- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04841096
Oral Combination of Glimepiride/Vildagliptin/Metformin in Patients With T2D and Dual Treatment Failure
October 30, 2023 updated by: Laboratorios Silanes S.A. de C.V.
Efficacy and Safety of the Oral Combined Therapy Glimepiride / Vildagliptin / Metformin in Patients With Type 2 Diabetes With Dual Treatment Failure
Phase IIIb, randomized, multicenter, double-blind, prospective study to evaluate the efficacy and safety of a daily fixed-dose combination of glimepiride / vildagliptin / metformin in patients with type 2 diabetes with a history of dual treatment failure and combined or individual oral antidiabetics with SGLT2 / Metformin, Biguanide / Sulfonylurea, Sulfonylurea / iDPP4 or Biguanide / iDPP4.
To evaluate the changes in the percentage of HbA1c at 3 and 6 months with regard to their baseline measurement.
Study Overview
Status
Recruiting
Conditions
Detailed Description
To achieve glycemic control goals, a combination of medications with complementary mechanisms of action, with fasting and postprandial effects, may be required to achieve and maintain clinically acceptable glycemic control in some patients.
A fixed combination of two or more therapeutic agents with complementary mechanisms of action makes it possible to optimize compliance and adherence to treatment among patients with T2D because it is administered once a day with the same efficacy of the separate components, but with fewer gastrointestinal effects.
This is reflected in a reduction in HA1c and a lower evolution to long-term complications of T2D.
Phase IIIb, randomized, multicenter, double-blind, prospective study to evaluate the efficacy and safety of a daily fixed-dose combination of glimepiride / vildagliptin / metformin in patients with type 2 diabetes with a history of dual treatment failure and combined or individual oral antidiabetics with SGLT2 / Metformin, Biguanide / Sulfonylurea, Sulfonylurea / iDPP4 or Biguanide / iDPP4.
Study Type
Interventional
Enrollment (Estimated)
172
Phase
- Phase 3
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Jorge A González, PhD
- Phone Number: 3761 5254883785
- Email: jogonzalez@silanes.com.mx
Study Contact Backup
- Name: Yulia Romero-Antonio, B.S.
- Phone Number: 3777 5554883700
- Email: yromero@silanes.com.mx
Study Locations
-
-
-
Aguascalientes, Mexico, 20116
- Recruiting
- Centro de Investigacion Medica Aguascalientes
-
Contact:
- Salvador Pérez Jaime, M.D
- Phone Number: 449 994 9458
-
Oaxaca, Mexico, 68000
- Not yet recruiting
- Oaxaca Site Management Organization SC.
-
Contact:
- Ana L Flores Barranco, M.D
- Phone Number: 951 514 7056
-
San Luis Potosí, Mexico, 78250
- Not yet recruiting
- Oncológico Potosino
-
Contact:
- Abraham S Álvarez, M.D
- Phone Number: 444 139 7700
-
-
Quintana Roo
-
Cancún, Quintana Roo, Mexico, 77506
- Not yet recruiting
- Centro de Investigación y Avances Médicos Especializados
-
Contact:
- Juan A Becerra Hernández, M.D
- Phone Number: 998 138 2821
-
-
Yucatan
-
Merida, Yucatan, Mexico, 97125
- Not yet recruiting
- Mérida Investigación Clínica
-
Contact:
- Victor C Bohórquez López, M.D
- Phone Number: 999 688 9735
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
Yes
Description
Inclusion Criteria:
- Male or Female.
- Age >18 years old at the beginning of the study.
- Diagnosis of type 2 diabetes prior to the start of the study.
- Therapeutic failure to a dual treatment with SGLT2 / Metformin, Biguanide / Sulfonylurea, Sulfonylurea / iDPP4, Biguanide / iDPP4.
- HbA1c ≥ 7.5% and ≤ 11% during screening tests.
- Women of childbearing potential using a contraceptive method (barrier, oral hormonal, injectable, subdermal) or naturally or surgically sterile in menopause.
- Subject agree to participate in the study and give informed consent in writing.
Exclusion Criteria:
- The drug is contraindicated for medical reasons.
- History of Type 1 Diabetes Mellitus.
- History of metabolic complications such as ketoacidosis or nonketotic hyperosmolar state.
- History of gastric bariatric surgery or gastric band in the last year.
- History of drug or alcohol abuse in the past year.
- Body Mass Index <20 kg/m2 and >40 kg/m2.
- Acute or severe renal dysfunction (glomerular filtration <30 ml / min / 1.72 m2).
- History of chronic liver disease or ALT and / or AST ≥3 times the normal upper limit and / or Total Bilirubin> 2.5 times the upper limit of normal, or GGT ≥3 times the upper limit of normal.
- Pregnant and / or lactating women.
- The patient is participating in another clinical study involving an investigational treatment or participated in one in the previous 4 weeks.
