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Glucose-Lowering Effects and Safety of Adding 0.25 or 0.5 mg Duvie

Primary Purpose

Type 2 Diabetes Mellitus, Inadequate Glucose Control

Status
Completed
Phase
Phase 4
Locations
Korea, Republic of
Study Type
Interventional
Intervention
duvie
Sponsored by
Pusan National University Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Type 2 Diabetes Mellitus

Eligibility Criteria

19 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Type Ⅱ diabetes mellitus
  2. Between 19 years and 80 years old
  3. BMI between 20kg/㎡ to 45kg/㎡
  4. Among those using Metformin and DPP-4 inhibitor merging therapy for more than 3 months, A person who has not changed the dosage of Metformin 500 mg and DPP-4 inhibitor for more than 8 weeks at the time of screening
  5. HbA1c 7.0 to 9.0
  6. Agreement with written informed consent

Exclusion Criteria:

  1. Historical history of severe heart failure or heart failure (NYHA Class III&IV)
  2. Rapid coronary syndrome, cardiovascular interventions within 6 months
  3. History of cerebral vascular diseases within six months
  4. High blood pressure uncontrolled (>160/100 mmHg)
  5. In case weight loss drug is used within 3 months
  6. In case of systemic corticosteroids treatment within 3 months
  7. If there is an allergy or overreaction to the study drug or its components
  8. In case of acute metabolic complications (ketonicemia or high osmotic pressure) within 6 months
  9. Anemia Hb < 12g/dL(male), 10g/dL(female)
  10. Kidney function GFR < 45mL/min/1.73m2 (GFR test results are calculated by the Cockcroft-Gault Calculator).
  11. impaired hepatic function (AST/ALT 2.5-fold the upper limit of the normal range [ULN])
  12. TG>500 mg/dL
  13. LDL cholesterol >160 mg/dL

    - If a lipid-lowering agent is being taken, the existing dose should be taken during the study period.

  14. The thyroid hormone is within its normal range

    - however, thyroid hormone may be registered at the discretion of the investigator even if it is outside the normal range.

  15. Laser treatment for proliferative retinopathy within 6 months
  16. history of alcohol or drug abuse in the previous 3 months
  17. history of most cancers not in remission for 5 years
  18. Past history of bladder cancer
  19. Women nursing or pregnant Persons who are not using effective contraceptive methods, or who refuse to use contraceptives as specified below (permitted contraceptives: condoms, castings, or implantation contraceptives, etc.) are installed with contraceptives in the uterus
  20. external injury, acute infections, a history/presence of any other severe disease, or severe trauma
  21. Patients who use basins - however, they can be registered by stopping 8 weeks before the start of administration of medicines for clinical trials
  22. A person who has used endemic insulin for more than 7 days in the last 8 weeks
  23. A person with the drug usage in the TZD series over the last eight weeks.
  24. When experiencing allergies, hypersensitivity, or side effects associated with drug use in the TZD series;
  25. The researcher determines that other participants may experience difficulties in participating in the test through to the end, or that participation in the test may result in additional risks or confusion in the test results.

Sites / Locations

  • Pusan National University Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

0.25mg robeglitazone add-on group

0.5mg robeglitazone add-on group

Arm Description

0.25mg robeglitazone once daily in patients with type 2 diabetes with inadequate control on metformin and DPP-4 inhibitor therapy

0.5mg robeglitazone once daily in patients with type 2 diabetes with inadequate control on metformin and DPP-4 inhibitor therapy

Outcomes

Primary Outcome Measures

HbA1c at 24 week
changes of HbA1c between baseline and 24 week

Secondary Outcome Measures

HOMA-IR
changes of HOMA-IR between baseline and 24 week
lipid levels
changes of lipid levels between baseline and 24 week
hs-CRP
changes of hs-CRP between baseline and 24 week
AST
changes of AST between baseline and 24 week
adiponectin
changes of adiponectin between baseline and 24 week
adverse event (weight gain,edema)
changes of adverse event (weight gain,edema) between baseline and 24 week
ALT
changes of ALT between baseline and 24 week
ALP
changes of ALP between baseline and 24 week
total bilirubin
changes of total bilirubin between baseline and 24 week

Full Information

First Posted
December 6, 2018
Last Updated
January 4, 2022
Sponsor
Pusan National University Hospital
Collaborators
Chong Kun Dang Pharmaceutical Corp.
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1. Study Identification

Unique Protocol Identification Number
NCT03770052
Brief Title
Glucose-Lowering Effects and Safety of Adding 0.25 or 0.5 mg Duvie
Official Title
A Double Blind, Randomized, Investigator Initiated Study on Glucose-Lowering Effects and Safety of Adding 0.25 or 0.5 mg Duvie (Lobeglitazone) in Patients With Type 2 Diabetes With Inadequate Control on Metformin and DPP-4 Inhibitor Therapy
Study Type
Interventional

