Study Stopped
Administrative decision of the investigation direction
Efficacy and Safety of Metformin Glycinate Compared to Metformin Hydrochloride on the Progression of Type 2 Diabetes
COMETII
1 other identifier
interventional
500
1 country
1
Brief Summary
Phase III study to evaluate the efficacy and safety of the treatment. Two-arm, prospective, longitudinal, double-blind, multicenter randomized clinical trial.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_3 type-2-diabetes
Started Aug 2021
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
June 21, 2021
CompletedFirst Posted
Study publicly available on registry
June 29, 2021
CompletedStudy Start
First participant enrolled
August 1, 2021
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 1, 2021
CompletedStudy Completion
Last participant's last visit for all outcomes
August 1, 2021
CompletedJune 29, 2021
June 1, 2021
Same day
June 21, 2021
June 21, 2021
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Change in HbA1c
Assess change in HbA1c
Baseline, 6 and 12 months
Secondary Outcomes (12)
Changes in fasting glucose
Baseline, 6 and 12 months
Change in the 2-hour oral glucose tolerance curve
Baseline, 6 and 12 months
Changes to HOMA-IR (Homeostatic model assessment and Insulin resistance
Baseline, 6 and 12 months
Changes in insulin levels
Baseline, 6 and 12 months
Changes in leptin levels
Baseline, 6 and 12 months
- +7 more secondary outcomes
Study Arms (2)
Group A: Metformin glycinate 1050 mg
EXPERIMENTALMetformin glycinate 1050 mg Orally twice a day.
Group B: Metformin hydrochloride 850 mg
ACTIVE COMPARATORMetformin hydrochloride 850mg Orally twice a day.
Interventions
1050 mg, tablets Administered orally, twice a day, for 12 months.
850 mg, tablets. Administered orally, twice a day, for 12 months.
Eligibility Criteria
You may qualify if:
- Subjects ≥18 years old.
- Type 2 diabetes according to ADA diagnostic criteria.
- Naive to treatment or who have previously been under oral hypoglycemic treatment (whatever it may be), as long as it has been suspended for a period of ≥6 weeks prior to the start of the study. - HbA1c ≥7.5% and \<10.0%.
- In the case of women of childbearing age and with an active sexual life, the use of birth control methods is required; any of the following are accepted: barrier (male or female condom), non-hormonal intrauterine device, or bilateral tubal obstruction.
- That you agree to participate in the study and give written informed consent.
You may not qualify if:
- Patients with known current abuse or dependence (last 2 months) to substances such as alcohol (weekly consumption\> 21 units of alcohol in men or\> 14 units of alcohol in women) or recreational drugs.
- Body Mass Index \<20 kg / m2 and\> 35 kg / m2.
- Glomerular filtration estimated with the MDRD (Modification of Diet in Renal Disease) procedure through serum creatinine \<60 ml / min / 1.72 m2.
- History of chronic liver disease or ALT (alanine aminotransferase) and / or AST (aspartate aminotransferase) ≥ 2 times the upper limit of normal, or GGT (Gamma glutamyl transpeptidase) ≥3 times the upper limit of normal.
- Chronic lung disease, causing dyspnea equivalent to a functional class ≥3 (NYHA) or requiring oxygen supplementation.
- Use of drugs that interact with biguanides.
- Other chronic diseases that limit survival or are associated with chronic inflammation such as: cancer, leukemia, lymphoma, lupus erythematosus, asthma, rheumatoid arthritis, or HIV (human immunodeficiency virus) infection.
- Pregnancy or positive pregnancy test, as well as women who are breastfeeding.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Laboratorio Silanes, S.A. de C.V.
Mexico City, 11000, Mexico
Related Publications (28)
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PMID: 7895460BACKGROUNDPhung OJ, Scholle JM, Talwar M, Coleman CI. Effect of noninsulin antidiabetic drugs added to metformin therapy on glycemic control, weight gain, and hypoglycemia in type 2 diabetes. JAMA. 2010 Apr 14;303(14):1410-8. doi: 10.1001/jama.2010.405.
PMID: 20388897BACKGROUNDEffect of intensive blood-glucose control with metformin on complications in overweight patients with type 2 diabetes (UKPDS 34). UK Prospective Diabetes Study (UKPDS) Group. Lancet. 1998 Sep 12;352(9131):854-65.
PMID: 9742977BACKGROUNDHolman RR, Paul SK, Bethel MA, Matthews DR, Neil HA. 10-year follow-up of intensive glucose control in type 2 diabetes. N Engl J Med. 2008 Oct 9;359(15):1577-89. doi: 10.1056/NEJMoa0806470. Epub 2008 Sep 10.
PMID: 18784090BACKGROUNDTzoulaki I, Molokhia M, Curcin V, Little MP, Millett CJ, Ng A, Hughes RI, Khunti K, Wilkins MR, Majeed A, Elliott P. Risk of cardiovascular disease and all cause mortality among patients with type 2 diabetes prescribed oral antidiabetes drugs: retrospective cohort study using UK general practice research database. BMJ. 2009 Dec 3;339:b4731. doi: 10.1136/bmj.b4731.
PMID: 19959591BACKGROUNDSelvin E, Bolen S, Yeh HC, Wiley C, Wilson LM, Marinopoulos SS, Feldman L, Vassy J, Wilson R, Bass EB, Brancati FL. Cardiovascular outcomes in trials of oral diabetes medications: a systematic review. Arch Intern Med. 2008 Oct 27;168(19):2070-80. doi: 10.1001/archinte.168.19.2070.
