- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02026310
Efficacy/Safety Study of Glimepiride to Type 2 Diabetes Patients Based on Metformin And Basal Insulin Treatment
Efficacy/Safety Study of Adding Glimepiride to Type 2 Diabetes Patients With Inadequate Glycemic Control Based on Combination With Metformin And Basal Insulin
All the guidelines suggest that metformin as the basis of type 2 diabetes medication, and evidence is sufficient.At the same time the basal insulin injection once a day are more and more widely used in diabetes patients in China.
This study aims to evaluate the efficacy and safety of adding glimepiride to type 2 diabetes patients with inadequate glycemic control with combined therapy of metformin and basal insulin.
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Chongqing
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Chongqing,, Chongqing, China, 400016
- The First Affiliated Hospital of Chongqing Medical University
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Understand the whole test process, voluntary and signed informed consent form
- Men and women aged 35 to 70 years old
- 20≤BMI<35 Kg/m2
- Diagnosed with type 2 diabetes
- Undergoing metformin(Dose not less than 1000 mg/day)in combination with basal insulin injection once a day
- HbA1c7.0-11%
- Patients should be able to self blood glucose monitoring
Exclusion Criteria:
- sulfonylureas,glinides,TZDs use within 3 months before the study
- Pregnant or lactating women
- A history of ketoacidosis
- Allergy to sulfonylureas or sulfa drug patients
- Apparent dysfunction of liver and kidney patients(ALT>2 times upper normal limit,serum creatinine>1.2 times upper normal limit)
- Poor blood pressure control(systolic pressure>180mmHg or diastolic blood pressure>110mmHg)
- heart disease,cardiac insufficiency,unstable angina pectoris,ECG indicates left ventricle hypertrophy,severe anemia(Hb<9.0g/d1)
- Severe diabetic nerve complications(ulcer of lower limb,neurogenic bladder)
- BMI<20 orBMI≥35kg/m2
- Alcohol or drug abuse ,or can't collaborate due to mental disorder
- Digestion and absorption function obstacle or Other endocrine disorders
- Other chronic diseases required long-term glucocorticoid treatment
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: glimepiride
on the basis of metformin and glargine, the initial dose of glimepiride is 2 mg,qd (before breakfast), and adjust the dosage for fasting plasma glucose, dosage-adding indicator is the FPG≥7.2,
maximum dose of glimepiride is 4 mg/d per day.
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on the basis of metformin and glargine, glimepiride is added; with the maximun dose of glimepiride, if the targeted FPG is not reached, glargine dose will be increased.
Other Names:
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Active Comparator: Metformin and glargine
on the basis of Metformin and glargine,no glempiride addition.
dose of glargine was adjust according to the FPG, with the target less than 7.2mmol/l
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Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
24 weeks after treatment, HbA1c values' change compared with baseline
Time Frame: 24 weeks after treatment
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24 weeks after treatment
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Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
hypoglycemia events
Time Frame: 24 weeks
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24 weeks
|
Collaborators and Investigators
Sponsor
Investigators
- Study Chair: Li Qifu, PhD, First Affiliated Hospital of Chongqing Medical University
Publications and helpful links
General Publications
- Holman RR, Paul SK, Bethel MA, Matthews DR, Neil HA. 10-year follow-up of intensive glucose control in type 2 diabetes. N Engl J Med. 2008 Oct 9;359(15):1577-89. doi: 10.1056/NEJMoa0806470. Epub 2008 Sep 10.
- Yang W, Lu J, Weng J, Jia W, Ji L, Xiao J, Shan Z, Liu J, Tian H, Ji Q, Zhu D, Ge J, Lin L, Chen L, Guo X, Zhao Z, Li Q, Zhou Z, Shan G, He J; China National Diabetes and Metabolic Disorders Study Group. Prevalence of diabetes among men and women in China. N Engl J Med. 2010 Mar 25;362(12):1090-101. doi: 10.1056/NEJMoa0908292.
- Abdul-Ghani MA, DeFronzo RA. Pathogenesis of insulin resistance in skeletal muscle. J Biomed Biotechnol. 2010;2010:476279. doi: 10.1155/2010/476279. Epub 2010 Apr 26.
- Yki-Jarvinen H, Ryysy L, Nikkila K, Tulokas T, Vanamo R, Heikkila M. Comparison of bedtime insulin regimens in patients with type 2 diabetes mellitus. A randomized, controlled trial. Ann Intern Med. 1999 Mar 2;130(5):389-96. doi: 10.7326/0003-4819-130-5-199903020-00002.
- Overkamp D, Volk A, Maerker E, Heide PE, Wahl HG, Rett K, Haring HU. Acute effect of glimepiride on insulin-stimulated glucose metabolism in glucose-tolerant insulin-resistant offspring of patients with type 2 diabetes. Diabetes Care. 2002 Nov;25(11):2065-73. doi: 10.2337/diacare.25.11.2065.
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 (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- yml2013
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