Effect of Different Interventions on Glycemic Control and β-cell Function in Newly Diagnosed Type 2 Diabetic Patients
Comparison of Exenatide, Insulin or Pioglitazone on Glycaemic Control and β-cell Function in Drug-naïve Type 2 Diabetic Patients: A Multicentre Randomized Parallel-group Trial
This date has not been verified as actual or estimated.
Primary Completion
August 2012
Actual (reported)
Study Completion
December 2012
Actual (reported)
Brief Summary
The purpose of this study is to investigate and evaluate the effects of different interventions (1. exenatide, 2. insulin, 3. thiazolidinedione) on glycemic control and β-cell function in newly diagnosed drug-naïve type 2 diabetic patients.
Registry Overview
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
Recruitment status
completed
Actual enrollment (reported)
416 participants
Study completion date
December 2012
Actual (reported)
Listed locations
1 countries · 25 sites
Trial Relationships
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Related Scientific Literature
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Study Timeline
Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
First Submitted
June 18, 2010
Actual (reported)
First Posted
June 22, 2010
Actual (reported)
Study Start
August 2010
Date type not reported
This date has not been verified as actual or estimated.
diabetes mellitus, type 2newly diagnosedexenatidepremixed insulin analogthiazolidinedioneβ-cell functionglycemic control
Outcome Measures
Primary Outcomes (1)
the Comparison Between Treatment Groups of the Changes From Baseline in HbA1c at 48 Weeks
48 weeks
Secondary Outcomes (3)
Percentage of Patients Achieving HbA1c <7% and ≤ 6.5% and Effect of Different Interventions on Fasting and Postprandial Plasma Glucose Concentration, Blood Pressure, Lipid Profiles
48 weeks
β-cell Function (Acute Insulin Response During IVGTT; HOMA-B, Disposition Index and Proinsulin/Insulin Ratio)
48 weeks
Study Arms (3)
Exenatide
ACTIVE COMPARATOR
Drug: exenatide injection
Premixed insulin analog
ACTIVE COMPARATOR
Drug: Mixed Protamine Zinc Recombinant Human Insulin Lispro 25R
pioglitazone
ACTIVE COMPARATOR
Drug: Pioglitazone
Interventions
exenatide injectionDrug
Patients in exenatide group will be treated with exenatide (Byetta®, Eli Lilly and Company) 5 µg BID for the first 4 weeks and then 10 µg BID thereafter.
Patients in insulin group will be treated with premixed insulin analog (Humalog Mix 25, Eli Lilly and Company). The initial insulin doses are 0.4 IU/kg per day(50% before breakfast and 50% before dinner). Insulin doses are titrated following a forced schedule according to blood glucose before breakfast and dinner.
Eligibility Criteria
Age30 Years - 70 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
You may qualify if:
newly-diagnosed type 2 diabetic patients, drug naïve
Patients in thiazolidinedione group will be treated with Pioglitazone 30mg daily as single dose. The dose will be increased to 45mg daily after 4 weeks.
pioglitazone
Registry-reported names are shown in full. Names without a link have not yet been matched to a Syfrah profile.
HbA1c 7.0\~10.0%
BMI 20\~35 kg/m2, stable body weight (≤10% variation) for at least 3 months prior to screening
female patients of reproductive age should practice a reliable method of birth control throughout the study
You may not qualify if:
acute or severe chronic diabetic complications
congestive heart failure (NYHA grade Ⅲ\~Ⅳ)
severe gastrointestinal disease
severe osteoporosis or history of pathological fracture,or use of bisphosphonates preparation
other severe intercurrent illness
serum aminotransferase (ALT and AST) level higher than 2 times of the upper normal limits and/or serum creatinie≥133µmol/L (1.5mg/dL)
tested positive for glutamic acid decarboxylase antibody
use of weight loss drugs, corticosteroids, drugs known to affect gastrointestinal motility, transplantation medications, or any investigational drug
The Third Affiliated Hospital of Sun Yat-sen University
Guangzhou, Guangdong, 510630, China
Qingyuan People's hospital
Qingyuan, Guangdong, 511500, China
The first Affiliated Hospital of Shantou University Medical College
Shantou, Guangdong, 515041, China
Shenzhen Second People's Hospital
Shenzhen, Guangdong, 518035, China
Affiliated hospital of Guangdong medical college
Zhanjiang, Guangdong, 524001, China
The first affiliated hospital of Guangxi Medical College
Nanning, Guangxi, 530000, China
The Affiliated Hospital of Guiyang Medical College
Guiyang, Guizhou, China
The 2nd Affiliated Hospital of Harbin Medical University
Harbin, Heilongjiang, China
Tongji Hospital of Tongji Medical College of Huazhong University of Science and Technology
Wuhan, Hubei, China
Second Xiangya Hospital of Central-south University
Changsha, Hunan, 410011, China
The Affiliated Hospital of Inner Mangolia Medical College
Hohhot, Inner Mongolia, China
Nanjing Drum Tower Hospital of Nanjing University Medical School
Nanjing, Jiangsu, China
The First Affiliated Hospital of Nanjing Medical University
Nanjing, Jiangsu, China
Zhongda Hospital of Southeast University
Nanjing, Jiangsu, China
China Medical University
Shenyang, Liaoning, 110001, China
Xijing Hospital of The Fourth Military Medical University
Xi'an, Shaanxi, China
The First Affiliated Hospital of Kunming Medical College
Kunming, Yunnan, China
The First Affiliated Hospital of Chongqing Medical University
Chongqing, China
Complex Mixtures
Toxins, Biological
Biological Factors
Technology, Industry, and Agriculture
Thiazolidinediones
Thiazoles
Sulfur Compounds
Organic Chemicals
Azoles
Heterocyclic Compounds, 1-Ring
Heterocyclic Compounds
Primary Completion
August 2012
Actual (reported)
Study Completion
December 2012
Actual (reported)
Last Updated
August 21, 2013
Results First Posted
August 21, 2013
Record last verified: 2013-06
Source record
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Source: ClinicalTrials.gov.
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