NCT00819741

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

87
On Track

Trial Health Score

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

Enrollment
433

participants targeted

Target at P75+ for phase_4 diabetes

Timeline
Completed

Started Feb 2009

Shorter than P25 for phase_4 diabetes

Geographic Reach
1 country

17 active sites

Status
completed

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

Completed
1 day until next milestone

First Posted

Study publicly available on registry

January 9, 2009

Completed
23 days until next milestone

Study Start

First participant enrolled

February 1, 2009

Completed
9 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 1, 2009

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

November 1, 2009

Completed
1.1 years until next milestone

Results Posted

Study results publicly available

December 8, 2010

Completed
Last Updated

February 10, 2017

Status Verified

December 1, 2016

Enrollment Period

9 months

First QC Date

January 8, 2009

Results QC Date

November 5, 2010

Last Update Submit

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

EXPERIMENTAL

Initial 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.

Drug: repaglinideDrug: metformin

Repaglinide

ACTIVE COMPARATOR

Initial 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.

Drug: repaglinide

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

Repaglinide + metformin

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

Repaglinide + metformin

Eligibility Criteria

Age18 Years - 75 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

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

Study Sites (17)

Novo Nordisk Investigational Site

Fuzhou, Fujian, 350001, China

Location

Novo Nordisk Investigational Site

Nanjing, Jiangsu, 210009, China

Location

Novo Nordisk Investigational Site

Nanjing, Jiangsu, 210012, China

Location

Novo Nordisk Investigational Site

Nanjing, Jiangsu, 210029, China

Location

Novo Nordisk Investigational Site

Suzhou, Jiangsu, 215004, China

Location

Novo Nordisk Investigational Site

Wuxi, Jiangsu, 214023, China

Location

Novo Nordisk Investigational Site

Nanchang, Jiangxi, 330006, China

Location

Novo Nordisk Investigational Site

Shanghai, Shanghai Municipality, 200001, China

Location

Novo Nordisk Investigational Site

Shanghai, Shanghai Municipality, 200025, China

Location

Novo Nordisk Investigational Site

Shanghai, Shanghai Municipality, 200072, China

Location

Novo Nordisk Investigational Site

Shanghai, Shanghai Municipality, 200092, China

Location

Novo Nordisk Investigational Site

Shanghai, Shanghai Municipality, 200120, China

Location

Novo Nordisk Investigational Site

Hangzhou, Zhejiang, 310003, China

Location

Novo Nordisk Investigational Site

Wenzhou, Zhejiang, 325000, China

Location

Novo Nordisk Investigational Site

Hangzhou, 310016, China

Location

Novo Nordisk Investigational Site

Nantong, 226001, China

Location

Novo Nordisk Investigational Site

Shanghai, 200040, China

Location

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.

Related Links

MeSH Terms

Conditions

Diabetes MellitusDiabetes Mellitus, Type 2

Interventions

repaglinideMetformin

Condition Hierarchy (Ancestors)

Glucose Metabolism DisordersMetabolic DiseasesNutritional and Metabolic DiseasesEndocrine System Diseases

Intervention Hierarchy (Ancestors)

BiguanidesGuanidinesAmidinesOrganic Chemicals

Results Point of Contact

Title
Public Access to Clinical Trials
Organization
Novo Nordisk A/S

Study Officials

  • Global Clinical Registry (GCR, 1452)

    Novo Nordisk A/S

    STUDY DIRECTOR

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

Locations