Incretins in Impaired Fasting Glucose
The Role of Incretins in the Pathogenesis of Fasting and Postprandial Glucose Metabolism in People With Impaired Fasting Glucose
1 other identifier
interventional
22
1 country
1
Brief Summary
People with high fasting glucose can develop type 2 diabetes with the passage of time. This study is being done to determine the effect of a novel medication in people with this elevated fasting glucose. Sitagliptin is a substance that raises levels of a hormone normally found in the blood. This hormone, called glucagon-like peptide-1 (GLP-1), is normally released by the intestine in response to the presence of food. This hormone acts like a messenger between the intestine and the pancreas to raise insulin levels, and therefore, lower blood sugars. Sitagliptin is effective in people with diabetes, however, this study is being done to determine if Sitagliptin is effective in people with high fasting glucose who do not yet have diabetes.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_4
Started Aug 2006
Typical duration for phase_4
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
August 1, 2006
CompletedFirst Submitted
Initial submission to the registry
August 14, 2006
CompletedFirst Posted
Study publicly available on registry
August 15, 2006
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2008
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2008
CompletedResults Posted
Study results publicly available
December 6, 2011
CompletedDecember 6, 2011
November 1, 2011
2.3 years
August 14, 2006
April 4, 2011
November 1, 2011
Conditions
Outcome Measures
Primary Outcomes (1)
Lowering of Fasting Glucose
fasting glucose taken as the mean of blood glucose measured at -30, -20, -10 and 0 minutes prior to each inpatient meal study
8 weeks
Study Arms (2)
Sitagliptin
ACTIVE COMPARATORPeople with impaired fasting glucose randomized to treatment with sitagliptin 100 mg once daily.
Placebo
PLACEBO COMPARATORPeople with impaired fasting glucose randomized to treatment with placebo once daily.
Interventions
Eligibility Criteria
You may qualify if:
- Males and females between the ages of 35-70.
- Good health as determined by past medical history,physical examination, vital signs, electrocardiogram and laboratory tests at the time of screening.
- Patients on diuretics or thyroid hormone therapy must be on a stable dose (at least 3 months prior to screening) and the maintenance dose may not be adjusted during the study.
You may not qualify if:
- Individuals with a body mass index less than 19 or greater than 40 kg/m\^2, or a total weight \> 130 kg, will be excluded from study.
- Subjects less than 35 years will not be studied in order to minimize the possibility of studying subjects with type 1 diabetes.
- No history of a) significant nephropathy, (i.e., plasma creatinine \> 1.4 mg/dl in women and 1.5 mg/dl in men, and/or proteinuria); b) clinically significant atherosclerotic vascular disease (e.g., history of heart attack or angina); c) a known systemic illness.
- Pregnant or lactating females.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Mayo Cliniclead
Study Sites (1)
Mayo Clinic
Rochester, Minnesota, 55905, United States
Related Publications (1)
Bock G, Dalla Man C, Micheletto F, Basu R, Giesler PD, Laugen J, Deacon CF, Holst JJ, Toffolo G, Cobelli C, Rizza RA, Vella A. The effect of DPP-4 inhibition with sitagliptin on incretin secretion and on fasting and postprandial glucose turnover in subjects with impaired fasting glucose. Clin Endocrinol (Oxf). 2010 Aug;73(2):189-96. doi: 10.1111/j.1365-2265.2009.03764.x. Epub 2009 Dec 18.
PMID: 20039889RESULT
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Adrian Vella
- Organization
- Mayo Clinic
Study Officials
- PRINCIPAL INVESTIGATOR
Adrian Vella, M.D.
Mayo Clinic
Publication Agreements
- PI is Sponsor Employee
- Yes
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor of medicine
Study Record Dates
First Submitted
August 14, 2006
First Posted
August 15, 2006
Study Start
August 1, 2006
Primary Completion
December 1, 2008
Study Completion
December 1, 2008
Last Updated
December 6, 2011
Results First Posted
December 6, 2011
Record last verified: 2011-11