DPP-4 Inhibition, Incretins and Islet Function
CODI24
Comparison of Three DPP-4 Inhibitors on 24 Hour Blood Glucose, Incretin Hormones and Islet Function in Patients With Type 2 Diabetes
1 other identifier
interventional
24
1 country
1
Brief Summary
Hypothesis is that DPP-4 inhibition affects glucose levels through changes in incretin and islet hormones. The study examines this in relation to breakfast, lunch and dinner over an entire 24h study period by the use of three different DPP-4 inhibitors and placebo.
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
Started May 2014
Typical duration for phase_4 type-2-diabetes
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
First Submitted
Initial submission to the registry
March 14, 2014
CompletedFirst Posted
Study publicly available on registry
March 17, 2014
CompletedStudy Start
First participant enrolled
May 1, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
August 1, 2017
CompletedAugust 23, 2017
August 1, 2017
3.1 years
March 14, 2014
August 22, 2017
Conditions
Outcome Measures
Primary Outcomes (1)
Postprandial glucose
The area under the 180 min curves for plasma glucose after each meal
180 min
Secondary Outcomes (2)
Postprandial insulin and glucagon
180 min
Postprandial glucagon-like peptide-1 (GLP-1) and glucose-dependent insulinotropic polypeptide (GIP)
180 min
Study Arms (3)
Saxagliptin
EXPERIMENTALSsaxagliptin is given before breakfast
´Sitagliptin
EXPERIMENTALSitagliptin is given before breakfast
Vildagliptin
EXPERIMENTALVildagliptin is given before breakfast
Interventions
Vildagliptin (50mg) is given before breakfast and dinner
Eligibility Criteria
You may qualify if:
- Ongoing treatment with life style adjustment including diet and exercise regimen together with metformin as oral antidiabetic . Metformin therapy should be stable the last three months
- Age 40-75 years
- HbA1c 52-80 mmol/mol (inclusive)
- BMI: 20-40 kg/m2
- Written informed consent has been given
- Capability and willingness to participate in the whole study
You may not qualify if:
- Liver disease (K70-77 in ICD10) or liver enzymes three times above upper reference range
- Diabetic nephropathy (GFR \< 30 mL/min/1.73 m2 or albuminuria) or other causes of renal disease
- Proliferative diabetic retinopathy
- Treatment with any glucose-lowering medication except metformin
- Previous myocardial infarction, coronary heart disease or instable angina pectoris in the last 6 months.
- Symptomatic heart failure (NYHA class II-III)
- Previous surgery on the gastrointestinal tract
- Larger surgical intervention during the last 12 weeks
- Female subject who are pregnant or breast feeding
- Women of child bearing potential not using a highly effective method of birth control
- Treatment with oral steroids, thiazide diuretics, digoxin or growth hormone
- Hypersensitivity to the active substances of to any of the excipients
- Participation in another study the last 4 weeks
- Smoker
- Paracetamol intolerance
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Lund Universitylead
Study Sites (1)
Clinical Research Department
Lund, 22185, Sweden
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Bo Ahrén, MD, PhD
Lund University
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- BASIC SCIENCE
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor
Study Record Dates
First Submitted
March 14, 2014
First Posted
March 17, 2014
Study Start
May 1, 2014
Primary Completion
June 1, 2017
Study Completion
August 1, 2017
Last Updated
August 23, 2017
Record last verified: 2017-08