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Development of Rational Ways of Medical and Non-medical Treatment Methods for Metabolic Syndrome (DRWMNTMS)

Primary Purpose

Metabolic Syndrome

Status
Completed
Phase
Phase 1
Locations
Kazakhstan
Study Type
Interventional
Intervention
Xenical, Pionorm, Diroton, Diltiazem, Atorvastatin
"Analimentary detoxication"
Sponsored by
Nazarbayev University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Metabolic Syndrome focused on measuring Metabolic syndrome, Diabetes mellitus,, Hypertension, Overweight, analimentary detoxication

Eligibility Criteria

25 Years - 74 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • written consent form
  • age> 25 years
  • skinfold thickness > 0,7 cm BP> 130/85 mm Hg or a patient on antihypertensive medications fasting blood glucose > 6.1 mmole/L, or 2-hour postprandial glucose level > 11.1 mmole/L / or a patient with type 2 diabetes blood cholesterol > 5.6 mmole/L possibility of treatment > 6 months follow-up > 1 year

Exclusion Criteria:

  • complete immobilization of a patient (paresis /paralysis)
  • patients with severe concomitant diseases of the kidneys and (or) of the liver
  • early post-operative condition
  • mental illness
  • pregnancy
  • persons who are in prison
  • persons who are in military Armed Forces

Sites / Locations

  • Republican Scientific Center for Emergency Medicine

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Active Comparator

Experimental

No Intervention

Arm Label

Conventional Patient group

"Analimentary detoxication" Weight loss

Healthy people

Arm Description

Xenical, Pionorm, Diroton, Diltiazem, Atorvastatin

Vegetables and salt diet

64 healthy people

Outcomes

Primary Outcome Measures

Blood Glucose Level
Fasting blood glucose (FBG) (mmole/L) and Two-hour postprandial glucose (THPG) (mmole/L) were measured.
Systolic/ Diastolic Blood Pressures (mm Hg)
Systolic and Diastolic Blood Pressures (mm Hg) was measured by manual/automatic tonometery

Secondary Outcome Measures

Lipid Profile
Blood sample for lipid profile (Cholesterol in mmole/L, High-density Lipoproteids in mmole/L, Triglycerides in mmole/L) was measured
Immunoassay Hormones in Blood
Immunoassay Insulin in the blood (in nU/L) was investigated
Immunoassay Cortisole in Blood
Immunoassay Cortisole in the blood (nmole/L) was measured

Full Information

First Posted
April 10, 2015
Last Updated
November 2, 2015
Sponsor
Nazarbayev University
Collaborators
Institute Of Cardiology & Internal Diseases, Kazakhstan
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1. Study Identification

Unique Protocol Identification Number
NCT02503865
Brief Title
Development of Rational Ways of Medical and Non-medical Treatment Methods for Metabolic Syndrome
Acronym
DRWMNTMS
Official Title
Phase 1-2 Study of Development of Rational Ways of Medical and Non-medical Treatment Methods for Metabolic Syndrome
Study Type
Interventional

2. Study Status

Record Verification Date
November 2015
Overall Recruitment Status
Completed
Study Start Date
January 2003 (undefined)
Primary Completion Date
December 2008 (Actual)
Study Completion Date
December 2014 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Nazarbayev University
Collaborators
Institute Of Cardiology & Internal Diseases, Kazakhstan

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Metabolic syndrome: aetiology, pathogenesis, diagnosis, clinical management and prognosis
Detailed Description
Purpose: To create the complex scientifically proved concept of Metabolic syndrome (МS) development based on elaboration of the new methods of clinical diagnostics of МS components and highly effective МS clinical management in comparative studying of clinical, laboratory and cost effectiveness. Participants and methods: This clinical study included 351 adults (184 female) in the Scientific research institute of cardiology and internal diseases (Almaty, the Republic of Kazakhstan). Statistical analysis was performed using Microsoft Excel-2008 in updating Lapach, Chubenko et al (2000) and SPSS for Windows v.17.0.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Metabolic Syndrome
Keywords
Metabolic syndrome, Diabetes mellitus,, Hypertension, Overweight, analimentary detoxication

