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临床试验/NCT03452267
NCT03452267撤回2 期

Effect of Metformin and Pioglitazone on Insulin Signaling in Skeletal Muscle

Wayne State University0 个研究点开始时间: 2019年9月1日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
2 期
状态
撤回
主要终点
Proteomic

研究概览

简要总结

The insulin sensitizing effects of metformin and pioglitazone in the skeletal muscle remain unknown. Our group aims to analyze molecular changes within the skeletal muscle of pre-diabetic patients through the use of a clinical trial in humans.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Other
盲法
None

入排标准

年龄范围
18 Years 至 60 Years(Adult)
性别
All
接受健康志愿者

入选标准

  • Pre-diabetes as defined by an oral glucose tolerance test 2-hour level between 140 and 200 mg/dL
  • General Inclusion Criteria:
  • Able to communicate meaningfully with the investigator and legally competent to provide informed written consent.
  • Female subjects must be non-lactating, have a negative pregnancy test, and be on acceptable birth control.

排除标准

  • Oral glucose tolerance test <140 or >200mg/dL
  • Treated with any of the following medications:
  • Systemic glucocorticoids (more than 2 weeks), antineoplastic agents, transplant medications, fibrates, anti-retroviral medications, or thiazolidinediones within 6 months prior to screening
  • Start or change of hormonal replacement therapy within 3 months prior to screening
  • Short-acting insulin (more than15 units per day) in DMT2 subjects, indicating severe insulin deficiency within 6 months prior to screening
  • History or presence of any of the following conditions:
  • Clinically significant heart disease (New York Heart Classification greater than grade II; more than non-specific ST-T wave changes on the EKG)
  • Peripheral vascular disease (history of claudication)
  • Clinically significant pulmonary disease.
  • Current uncontrolled hypertension (systolic BP>160 mmHg, diastolic BP>100 mmHg)
  • History or presence of malignancy other than basal cell or squamous cell skin cancer
  • Autonomic neuropathy
  • Clinically significant hematologic disease
  • Any of the following abnormal laboratory values:
  • Hematocrit < 35 vol%
  • Serum creatinine > 1.6 mg/dl
  • AST, ALT or Alkaline phosphatase > 2.5 times the upper limit of normal
  • PT, PTT outside the normal reference range
  • TSH outside the normal reference range
  • Triglycerides > 400 mg/dl
  • Platelet count < 50,000
  • Current or history of drug abuse or alcohol abuse
  • Blood donation within 2 months prior to screening
  • Engage in exercise with moderate to hard intensity for greater than 1 hour per day for 5 or more days per week.
  • Diagnosed with Type 1 diabetes

研究组 & 干预措施

Metformin

Experimental

干预措施: Metformin (Drug)

Pioglitazone

Experimental

干预措施: Pioglitazone (Drug)

Placebo

Placebo Comparator

干预措施: Placebo (Drug)

结局指标

主要结局

Proteomic

时间窗: 3 months

Changes in global protein abundance levels

Proteomic 2

时间窗: 3 months

Changes in global protein phosphorylation levels

次要结局

  • Epigenomic(3 months)

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Kyle Jon Burghardt, Pharm.D.

Assistant Professor of Pharmacy Practice

Wayne State University

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