- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02999841
Effect of Acarbose and Vildagliptin on Visceral Fat Distribution in Newly Diagnosed Type 2 Diabetes Patients (VISA-T2DM)
Effect of Acarbose and Vildagliptin on Visceral Fat Distribution in Overweight and Obesity Patients With Newly Diagnosed Type 2 Diabetes Mellitus: A Randomized Control Study
Focusing on newly diagnosed type 2 diabetes participants with overweight and obesity (24kg/m2 ≤ body mass index ≤ 30kg/m2).
50 participants per arm (acarbose & lifestyle combination / vildagliptin & lifestyle combination), using abdominal computed tomography scans and other methods to evaluate the effects of acarbose and vildagliptin on visceral fat distribution in overweight and obesity patients with newly diagnosed type 2 diabetes.
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Anticipated)
Phase
- Phase 4
Contacts and Locations
Study Contact
- Name: Linong Ji, MD
- Phone Number: +86 10 8832 4108
Study Locations
-
-
Beijing
-
Beijing, Beijing, China, 101200
- Recruiting
- Beijing Pinggu Hospital
-
Contact:
- Yufeng Li, MD
- Phone Number: +86 139 1108 0328
-
Principal Investigator:
- Yufeng Li, MD
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- All patients was diagnosed within the past 12 months with type 2 diabetes patients (WHO, 1999 criteria ).
- Not received oral anti-diabetic drugs or has been on short-term(1month) treatment that had been discontinued 3 months before enrollment.
- 30 ≤ Age ≤ 70 years old, male or female.
- HbA1c between 7% and 9% (7.0% ≤ HbA1c ≤9.0%).
- 24 ≤ BMI ≤ 30 kg/m2.
- Written Informed consent.
Exclusion Criteria:
- Subject with type 1 diabetes or gestational diabetes mellitus and other specific types DM.
- Those who can not tolerate AGI or who is suffering GI disease.
- Subject with repeated severe hypoglycemia and/or unawareness of hypoglycemia.
- Known or suspected allergy to trial product(s) or related products.
- Females of child bearing potential who are pregnant, breast-feeding or have the intention of becoming pregnant or not using adequate contraceptive methods throughout the trial
- Impaired liver function, defined as ALT≥2 or AST≥ 2 times upper referenced limit times upper normal limit.
- Any other clinically significant condition or major systemic diseases, including serious coronary heart disease, cardiovascular disease, cancer, TB, acute infection.
- Endocrine diseases (hypo thyroidism, hyperthyroidism,Cushing's syndrome).
- Uncontrolled hypertension(SBP≥180mmHg and/or DBP≥100mmHg).
- Diabetic ketoacidosis; or hyperosmolar non-ketotic coma.
- Concomitant treatment which influences blood glucose and bodyweight.
- Impaired renal function(Cr≥ 1.5 mg/dl in male or Cr≥1.4 mg/dl in female).
- Mental disorders; drug or other substance misuse.
- Participation in any drug clinical trials during the past 3 months before enrolment.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: NONE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
EXPERIMENTAL: Group A
Acarbose
|
1-2 week: 50mg tid; 3-24 week: 100mg tid.
Other Names:
|
ACTIVE_COMPARATOR: Group B
Vildagliptin
|
1-24 week: 50mg bid
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Change of the visceral fat area in square centimeter assessed by abdominal CT scans from baseline to 24 weeks.
Time Frame: 24 weeks
|
24 weeks
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Change of body weight in kilograms measured by investigators from baseline to 24 weeks.
Time Frame: 24 weeks
|
24 weeks
|
Change of waist circumstance in centimeters measured by investigators from baseline to 24 weeks.
Time Frame: 24 weeks
|
24 weeks
|
Change of body mass index in kg/m^2 measured by investigators from baseline to 24 weeks.
Time Frame: 24 weeks
|
24 weeks
|
Change of the subcutaneous fat area in square centimeters assessed by abdominal CT scans from baseline to 24 weeks.
