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The effect of dipyridamole on the pharmacokinetics of metformin.

Phase 1
Conditions
The antihyperglycemic drug metformin and the thrombocyte aggregation inhibitor dipyridamole are often used concomitantly in patients with diabetes who have suffered a transient ischemic attack or stroke. Gastrointestinal absorption of metformin is mediated by the equilibrative nucleoside transporter 4 (hENT4). Dipyridamole has been reported to inhibit hENT4 transport in vitro. Dipyridamole may therefore negatively influence the uptake of metformin from the gastrointestinal tract.
MedDRA version: 14.1Level: PTClassification code 10068071Term: Inhibitory drug interactionSystem Organ Class: 10018065 - General disorders and administration site conditions
Therapeutic area: Body processes [G] - Chemical Phenomena [G02]
MedDRA version: 14.1Level: PTClassification code 10013710Term: Drug interactionSystem Organ Class: 10018065 - General disorders and administration site conditions
Registration Number
EUCTR2012-000363-24-NL
Lead Sponsor
Radboud University Medical Centre Nijmegen
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Recruiting
Sex
All
Target Recruitment
18
Inclusion Criteria

- Age 18-50 years
- Written informed consent
Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range 18
F.1.3 Elderly (>=65 years) no
F.1.3.1 Number of subjects for this age range

Exclusion Criteria

- Smoking
- Hypertension (systolic blood pressure >140 mmHg and/or diastolic blood pressure >90 mmHg)
- Diabetes Mellitus (fasting glucose >7 mmol/L or random glucose >11 mmol/L)
- History of any cardiovascular disease
- Renal dysfunction (MDRD <60 ml/min)
- ECG abnormalities, other than first grade AV-block or right bundle branch block

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Main Objective: To study whether dipyridamole reduces gastrointestinal absorption of metformin.;Secondary Objective: Not applicable.;Primary end point(s): The area under the curve of the metformin plasma concentration of metformin at t=0, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, and 10 hours after the intake of the last tablet of metformin and the Cmax.;Timepoint(s) of evaluation of this end point: t=0, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, and 10 hours after the intake of the last tablet of metformin
Secondary Outcome Measures
NameTimeMethod
Secondary end point(s): Not applicable.;Timepoint(s) of evaluation of this end point: Not applicable.
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