Glycemic Effect of Colesevelam HCl (Welchol) in Patients With Type 2 Diabetes
Use of Continuous Glucose Monitoring With Ambulatory Glucose Profile Analysis to Demonstrate the Glycemic Effect of Colesevelam HCl (Welchol) in Patients With Type 2 Diabetes
1 other identifier
interventional
21
1 country
1
Brief Summary
The purpose of this study is to obtain continuous glucose monitoring (CGM) data from individuals taking Welchol compared to placebo. The CGM data will determine the effect on glucose control of adding Welchol to an anti-diabetic medication regimen.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_2 type-2-diabetes
Started Sep 2009
Typical duration for phase_2 type-2-diabetes
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
September 1, 2009
CompletedFirst Submitted
Initial submission to the registry
October 12, 2009
CompletedFirst Posted
Study publicly available on registry
October 14, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2011
CompletedStudy Completion
Last participant's last visit for all outcomes
September 1, 2011
CompletedResults Posted
Study results publicly available
June 17, 2014
CompletedNovember 30, 2015
February 1, 2014
2 years
October 12, 2009
September 5, 2013
November 25, 2015
Conditions
Outcome Measures
Primary Outcomes (4)
Total Norm AUC Average by Group (Normalized)
Double Blinded CGM used for 2 week periods at the start of treatment 1, end of treatment 1, start of treatment 2, and end of treatment 2.
2 week periods at the start of treatment 1, end of treatment 1, start of treatment 2, and end of treatment 2.
Sleep Norm AUC Average by Group (Normalized)
Overnight glucose captured by CGM.
2 week periods at the start of treatment 1, end of treatment 1, start of treatment 2, and end of treatment 2.
Wake Norm AUC Average by Group (Normalized)
Wake glucose captured by continuous glucose monitoring (CGM).
2 week periods at the start of treatment 1, end of treatment 1, start of treatment 2, and end of treatment 2.
Hypoglycemia Percentage of Time <70 mg/dL Average by Group
Ambulatory glucose profile (AGP) reports were examined for the changes in the incidence of hypoglycemia (CGM\<70 mg/dL)
2 week periods at the start of treatment 1, end of treatment 1, start of treatment 2, and end of treatment 2.
Study Arms (2)
Welchol then Placebo
PLACEBO COMPARATOR3.75 grams of colesevelam HCl (Welchol) at evening meal for 12 weeks, and then crossover to placebo at evening meal for 12 weeks.
Placebo then Welchol
PLACEBO COMPARATORPlacebo taken for 12 weeks at evening meal, and then crossover to 3.75 grams of colesevelam HCl taken at evening meal fro 12 weeks.
Interventions
3.75 grams of colesevelam HCl (6 tablets)
Eligibility Criteria
You may qualify if:
- Male or female subjects ≥18 and ≤75 years of age
- Clinical diagnosis of type 2 diabetes
- Currently treated with metformin, a sulfonylurea, or combination metformin/sulfonylurea; stable dose for ≥3 months
- HbA1c of 7.0-9.0% inclusive
- If taking lipid lowering medications, stable dose for \>30 days
You may not qualify if:
- Taken oral or injected prednisone or cortisone medications in the previous 30 days. (Topical or inhaled steroids will not be considered excluded medications.)
- Current use of insulin or TZD's, or incretins
- LDL \<70 mg/dL
- Serum triglycerides \>500 mg/dL
- History of hypertriglyceridemia-induced pancreatitis
- History of gastrointestinal disorder such as dysphagia, swallowing disorder, intestinal motility disorder or prior bowel obstruction
- History or presence of any severe medical or psychological condition or chronic conditions/infections that in the opinion of the Investigator would compromise the subject's safety or successful participation in the study
- Unable to follow the study protocol
- Unable to speak, read and write in English
- Pregnant, planning to become pregnant, breast feeding
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- HealthPartners Institutelead
- International Diabetes Center at Park Nicolletcollaborator
- Daiichi Sankyocollaborator
Study Sites (1)
International Diabetes Center
Minneapolis, Minnesota, 55416, United States
Related Publications (5)
Bays HE, Goldberg RB, Truitt KE, Jones MR. Colesevelam hydrochloride therapy in patients with type 2 diabetes mellitus treated with metformin: glucose and lipid effects. Arch Intern Med. 2008 Oct 13;168(18):1975-83. doi: 10.1001/archinte.168.18.1975.
PMID: 18852398RESULTMazze RS, Strock E, Wesley D, Borgman S, Morgan B, Bergenstal R, Cuddihy R. Characterizing glucose exposure for individuals with normal glucose tolerance using continuous glucose monitoring and ambulatory glucose profile analysis. Diabetes Technol Ther. 2008 Jun;10(3):149-59. doi: 10.1089/dia.2007.0293.
PMID: 18473688RESULTGoldberg RB, Fonseca VA, Truitt KE, Jones MR. Efficacy and safety of colesevelam in patients with type 2 diabetes mellitus and inadequate glycemic control receiving insulin-based therapy. Arch Intern Med. 2008 Jul 28;168(14):1531-40. doi: 10.1001/archinte.168.14.1531.
PMID: 18663165RESULTMazze RS, Strock E, Borgman S, Wesley D, Stout P, Racchini J. Evaluating the accuracy, reliability, and clinical applicability of continuous glucose monitoring (CGM): Is CGM ready for real time? Diabetes Technol Ther. 2009 Jan;11(1):11-8. doi: 10.1089/dia.2008.0041.
PMID: 19132850RESULTZieve FJ, Kalin MF, Schwartz SL, Jones MR, Bailey WL. Results of the glucose-lowering effect of WelChol study (GLOWS): a randomized, double-blind, placebo-controlled pilot study evaluating the effect of colesevelam hydrochloride on glycemic control in subjects with type 2 diabetes. Clin Ther. 2007 Jan;29(1):74-83. doi: 10.1016/j.clinthera.2007.01.003.
PMID: 17379048RESULT
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Roger Mazze PhD
- Organization
- International Diabetes Center
Study Officials
- STUDY DIRECTOR
Roger S. Mazze, PhD
International Diabetes Center at Park Nicollet
- PRINCIPAL INVESTIGATOR
Elinor S. Strock, APRN, BC
International Diabetes Center at Park Nicollet
- PRINCIPAL INVESTIGATOR
Robert M. Cuddihy, MD
International Diabetes Center at Park Nicollet
Publication Agreements
- PI is Sponsor Employee
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- CROSSOVER
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
October 12, 2009
First Posted
October 14, 2009
Study Start
September 1, 2009
Primary Completion
September 1, 2011
Study Completion
September 1, 2011
Last Updated
November 30, 2015
Results First Posted
June 17, 2014
Record last verified: 2014-02