Effects of Liraglutide on the Cognitive Function in Patients With Type 2 Diabetes Mellitus
Type 2 diabetes mellitus (T2DM) can impaire cognitive function,the prevalence of Alzheimer's Disease(AD) in T2DM patients is 1.5 to 2.5 times higher than the general population.Cognitive impairment seriously affects the health and quality of life of the elderly. Prevention and treatment measures for cognitive decline in persons with T2DM has not been well studied.
Glucagon-like peptide-1 (GLP-1) is a member of an endogenous class of incretin hormones synthesized in intestinal epithelial L-cells.GLP-1 enhances glucose-dependent secretion of insulin,inhibits glucagon secretion, slows gastric emptying and reduces food intake. Liraglutide is a glucagon-like peptide type 1 (GLP-1) analogue. It has been proved that Liraglutide can improve insulin resistance and cognitive function in AD animals. Therefore, it is speculated that Liraglutide may interfere with the occurrence and development of cognitive dysfunction in patients with T2DM. In order to confirm the effects, the investigators conduct an open, prospective, positive controlled study in patients with T2DM. The effect on BMI,waist circumference, hip circumference, waist-to-hip ratio,fasting plasma glucose,glycosylated hemoglobin,blood lipids and cognitive function were measured to explore the effects of liraglutide in patients with T2DM.
The overall goal of this study is to explore the effects of liraglutide on the cognitive function in patients with type 2 diabetes mellitus and make further contribution to the improvement of cognitive function.
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
-
-
Chongqing
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Chongqing, Chongqing, China, 400042
- The third hospital affiliated to the Third Military Medical University
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Type 2 diabetes。
Exclusion Criteria:
- Type 2 diabetes with acute diabetic complications.
- Type 1 diabetes.
- Other diseases affecting cognitive function (congenital dementia,brain trauma,severe heart dysfunction,severe kidney dysfunction,severe lung dysfunction,epilepsy,severe hypoglycemic coma,cerebrovascular disease,ischemic heart disease,etc).
- Alcohol abuse,mental illness and psychoactive substance abuse.
- History of thyroid disease.
- Any surgical or medical conditions that significantly influence absorption, distribution, metabolism or excretion of the intervention drugs.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Active Comparator: Liraglutide
12 weeks of liraglutide treatment at adjusting dose, up to 1.8mg/day Drug: liraglutide
|
Liraglutide is a glucagon-like peptide type 1 (GLP-1) analogue.
It has been proved that Liraglutide can improve insulin resistance and cognitive function in AD animals.
Therefore, it is speculated that Liraglutide may interfere with the occurrence and development of cognitive dysfunction in patients with T2DM.
In order to confirm the effects, the investigators conduct an open, prospective, positive controlled study in patients with T2DM.
|
|
Placebo Comparator: Placebo
12 weeks of Placebo treatment at adjusting dose Drug:Placebo
|
Any hypoglycemic drugs except glucagon-like peptide type 1 (GLP-1) analogue.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Changes of cognitive function assessed by cognitive function scale after 12 weeks.
Time Frame: Baseline,4weeks,8weeks,12weeks(End of Trial)
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The cognitive function will be calculated from performance on the following measures: (1)Digit Span Test(DST);(2) Rey Auditory Verbal Learning(RAVL);(3) Long-Delay Free Recall(LDFR);(4) Trail Making Test(TMT);(5) Animal Naming Test(ANT);(6) Clock Drawing Test(CDT);(7)Minimum Mental State Examination(MMSE);(8)Memory and executive screening(MES);(8)functional near-infrared spectroscopy.
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Baseline,4weeks,8weeks,12weeks(End of Trial)
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Changes of systolic blood pressure and diastolic blood pressure
Time Frame: Baseline,4weeks,8weeks,12weeks(End of Trial)
|
Change of systolic blood pressure and diastolic blood pressure compared with baseline, and between the intervention and control group at the end of the study (12 weeks)
|
Baseline,4weeks,8weeks,12weeks(End of Trial)
|
|
Change of fasting plasma glucose
Time Frame: Baseline,4weeks,8weeks,12weeks(End of Trial)
|
Change of fasting plasma glucose compared with baseline, and between the intervention and control group at the end of the study (12 weeks)
|
Baseline,4weeks,8weeks,12weeks(End of Trial)
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|
Change of HbA1c
Time Frame: Baseline,4weeks,8weeks,12weeks(End of Trial)
|
Change of HbA1c compared with baseline, and between the intervention and control group at the end of the study (12 weeks)
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Baseline,4weeks,8weeks,12weeks(End of Trial)
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|
Change of lipid profile
Time Frame: Baseline,4weeks,8weeks,12weeks(End of Trial)
|
Change of lipids profiles (TC, HDL-C, LDL-C, TG) in mmol/L compared with baseline, and between the intervention and control group at the end of the study (12 weeks)
|
Baseline,4weeks,8weeks,12weeks(End of Trial)
|
|
Change of liver enzymes
Time Frame: Baseline,4weeks,8weeks,12weeks(End of Trial)
|
Change of liver enzymes (ALT, AST in IU/L) compared with baseline, and between the intervention and control group at the end of the study (12 weeks)
|
Baseline,4weeks,8weeks,12weeks(End of Trial)
|
|
Change of kidney function
Time Frame: Baseline,4weeks,8weeks,12weeks(End of Trial)
|
Change of kidney function(serum creatinine in umol/L、eGFR in ml/min) compared with baseline, and between the intervention and control group at the end of the study (12 weeks)
|
Baseline,4weeks,8weeks,12weeks(End of Trial)
|
|
Change of CRP
Time Frame: Baseline,4weeks,8weeks,12weeks(End of Trial)
|
Change of CRP compared with baseline, and between the intervention and control group at the end of the study (12 weeks)
|
Baseline,4weeks,8weeks,12weeks(End of Trial)
|
|
Change of Body mass index(BMI)
Time Frame: Baseline,4weeks,8weeks,12weeks(End of Trial)
|
Change of Body mass index(BMI) compared with baseline, and between the intervention and control group at the end of the study (12 weeks)
|
Baseline,4weeks,8weeks,12weeks(End of Trial)
|
|
Change of waist circumference
Time Frame: Baseline,4weeks,8weeks,12weeks(End of Trial)
|
Change of waist circumference compared with baseline, and between the intervention and control group at the end of the study (12 weeks)
|
Baseline,4weeks,8weeks,12weeks(End of Trial)
|
|
Change of hip circumference
Time Frame: Baseline,4weeks,8weeks,12weeks(End of Trial)
|
Change of hip circumference compared with baseline, and between the intervention and control group at the end of the study (12 weeks)
|
Baseline,4weeks,8weeks,12weeks(End of Trial)
|
|
Change of waist-to-hip ratio
Time Frame: Baseline,4weeks,8weeks,12weeks(End of Trial)
|
Change of waist-to-hip ratio compared with baseline, and between the intervention and control group at the end of the study (12 weeks)
|
Baseline,4weeks,8weeks,12weeks(End of Trial)
|
Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
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 (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
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
- liraglutide
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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