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临床试验/NCT02420392
NCT02420392已完成不适用

Effects of Dapagliflozin on the Incretin Sensitivity of the Pancreatic Beta Cell

Seoul National University Hospital1 个研究点 分布在 1 个国家目标入组 30 人开始时间: 2015年2月最近更新:
适应症
干预措施
相关药物

试验速览

阶段
不适用
状态
已完成
入组人数
30
试验地点
1
主要终点
Difference of incretin sensitivity of pancreatic beta cell measured by hyperglycemic clamp with GLP-1 and GIP infusion

研究概览

简要总结

To investigate the effect of dapagliflozin on the incretin sensitivity of the pancreatic beta cell.

研究设计

研究类型
Interventional
分配方式
Non Randomized
干预模型
Single Group
主要目的
Basic Science
盲法
None

入排标准

年龄范围
18 Years 至 75 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Type 2 diabetes for dapagliflozin arm
  • Normal glucose tolerance (fasting plasma glucose <100 mgd/l, HbA1c <6.0%) for normal glucose tolerance arm
  • Age 18 to 75 years
  • BMI <35 kg/m2
  • For type 2 diabetes patients, at least 3 months of treatment period and HbA1c 7.5 to 11.0% and treatment with lifestyle modification and/or metformin or sulfonylurea

排除标准

  • Who is allergic to dapagliflozin
  • Type 1 diabetes
  • Patients with history of diabetic ketoacidosis
  • Reduced renal function (eGFR <60ml/min/1.73m2)
  • Taking loop diuretics or dehydrated patient
  • History of hypotension when taking hypertensive medication
  • Diagnosed with heart failure
  • Diagnosed with cerebral infarction
  • Taking insulin, DPP-4 inhibitor, GLP-1 analogue, pioglitazone, alpha-glucosidase inhibitor
  • Above upper limit of normal hematocrit range (male 39-52%, female 36-48%)
  • Pregnant or breastfeeding women
  • History of recurrent genitourinary infection
  • AST/ALT more than two fold increased above normal upper limit
  • Hemolytic disorder

研究组 & 干预措施

Dapagliflozin treatment

Experimental

Test incretin sensitivity after dapagliflozin treatment in type 2 diabetes patients

干预措施: Dapagliflozin (Drug)

结局指标

主要结局

Difference of incretin sensitivity of pancreatic beta cell measured by hyperglycemic clamp with GLP-1 and GIP infusion

时间窗: From 60 minutes to 120 minutes during GLP-1 infusion under hyperglycemic clamp

Area under the curve of C-peptide level during GLP-1 infusion under hyperglycemic clamp

次要结局

  • First phase insulin/C-peptide response(From 0 to 10 minutes of hyperglycemic clamp)
  • Second phase insulin/C-peptide response(From 10 to 60 minutes of hyperglycemic clamp)
  • Area under the curve of insulin level during GLP-1 infusion under hyperglycemic clamp(From 60 minutes to 120 minutes during GLP-1 infusion under hyperglycemic clamp)
  • Difference of Area under the curve of insulin/C-peptide level during GIP infusion under hyperglycemic clamp between diabetes patients and normal glucose tolerance subjects(From 120 minutes to 180 minutes during GIP infusion under hyperglycemic clamp)
  • Area under the curve of insulin/C-peptide level during GIP infusion under hyperglycemic clamp(From 120 minutes to 180 minutes during GIP infusion under hyperglycemic clamp)
  • Difference of incretin sensitivity between diabetes patients and normal glucose tolerance subjects(From 60 minutes to 120 minutes during GLP-1 infusion under hyperglycemic clamp)
  • Difference of first phase insulin/C-peptide response between diabetes patients and normal glucose tolerance subjects(From 0 to 10 minutes of hyperglycemic clamp)
  • Difference of second phase insulin/C-peptide response between diabetes patients and normal glucose tolerance subjects(From 10 to 60 minutes of hyperglycemic clamp)
  • Difference of area under the curve of insulin level during GLP-1 infusion under hyperglycemic clamp between diabetes patients and normal glucose tolerance subjects(From 60 minutes to 120 minutes during GLP-1 infusion under hyperglycemic clamp)

研究者

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

Young Min Cho

Assistant Professor

Seoul National University Hospital

研究点 (1)

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