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Effect of Linagliptin in comparison with Glimepiride as add on to Metformin on the metabolism of diabetic patients after a meal.

Conditions
Diabetes mellitus type 2 on metformin therapy
MedDRA version: 14.1Level: PTClassification code 10067585Term: Type 2 diabetes mellitusSystem Organ Class: 10027433 - Metabolism and nutrition disorders
Therapeutic area: Diseases [C] - Hormonal diseases [C19]
Registration Number
EUCTR2012-000179-17-DE
Lead Sponsor
ikfe GmbH
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Recruiting
Sex
All
Target Recruitment
Not specified
Inclusion Criteria

1.Diabetes mellitus type 2
2.HbA1c = 6.5% - = 8.5%
3.HbA1c = 7.0% - = 8.5% for those patients with a significant cardiovascular history
4.Treatment with metformin at a maximum tolerated dose
5.Age 45 – 75 years (inclusively)
6.Patient consents that his/her family physician/diabetologist will be informed of trial participation.

Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range 40
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range 40

Exclusion Criteria

11.Pretreatment with PPAR gamma agonists within the last three months
2.History of type 1 diabetes
3.Uncontrolled hypertension (systolic blood pressure >160 mmHg and/or diastolic blood pressure >90 mmHg)
4.Acute infections
5.Medical history of hypersensitivity to the study drugs or to drugs with similar chemical structures
6.History of severe or multiple allergies
7.Treatment with any other investigational drug within 3 months before trial entry.
8.Progressive fatal disease
9.History of drug or alcohol abuse in the past 2 years
10.State after kidney transplantation
11.Serum potassium > 5.5 mmol/L
12.Pregnancy or breast feeding
13.Sexually active woman of childbearing age not practicing a highly effective method of birth control as defined as those which result in a low failure rate (i.e. less than 1% per year) when used consistently and correctly such as implants, injectables, combined oral contraceptives, hormonal IUDs, sexual abstinence or vasectomized partner.
14.Acute myocardial infarction, open heart surgery or cerebral event (stroke/TIA) within the previous 30 days
15.Any elective surgery during study participation
16.Have had more than one unexplained episode of severe hypoglycemia (defined as requiring assistance of another person due to disabling hypoglycemia) within 6 months prior to screening visit
17.History of pancreatitis
18.History of dehydration, pre-coma diabeticum or diabetic ketoacidosis
19.Acute or scheduled investigation with iodine containing radiopaque material
20.Uncontrolled unstable angina pectoris
21.History of pericarditis, myocarditis, endocarditis
22.Recent pulmonary embolism
23.Hemodynamic relevant aortic stenosis
24.Aortic aneurysm
25.Regular use of NSAID’s (no acute use of NSAID within 48 hours before V2,V4,V5)
26.Lack of compliance or other similar reason that, according to investigator, precludes satisfactory participation in the study
27.History of respiratory, gastrointestinal, hepatic (ALAT and/or ASAT > 3 times the normal reference range), renal (Creatinine > 1.1 mg/dl in women and > 1.5 mg/dl in men ), neurological, psychiatric and/or hematological disease as judged by the investigator
28.Lactose intolerance
29.Intake of Coumarin or coumarin derived compounds such as phenprocoumon (Marcumar) or warfarin (Coumadin, Warfant)

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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