Time Frame: 24 weeks
|
24 weeks
|
Change of hemoglobin A1c in percents from baseline to 24 weeks.
Time Frame: 24 weeks
|
24 weeks
|
Change of hemoglobin fasting plasma glucose in millimols per liter from baseline to 24 weeks.
Time Frame: 24 weeks
|
24 weeks
|
Change of hemoglobin 2-hour-post-prandial plasma glucose in millimols per liter from baseline to 24 weeks.
Time Frame: 24 weeks
|
24 weeks
|
Change of triglyceride in millimols per liter from baseline to 24 weeks.
Time Frame: 24 weeks
|
24 weeks
|
Change of total cholesterol in millimols per liter from baseline to 24 weeks.
Time Frame: 24 weeks
|
24 weeks
|
Change of low-density lipoprotein-cholesterol in millimols per liter from baseline to 24 weeks.
Time Frame: 24 weeks
|
24 weeks
|
Change of high-density lipoprotein-cholesterol in millimols per liter from baseline to 24 weeks.
Time Frame: 24 weeks
|
24 weeks
|
Change of insulin in international units per liter from baseline to 24 weeks.
Time Frame: 24 weeks
|
24 weeks
|
Change of brain natriuretic peptide in nanograms per milliliter from baseline to 24 weeks.
Time Frame: 24 weeks
|
24 weeks
|
Collaborators and Investigators
Sponsor
Publications and helpful links
General Publications
- Ibrahim MM. Subcutaneous and visceral adipose tissue: structural and functional differences. Obes Rev. 2010 Jan;11(1):11-8. doi: 10.1111/j.1467-789X.2009.00623.x. Epub 2009 Jul 28.
- Schernthaner GH, Schernthaner G. Insulin resistance and inflammation in the early phase of type 2 diabetes: potential for therapeutic intervention. Scand J Clin Lab Invest Suppl. 2005;240:30-40. doi: 10.1080/00365510500236119.
- Monami M, Iacomelli I, Marchionni N, Mannucci E. Dipeptydil peptidase-4 inhibitors in type 2 diabetes: a meta-analysis of randomized clinical trials. Nutr Metab Cardiovasc Dis. 2010 May;20(4):224-35. doi: 10.1016/j.numecd.2009.03.015. Epub 2009 Jun 9.
- Kodama N, Tahara N, Tahara A, Honda A, Nitta Y, Mizoguchi M, Kaida H, Ishibashi M, Abe T, Ikeda H, Narula J, Fukumoto Y, Yamagishi S, Imaizumi T. Effects of pioglitazone on visceral fat metabolic activity in impaired glucose tolerance or type 2 diabetes mellitus. J Clin Endocrinol Metab. 2013 Nov;98(11):4438-45. doi: 10.1210/jc.2013-2920. Epub 2013 Sep 12.
- Zhang X, Ren H, Zhao C, Shi Z, Qiu L, Yang F, Zhou X, Han X, Wu K, Zhong H, Li Y, Li J, Ji L. Metagenomic analysis reveals crosstalk between gut microbiota and glucose-lowering drugs targeting the gastrointestinal tract in Chinese patients with type 2 diabetes: a 6 month, two-arm randomised trial. Diabetologia. 2022 Oct;65(10):1613-1626. doi: 10.1007/s00125-022-05768-5. Epub 2022 Aug 5.
Study record dates
Study Major Dates
Study Start
Primary Completion (ANTICIPATED)
Study Completion (ANTICIPATED)
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
- Glucose Metabolism Disorders
- Metabolic Diseases
- Endocrine System Diseases
- Overnutrition
- Nutrition Disorders
- Overweight
- Body Weight
- Diabetes Mellitus
- Diabetes Mellitus, Type 2
- Obesity
- Hypoglycemic Agents
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Enzyme Inhibitors
- Protease Inhibitors
- Dipeptidyl-Peptidase IV Inhibitors
- Glycoside Hydrolase Inhibitors
- Acarbose
- Vildagliptin
Other Study ID Numbers
- 2119000273
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
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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