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Efficacy and Safety of DLBS3233 in Subjects With New Onset of Type 2 Diabetes Mellitus

Phase 3
Completed
Conditions
New Onset
Type-2-diabetes Mellitus
Interventions
Drug: Placebo of DLBS3233
Other: Lifestyle modification
Registration Number
NCT01645332
Lead Sponsor
Dexa Medica Group
Brief Summary

This is a 2-arm, double-blind, parallel, randomized, placebo-controlled clinical study, with 12 weeks of therapy to evaluate the efficacy and safety of DLBS3233 in improving metabolic control in newly diagnosed type-2-diabetic patients, as measured by A1c level, fasting and 2-hours post-prandial plasma glucose, fasting insulin level, HOMA-IR, HOMA-B, adiponectin level, lipid profile, and body weight.

Detailed Description

There will be two groups of treatment in this study who will receive DLBS3233 or placebo of DLBS3233 (with lifestyle modification) for 12 weeks of therapy.

Clinical and physical examination to evaluate the efficacy and safety as well as measurement of fasting and 2-hour post-prandial plasma glucose level will be performed at baseline and every 6-weeks-interval. Other clinical and laboratory examinations will be performed at baseline and at the end of study.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
104
Inclusion Criteria
  • Male or female subjects with age of 18-60 years
  • BMI ≥ 18.5 kg/m2
  • Newly diagnosed (new onset of) type 2 DM subjects, defined as FPG level of ≥ 126 mg/dL or 2h-PG level of ≥ 200 mg/dL or A1c of ≥ 6.5%)
  • FPG ≤ 183 mg/dL
  • Hemoglobin level of ≥ 10.0 g/dL
  • Serum ALT ≤ 2.5 times upper limit of normal
  • Serum creatinine < 1.5 times upper limit of normal
Exclusion Criteria
  • Female of childbearing potential
  • Subjects with symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or other symptomatic ischemic arterial diseases necessitating medical treatment
  • Uncontrolled hypertension (SBP > 160 mmHg and/or DBP > 100 mmHg)
  • History of renal and/or liver disease
  • History of or the presence of any clinical evidence of malignancies
  • Presence of exacerbation of chronic illnesses, severe and acute infections, complicated infections
  • Current treatment with systemic corticosteroids or herbal (alternative) medicines
  • Participation in any other intervention trial within 30 days prior to Screening

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Treatment I (control)Placebo of DLBS3233Placebo of DLBS3233 once daily for 12 weeks + lifestyle modification
Treatment I (control)Lifestyle modificationPlacebo of DLBS3233 once daily for 12 weeks + lifestyle modification
Treatment IILifestyle modification100 mg DLBS3233 once daily for 12 weeks + lifestyle modification
Treatment IIDLBS3233100 mg DLBS3233 once daily for 12 weeks + lifestyle modification
Primary Outcome Measures
NameTimeMethod
Reduction of A1c level12 weeks

Reduction of A1c level from baseline to Week 12 of treatment

Secondary Outcome Measures
NameTimeMethod
Change in HOMA-B12 weeks

Change in HOMA-B from baseline to Week 12 of treatment

Reduction of venous FPG6 weeks and 12 weeks

Reduction of venous FPG from baseline to Week 6 and Week 12 of treatment

Response rate12 weeks

Percentage of subjects with FPG \< 110 mg/dL and/or reduction of at least 10% in FPG level from baseline to Week 12 of treatment

Change in fasting insulin level12 weeks

Change in fasting insulin level from baseline to Week 12 of treatment

Liver function12 weeks

Liver function (serum ALT, serum AST, serum γ-glutamyl transferase levels) will be evaluated at baseline and Week 12

Change in adiponectin level12 weeks

Change in adiponectin level from baseline to Week 12 of treatment

Change in lipid profile12 weeks

Change in lipid profile (LDL-cholesterol, HDL-cholesterol, total cholesterol, and triglyceride levels) from baseline to Week 12 of treatment

Vital signs6 weeks and 12 weeks

Vital signs (blood pressure, heart rate, respiratory rate) will be measured at baseline, Week 6, and Week 12

Renal function12 weeks

Renal function (serum creatinine level) will be evaluated at baseline and Week 12

Adverse events12 weeks

Adverse events as well as number of subjects experienced the events will be observed and evaluated throughout study period (12 weeks) and until all adverse events have been recovered or stabilized

Reduction of venous 2h-PG6 weeks and 12 weeks

Reduction of venous 2h-PG from baseline to Week 6 and Week 12 of treatment

Change in HOMA-IR12 weeks

Change in HOMA-IR from baseline to Week 12 of treatment

Change in body weight6 weeks and 12 weeks

Change in body weight from baseline to Week 6 and Week 12 of treatment

Electrocardiography (ECG)12 weeks

ECG will be evaluated at baseline and Week 12

Trial Locations

Locations (1)

Division of Endocrinology, Department of Internal Medicine, Dr. Kariadi Hospital

🇮🇩

Semarang, Jawa Tengah, Indonesia

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