NCT00151697

Brief Summary

Many diabetics gain weight while on insulin therapy. In this study, we evaluate the efficacy of the combination of glimepiride and short-acting insulin on weight control and glucose control. In this study, 150 diabetics whose diabetic control is inadequate while on maximal oral treatment will be randomized to either the new combination treatment or twice daily injections with a mixture of short- and longacting insulin or once-daily injection with a basal insulin analog. The study will compare glucose control and weight gain during a year after randomisation between the three treatments.

Trial Health

80
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
150

participants targeted

Target at P25-P50 for phase_3

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

May 1, 2005

Completed
4 months until next milestone

First Submitted

Initial submission to the registry

September 8, 2005

Completed
1 day until next milestone

First Posted

Study publicly available on registry

September 9, 2005

Completed
Last Updated

August 9, 2011

Status Verified

August 1, 2011

First QC Date

September 8, 2005

Last Update Submit

August 8, 2011

Conditions

Keywords

diabetesfailing oral treatmentweight gain

Outcome Measures

Primary Outcomes (2)

  • glycemic control based on HbA1c

  • Body weight

Secondary Outcomes (8)

  • 8-point glucose day curve of three consecutive days

  • 24-hour glycemic control measured by continuous glucose monitoring for three consecutive days

  • recorded number of hypoglycemic events per month

  • waist circumference

  • dexa measurements of body composition

  • +3 more secondary outcomes

Interventions

Eligibility Criteria

Age30 Years - 75 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • failing maximal oral treatment, defined as mean fasting blood glucose over 8 mmol/l and HbA1C over 7.5% for three months or more
  • BMI 25 - 35 kg/m2
  • fasting plasma C-peptide level over 0.3 nmol/l
  • stable metformin and sulfonylurea dose for at least three months
  • stable weight for at least three months (change maximal 2 kg)

You may not qualify if:

  • fasting glucose over 25 mmol/l
  • use of alpha-glucosidase inhibitors or thiazolidinediones in the two months preceding the study
  • renal or liver failure defined as serum creatinine over 150 micromol/l, liver enzymes over 1.5 upper normal limit
  • heart failure
  • pregnancy
  • alcohol more than two units per day
  • inflammatory or infectious diseases
  • unstable chronic disease
  • discontinuation of smoking within three months of randomisation date
  • allergy for or intolerance of glimepiride or novorapid.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Rijnstate Hospital

Arnhem, 6800 TA, Netherlands

Location

Related Publications (1)

  • de Boer H, Jansen M, Koerts J, Verschoor L. Prevention of weight gain in type 2 diabetes requiring insulin treatment. Diabetes Obes Metab. 2004 Mar;6(2):114-9. doi: 10.1111/j.1463-1326.2004.00322.x.

    PMID: 14746576BACKGROUND

MeSH Terms

Conditions

Diabetes Mellitus, Type 2Diabetes MellitusWeight Gain

Interventions

insulin aspart, insulin aspart protamine drug combination 30:70Insulin AspartglimepirideInsulin Glargine

Condition Hierarchy (Ancestors)

Glucose Metabolism DisordersMetabolic DiseasesNutritional and Metabolic DiseasesEndocrine System DiseasesBody Weight ChangesBody WeightSigns and SymptomsPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Insulin, Short-ActingInsulinsPancreatic HormonesPeptide HormonesHormonesHormones, Hormone Substitutes, and Hormone AntagonistsPeptidesAmino Acids, Peptides, and ProteinsInsulin, Long-Acting

Study Officials

  • Hans de Boer, MD, PhD

    Rijnstate Hospital

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER

Study Record Dates

First Submitted

September 8, 2005

First Posted

September 9, 2005

Study Start

May 1, 2005

Last Updated

August 9, 2011

Record last verified: 2011-08

Locations