- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01336322
Metformin and Sitagliptin in Women With Previous Gestational Diabetes
Effects of Treatment With Metformin and/or Sitagliptin on Beta-cell Function and Insulin Resistance in Women With Previous Gestational Diabetes
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
A randomized, double blinded study, on 45 women with previous gestational diabetes and impaired glucose tolerance (IGT) or impaired fasting glucose (IFG) to assess the effects of a 4-month treatment with metformin and/or a dipeptidyl peptidase-4 inhibitor (sitagliptin) on beta-cell function and insulin resistance.
At baseline, all women will have a standardized medical history, physical, and laboratory examination. Plasma glucose, insulin, pro-insulin, C-peptide, glucagon, adipokines, pro-inflammatory molecules, and lipid profile will be determined in fasting condition. A 75g OGTT will be performed after an overnight fasting and sample will be drawn at 15, 30, 60, 90 and 120 minutes for plasma glucose, C-peptide, glucagon and GLP-1 determinations. Women with IFG or IGT will be recruited and undergo to a hyperglycemic clamp with arginin bolus at the end of the test. Then the women will be randomized in 3 treatment groups: metformin (850 mg bid), sitagliptin (100 mg qd)or metformin (850 mg bid) + sitagliptin (100 mg qd). After 4-month treatment, the baseline evaluation will be repeated.
Study Type
Enrollment (Actual)
Phase
- Phase 2
Contacts and Locations
Study Locations
-
-
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Pisa, Italy, 56124
- Department of Endocrinology and Metabolism, University of Pisa
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Female subjects aged ≥18 and ≤45 years
- Caucasian race
- History of previous gestational diabetes (in the screening) during pregnancy.
- Female of childbearing potential must use effective contraceptive measures for at last 1 month prior to entry into the study and should continue to use the some contraceptive method during the overall study period
- Written informed consent obtained
Exclusion Criteria:
- Patients diagnosed with type 1 insulin dependent diabetes
- Diagnosis of diabetes in the 75g OGTT performed at entry
- BMI ≤18 or ≥50 Kg/m2
- Chronic impaired renal function
- Impaired liver function as shown by transaminase levels ≥ twice above the upper normal range
- History of hypersensitivity to metformin
- Pregnant or breast-feeding women, or women planning to become pregnant during the study
- Failure to use adequate contraception (Women of current reproductive only)
- Mental condition rending the subject unable to understand the nature, scope and possible consequences of the study
- Any clinically significant major organ system disease
- Patients with underlying concomitant medication requiring a long-term use of drugs potentially acting on glucose metabolism (e.g. corticosteroids, diuretics, beta-adrenergic drugs or others)
- Treatment or likelihood of requiring treatment during the study period with drugs not permitted by the clinical study protocol
- History of drug or alcohol abuse within the last 2 years or current addiction to substances of abuse
- Any disease or condition that in the opinion of the investigator may interfere with the completion of the study
- Subjects unlikely to comply with the protocol
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: DOUBLE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
ACTIVE_COMPARATOR: Metformin
Metformin 850 mg bid
|
Metformin 850 mg bid
Other Names:
|
ACTIVE_COMPARATOR: Sitagliptin
Sitagliptin 100 mg qd
|
Sitagliptin 100 mg qd
Other Names:
|
ACTIVE_COMPARATOR: Sitagliptin+Metformin
Sitagliptin 100 mg qd plus Metformin 850 mg bid
|
sitagliptin 100mg + metformin 850mg
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Beta-cell function
Time Frame: 4 months
|
Sitagliptin and/or metformin effects on beta-cell function (ISR = Insulin Secretion Rate) evaluated by mathematical model by Mari A. (Am J Physiology 2002)
|
4 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Insulin resistance
Time Frame: 4 months
|
Sitagliptin and/or metformin effects on insulin resistance, evaluated by clamp, HOMA-index and ISI-Method..
|
4 months
|
Glucose control
Time Frame: 4 months
|
Sitagliptin and/or metformin effects on glucose control evaluated by OGTT and HbA1c levels.
|
4 months
|
Collaborators and Investigators
Sponsor
Collaborators
Study record dates
Study Major Dates
Study Start
Primary Completion (ACTUAL)
Study Completion (ACTUAL)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (ESTIMATE)
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Glucose Metabolism Disorders
- Metabolic Diseases
- Endocrine System Diseases
- Pregnancy Complications
- Diabetes Mellitus
- Prediabetic State
- Diabetes, Gestational
- Hypoglycemic Agents
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Enzyme Inhibitors
- Hormones
- Hormones, Hormone Substitutes, and Hormone Antagonists
- Protease Inhibitors
- Incretins
- Dipeptidyl-Peptidase IV Inhibitors
- Metformin
- Sitagliptin Phosphate
Other Study ID Numbers
- SITA-previousGDM
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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