- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04295031
Metformin in Older Adults With Type 2 Diabetes (AMEMET) (AMEMET)
AMEMET Study - Observational Multicentric Clinical Study: Metformin in Patients Over 65 Years With Type 2 Diabetes (DM2)
Study Overview
Status
Conditions
Detailed Description
The study was commissioned by the Italian Association of Clinical Endocrinologists (Association of Medical Endocrinologists - AME) and approved by the Ethical Committee of Cuneo Hospital. The research was open to all specialists taking care of patients with diabetes in Italy.
The primary endpoint was the evaluation of metformin dosage. Secondary endpoints were the relationship between the metformin dosage and the renal filtration rate and the relationship between the metformin dosage and the concomitant medication.
An ad hoc form was developed and used to record all medical findings. The form was emailed to all participating centers who then emailed or faxed it back to the investigator's data manager. Data were checked for accuracy.
The following data were required: age, gender, body weight and height, diabetes duration, type of metformin (classical/slow), daily dosage of metformin, reported side effects,concomitant medications.
Serum creatinine and HbA1c levels obtained within the previous two months were also required.
Each participating center recruited about 50 diabetic outpatients. Inclusion criteria were as follows: adult outpatients ≥ 65 years with T2 diabetes mellitus, using metformin for at least six months, usually assuming three daily meals, and capable of informed consent.
Study Type
Enrollment (Anticipated)
Contacts and Locations
Study Contact
- Name: Barbara Martello
- Phone Number: +39 0432 204050
- Email: segreteria@associazionemediciendocrinologi.it
Study Contact Backup
- Name: Giorgio Borretta, MD
- Email: borretta.giorgio@gmail.com
Study Locations
-
-
-
Udine, Italy, 33100
- Recruiting
- AME - Associazione Medici Endocrinologi
-
Contact:
- Barbara Martello
- Phone Number: +39 0432 204050
- Email: segreteria@associazionemediciendocrinologi.it
-
Contact:
- Giorgio Borretta, MD
- Email: borretta.giorgio@gmail.com
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- adult outpatients (≥65 years);
- T2 diabetes mellitus;
- Taking metformin for at least six months;
- assuming three daily meals;
- capable of informed consent.
Exclusion Criteria:
- severe liver or renal failure (eGFR <30 mL/min/1.73 m2);
- hospitalization for any cause in the last six month;
- glucocorticoid treatment in the last six month;
- oncologic treatment in the last six month;
- Ramadan in the last six months.
Study Plan
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
---|
DM2 without renal disease
patients with type 2 diabetes with normal renal function
|
DM2 with renal impairment
patients with type 2 diabetes with impaired renal function
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
metformin daily dose in diabetic outpatients type 2
Time Frame: six months
|
relationship between metformin dose and filtration rate
|
six months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
renal filtration rate
Time Frame: six months
|
relationship between metformin rate and concomitant medication
|
six months
|
Collaborators and Investigators
Investigators
- Principal Investigator: Giorgio Borretta, MD, Associazione Medici Endocrinologi
Publications and helpful links
General Publications
- LeRoith D, Biessels GJ, Braithwaite SS, Casanueva FF, Draznin B, Halter JB, Hirsch IB, McDonnell ME, Molitch ME, Murad MH, Sinclair AJ. Treatment of Diabetes in Older Adults: An Endocrine Society* Clinical Practice Guideline. J Clin Endocrinol Metab. 2019 May 1;104(5):1520-1574. doi: 10.1210/jc.2019-00198.
- Davies MJ, D'Alessio DA, Fradkin J, Kernan WN, Mathieu C, Mingrone G, Rossing P, Tsapas A, Wexler DJ, Buse JB. Management of hyperglycaemia in type 2 diabetes, 2018. A consensus report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD). Diabetologia. 2018 Dec;61(12):2461-2498. doi: 10.1007/s00125-018-4729-5. Erratum In: Diabetologia. 2019 May;62(5):873.
- Garber AJ, Abrahamson MJ, Barzilay JI, Blonde L, Bloomgarden ZT, Bush MA, Dagogo-Jack S, DeFronzo RA, Einhorn D, Fonseca VA, Garber JR, Garvey WT, Grunberger G, Handelsman Y, Hirsch IB, Jellinger PS, McGill JB, Mechanick JI, Rosenblit PD, Umpierrez GE. CONSENSUS STATEMENT BY THE AMERICAN ASSOCIATION OF CLINICAL ENDOCRINOLOGISTS AND AMERICAN COLLEGE OF ENDOCRINOLOGY ON THE COMPREHENSIVE TYPE 2 DIABETES MANAGEMENT ALGORITHM - 2019 EXECUTIVE SUMMARY. Endocr Pract. 2019 Jan;25(1):69-100. doi: 10.4158/CS-2018-0535. No abstract available. Erratum In: Endocr Pract. 2019 Feb;25(2):204.
- Schlender L, Martinez YV, Adeniji C, Reeves D, Faller B, Sommerauer C, Al Qur'an T, Woodham A, Kunnamo I, Sonnichsen A, Renom-Guiteras A. Efficacy and safety of metformin in the management of type 2 diabetes mellitus in older adults: a systematic review for the development of recommendations to reduce potentially inappropriate prescribing. BMC Geriatr. 2017 Oct 16;17(Suppl 1):227. doi: 10.1186/s12877-017-0574-5.
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
- AMEMET Study
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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