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IMIT-1: Lowering the Incidence of vascular complications with Metformin in patients with Impaired glucose tolerance and a recent TIA or minor ischemic stroke: a phase 2, randomized, controlled trial

Recruiting
Conditions
glucose intolerancemetforminTIAstroke, ischemictrial
Registration Number
NL-OMON26223
Lead Sponsor
S.E. Vermeer, MD, PhD
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
Not specified
Target Recruitment
40
Inclusion Criteria

1. Men or women 18 years and over;
2. TIA/minor ischemic stroke (modified Rankin Score 3 or less) within 6
months;
3. Impaired fasting glucose (fasting glucose level of 5.6 to 6.9 mmol/L) and/or impaired glucose tolerance (2-hour post-load glucose level of 7.8 to 11.0 mmol/L);
4. Informed consent

Exclusion Criteria

1. Known or newly diagnosed diabetes mellitus;
2. Contraindication for metformin:
a. renal impairment (serum creatinine >135 micromol/L for men, and >110
micromol/L for women),
b. hepatic disease (liver enzymes increased twice the upper limit of normal), c. a past history of lactic acidosis,
d. cardiac failure requiring pharmacological therapy,
e. chronic hypoxic lung disease,
f. pregnancy,
g. breast feeding;
3. Severe comorbidity interfering with follow-up

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
1. Tolerability of metformin treatment (measured as number of patients still on treatment after 3 months);<br>2. The safety of metformin treatment (which will be continuously monitored) <br>3. The adjusted difference in 2-hour post-load glucose levels at 3 months.
Secondary Outcome Measures
NameTimeMethod
1. Differences in fasting glucose levels;<br>2. Insulin resistance;<br>3. Body mass index;<br>4. Percentage of patients with a normal glucose tolerance at 3 months.
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