2. Study Status

Record Verification Date
January 2022
Overall Recruitment Status
Completed
Study Start Date
October 24, 2018 (Actual)
Primary Completion Date
August 19, 2021 (Actual)
Study Completion Date
September 13, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Pusan National University Hospital
Collaborators
Chong Kun Dang Pharmaceutical Corp.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Glucose-Lowering Effects and Safety of Adding 0.25 or 0.5 mg Duvie
Detailed Description
This study is a double blind, randomized, investigator initiated study on glucose-lowering effects and Safety of Adding 0.25 or 0.5 mg Duvie (Lobeglitazone) in Patients With Type 2 Diabetes With Inadequate Control on Metformin and DPP-4 Inhibitor Therapy. The primary aim of the study is to compared changes of HbA1c between 0.25mg robeblitazone add-on group and 0.5mg robeglitazone add-on group.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Type 2 Diabetes Mellitus, Inadequate Glucose Control

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
159 (Actual)

8. Arms, Groups, and Interventions

Arm Title
0.25mg robeglitazone add-on group
Arm Type
Experimental
Arm Description
0.25mg robeglitazone once daily in patients with type 2 diabetes with inadequate control on metformin and DPP-4 inhibitor therapy
Arm Title
0.5mg robeglitazone add-on group
Arm Type
Active Comparator
Arm Description
0.5mg robeglitazone once daily in patients with type 2 diabetes with inadequate control on metformin and DPP-4 inhibitor therapy
Intervention Type
Drug
Intervention Name(s)
duvie
Intervention Description
take the intervention drug once daily according to the randomized groups
Primary Outcome Measure Information:
Title
HbA1c at 24 week
Description
changes of HbA1c between baseline and 24 week
Time Frame
24 week
Secondary Outcome Measure Information:
Title
HOMA-IR
Description
changes of HOMA-IR between baseline and 24 week
Time Frame
24 week
Title
lipid levels
Description
changes of lipid levels between baseline and 24 week
Time Frame
24 week
Title
hs-CRP
Description
changes of hs-CRP between baseline and 24 week
Time Frame
24 week
Title
AST
Description
changes of AST between baseline and 24 week
Time Frame
24 week
Title
adiponectin
Description
changes of adiponectin between baseline and 24 week
Time Frame
24 week
Title
adverse event (weight gain,edema)
Description
changes of adverse event (weight gain,edema) between baseline and 24 week
Time Frame
24 week
Title
ALT
Description
changes of ALT between baseline and 24 week
Time Frame
24 week
Title
ALP
Description
changes of ALP between baseline and 24 week
Time Frame
24 week
Title
total bilirubin
Description
changes of total bilirubin between baseline and 24 week
Time Frame
24 week

10. Eligibility

Sex
All
Minimum Age & Unit of Time
19 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Type Ⅱ diabetes mellitus Between 19 years and 80 years old BMI between 20kg/㎡ to 45kg/㎡ Among those using Metformin and DPP-4 inhibitor merging therapy for more than 3 months, A person who has not changed the dosage of Metformin 500 mg and DPP-4 inhibitor for more than 8 weeks at the time of screening HbA1c 7.0 to 9.0 Agreement with written informed consent Exclusion Criteria: Historical history of severe heart failure or heart failure (NYHA Class III&IV) Rapid coronary syndrome, cardiovascular interventions within 6 months History of cerebral vascular diseases within six months High blood pressure uncontrolled (>160/100 mmHg) In case weight loss drug is used within 3 months In case of systemic corticosteroids treatment within 3 months If there is an allergy or overreaction to the study drug or its components In case of acute metabolic complications (ketonicemia or high osmotic pressure) within 6 months Anemia Hb < 12g/dL(male), 10g/dL(female) Kidney function GFR < 45mL/min/1.73m2 (GFR test results are calculated by the Cockcroft-Gault Calculator). impaired hepatic function (AST/ALT 2.5-fold the upper limit of the normal range [ULN]) TG>500 mg/dL LDL cholesterol >160 mg/dL - If a lipid-lowering agent is being taken, the existing dose should be taken during the study period. The thyroid hormone is within its normal range - however, thyroid hormone may be registered at the discretion of the investigator even if it is outside the normal range. Laser treatment for proliferative retinopathy within 6 months history of alcohol or drug abuse in the previous 3 months history of most cancers not in remission for 5 years Past history of bladder cancer Women nursing or pregnant Persons who are not using effective contraceptive methods, or who refuse to use contraceptives as specified below (permitted contraceptives: condoms, castings, or implantation contraceptives, etc.) are installed with contraceptives in the uterus external injury, acute infections, a history/presence of any other severe disease, or severe trauma Patients who use basins - however, they can be registered by stopping 8 weeks before the start of administration of medicines for clinical trials A person who has used endemic insulin for more than 7 days in the last 8 weeks A person with the drug usage in the TZD series over the last eight weeks. When experiencing allergies, hypersensitivity, or side effects associated with drug use in the TZD series; The researcher determines that other participants may experience difficulties in participating in the test through to the end, or that participation in the test may result in additional risks or confusion in the test results.
Facility Information:
Facility Name
Pusan National University Hospital
City
Busan
Country
Korea, Republic of

12. IPD Sharing Statement

Plan to Share IPD
No

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Glucose-Lowering Effects and Safety of Adding 0.25 or 0.5 mg Duvie

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