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Effect of Combination of Mitiglinide and Metformin on Glycemic Control in Patients With Type 2 Diabetes Mellitus

Phase 3
Completed
Conditions
Type 2 Diabetes
Interventions
Drug: Placebo
Registration Number
NCT01037842
Lead Sponsor
Seoul National University Hospital
Brief Summary

We performed a prospective, randomized, multicenter trial to assess the efficacy and safety of combined treatment with mitiglinide and metformin for patients with type 2 diabetes who show inadequate glycemic control with metformin monotherapy. Subjects with HbA1c \>7.0% after an 8-week metformin run-in phase were randomized to a 16-week trial phase with metformin plus mitiglinide (Met+Mit) or metformin plus placebo (Met).

Detailed Description

This was a 16-week, randomized, double-blind study for comparing metformin plus mitiglinide (Met+Mit) versus metformin plus placebo (Met+Pcb). An 8-week metformin run-in phase (500 mg twice a day for the first 4 weeks and 500 mg three times a day for the following 4 weeks) was followed by a 16-week trial phase (mitiglinide 10 mg or placebo three times a day added to metformin 500 mg three times a day). The subjects with an HbA1c \>7.0% at the end of the metformin run-in phase were randomized to a Met+Mit group or a Met+Pcb group of the trial phase.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
145
Inclusion Criteria
  • aged 30-70 years
  • had a duration of diabetes of <10 years
  • body mass index (BMI) 20-35 kg/m2
  • a plasma HbA1c level of 7.5-11% during the previous 4 weeks
Exclusion Criteria
  • subjects who were diagnosed with type 1 diabetes, gestational diabetes, or diabetes with any specific causes
  • Subjects who had been treated with nateglinide, repaglinide, metformin (over 1,000 mg/day), or sulfonylurea (over a quarter of the maximum recommended dose) during the previous 8 weeks

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Metformin+PlaceboPlaceboplacebo three times a day added to metformin 500 mg three times a day
Metformin+MitiglinideMitiglinidemitiglinide 10 mg three times a day added to metformin 500 mg three times a day
Primary Outcome Measures
NameTimeMethod
the change in HbA1c from randomization to endpoint16 weeks after radomization
Secondary Outcome Measures
NameTimeMethod
the proportion of subjects with HbA1c <7% after 16 weeks of treatment and the change in FPG and 2-hr postprandial glucose (PPG) from baseline16 weeks after radomization

Trial Locations

Locations (13)

Kyungpook National University School of Medicine

🇰🇷

Daegu, Korea, Republic of

Yonsei University College of Medicine

🇰🇷

Seoul, Korea, Republic of

Chungnam National University College of Medicine

🇰🇷

Daejeon, Korea, Republic of

Chonnam National University College of Medicine

🇰🇷

Gwangju, Korea, Republic of

SungKyunKwan University School of Medicine

🇰🇷

Seoul, Korea, Republic of

Chonbuk National University College of Medicine

🇰🇷

Jeonju, Korea, Republic of

Eulji University School of Medicine

🇰🇷

Seoul, Korea, Republic of

Seoul St. Mary's Hospital

🇰🇷

Seoul, Korea, Republic of

Pusan National University College of Medicine

🇰🇷

Busan, Korea, Republic of

Uijeongbu St. Mary Hospital

🇰🇷

Uijeongbu, Korea, Republic of

The Catholic University of Korea

🇰🇷

Seoul, Korea, Republic of

Hallym University College of Medicine

🇰🇷

Seoul, Korea, Republic of

Korea University College of Medicine

🇰🇷

Seoul, Korea, Republic of

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