Combining Saxagliptin and Acarbose to Improve Postprandial Glycaemia in Type 2 Diabetes
1 other identifier
interventional
22
1 country
1
Brief Summary
The proposed study is designed to evaluate (i) the effects of saxagliptin, with or without acarbose, on gastric emptying, postprandial glycaemia, and plasma intact GLP-1, insulin, C-peptide and glucagon after a high carbohydrate meal, and (ii) whether the magnitude of the effects of saxagliptin and/or acarbose is related to the rate of gastric emptying, in patients with type 2 diabetes.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_3 type-2-diabetes
Started Apr 2015
Shorter than P25 for phase_3 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
December 3, 2014
CompletedFirst Posted
Study publicly available on registry
December 12, 2014
CompletedStudy Start
First participant enrolled
April 3, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 26, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
August 26, 2016
CompletedJuly 6, 2018
July 1, 2018
1.4 years
December 3, 2014
July 4, 2018
Conditions
Outcome Measures
Primary Outcomes (1)
Blood glucose concentrations at pre-defined intervals
-60,-10,0,30,60,90,120,180min
Secondary Outcomes (5)
Plasma concentrations of incretin hormones at pre-defined intervals
-60,-10,0,30,60,90,120,180min
Plasma concentrations of insulin at pre-defined intervals
-60,-10,0,30,60,90,120,180min
Plasma concentrations of C-peptide at pre-defined intervals
-60,-10,0,30,60,90,120,180min
Plasma concentrations of glucagon at pre-defined intervals
-60,-10,0,30,60,90,120,180min
half-emptying time (T50)
0-180min
Study Arms (4)
5 mg saxagliptin + 100 mg acarbose
EXPERIMENTALAcute dosing: 5 mg saxagliptin is given with water, 60 min before a test meal 100 mg acarbose is given with a test meal
5 mg saxagliptin
EXPERIMENTALAcute dosing: 5 mg saxagliptin is given 60 min before a test meal,
100 mg acarbose
EXPERIMENTALAcute dosing: 100 mg acarbose is given with a test meal
control
NO INTERVENTIONInterventions
Eligibility Criteria
You may qualify if:
- Type 2 diabetes (World Health Organisation (WHO) criteria), managed by diet alone (i.e. no oral hypoglycaemic drugs or insulin)
- Body mass index (BMI) 20 - 40 kg/m2
- Age 18 - 70 years
- Males and post-menopausal females (to control for the effect of the menstrual cycle on gut hormone secretion)
- Glycated haemoglobin A1c (HbA1c) ≥ 6.0% and ≤ 7.9%
- Haemoglobin above the lower limit of the normal range (i.e. \>135g/L for men and 115g/L for women), and ferritin above the lower limit of normal (i.e. \>10mcg/L)
You may not qualify if:
- Use of any medication that may influence gastrointestinal motor function, body weight or appetite
- Evidence of drug abuse, consumption of more than 20 g alcohol or 10 cigarettes on a daily basis
- History of gastrointestinal disease, including significant upper or lower gastrointestinal symptoms, pancreatitis, or previous gastrointestinal surgery (other than uncomplicated appendicectomy or cholecystectomy)
- Other significant illness, including epilepsy, cardiovascular or respiratory disease
- Autonomic nerve damage (as assessed by standardised cardiovascular reflex tests \[36\])
- Impaired renal or liver function (as assessed by calculated creatinine clearance \< 90 mL/min or abnormal liver function tests (\> 2 times upper limit of normal range))
- Allergy to vildagliptin or any other 'gliptin'
- Donation of blood within the previous 3 months
- Participation in any other research studies within the previous 3 months
- Females who are pre-menopausal
- Inability to give informed consent
- Vegetarians
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Zilin Sunlead
Study Sites (1)
Department of Endocrinology, Zhongda Hospital. Institute of Diabetes, Southeast University
Nanjing, Jiangsu, China
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- CROSSOVER
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR INVESTIGATOR
- PI Title
- MD, PhD of Department of Endocrinology
Study Record Dates
First Submitted
December 3, 2014
First Posted
December 12, 2014
Study Start
April 3, 2015
Primary Completion
August 26, 2016
Study Completion
August 26, 2016
Last Updated
July 6, 2018
Record last verified: 2018-07