- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03196362
Impacts of PIO/MET Following Short-term Intensive Insulin Treatment in Newly Diagnosed Type 2 Diabetes
Impacts of Sequential Treatment Using Fixed Dose Pioglitazone/Metformin Combination Following Short-term Intensive Insulin Treatment on Long-term Blood Glucose Control and β-Cell Function in Patients With Newly Diagnosed Type 2 Diabetes
Short-term intensive insulin therapy (SIIT) induces glycemic remission in patients with newly diagnosed type 2 diabetes. But remission rate reduces over time. This study aims to investigate whether sequential treatments using fixed dose combination of pioglitazone/metformin (15mg/500mg) after SIIT can improve clinical outcomes inpatients with newly diagnosed type 2 diabetes.
We plan to include 50 patients with newly diagnosed type 2 diabetes who are drug naïve and meet the inclusive criteria will be enrolled. After baseline assessments, SIIT will be applied to all patients using insulin pump to achieve and maintain euglycemia for 2 weeks. After completion of intensive treatment, insulin pump will be stopped. Patients were randomly assigned into either of the following two groups: PIO/MET group: pioglitazone/metformin (15mg/500mg) will be orally administrated twice daily to the subjects for 12 weeks; placebo group: placebo is given twice daily to all subjects for 12 weeks. Afterwards, patients will be followed up for 48 weeks. Primary endpoint is difference in remission rate at the end of study. Secondary endpoints include proportion of patients who achieve glycosylated hemoglobin A1C <7% at the end of study; differences in β-cell function , insulin sensitivity and incidence of adverse events among treatment groups.
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Anticipated)
Phase
- Phase 4
Contacts and Locations
Study Locations
-
-
Guangdong
-
Guangzhou, Guangdong, China, 510080
- Recruiting
- endocrinology department of the first affiliated hospital of Sun Yat-sen University
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Patients with newly diagnosed type 2 diabetes who have never received any hypoglycemic treatment;
- Fasting plasma glucose (FPG) between 7.0 mmol/l (126 mg/dl) and 16.7 mmol/l (300 mg/dl); glycosylated hemoglobin A1C>8.5%;
- Aged between 25 and 65 years,
- Body mass index (BMI) 22-35 kg/m2.
Exclusion Criteria:
- Type 1 diabetes or special type of diabetes;
- Acute diabetic complications of diabetes (DKA, HHS and lactic acidosis etc.)
- Serious microvascular complications: proliferative stage of retinopathy; urine AER >300 mg/g or urine protein positive, quantification >0.5 g/d; uncontrolled painful diabetic neuropathy and significant diabetic autonomic neuropathy;
- Severe macrovascular complications: acute cerebrovascular accident, acute coronary syndrome, vascular intervention for peripheral arterial disease or amputation requiring hospitalization within 12 months prior to enrollment;
- Persistently increased blood pressure >180/110 mmHg;
- Blood creatinine clearance less than 50 ml/min, alanine aminotransferase ≥2.5×upper limit of normal, total bilirubin ≥1.5×upper limit of normal;
- Hemoglobin <100 g/L or need regular blood transfusion;
- Use of drugs that may influence blood glucose within 12 weeks;
- Systemic infection or serious concomitant disease; patients with malignancy or chronic diarrhea;
- Uncontrolled endocrine gland dysfunction;
- Patients with mental or communication disorders;
- Chronic cardiac insufficiency, heart function class III and above;
- Pregnant women, lactating women and women of child bearing age who are not willing to take contraception during the study;
- Subjects who don't cooperate, cannot be followed up or have difficulty in completing the study considered by the investigator.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: PIO/MET
one fixed dose pioglitazone/metformin (15mg/500mg) tablet will be orally administrated twice daily
|
One tablet of fixed dose of Pioglitazone/ Metformin (15mg/30mg) will be given twice daily
|
Placebo Comparator: placebo
one tablet of placebo will be given twice daily
|
One tablet of placebo will be given twice daily
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Remission rate
Time Frame: 48 weeks
|
Remission rate at the end of the study in each group
|
48 weeks
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
β-cell function
Time Frame: 48 weeks
|
Difference in β-cell secretion capacity at the end of follow up between treatment groups
|
48 weeks
|
Insulin sensitivity
Time Frame: 48 weeks
|
Difference in insulin sensitivity at the end of follow up between treatment groups
|
48 weeks
|
glycemic control
Time Frame: 48 weeks
|
proportion of patients who achieve A1C<7% at the end of follow-up
|
48 weeks
|
Adverse events
Time Frame: 48 weeks
|
difference in AEs at the end of follow-up between treatment groups
|
48 weeks
|
Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 20160145
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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