- At medical criteria, a disease that affects the prognosis and prevents outpatient management, for example, but not restricted to: end-stage cancer, kidney, heart, respiratory or liver failure, mental illness, with scheduled surgical or hospital procedures.
- Be a patient with a working relationship with the main researcher or the research center or deprived of liberty.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
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 |
---|---|
Experimental: Group A1: Glimepiride (1mg) / Vildagliptin (50mg) / Metformin (500mg).
Tablets, orally, once a day.
Initial dose for the first 45 days of intervention.
|
Take one tablet of the prescribed dose of the investigational drug by mouth, preferably with food and in the morning.
Initial dose for the first 45 days of intervention.
Other Names:
|
Experimental: Group B1: Glimepiride (1mg) / Vildagliptin (50mg) / Metformin (500mg)
Tablets, orally, once a day.
Initial dose for the first 45 days of intervention.
|
take one tablet of the prescribed dose of the investigational drug by mouth, preferably with food and in the morning.
Initial dose for the first 45 days of intervention.
Other Names:
|
Experimental: Group A2: Glimepiride (2mg) / Vildagliptin (50mg) / Metformin (1000mg)
Tablets, orally, once a day.
Dose escalation if the patients meets established criteria.
|
Take one tablet of the prescribed dose of the investigational drug by mouth, preferably with food and in the morning.
Escalation dose in cause the patient meets established criteria.
Other Names:
|
Experimental: Group B2: Glimepiride (4mg) / Vildagliptin (50mg) / Metformin (1000mg)
Tablets, orally, once a day.
Dose escalation if the patients meets established criteria.
|
Take one tablet of the prescribed dose of the investigational drug by mouth, preferably with food and in the morning.
Escalation dose in cause the patient meets established criteria.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Compare changes in HbA1
Time Frame: baseline, 3 and 6 months of treatment
|
Mean change in HbA1c
|
baseline, 3 and 6 months of treatment
|
Proportion of patients who change their HbA1c concentration
Time Frame: baseline, 3 and 6 months of treatment
|
Proportion of patients who change their HbA1c by at least 1 percent
|
baseline, 3 and 6 months of treatment
|
Mean difference change between groups in HbA1c concentration
Time Frame: baseline, 3 and 6 months of treatment
|
Difference greater than 0.3 between group A and B HbA1c concentration
|
baseline, 3 and 6 months of treatment
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Mean glucose change
Time Frame: baseline, 3 and 6 months of treatment
|
Compare changes in glucose between baseline, 3 and 6 months of treatment
|
baseline, 3 and 6 months of treatment
|
Incidence of adverse events and reactions
Time Frame: baseline, 3 and 6 months of treatment
|
Description of al the adverse events and reactions presented during the study
|
baseline, 3 and 6 months of treatment
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Investigators
- Principal Investigator: Salvador Pérez Jaime, M.D, Centro de Investigación Médica Aguascalientes (Red OSMO)
- Principal Investigator: Juan A Becerra Hernández, M.D, Centro de Investigación y Avances Médicos Especializados (Red OSMO)
- Principal Investigator: Ana L Flores Barranco, M.D, Oaxaca Site Management Organization SC. (Red OSMOS)
- Principal Investigator: Abraham S Álvarez, M.D, Oncológico Potosino (Red OSMO)
- Principal Investigator: Victor C Bohórquez López, M.D, Mérida Investigación Clínica (Red OSMO)
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- American Diabetes Association. 2. Classification and Diagnosis of Diabetes: Standards of Medical Care in Diabetes-2020. Diabetes Care. 2020 Jan;43(Suppl 1):S14-S31. doi: 10.2337/dc20-S002.
- Levy J, Atkinson AB, Bell PM, McCance DR, Hadden DR. Beta-cell deterioration determines the onset and rate of progression of secondary dietary failure in type 2 diabetes mellitus: the 10-year follow-up of the Belfast Diet Study. Diabet Med. 1998 Apr;15(4):290-6. doi: 10.1002/(SICI)1096-9136(199804)15:43.0.CO;2-M.
- Cramer JA. A systematic review of adherence with medications for diabetes. Diabetes Care. 2004 May;27(5):1218-24. doi: 10.2337/diacare.27.5.1218.
- U.K. prospective diabetes study 16. Overview of 6 years' therapy of type II diabetes: a progressive disease. U.K. Prospective Diabetes Study Group. Diabetes. 1995 Nov;44(11):1249-58. Erratum In: Diabetes 1996 Nov;45(11):1655.
- Cahn A, Raz I, Kleinman Y, Balicer R, Hoshen M, Lieberman N, Brenig N, Del Prato S, Cefalu WT. Clinical Assessment of Individualized Glycemic Goals in Patients With Type 2 Diabetes: Formulation of an Algorithm Based on a Survey Among Leading Worldwide Diabetologists. Diabetes Care. 2015 Dec;38(12):2293-300. doi: 10.2337/dc15-0187. Epub 2015 Oct 30.
