Glycemic Holter Study (Continuous Glucose Monitoring) -
OPTIMA
Prospective, Randomized, Open-label Study With Blinded Endpoint (PROBE Design) to Compare the 72 hr Glycemic Profiles Obtained by Continuous Subcutaneous Glucose Monitoring (CSGM) in Type 2 Diabetic Patients at Baseline With Metformin Monotherapy and After an 8-week Period With the Addition of Either Vildagliptin or Sitagliptin in Patients Insufficiently Controlled by Metformin After at Least 3 Months of Monotherapy
1 other identifier
interventional
36
1 country
7
Brief Summary
The study will assess glycemic variability and optimized glycemic control in T2DM patients treated with a DPP-4 inhibitor as add-on therapy to metformin.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_4 type-2-diabetes-mellitus
Started Jun 2010
Shorter than P25 for phase_4 type-2-diabetes-mellitus
7 active sites
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
June 1, 2010
CompletedFirst Submitted
Initial submission to the registry
August 31, 2010
CompletedFirst Posted
Study publicly available on registry
September 1, 2010
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2011
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2011
CompletedMay 4, 2012
May 1, 2012
1 year
August 31, 2010
May 3, 2012
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Glycemic variability assessed by MAGE (Mean Amplitude of Glycemic Excursion)
8 weeks
Secondary Outcomes (3)
Glycemic control assessed through CSGM
8 weeks
Glycemic control assessed by A1C, FPG, PPG and the mean of 6 points self-monitoring of blood glucose (SMBG) at baseline and after 8 weeks
8 weeks
Unrecognized hypoglycemic periods recorded by CSGM, frequency and duration
8 weeks
Study Arms (2)
Vildagliptin
EXPERIMENTALSitagliptin
ACTIVE COMPARATORInterventions
Eligibility Criteria
You may qualify if:
- Type 2 Diabetes Mellitus (DM) willing to perform SMBG at least 6 times daily to use the MiniMed CGMS for up to 3 consecutive days on 2 occasions.
- HbA1c: 6.5 to 9% with metformin monotherapy for a least 3 months
You may not qualify if:
- Age \>= 80 years
- BMI \<= 22 and \>=40 kg/m2
- Secondary T2 DM
- Hepatic failure, ASAT/ALAT\>3 ULN, and moderate/severe renal failure (CI \< 50 ml/min) CHF III \& IV
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Novartislead
Study Sites (7)
Investigative Site
Bondy, France
Investigative Site
Corbeil, France
Investigative Site
Marseille, France
Investigative Site
Nancy, France
Investigative Site
Paris, France
Investigative Site
Toulouse, France
Investigative Site
Vénissieux, France
Related Publications (2)
Guerci B, Monnier L, Serusclat P, Petit C, Valensi P, Huet D, Raccah D, Colette C, Quere S, Dejager S. Continuous glucose profiles with vildagliptin versus sitagliptin in add-on to metformin: results from the randomized Optima study. Diabetes Metab. 2012 Oct;38(4):359-66. doi: 10.1016/j.diabet.2012.06.001. Epub 2012 Jul 17.
PMID: 22809630DERIVEDMonnier L, Colette C, Comenducci A, Vallee D, Dejager S. Add-on therapies to metformin in type 2 diabetes: what modulates the respective decrements in postprandial and basal glucose? Diabetes Technol Ther. 2012 Oct;14(10):943-50. doi: 10.1089/dia.2012.0045. Epub 2012 Jul 9.
PMID: 22775317DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
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
August 31, 2010
First Posted
September 1, 2010
Study Start
June 1, 2010
Primary Completion
June 1, 2011
Study Completion
June 1, 2011
Last Updated
May 4, 2012
Record last verified: 2012-05