Screening and Intervention of Arteriosclerotic Cardiovascular Disease in Type 2 Diabetes in Zhejiang Province
概览
- 阶段
- 不适用
- 干预措施
- antidiabetic drugs including GLP-1 RAs
- 疾病 / 适应症
- Type 2 Diabetes Mellitus
- 发起方
- Zhejiang Provincial People's Hospital
- 入组人数
- 316
- 试验地点
- 1
- 主要终点
- New-onset cardiovascular events
- 状态
- 已完成
- 最后更新
- 19天前
概览
简要总结
The aim of this study is to screen patients with type 2 diabetes with high risk of cardiovascular disease, and intervene with or without Glucagon like peptide-1 receptor agonists.
研究者
Xiao Ye, MD
Director Assistant
Zhejiang Provincial People's Hospital
入排标准
入选标准
- •Type 2 diabetes
- •HbA1c ≥7.0%
- •Prior CVD cohort: age ≥50 and ≥1 of the following criteria.
- •Prior stroke or TIA
- •Prior coronary, carotid or peripheral arterial revascularization
- •N50% stenosis of coronary, carotid, or lower extremity arteries
- •History of symptomatic CHD documented by Positive exercise stress test or any cardiac imaging or Unstable angina with ECG changes
- •Asymptomatic cardiac ischemia Documented by positive nuclear imaging test, exercise test or dobutamine stress echo
- •Chronic heart failure NYHA class II-III
- •Chronic renal failure, eGFR \<60 mL/min per 1.73m2 MDRD eGFR \<60 mL/min per Cockcroft-Gault formula
排除标准
- •Type 1 diabetes
- •other type diabetes
- •Calcitonin ≥50 ng/L
- •Use of a GLP-1 receptor agonist (exenatide, liraglutide or other) or pramlintide or any DPP-4 inhibitor within the 3 months prior to screening
- •Use of insulin other than human NPH insulin or long-acting insulin analogue or premixed insulin within 3 months prior to screening. Shortterm use of other insulin during this period in connection with intercurrent illness is allowed, at Investigators discretion
- •Acute decompensation of glycemic control
- •An acute coronary or cerebrovascular event in the previous 14 d
- •Currently planned coronary, carotid, or peripheral artery revascularization
- •Chronic heart failure (NYHA class IV)
- •Current continuous renal replacement therapy
研究组 & 干预措施
antidiabetic drugs including GLP-1 RAs
Apply Type 2 Diabetes mellitus patients with high risk of ASCVD with antidiabetic drugs including GLP-1 RAs
antidiabetic drugs not including GLP-1 RAs
Apply Type 2 Diabetes mellitus patients with high risk of ASCVD with antidiabetic drugs not including GLP-1 RAs,such as metformin,insulin
结局指标
主要结局
New-onset cardiovascular events
时间窗: maximum 2 years
Composite of angina pectoris, stroke, myocardial infarction, atherosclerotic plaque,unplanned rehospitalization, stent thrombosis, incidence of cardiac death in the duration of follow-up
次要结局
- Lipid levels(maximum 2 years)
- Blood glucose control(maximum 2 years)
- Body weight(maximum 2 years)
- Microvascular complications(maximum 2 years)
- Blood pressure level(maximum 2 years)
- Fat Distribution Indicators(maximum 2 years)