Effects of Nateglinide vs Acarbose on Postprandial Glucose Fluctuation, Dyslipidemia, and Inflammatory Factors
- Conditions
- Diabetes Mellitus, Type 2
- Interventions
- Registration Number
- NCT00928889
- Lead Sponsor
- Novartis Pharmaceuticals
- Brief Summary
This study was conducted to demonstrate superiority of nateglinide in postprandial glucose fluctuation, dyslipidemia, and inflammatory status improvement.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 160
- Newly diagnosed type 2 diabetes mellitus patients
- HbA1c > 6.5 and < 9.0%
- Fasting fingertip capillary blood glucose (FCBG) < 9 mmol/L after 2 weeks diet control
- History of acute metabolic complications in the past 3 months or of severe diabetic complications or severe infections or active substance abuse
- Liver disease
- Patients under oral hypoglycemic drugs and/or insulin treatment, or corticosteroid treatment within past 4 weeks
Other protocol-defined inclusion/exclusion criteria applied to the study.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Nateglinide 120 mg Nateglinide 120 mg Nateglinide was taken orally 3 times daily, 10 minutes before meals for 4 weeks. Acarbose 50 mg Acarbose 50 mg Acarbose 50 mg was taken orally 3 times daily, with the first bite of food at meals for 4 weeks.
- Primary Outcome Measures
Name Time Method Change From Baseline in Postprandial Glucose Excursion (PPGE) at the End of the Study (Week 4) Baseline to the end of the study (Week 4) Blood samples were collected for measurement of plasma glucose at 30, 60, 90, and 120 minutes following the start of a standardized meal test at Baseline and Week 4. PPGE was defined as the mean difference between the preprandial glucose value and the postprandial glucose value measured at 2 hours in a standardized meal test. Participants were fasting (no calorie intake for at least 8 hours prior to the meal test) and completed the standardized meal test between 7 and 10 AM.
- Secondary Outcome Measures
Name Time Method Change From Baseline in Peak Postprandial Glucose at the End of the Study (Week 4) Baseline to the end of the study (Week 4) Blood samples were collected for measurement of plasma glucose at 30, 60, 90, and 120 minutes following the start of a standardized meal test at Baseline and Week 4. The peak postprandial glucose values were used in the calculation of change from Baseline at Week 4. Participants were fasting (no calorie intake for at least 8 hours prior to the meal test) and completed the standardized meal test between 7 and 10 AM.
Change From Baseline in Postprandial Glucose Area Under the Curve at the End of the Study (Week 4) Baseline to the end of the study (Week 4) Blood samples were collected for measurement of plasma glucose at 30, 60, 90, and 120 minutes following the start of a standardized meal test at Baseline and Week 4. The postprandial glucose area under the curve was calculated using values from the 4 time points. Participants were fasting (no calorie intake for at least 8 hours prior to the meal test) and completed the standardized meal test between 7 and 10 AM.
Change From Baseline in Total Cholesterol at the End of the Study (Week 4) Baseline to the end of the study (Week 4) Blood samples were collected for measurement of total cholesterol prior to (fasting) and 120 minutes following the start of a standardized meal test at Baseline and Week 4. Participants were fasting (no calorie intake for at least 8 hours prior to the meal test) and completed the standardized meal test between 7 and 10 AM. Total cholesterol was assessed at each study site using the same method and same reference value.
Change From Baseline in Triglycerides at the End of the Study (Week 4) Baseline to the end of the study (Week 4) Blood samples were collected for measurement of triglycerides prior to (fasting) and 120 minutes following the start of a standardized meal test at Baseline and Week 4. Participants were fasting (no calorie intake for at least 8 hours prior to the meal test) and completed the standardized meal test between 7 and 10 AM. Triglycerides were assessed at each study site using the same method and same reference value.
Change From Baseline in Low-density Lipoprotein Cholesterol (LDL-C) at the End of the Study (Week 4) Baseline to the end of the study (Week 4) Blood samples were collected for measurement of LDL-C prior to (fasting) and 120 minutes following the start of a standardized meal test at Baseline and Week 4. Participants were fasting (no calorie intake for at least 8 hours prior to the meal test) and completed the standardized meal test between 7 and 10 AM. LDL-C was assessed at each study site using the same method and same reference value.
Change From Baseline in High-density Lipoprotein Cholesterol (HDL-C) at the End of the Study (Week 4) Baseline to the end of the study (Week 4) Blood samples were collected for measurement of HDL-C prior to (fasting) and 120 minutes following the start of a standardized meal test at Baseline and Week 4. Participants were fasting (no calorie intake for at least 8 hours prior to the meal test) and completed the standardized meal test between 7 and 10 AM. HDL-C was assessed at each study site using the same method and same reference value.
Change From Baseline in Free Fatty Acids (FFA) at the End of the Study (Week 4) Baseline to the end of the study (Week 4) Blood samples were collected for measurement of FFA prior to (fasting) and 30, 60, 90, and 120 minutes following the start of a standardized meal test at Baseline and Week 4. Participants were fasting (no calorie intake for at least 8 hours prior to the meal test) and completed the standardized meal test between 7 and 10 AM. FFA was assayed at a central laboratory.
Change From Baseline in High-sensitivity C-reactive Protein (hsCRP) at the End of the Study (Week 4) Baseline to the end of the study (Week 4) Blood samples were collected for measurement of hsCRP prior to (fasting) and 30, 60, 90, and 120 minutes following the start of a standardized meal test at Baseline and Week 4. Participants were fasting (no calorie intake for at least 8 hours prior to the meal test) and completed the standardized meal test between 7 and 10 AM. hsCRP was assayed at a central laboratory.
Change From Baseline in Glycosylated Serum Albumin (GSA) at the End of the Study (Week 4) Baseline to the end of the study (Week 4) Blood samples were collected for measurement of GSA prior to (fasting) the start of a standardized meal test at Baseline and Week 4. Participants were fasting (no calorie intake for at least 8 hours prior to the meal test) and completed the standardized meal test between 7 and 10 AM. GSA was assayed at a central laboratory.
Trial Locations
- Locations (6)
Nanfang Hospital, the Affiliated South Hospital of the Southern Medical University
🇨🇳Guangzhou, China
Peiking University First Hospital
🇨🇳BeiJing, China
People's Liberation Army. The Military General Hospital of BeiJing
🇨🇳BeiJing, China
Chinese PLA General Hospital
🇨🇳Beijing, China
The First Affiliated Hospital, Zhongshan (Sun Yat-sen) University
🇨🇳Guangzhou, China
The Second Affiliated Hospital, Zhongshan (Sun Yat-sen) University
🇨🇳Guangzhou, China