatment
|
|
|
Active Comparator: victoza
The study is a cross over study.
Patients randomised to start with victoza are treated with victoza for 10 weeks.
After a wash out period of 2 weeks they cross over to 10 weeks of no treatment
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in coronary flow reserve (CFR)
Time Frame: CFR is measured at baseline and after 10 weeks of intervention
|
CFR can be reliably assessed non-invasively by trans-thoracic Doppler flow echocardiography of the left anterior descending artery with a success rate of over 90% even in an obese population with a relative poor acoustic window.
CFR is the ratio of flow during stress to during rest.
|
CFR is measured at baseline and after 10 weeks of intervention
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in Endothelial function:
Time Frame: Endothelial function is measured at baseline and after 10 weeks of intervention
|
Measurement of Peripheral Arterial Tone, with the use of the commercially available machine (Endo-PAT2000®) assesses the control of digital vascular tone by the sympathetic nervous system and nitric oxide (NO).
|
Endothelial function is measured at baseline and after 10 weeks of intervention
|
Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Changes in HbA1c
Time Frame: Measurements at baseline and after 10 weeks of intervention
|
Measurements at baseline and after 10 weeks of intervention
|
|
Change in fasting C-peptide
Time Frame: C-peptide is measured at baseline and after 10 weeks of intervention
|
C-peptide is measured at baseline and after 10 weeks of intervention
|
|
Change in fasting insulin
Time Frame: Fasting insulin is measured at baseline and after 10 weeks of intervention
|
Fasting insulin is measured at baseline and after 10 weeks of intervention
|
|
Change in fasting glucose
Time Frame: Fasting glucose is measured at baseline and after 10 weeks of intervention
|
Fasting glucose is measured at baseline and after 10 weeks of intervention
|
|
Change in weight
Time Frame: Weight is measured at baseline and after 10 weeks of intervention
|
Weight is measured at baseline and after 10 weeks of intervention
|
|
Change in waist circumference
Time Frame: Waist circumference is measured at baseline and after 10 weeks of intervention
|
Waist circumference is measured at baseline and after 10 weeks of intervention
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Mette Zander, consultant, Department of Endocrinology, Bispebjerg Hospital
Publications and helpful links
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
- eudraCT: 2012-005013-38
- 2012-005013-38 (EudraCT Number)
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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