Effect of Autonomic Neuropathy on the Efficacy of a DPP-IV Inhibitor (Galvus) Therapy
DPPNAC
Effect of a DPP-IV Inhibitor Treatment on the Secretion of Glucagon in Patients Presenting With Type 1 Diabetes Mellitus With or Without Autonomic Neuropathy
1 other identifier
interventional
21
1 country
1
Brief Summary
The purpose of this study is to compare the effect of a single administration of a DPP-IV inhibitor (vildagliptin: Galvus ®) versus no treatment over two populations of diabetic patients: without diabetic autonomic neuropathy (NA, i.e. the control group) and with diabetic autonomic neuropathy (i.e. the neuropathy group). The investigators hypothesize that the therapeutic efficacy of DPP-IV inhibitors is partly mediated by the autonomic nervous system. This hypothesis will be validated if a lower glycemic response to DPP-IV inhibitor treatment is observed for the neuropathy group compared to control.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_2 diabetes-mellitus
Started Oct 2010
Typical duration for phase_2 diabetes-mellitus
1 active site
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
October 1, 2010
CompletedFirst Submitted
Initial submission to the registry
February 9, 2011
CompletedFirst Posted
Study publicly available on registry
October 14, 2011
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2013
CompletedStudy Completion
Last participant's last visit for all outcomes
March 1, 2013
CompletedMarch 12, 2014
March 1, 2014
2.3 years
February 9, 2011
March 11, 2014
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
plasma glucagon concentration
120 min post stantardized meal
Secondary Outcomes (2)
GLP-1
T-30, 0, 15, 30, 60, 90, 120, 180 min post standardized meal
GIP
T-30,0, 15, 30, 60, 90, 120, 180 min post standardized meal
Study Arms (2)
neuropathy
OTHERpatients with autonomic neuropathy
control
OTHERpatients without autonomic neuropathy (ewing score \<= 0.5)
Interventions
Eligibility Criteria
You may qualify if:
- type 1 diabetes mellitus
- multiple daily insulin injections therapy or continuous insulin infusion (insulin pomp) therapy
- recent (\<1 year) written diagnosis of autonomic neuropathy available
- ewing score \> 2 for patients to be included in the "neuropathy" group
- ewing score \<= 0.5 for patients to be included in the '"control" group
You may not qualify if:
- severe chronic renal insufficiency defined by an estimated GFR\<30 ml/min calculated by MDRD formula)
- proliferative retinopathy needing panphotocoagulation
- hepatic enzymes (ALAT, ASAT) greater than 3 times the upper limit
- congestive heart failure of NYHA functional class III-IV
- clinical signs of gastroparesis
- ongoing gastric emptying therapy
- history of bariatric surgery
- galvus therapy contra indications: known allergy or hypersensitivity of princeps or excipients, galactose intolerance, lapp lactase deficiency, glucose - galactose malabsorption
- ongoing systemic corticoids therapy
- metformin therapy during the day before each study visit
- haemoglobin alteration
- pregnancy or pregnancy willing
- lactation
- ongoing clinical study participation
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University Hospital, Toulouselead
- Institute of Molecular Medicine of Rangueil (I2MR)collaborator
- Faculty of Medicine, Toulousecollaborator
- Novartis Pharmaceuticalscollaborator
Study Sites (1)
UH Toulouse
Toulouse, 31059, France
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Remy Burcelin, PHD
Institut National de la Santé Et de la Recherche Médicale, France
- PRINCIPAL INVESTIGATOR
Hélène Hanaire, MD PHD
UH Toulouse
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- BASIC SCIENCE
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
February 9, 2011
First Posted
October 14, 2011
Study Start
October 1, 2010
Primary Completion
January 1, 2013
Study Completion
March 1, 2013
Last Updated
March 12, 2014
Record last verified: 2014-03