Comparison of the Blood Sugar Lowering Effect Between Repaglinide Plus Metformin and Repaglinide Alone in Type 2 Diabetics Not Previously Treated With Oral Sugar-lowering Drugs
A 16-week, Open-label, Multicentre, Randomised, Parallel Study to Evaluate Efficacy and Safety of Repaglinide and Metformin Combination Therapy Compared to Repaglinide Monotherapy in Chinese OAD Naive Type 2 Diabetic Patients
1 other identifier
interventional
433
1 country
17
Brief Summary
This trial is conducted in Asia. The aim of this clinical trial is to investigate the blood sugar lowering effect of repaglinide plus metformin as initial treatment compared to repaglinide alone in Chinese subjects with type 2 diabetes having an HbA1c (glycosylated haemoglobin A1c) over 8.5 % and who never have taken oral sugar-lowering drugs before. The associated unfavourable events including low blood sugar episodes between the two treatments are also compared.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_4 diabetes
Started Feb 2009
Shorter than P25 for phase_4 diabetes
17 active sites
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
First Submitted
Initial submission to the registry
January 8, 2009
CompletedFirst Posted
Study publicly available on registry
January 9, 2009
CompletedStudy Start
First participant enrolled
February 1, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 1, 2009
CompletedStudy Completion
Last participant's last visit for all outcomes
November 1, 2009
CompletedResults Posted
Study results publicly available
December 8, 2010
CompletedFebruary 10, 2017
December 1, 2016
9 months
January 8, 2009
November 5, 2010
December 19, 2016
Conditions
Outcome Measures
Primary Outcomes (1)
Change in Glycosylated Haemoglobin A1c (HbA1c)
Calculated as an estimate of the mean change in HbA1c after 16 weeks of treatment.
week -2 (screening), week 16
Secondary Outcomes (14)
Change in Fasting Plasma Glucose
week 0, week 16
Change in 2-hour Postprandial Plasma Glucose
Week 0, week 16
Change in 7-point Plasma Glucose Profile
Week 0, week 16
Change in Fasting Serum Insulin
Week 0, week 16
Change in 2-hour Postprandial Serum Insulin
Week 0, week 16
- +9 more secondary outcomes
Study Arms (2)
Repaglinide + metformin
EXPERIMENTALInitial dose of repaglinide 1mg plus metformin 500mg once daily. During the dose titration period of 6 weeks, the dose could be titrated up to repaglinide 4 mg and metformin 500 mg three times daily, according to fasting glucose values. The minimal dose was repaglinide 1 mg plus metformin 500 mg three times daily.
Repaglinide
ACTIVE COMPARATORInitial dose of repaglinide 1 mg three times daily. During the dose titration period of 6 weeks, the dose of repaglinide could be titrated up to 4 mg three times daily, according to fasting glucose values. The minimal dose was repaglinide 1 mg three times daily.
Interventions
The dose was started from repaglinide 1 mg plus metformin 500 mg once daily. During the dose titration period, the dose could be titrated up to repaglinide 4 mg and metformin 500mg three times daily, according to fasting glucose. the minimal dose was repaglinide 1 mg plus metformin 500 mg three times daily
The dose was started from repaglinide 1 mg plus metformin 500 mg once daily. During the dose titration period, the dose could be titrated up to repaglinide 4 mg and metformin 500 mg three times daily, according to fasting glucose. the minimal dose was repaglinide 1 mg plus metformin 500 mg three times daily
Eligibility Criteria
You may qualify if:
- Diagnosed with type 2 diabetes
- Never taken oral antidiabetic drugs before
- HbA1c greater than 8.5 %
- BMI (Body Mass Index) less than or equal to 35 kg/m\^2
You may not qualify if:
- Known or suspected allergy to repaglinide, metformin, or any of the excipients in the medications
- Taken an investigational drug in another clinical trial within 4 weeks prior to this trial
- Impaired liver function, defined as ASAT (aspartate aminotransferase) or ALAT (alanine aminotransferase) equal to or greater than 2 times upper normal limit
- Have a clinically significant, active disease of the gastrointestinal, pulmonary, neurological, renal, genitourinary, and haematological systems
- Severe uncontrolled or untreated hypertension (sitting diastolic blood pressure (BP) equal to or greater than 100 mmHg or systolic BP equal to or greater than 180 mmHg)
- Impaired renal function
- Acute or chronic acidosis or if there are plans to have a radiographic material containing iodine
- Have a clinically significant, active cardiovascular disease, or decompensated heart failure
- Treatment with systemic corticosteroids within the past two months prior to screening
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Novo Nordisk A/Slead
Study Sites (17)
Novo Nordisk Investigational Site
Fuzhou, Fujian, 350001, China
Novo Nordisk Investigational Site
Nanjing, Jiangsu, 210009, China
Novo Nordisk Investigational Site
Nanjing, Jiangsu, 210012, China
Novo Nordisk Investigational Site
Nanjing, Jiangsu, 210029, China
Novo Nordisk Investigational Site
Suzhou, Jiangsu, 215004, China
Novo Nordisk Investigational Site
Wuxi, Jiangsu, 214023, China
Novo Nordisk Investigational Site
Nanchang, Jiangxi, 330006, China
Novo Nordisk Investigational Site
Shanghai, Shanghai Municipality, 200001, China
Novo Nordisk Investigational Site
Shanghai, Shanghai Municipality, 200025, China
Novo Nordisk Investigational Site
Shanghai, Shanghai Municipality, 200072, China
Novo Nordisk Investigational Site
Shanghai, Shanghai Municipality, 200092, China
Novo Nordisk Investigational Site
Shanghai, Shanghai Municipality, 200120, China
Novo Nordisk Investigational Site
Hangzhou, Zhejiang, 310003, China
Novo Nordisk Investigational Site
Wenzhou, Zhejiang, 325000, China
Novo Nordisk Investigational Site
Hangzhou, 310016, China
Novo Nordisk Investigational Site
Nantong, 226001, China
Novo Nordisk Investigational Site
Shanghai, 200040, China
Related Publications (1)
Wang W, Bu R, Su Q, Liu J, Ning G. Randomized study of repaglinide alone and in combination with metformin in Chinese subjects with type 2 diabetes naive to oral antidiabetes therapy. Expert Opin Pharmacother. 2011 Dec;12(18):2791-9. doi: 10.1517/14656566.2011.602341. Epub 2011 Jul 22.
PMID: 21780853RESULT
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Public Access to Clinical Trials
- Organization
- Novo Nordisk A/S
Study Officials
- STUDY DIRECTOR
Global Clinical Registry (GCR, 1452)
Novo Nordisk A/S
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- OTHER
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 8, 2009
First Posted
January 9, 2009
Study Start
February 1, 2009
Primary Completion
November 1, 2009
Study Completion
November 1, 2009
Last Updated
February 10, 2017
Results First Posted
December 8, 2010
Record last verified: 2016-12