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临床试验/NCT04194515
NCT04194515Unknown不适用

Gut Microbiota and Bile Acids Mediate the Clinical Benefits of Metformin and YH1 in Patients With Treatment-naïve Type 2 Diabetes Mellitus: A Pilot Observational Study

Chang Gung Memorial Hospital1 个研究点 分布在 1 个国家目标入组 50 人开始时间: 2020年1月1日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
不适用
发起方
入组人数
50
试验地点
1
主要终点
bile acid profile

研究概览

简要总结

The investigators will evaluate the stool microbiota, serum and fecal bile acid composition, and changes in blood glucose and lipid profile before and after one month of metformin or YH1 treatment.

研究设计

研究类型
Observational
观察模型
Cohort
时间视角
Prospective

入排标准

年龄范围
20 Years 至 65 Years(Adult, Older Adult)
性别
Male
接受健康志愿者

入选标准

  • Treatment-naïve male patients with type 2 diabetes;
  • Aged 20-65 years;
  • Body mass index (BMI) ≥ 24 kg/m2; 4.7 % ≤ glycated hemoglobin (HbA1c) < 9 %;
  • 5.Low-density cholesterol (LDL-C) ≥ 130 mg/dl; 6.Expected to receive metformin 500 mg tid or YH1 6g tid for one month

排除标准

  • type 1,or other specific types of diabetes;
  • history of oral hypoglycemic agents (OHAs) treatment or insulin therapy;
  • use of lipid-lowering drugs within the past six months;
  • serious gastrointestinal (GI) tract diseases, including peptic ulcers and GI tract bleeding;
  • hepatic insufficiency with ALT >72 U/L or renal insufficiency with an eGFR < 60 mL/min/1.73 m2;
  • history of stressful situations, including diabetic ketoacidosis, nonketotic hyperosmolar diabetic coma, infectious disease, or surgery in the previous month;
  • mental illness;
  • current smoking status, alcohol or drug abuse;
  • hemoglobin disease or chronic anemia;
  • underlying conditions that could lead to poor compliance;
  • severe organic diseases, including cancer, coronary heart disease, myocardial infarction or cerebrovascular disease;
  • continuous antibiotic or probiotics use for over 3 days within 3 months prior to enrollment;
  • continuous use of weight loss drug for over 1 month;
  • history of YH1 therapy, or Chinese medicine treatment within the past one month.

研究组 & 干预措施

YH1 group

干预措施: YH1 (Drug)

Metformin group

干预措施: metformin (Drug)

结局指标

主要结局

bile acid profile

时间窗: one month

before and after YH1 or metformin treatment

次要结局

未报告次要终点

研究者

发起方
Chang Gung Memorial Hospital
申办方类型
Other
责任方
Sponsor

研究点 (1)

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