Teneligliptin on the Progressive Left Ventricular Diastolic Dysfunction With Type 2 Diabetes Mellitus Study

Phase 4

• Conditions: Diabetes Mellitus, Type 2
• Interventions: Drug: Teneligliptin

• Registration Number: NCT02449330
• Lead Sponsor: National Cerebral and Cardiovascular Center, Japan

Brief Summary

This is the clinical trial designed to assess the cardiac diastolic function of long term treatment with teneligliptin compared to that without teneligliptin in patients with type 2 diabetes mellitus by two arms; one includes patients showing E/e' by echocardiography less than 8, the other includes patients showing E/e' by echocardiography more than 8.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2015-05-17
• Study First Submitted QC: 2015-05-17
• Study First Posted: 2015-05-20
• Study Start: 2015-06
• Status Verified: 2018-08
• Last Update Submitted: 2018-08-20
• Last Update Posted: 2018-08-22
• Primary Completion: 2020-06
• Study Completion: 2023-06

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 936

Inclusion Criteria

• Asians aged from 20 to 85 years old at baseline
• Patients with type 2 diabetes mellitus and including either A) or B) criteria.

A) Patients necessary to start the treatment using anti-diabetic agent(s) or to change the anti-diabetic agent(s).

B) Patients possible to change the anti-diabetic agent(s).

• Patients with left ventricular ejection fraction more than 40%
• Patients with written informed consent

Exclusion Criteria

• Patients with type 1 diabetes mellitus
• Patients with slowly progressive type 1 diabetes mellitus positive for pancreatic islets related autoimmune antibody as GAD antibody or IA-2 antibody or ICA antibody
• Patients with diabetes mellitus caused by evident genetic factors
• Patients with diabetes mellitus caused by secondary factors as endocrine disease or liver disease
• Patients with diabetic ketoacidosis or hyperosmolar hyperglycemic syndrome
• Patients with any severe infectious diseases or planed any surgical treatments or suffered any severe traumas
• Patients with severe liver dysfunction
• Patients with hypophyseoprivic or adrenal insufficiency
• Patients under malnutrition or starved state or irregular caloric intake or calorie insufficiency or hyposthenia
• Patients judged to be unsuitable for the study as they are planning to exercise intensively
• Patients judged to be unsuitable for the study as they may drink excessively or abuse drugs
• Patients showing QT prolongation in the electrocardiogram
• Patients with any past histories of heart failure showing NYHA classification grade more than 3 at baseline
• Patients with any past histories of acute coronary syndrome or coronary intervention or cardiac surgery developed within 6 months
• Patients with any surgical past histories of mitral valve replacement or mitral valve repair or severe calcification of mitral valve
• Patients already treated with Teneligliptin
• Women with breast-feeding
• Pregnant women or patients who have possibilities of pregnancy
• Patients expected to live less than 3 years
• Patients with any past histories of drug hypersensitivity against Teneligliptin
• Patients already involved in any other interventional clinical trials or planned to be involved
• Patients judged to be inappropriate for the study by the doctors in charge

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Teneligliptin in the inhibition test	Teneligliptin	Patients showing E/e' by echocardiography less than 8 at base line and assigned as Teneligliptin treatment by randomization
Teneligliptin in the improvement test	Teneligliptin	Patients showing E/e' by echocardiography more than 8 at base line and assigned as Teneligliptin treatment by randomization

Primary Outcome Measures

Name	Time	Method
Change of the ratio of peak velocity of early transmitral diastolic filling by echocardiography (E) to early diastolic mitral annular velocity by tissue Doppler echocardiography (E/e')	Up to 2 years

Secondary Outcome Measures

Name	Time	Method
Total number of all-cause death	Up to 2 years
Total number of deaths by cardiovascular events	Up to 2 years
Total number of all-cause hospitalization	Up to 2 years
Total number of hospitalization by cardiovascular events	Up to 2 years
Total number of hospitalization by progression of heart failure	Up to 2 years
Total number of incidents for the addition or increase of the agents for heart failure by progression of heart failure	Up to 2 years
Change of the ratio of peak velocity of early transmitral diastolic filling (E) to late diastolic filling due to atrial contraction (E/A) by echocardiography	Up to 2 years
Change of the deceleration time (DT) by echocardiography	Up to 2 years
Change of the left atrium volume (LAV) by echocardiography	Up to 2 years
Change of the left ventricular end-diastolic diameter (LVDd), left ventricular end-systolic diameter (LVDs) and fractional shortening (%FS) by echocardiography	Up to 2 years
Change of the left ventricular mass index (LVMI) by echocardiography	Up to 2 years
Change of NYHA functional class	Up to 2 years
Change of plasma levels of NT-proBNP	Up to 2 years

Trial Locations

Locations (1)

National Cerebral and Cardiovascular Center; 🇯🇵 Suita, Japan