The Effect of the GLP-1 Receptor Agonists on Blood Levels of Lipoprotein (a)
EGLIPA
1 other identifier
interventional
40
1 country
1
Brief Summary
Lipoprotein (a) \[Lp (a)\] is an independent cardiovascular risk (CVR) both in the general population and in patients with type 2 diabetes mellitus (DM-2). Until now no effective treatment is known to decrease the levels of Lp (a) levels and thus achieve a reduction of CVR. Among the new antidiabetic drugs are GLP-1Receptor agonists(GLP-1R). In addition to lowering blood glucose, these drugs have other beneficial effects. In our laboratory we have demonstrated that both native GLP-1 and various GLP-1R agonsits reduce the synthesis of Lp (a) in hepatocytes. The objective of the study is to test in humans the results observed in vitro. We will analyze whether treatment with GLP-1R agonists (Liraglutide, Exenatide or Lixisenatida) will reduce serum levels of Lp (a) in patients with DM-2.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_4 diabetes-mellitus-type-2
Started Oct 2014
Shorter than P25 for phase_4 diabetes-mellitus-type-2
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, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 1, 2015
CompletedFirst Submitted
Initial submission to the registry
July 16, 2015
CompletedFirst Posted
Study publicly available on registry
July 17, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
October 1, 2015
CompletedJuly 21, 2015
July 1, 2015
9 months
July 16, 2015
July 20, 2015
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Change in blood levels of Lipoprotein (a) (Lp(a))
Baseline and two months
Study Arms (2)
Group A
EXPERIMENTALType 2 diabetic patients whom were prescribed GLP-1R agonists by the endocrinologist, according to usual clinical practice (liraglutide, exenatide, lixisenatide). The intervention is the prescription of an GLP-1R agonist (liraglutide, exenatide, lixisenatide)
Group B
ACTIVE COMPARATORType 2 diabetic patients whom were prescribed metformin and/or sulphonilurea, according to usual clinical practice.
Interventions
Treatment with liraglutide, exenatide or lixisenatide
Eligibility Criteria
You may qualify if:
- Type 2 diabetes
- age between 50-65 years
- written informed consent
You may not qualify if:
- active GLP-1R agonist, insulin or DPP-IV treatment.
- Liver failure (3lsn AST and/or ALT)
- Kidney failure (FG \<30ml/min/1,73m2),
- HbA1c\> 10%
- LDL-cholesterol\> 180 mg/dl
- Triglycerides\> 350 mg/dl
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Hospital Universitari Vall d'Hebron
Barcelona, Barcelona, 08035, Spain
Related Publications (3)
Hernandez C, Francisco G, Chacon P, Simo R. Lipoprotein(a) as a risk factor for cardiovascular mortality in type 2 diabetic patients: a 10-year follow-up study. Diabetes Care. 2005 Apr;28(4):931-3. doi: 10.2337/diacare.28.4.931. No abstract available.
PMID: 15793200BACKGROUNDHernandez C, Francisco G, Chacon P, Mesa J, Simo R. Biological variation of lipoprotein(a) in a diabetic population. Analysis of the causes and clinical implications. Clin Chem Lab Med. 2003 Aug;41(8):1075-80. doi: 10.1515/CCLM.2003.166.
PMID: 12964817BACKGROUNDGenser B, Dias KC, Siekmeier R, Stojakovic T, Grammer T, Maerz W. Lipoprotein (a) and risk of cardiovascular disease--a systematic review and meta analysis of prospective studies. Clin Lab. 2011;57(3-4):143-56.
PMID: 21500721BACKGROUND
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 16, 2015
First Posted
July 17, 2015
Study Start
October 1, 2014
Primary Completion
July 1, 2015
Study Completion
October 1, 2015
Last Updated
July 21, 2015
Record last verified: 2015-07