Effect of Insulin Glulisine vs Regular Human Insulin on Postprandial Endothelial Function in Type 2 Diabetes
Effect of Prandial Treatment With Insulin Glulisine Compared to Regular Human Insulin on Postprandial Endothelial Function and Microvascular Stress in Type 2 Diabetic Patients
2 other identifiers
interventional
15
1 country
1
Brief Summary
The primary objective of the study is to evaluate the postprandial time course of nitrotyrosine after injection of insulin glulisine compared with regular human insulin. The secondary objectives are to evaluate the postprandial time course of the following efficacy parameters after injection of insulin glulisine compared with regular insulin on
- Blood Glucose
- Insulin
- Intact proinsulin
- Asymmetric dimethylarginine (ADMA)
- Metal matrix proteasis (MMP-9)
- Oxidative status (per ox)
- Interleukin 18 (IL-18)
- Free fatty acids (FFA)
- Oxidised LDL (ox-LDL)
- Microvascular blood circulation measured with laser Doppler at 37 °C (LDF37)
- Microvascular blood circulation measured with laser Doppler at 44 °C (LDF44)
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_3 diabetes-mellitus
Started Dec 2006
Shorter than P25 for phase_3 diabetes-mellitus
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
Study Start
First participant enrolled
December 1, 2006
CompletedStudy Completion
Last participant's last visit for all outcomes
March 1, 2007
CompletedFirst Submitted
Initial submission to the registry
November 20, 2007
CompletedFirst Posted
Study publicly available on registry
November 21, 2007
CompletedNovember 21, 2007
November 1, 2007
November 20, 2007
November 20, 2007
Conditions
Outcome Measures
Primary Outcomes (1)
the postprandial time course of nitrotyrosine after injection of insulin glulisine compared with regular human insulin
1 day
Secondary Outcomes (1)
postprandial time course of blood glucose, insulin, intact proinsulin, ADMA, MMP-9, FFA, ox-LDL, per ox Status, IL-18, postprandial time course of microvascular blood circulation measured with laserdopplerflux at 37 °C and 44 C
1 day
Study Arms (2)
1
EXPERIMENTALOne Day Treatment with Insulin Glulisine
2
ACTIVE COMPARATOROne day Treatment with Human insulin
Interventions
100 IU/ml, 0.10 U/kg immediately before ingestion of a standardised liquid meal
100 IU/ml, 0.10 U/kg 15 Minutes before ingestion of a standardised liquid meal
Eligibility Criteria
You may qualify if:
- Type 2 Diabetes mellitus according to the ADA criteria
- HbA1c between 6.5 % and 9.9 %
- Monotherapy with sulfonylurea or combined with Metformin in a stable dosage within the last 3 months
- Age between 40 and 70 years
- BMI \< 40
You may not qualify if:
- Type 1 Diabetes mellitus
- Pre-Treatment with insulin within the last 6 months prior to screening
- Treatment with glitazones within the last 6 months prior to screening
- Pre-Treatment with PPARy-agonists, glinides or glucosidase inhibitors within the last 4 weeks prior to screening
- Untreated hypertension stage II-III according to WHO criteria
- Planned or anticipated change in antidiabetic and/or concomitant medication during study participation
- Total Cholesterol \> 300 mg/dl (anamnestically)
- Hypokalemia (K \< 3.5 mmol /l)
- Major micro- or macrovascular complications as judged by the investigator
- Tobacco use within the last 12 months prior to screening
- Drugs with major impact on endothelial function like nitrates etc.
- History of drug or alcohol abuse within the last five years prior to screening
- Anamnestic history of hypersensitivity to the study drugs or to drugs with similar chemical structures
- History of severe or multiple allergies
- Treatment with any other investigational drug within 3 months prior to screening
- +5 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Ikfe
Mainz, Rhineland-Palatinate, 55116, Germany
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Thomas A Forst, Prof, MD
Institute for Clinical Research and Development
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- CROSSOVER
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
November 20, 2007
First Posted
November 21, 2007
Study Start
December 1, 2006
Study Completion
March 1, 2007
Last Updated
November 21, 2007
Record last verified: 2007-11