PMID: 18955635BACKGROUNDJohnson JA, Simpson SH, Toth EL, Majumdar SR. Reduced cardiovascular morbidity and mortality associated with metformin use in subjects with Type 2 diabetes. Diabet Med. 2005 Apr;22(4):497-502. doi: 10.1111/j.1464-5491.2005.01448.x.
PMID: 15787679BACKGROUNDKooy A, de Jager J, Lehert P, Bets D, Wulffele MG, Donker AJ, Stehouwer CD. Long-term effects of metformin on metabolism and microvascular and macrovascular disease in patients with type 2 diabetes mellitus. Arch Intern Med. 2009 Mar 23;169(6):616-25. doi: 10.1001/archinternmed.2009.20.
PMID: 19307526BACKGROUNDTucker GT, Casey C, Phillips PJ, Connor H, Ward JD, Woods HF. Metformin kinetics in healthy subjects and in patients with diabetes mellitus. Br J Clin Pharmacol. 1981 Aug;12(2):235-46. doi: 10.1111/j.1365-2125.1981.tb01206.x.
PMID: 7306436BACKGROUNDWang DS, Jonker JW, Kato Y, Kusuhara H, Schinkel AH, Sugiyama Y. Involvement of organic cation transporter 1 in hepatic and intestinal distribution of metformin. J Pharmacol Exp Ther. 2002 Aug;302(2):510-5. doi: 10.1124/jpet.102.034140.
PMID: 12130709BACKGROUNDWilcock C, Bailey CJ. Accumulation of metformin by tissues of the normal and diabetic mouse. Xenobiotica. 1994 Jan;24(1):49-57. doi: 10.3109/00498259409043220.
PMID: 8165821BACKGROUNDScheen AJ. Clinical pharmacokinetics of metformin. Clin Pharmacokinet. 1996 May;30(5):359-71. doi: 10.2165/00003088-199630050-00003.
PMID: 8743335BACKGROUNDDunn CJ, Peters DH. Metformin. A review of its pharmacological properties and therapeutic use in non-insulin-dependent diabetes mellitus. Drugs. 1995 May;49(5):721-49. doi: 10.2165/00003495-199549050-00007.
PMID: 7601013BACKGROUNDVidon N, Chaussade S, Noel M, Franchisseur C, Huchet B, Bernier JJ. Metformin in the digestive tract. Diabetes Res Clin Pract. 1988 Feb 19;4(3):223-9. doi: 10.1016/s0168-8227(88)80022-6.
PMID: 3359923BACKGROUNDMarathe PH, Wen Y, Norton J, Greene DS, Barbhaiya RH, Wilding IR. Effect of altered gastric emptying and gastrointestinal motility on metformin absorption. Br J Clin Pharmacol. 2000 Oct;50(4):325-32. doi: 10.1046/j.1365-2125.2000.00264.x.
PMID: 11012555BACKGROUNDPacanowski MA, Hopley CW, Aquilante CL. Interindividual variability in oral antidiabetic drug disposition and response: the role of drug transporter polymorphisms. Expert Opin Drug Metab Toxicol. 2008 May;4(5):529-44. doi: 10.1517/17425255.4.5.529.
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PMID: 10576523BACKGROUNDHoffmann J, Spengler M. Efficacy of 24-week monotherapy with acarbose, metformin, or placebo in dietary-treated NIDDM patients: the Essen-II Study. Am J Med. 1997 Dec;103(6):483-90. doi: 10.1016/s0002-9343(97)00252-0.
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PMID: 20040656BACKGROUND
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Guillermo Fanghänel Salmón, M.D
Clinica integral del paciente diabético y obeso
- PRINCIPAL INVESTIGATOR
Manuel González Ortiz, M.D
Instituto de terapéutica experimental y clínica (INTEC)
- PRINCIPAL INVESTIGATOR
Joel Rodríguez Saldaña, M.D
Resultados médicos, desarrollo e investigación SC. (REMEDI)
- PRINCIPAL INVESTIGATOR
María L Sánchez Aldana Robles, M.D
Investigación Biomédica para el Desarrollo de Fármacos, S.A de C.V. (IBIOMED-GDL)
- PRINCIPAL INVESTIGATOR
Francisco G Padilla Padilla, M.D
Independent
- PRINCIPAL INVESTIGATOR
Jorge V Yamamoto Cuevas, M.D
Clínica Villa Coapa La Vereda S.C.
- PRINCIPAL INVESTIGATOR
Edmundo D Ríos Mejía, M.D
Investigación Biomédica para el Desarrollo de Fármacos S.A. de C.V. (IBIOMED-AGS)
- PRINCIPAL INVESTIGATOR
Luis M Román Pintos, M.D
Hospital Hispanos S.A. de C.V.
- PRINCIPAL INVESTIGATOR
Víctor Bohórquez López, M.D
Oaxaca Site Management Organization SC. (Red OSMO)
- PRINCIPAL INVESTIGATOR
Santiago P Ramírez Díaz, M..D
Centro de Investigación Médica Aguascalientes (Red OSMO)
- PRINCIPAL INVESTIGATOR
José De la Cruz Tun Pech, M.D
Mérida Investigación Clínica (Red OSMO)
- PRINCIPAL INVESTIGATOR
Fernando J Lavalle González, M.D
Servicio de endocrinología Hospital Univertsitario, UANL
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
June 21, 2021
First Posted
June 29, 2021
Study Start
August 1, 2021
Primary Completion
August 1, 2021
Study Completion
August 1, 2021
Last Updated
June 29, 2021
Record last verified: 2021-06
Data Sharing
- IPD Sharing
- Will not share