Randomized, Open Label, Two Parallel Arms, Intervention Trial Comparing the Effect of DPP-IV Inhibitor Vildagliptin vs. Glibenclamide on Circulating Endothelial Progenitor Cell Number in Patients With Type 2 Diabetes in Metformin Failure
试验速览
- 阶段
- 3 期
- 状态
- 已完成
- 入组人数
- 64
- 试验地点
- 2
- 主要终点
- Absolute Change in the Endothelial Progenitor Cell (EPC) Number
研究概览
简要总结
The purpose of this study is to evaluate the effect of Dipeptidyl peptidase (DPP) -IV inhibitor Vildagliptin vs. Glibenclamide on circulating endothelial progenitor cells (EPCs) number in type 2 diabetes patients in metformin failure. Subjects will be followed for 12 months after randomization.
详细描述
Diabetic patients show a higher cardiovascular risk compared with non-diabetic patients. It is therefore crucial that blood glucose lowering drugs reveal a favorable cardiovascular risk profile independently of metabolic control.
EPCs are a subset of circulating mononuclear cells derived from the bone marrow. EPCs play a fundamental role in the formation of new blood vessels (neo-endothelization) and repairing of existing blood vessels (re-endothelization) in order to maintain endothelial homeostasis and integrity. Endothelial damage and tissue ischemia, through the release of growth factors and cytokines, represent a strong stimulus for the mobilization of EPCs from the bone marrow. Reduced EPC number has been related to the presence of traditional risk factors for cardiovascular disease and to the development of atherosclerosis and has been shown to predict cardiovascular (CV)risk. Type 2 diabetes is known to be associated with an increased CV risk and a reduced EPC number. Recent data suggest that DPP-IV inhibitors might be involved in the mechanisms promoting bone-marrow EPC mobilization. This putative ancillary effect of DPP-IV might have a favorable impact on type 2 diabetes, a condition characterized by an increased CV risk.
This is a randomized, open-label, active-treatment-controlled, two parallel arm (2:1), intervention trial comparing DPP-IV inhibitor Vildagliptin (100 mg daily) with Glibenclamide (maximum daily dose of 10 mg). Treatment allocation and titration regimens are not blinded.
Primary end-point:Absolute change in the EPC number at visit: V0 (randomization), V2 (month 4), V3 (month 8) and V4 (month 12).
Secondary end-point: Absolute change in HbA1C compared to baseline.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 35 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age equal or above 35 years;
- •Diagnosis of type 2 diabetes mellitus as defined by the American Diabetes Association , with at least one year of disease duration at the time of the screening visit;
- •Blood glucose lowering treatment with Metformin alone (monotherapy) at a stable dose of at least 1.5 g/day (or maximum tolerated dose) in the 3 months prior to the screening visit;
- •Insufficient metabolic control as defined by recent (last six months) HbA1c ≥ 7% in any peripheral laboratory and confirmed at the time of the screening;
- •Absence of a recent clinically-relevant progression of micro- and macro-vascular complications (see exclusion criteria);
- •Written informed consent to participate to the study.
- •Exclusion criteria:
- •Age below 35 years
- •Type 1 diabetes or other causes of diabetes (pancreatectomy, gestational diabetes, etc.)
- •HbA1c < 7% or ≥ 9% at the screening visit
- •Treatment with any blood glucose lowering treatment other than Metformin in the six months before screening visit
- •BMI < 20 or ≥ 40 kg/m2, or current/ past history of clinically-relevant eating disorders (including -but no limited to- nervous anorexia, bulimia, binge-eating disorders, etc.)
- •Significant progression of diabetic macro-angiopathy or cardiovascular disease in the six months prior to study visit
- •Significant progression of diabetic micro-angiopathy in the six months prior to study visit
- •Organ failure or other severe diseases limiting life expectancy;
- •Beginning, in the three months before screening visit, of any kind of drug which can modify glycemic levels (beta-blockers, diuretics...), or acute disease (acute infection, urinary tract infection...) in three months before screening visit
- •History of inflammatory/infective/autoimmune chronic disease
- •History of unexplained pancreatitis, chronic pancreatitis, pancreatectomy, gastric surgery, inflammatory bowel disease;
- •Any clinically significant abnormality identified on physical examination, laboratory tests, ECG or vital signs at screening that in the judgment of the investigator would preclude safe completion of the study;
- •Uncontrolled or inadequately controlled hypertension at screening (Systolic Blood Pressure (SBP)>190 or Diastolic Blood Pressure (DBP) >100 mmHg)
- •Ongoing pregnancy or absence of effective contraception in women with childbearing potential
- •Contraindications to the maintenance of the background therapy (Metformin), including -but not limited to- chronic kidney failure or plasma creatinine concentrations > 1.5 mg/dL, severe respiratory failure, etc.;
- •Contraindications to the use of a Sulfonylurea;
- •Contraindications to the use of a DPP-IV Inhibitor;
- •Laboratory findings, or other disease conditions, at the screening visit that might interfere with study measurements:
- •Hemoglobinopathy known to affect HbA1c assays;
- •Known chronic liver diseases, including HBV (hepatitis B virus) and HCV (hepatitis C virus) infection;
- •Liver makers (aspartate transaminase (AST), alanine aminotransferase (ALT), alkaline phosphatase (ALP), Gamma-glutamyltransferase (GGT) , bilirubin) above 2 times the upper normal limit;
- •Amylase and/or lipase above 2 times the upper normal limit;
- •Chronic use of systemic and/or inhaled corticosteroids (only topical corticosteroids are allowed);
- •History of low compliance, clinically-relevant psychiatric disorders or any current/ historical finding suggesting the patient as inappropriate to follow the study procedures.
排除标准
- 未提供
研究组 & 干预措施
Vildagliptin & metformin
Vildagliptin 100 mg tablet and metformin (max dose=2500 mg) tablet daily oral administration
干预措施: Vildagliptin (Drug)
Vildagliptin & metformin
Vildagliptin 100 mg tablet and metformin (max dose=2500 mg) tablet daily oral administration
干预措施: Metformin (Drug)
Glibenclamide & metformin
Glibenclamide maximum dose of 10 mg tablet and metformin (max dose=2500 mg) tablet daily oral administration
干预措施: Glibenclamide (Drug)
Glibenclamide & metformin
Glibenclamide maximum dose of 10 mg tablet and metformin (max dose=2500 mg) tablet daily oral administration
干预措施: Metformin (Drug)
结局指标
主要结局
Absolute Change in the Endothelial Progenitor Cell (EPC) Number
时间窗: V0, V2 (month 4), V4 (12 month)
The study primary endpoint was the change from baseline values of the EPC number in the Vildagliptin vs Glibenclamide arm at 4 and 12 months.
次要结局
- Absolute Change in HbA1C Compared to Baseline(V0 (randomization), V2 (month4), V4 (month 12).)
研究者
Ivana Zavaroni
Prof.
Azienda Ospedaliero-Universitaria di Parma