Chronic Treatment With Benfotiamine Restores Endothelial Function in People With Type 2 Diabetes Mellitus
Effects of a Chronical Treatment With Benfotiamine in People With Type 2 Diabetes Mellitus on Pre- and Postprandial Endothelial Function, as Well as on the Function of the Autonomic Nervous System
1 other identifier
interventional
30
1 country
1
Brief Summary
An AGE-rich diet can induce after 2-6 weeks persistent increases in mediators linked to vascular dysfunction (e.g. TNFα, VCAM-1) in people with type 2 diabetes mellitus (T2DM). Benfotiamine (BT), the liposoluble derivative of vitamin B1, blocks several pathways common to hyperglycaemia- and AGE-induced endothelial dysfunction. We have shown that advanced glycation end products (AGE) of a regular mixed meal can acutely induce vascular dysfunction in T2DM and that this effects can be prevented by a three days pretreatment with BT. The hypotheses of this study are that chronical treatment with benfotiamine (900 mg/day for 6 weeks) in people with type 2 diabetes mellitus:
- 1.prevents postprandial impairment of endothelial function after a high-AGE meal.
- 2.Improves fasting endothelial function.
- 3.Improves parameters of autonomic function in fasting and postprandial state.
- 4.Improves insulin sensitivity and prevents postprandial increase in insulin resistance.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_4 diabetes-mellitus-type-2
Started Sep 2007
1 active site
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
First Submitted
Initial submission to the registry
March 12, 2007
CompletedFirst Posted
Study publicly available on registry
March 13, 2007
CompletedStudy Start
First participant enrolled
September 1, 2007
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2008
CompletedSeptember 27, 2007
September 1, 2007
March 12, 2007
September 25, 2007
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Endothelial function (flow mediated dilatation - ultrasound- and reactive hyperemia- laser doppler-)
September 2007- December 2008
Secondary Outcomes (1)
Parameters of autonomic neuropathy
September 2007- December 2008
Study Arms (2)
A1
ACTIVE COMPARATORBenfotiamine
A2
ACTIVE COMPARATORInterventions
Eligibility Criteria
You may qualify if:
- People with type 2 diabetes mellitus
- Age: 30-70 years
You may not qualify if:
- History of myocardial infarction, stroke within the previous 6 months
- Heart failure NYHA III or more
- Malignant disease
- Severe diabetes complications
- Severe hypo- or hypertension
- Chronic alcohol abuse
- Renal failure (creatinine \>2mg/dl)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Herz- und Diabeteszentrum NRW, Georgstr. 11
Bad Oeynhausen, North Rhine-Westphalia, 32545, Germany
Related Publications (1)
Stirban A, Negrean M, Stratmann B, Gawlowski T, Horstmann T, Gotting C, Kleesiek K, Mueller-Roesel M, Koschinsky T, Uribarri J, Vlassara H, Tschoepe D. Benfotiamine prevents macro- and microvascular endothelial dysfunction and oxidative stress following a meal rich in advanced glycation end products in individuals with type 2 diabetes. Diabetes Care. 2006 Sep;29(9):2064-71. doi: 10.2337/dc06-0531.
PMID: 16936154BACKGROUND
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Diethelm Tschoepe, Prof.PhD.
Herz- und Diabeteszentrum NRW
- PRINCIPAL INVESTIGATOR
Alin O Stirban, PhD
Herz- und Diabeteszentrum NRW
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- PREVENTION
- Intervention Model
- CROSSOVER
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
March 12, 2007
First Posted
March 13, 2007
Study Start
September 1, 2007
Study Completion
December 1, 2008
Last Updated
September 27, 2007
Record last verified: 2007-09