Effect of Liraglutide on Subclinical Atherosclerosis in Patients With Type 1 Diabetes Mellitus
Overview
- Phase
- Phase 3
- Intervention
- Liraglutide
- Conditions
- Diabetes Mellitus, Type 1
- Sponsor
- David Sanchez Garcia
- Enrollment
- 35
- Locations
- 1
- Primary Endpoint
- To assess the effect of liraglutide on carotid intima media thickness in patients with type 1 diabetes mellitus.
- Status
- Completed
- Last Updated
- 3 years ago
Overview
Brief Summary
The aim of the trail is investigate the effect of liraglutide 1.8mg as add-on to insulin for 6 months on carotid intima media thickness and cardiovascular risk factors in subjects with type 1 diabetes mellitus.
Investigators
David Sanchez Garcia
Principal Investigator David Sanchez Garcia
Instituto Mexicano del Seguro Social
Eligibility Criteria
Inclusion Criteria
- •Age from 15 to 60 years
- •Patients diagnosed with Type 1 Diabetes Mellitus.
- •Diabetes duration more than 1 year.
- •Both genders.
- •C - peptide less than 0.3 nmol/L
Exclusion Criteria
- •Patients with type 2 diabetes mellitus, LADA (latent autoimmune diabetes in adults), MODY (maturity-onset diabetes of youth), or other types of diabetes other than type 1 diabetes mellitus.
- •Pregnant patients or desire to become pregnant in the next 6 months.
- •Family history of medullary thyroid cancer or multiple endocrine neoplasia 2
- •History of pancreatitis
- •Familial hypercholesterolemia
- •Use of adjunctive treatment to insulin (SGLT-2 \[sodium-glucose cotransporter-2\] inhibitor, Pramlintide, metformin)
- •Start of treatment with statins, ezetimibe or PSCK9 (proprotein convertase subtilisin/kexin type 9) inhibitors, amlodipine, metoprolol in the last 6 months before the study.
- •Bariatric surgery
- •Use of medications (immunosuppressants, calcineurin inhibitors, mTOR (mammilian target of rapamycin) inhibitors, corticosteroids, aspirin, or anticoagulants)
- •Metabolic abnormalities (inborn errors of cholesterol storage metabolism, glycogen storage, abetalipoproteinemia, Reye's disease, LCAT (lecithin-cholesterol acyltransferase) deficiency)
Arms & Interventions
Liraglutide
Application of liraglutide 1.8 mg subcutaneous daily for 6 months to evaluate subclinical atherosclerosis, by means of carotid doppler US, lipid profile in patients with type 1 diabetes mellitus
Intervention: Liraglutide
Outcomes
Primary Outcomes
To assess the effect of liraglutide on carotid intima media thickness in patients with type 1 diabetes mellitus.
Time Frame: Baseline and 6 months
Change from baseline measure of right carotid intima media thickness with doppler ultrasound at 6 months in patients with type 1 diabetes mellitus who meet inclusion criteria.
Secondary Outcomes
- To assess the effect of liraglutide on cardiovascular risk factors, cardiometabolic markers (BMI, weight and abdominal circumference)(0, 1, 2, 3, 4, 5 and 6 months)
- To assess the effect of liraglutide on cardiovascular risk factors, cardiometabolic markers. Somatometry (BMI, weight and abdominal circumference)(0, 1, 2, 3, 4, 5 and 6 months)
- To assess the effect of liraglutide on cardiovascular risk factors, cardiometabolic markers Laboratory studies (total cholesterol, LDL, HDL, triglycerides, non-HDL cholesterol)(0, 3 and 6 months)
- To assess the effect of liraglutide on cardiovascular risk factors, cardiometabolic markers Laboratory studies (HbA1c)(0, 3 and 6 months)
- To assess the effect of liraglutide on cardiovascular risk factors, cardiometabolic markers. eGDR (Estimated glucose disposal rate)(0, 3 and 6 months)