Diabetes Mellitus, Type 2 Clinical Trial
Official title:
Search for Highly Specific Predictors of Response to Different Hypoglycemic Therapy for Cardiovascular Prognosis
NCT number | NCT03804411 |
Other study ID # | 11/2017 |
Secondary ID | |
Status | Recruiting |
Phase | Phase 4 |
First received | |
Last updated | |
Start date | August 1, 2017 |
Est. completion date | May 2020 |
This is a randomized controlled trial aimed to determine highly specific personified predictors of response to the therapy by different groups of hypoglycemic drugs (SGLT-2 inhibitors, DPP-4 inhibitors, GLP-1 receptor agonists, sulfonylureas) in patients with type 2 diabetes mellitus, develop an algorithm of personalized therapy based on them, design an organizational and methodological model for prevention of the cardiovascular complications, and create an automated decision-making system for therapy selection to reduce the incidence of cardiovascular events and related adverse outcomes compared to the traditional approach. This is an interventional, randomized controlled trial, open-label study.
Status | Recruiting |
Enrollment | 800 |
Est. completion date | May 2020 |
Est. primary completion date | March 2020 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 70 Years |
Eligibility |
Inclusion Criteria: 1. Male and female aged 17-70 years 2. Type 2 diabetes mellitus with non-target HbA1c exciding less than 1% (<1%) 3. Initiation of the treatment by SGLT- 2 inhibitors, dipeptidyl peptidase-4 inhibitors, GLP-1 analogues 4. Stable hypoglycemic therapy for 12 weeks before enrollment 5. Signed informed consent Exclusion Criteria: 1. Type 1 diabetes mellitus 2. Recent acute coronary syndrome or acute disturbance of cerebral blood circulation (less than 2 months ago) 3. Decompensation of chronic heart failure, chronic heart failure class IV (NYHA), acute heart failure 4. Confirmed non-diabetic kidney disease (glomerulonephritis, pyelonephritis, amyloidosis) 5. Chronic kidney disease requiring hemodialysis and/or urinary albumin concentration (morning spot) >1000 mg/L 6. Regular nephrotoxic drugs intake (long-term intake of NSAIDs, aminoglycosides, sulfonamides, cyclosporine, lithium preparations) 7. Anamnesis of malignancy. 8. Diabetic foot ulcer and neuropathic osteoarthropathy 9. Anamnesis of bariatric surgery or surgical interventions on the gastrointestinal tract leading to malabsorption. 10. Treatment with drugs reducing body weight less than 3 months ago or any other drugs use that can lead to a change in body weight. 11. Liver disorders with elevation of ALT/AST exceeding three-fold the upper limit of normal 12. Immunosuppressive therapy or regular nonsteroidal anti-inflammatory drugs intake 13. Change in the dosage of thyroid hormones less than 6 weeks ago. |
Country | Name | City | State |
---|---|---|---|
Russian Federation | Alina Babenko | Saint-Petersburg |
Lead Sponsor | Collaborator |
---|---|
Federal State Budgetary Institution, V. A. Almazov Federal North-West Medical Research Centre, of the Ministry of Health |
Russian Federation,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | HbA1c | Change from baseline in HbA1c level (%) | baseline and 3, 12, and 24 months after intervention | |
Primary | Body mass index | Change from baseline in body mass index (kg/m^2) | baseline and 3, 12, and 24 months after intervention | |
Secondary | Estimated glomerular filtration rate | Change from baseline in level of estimated glomerular filtration rate (ml/min/1.73 m^2) | baseline, 12 and 24 months after intervention | |
Secondary | HOMA-IR index | Change from baseline in level of HOMA-IR index (Homeostasis Model Assessment of Insulin Resistance) derived from the plasma insulin level (mIU/L) and plasma glucose level (mmol/L) of a participant: [(plasma insulin level) x (plasma glucose level)]/22.5, where the value of HOMA-IR index > 2.0 suggests insulin resistance | baseline, 6 and 12 months after intervention | |
Secondary | Urinary creatinine-adjusted excretion of albumin | Change from baseline in level of urinary creatinine-adjusted excretion of albumin in morning spot urine samples (mg/mmol) | baseline, 12 and 24 months after intervention | |
Secondary | Cardiovascular parameters of PAT and IMT | Change from baseline in peripheral arterial tone by using EndoPAT 2000, the thickness of intima-media complex of carotid arteries (µm) | baseline, 6 and 12 months after intervention | |
Secondary | LDL cholesterol | Change from baseline in level of LDL cholesterol (mmol/L) | baseline, 6 and 12 months after intervention | |
Secondary | Triglycerides | Change from baseline in level of triglycerides (mmol/L) | baseline, 6 and 12 months after intervention | |
Secondary | NT-proBNP | Change from baseline in serum level of NT-proBNP (pmol/L) | baseline, 6 and 12 months after intervention | |
Secondary | hsCRP | Change from baseline in serum level of hsCRP ( mg/L) | baseline, 6 and 12 months after intervention | |
Secondary | PAT | Change from baseline in peripheral arterial tone by using EndoPAT 2000 (Ratio is created using the post and pre occlusion values) | baseline, 6 and 12 months after intervention | |
Secondary | IMT | Change from baseline in the thickness of intima-media complex of carotid arteries (µm) | baseline, 6 and 12 months after intervention | |
Secondary | LV ejection fraction | Change from baseline in ejection fraction (%) by echocardiography | baseline, 6 and 12 months after intervention | |
Secondary | LV mass index | Change from baseline in LV mass index (g/m^2) by echocardiography | baseline, 6 and 12 months after intervention | |
Secondary | GLS by 2D-STE | Change from baseline in global longitudinal strain by 2D Speckle-tracking echocardiography (%) | baseline, 6 and 12 months after intervention | |
Secondary | Molecular-genetic markers of endothelial damage | Change from baseline in serum level of microRNA-126, microRNA-21, microRNA-27, miRNA-125 and miRoRNA-155 (relative units) | baseline, 6 and 12 months after intervention |
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