- Rubin RR. Adherence to pharmacologic therapy in patients with type 2 diabetes mellitus. Am J Med. 2005 May;118 Suppl 5A:27S-34S. doi: 10.1016/j.amjmed.2005.04.012.
- Khunti K, Kosiborod M, Ray KK. Legacy benefits of blood glucose, blood pressure and lipid control in individuals with diabetes and cardiovascular disease: Time to overcome multifactorial therapeutic inertia? Diabetes Obes Metab. 2018 Jun;20(6):1337-1341. doi: 10.1111/dom.13243. Epub 2018 Mar 11.
- Orozco-Beltran D, Mata-Cases M, Artola S, Conthe P, Mediavilla J, Miranda C. [Adherence of Type 2 Diabetes Mellitus approach: Current situation and possible solutions]. Aten Primaria. 2016 Jun-Jul;48(6):406-20. doi: 10.1016/j.aprim.2015.09.001. Epub 2016 Jan 13. Spanish.
- Garber AJ, Handelsman Y, Grunberger G, Einhorn D, Abrahamson MJ, Barzilay JI, Blonde L, Bush MA, DeFronzo RA, Garber JR, Garvey WT, Hirsch IB, Jellinger PS, McGill JB, Mechanick JI, Perreault L, Rosenblit PD, Samson S, Umpierrez GE. CONSENSUS STATEMENT BY THE AMERICAN ASSOCIATION OF CLINICAL ENDOCRINOLOGISTS AND AMERICAN COLLEGE OF ENDOCRINOLOGY ON THE COMPREHENSIVE TYPE 2 DIABETES MANAGEMENT ALGORITHM - 2020 EXECUTIVE SUMMARY. Endocr Pract. 2020 Jan;26(1):107-139. doi: 10.4158/CS-2019-0472. No abstract available.
- Lukashevich V, Del Prato S, Araga M, Kothny W. Efficacy and safety of vildagliptin in patients with type 2 diabetes mellitus inadequately controlled with dual combination of metformin and sulphonylurea. Diabetes Obes Metab. 2014 May;16(5):403-9. doi: 10.1111/dom.12229. Epub 2013 Dec 2.
- Maruthur NM, Tseng E, Hutfless S, Wilson LM, Suarez-Cuervo C, Berger Z, Chu Y, Iyoha E, Segal JB, Bolen S. Diabetes Medications as Monotherapy or Metformin-Based Combination Therapy for Type 2 Diabetes: A Systematic Review and Meta-analysis. Ann Intern Med. 2016 Jun 7;164(11):740-51. doi: 10.7326/M15-2650. Epub 2016 Apr 19.
- Dennis JM, Henley WE, Weedon MN, Lonergan M, Rodgers LR, Jones AG, Hamilton WT, Sattar N, Janmohamed S, Holman RR, Pearson ER, Shields BM, Hattersley AT; MASTERMIND Consortium. Sex and BMI Alter the Benefits and Risks of Sulfonylureas and Thiazolidinediones in Type 2 Diabetes: A Framework for Evaluating Stratification Using Routine Clinical and Individual Trial Data. Diabetes Care. 2018 Sep;41(9):1844-1853. doi: 10.2337/dc18-0344. Epub 2018 Aug 2.
- Bianchi C, Daniele G, Dardano A, Miccoli R, Del Prato S. Early Combination Therapy with Oral Glucose-Lowering Agents in Type 2 Diabetes. Drugs. 2017 Mar;77(3):247-264. doi: 10.1007/s40265-017-0694-4.
- Benford M, Milligan G, Pike J, Anderson P, Piercy J, Fermer S. Fixed-dose combination antidiabetic therapy: real-world factors associated with prescribing choices and relationship with patient satisfaction and compliance. Adv Ther. 2012 Jan;29(1):26-40. doi: 10.1007/s12325-011-0096-z. Epub 2012 Jan 12.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
March 21, 2023
Primary Completion (Estimated)
March 1, 2024
Study Completion (Estimated)
April 1, 2024
Study Registration Dates
First Submitted
April 6, 2021
First Submitted That Met QC Criteria
April 7, 2021
First Posted (Actual)
April 12, 2021
Study Record Updates
Last Update Posted (Actual)
November 1, 2023
Last Update Submitted That Met QC Criteria
October 30, 2023
Last Verified
October 1, 2023
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Glucose Metabolism Disorders
- Metabolic Diseases
- Endocrine System Diseases
- Diabetes Mellitus
- Diabetes Mellitus, Type 2
- Hypoglycemic Agents
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Anti-Arrhythmia Agents
- Enzyme Inhibitors
- Immunosuppressive Agents
- Immunologic Factors
- Protease Inhibitors
- Dipeptidyl-Peptidase IV Inhibitors
- Metformin
- Glimepiride
- Vildagliptin
Other Study ID Numbers
- SIL-30013-III-20(1)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
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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