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
351 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Conventional Patient group
Arm Type
Active Comparator
Arm Description
Xenical, Pionorm, Diroton, Diltiazem, Atorvastatin
Arm Title
"Analimentary detoxication" Weight loss
Arm Type
Experimental
Arm Description
Vegetables and salt diet
Arm Title
Healthy people
Arm Type
No Intervention
Arm Description
64 healthy people
Intervention Type
Drug
Intervention Name(s)
Xenical, Pionorm, Diroton, Diltiazem, Atorvastatin
Other Intervention Name(s)
Conventional Patient group
Intervention Description
Xenical (Orlistat) - 120 mg/day in integration of Pionorm (Pioglitazone hydrochlorid) - 30 mg/day, Diroton (Lizinopril) - 20 mg/day, Diltiazem - 90 mg/day, Atorvastatin (Liprimar) - 40 mg/day
Intervention Type
Dietary Supplement
Intervention Name(s)
"Analimentary detoxication"
Other Intervention Name(s)
Experimental Patient group
Intervention Description
Vegetable and salt diet
Primary Outcome Measure Information:
Title
Blood Glucose Level
Description
Fasting blood glucose (FBG) (mmole/L) and Two-hour postprandial glucose (THPG) (mmole/L) were measured.
Time Frame
up to 12 weeks
Title
Systolic/ Diastolic Blood Pressures (mm Hg)
Description
Systolic and Diastolic Blood Pressures (mm Hg) was measured by manual/automatic tonometery
Time Frame
up to 12 weeks
Secondary Outcome Measure Information:
Title
Lipid Profile
Description
Blood sample for lipid profile (Cholesterol in mmole/L, High-density Lipoproteids in mmole/L, Triglycerides in mmole/L) was measured
Time Frame
up to 12 weeks
Title
Immunoassay Hormones in Blood
Description
Immunoassay Insulin in the blood (in nU/L) was investigated
Time Frame
up to 12 weeks
Title
Immunoassay Cortisole in Blood
Description
Immunoassay Cortisole in the blood (nmole/L) was measured
Time Frame
up to 12 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
25 Years
Maximum Age & Unit of Time
74 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: written consent form age> 25 years skinfold thickness > 0,7 cm BP> 130/85 mm Hg or a patient on antihypertensive medications fasting blood glucose > 6.1 mmole/L, or 2-hour postprandial glucose level > 11.1 mmole/L / or a patient with type 2 diabetes blood cholesterol > 5.6 mmole/L possibility of treatment > 6 months follow-up > 1 year Exclusion Criteria: complete immobilization of a patient (paresis /paralysis) patients with severe concomitant diseases of the kidneys and (or) of the liver early post-operative condition mental illness pregnancy persons who are in prison persons who are in military Armed Forces
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Tabynbayev Nariman, Professor
Organizational Affiliation
Nazarbayev University
Official's Role
Study Director
Facility Information:
Facility Name
Republican Scientific Center for Emergency Medicine
City
Astana
ZIP/Postal Code
010000
Country
Kazakhstan

12. IPD Sharing Statement

Citations:
PubMed Identifier
23451166
Citation
Penn L, White M, Lindstrom J, den Boer AT, Blaak E, Eriksson JG, Feskens E, Ilanne-Parikka P, Keinanen-Kiukaanniemi SM, Walker M, Mathers JC, Uusitupa M, Tuomilehto J. Importance of weight loss maintenance and risk prediction in the prevention of type 2 diabetes: analysis of European Diabetes Prevention Study RCT. PLoS One. 2013;8(2):e57143. doi: 10.1371/journal.pone.0057143. Epub 2013 Feb 25.
Results Reference
background
PubMed Identifier
23176668
Citation
Berk KA, Buijks H, Ozcan B, Van't Spijker A, Busschbach JJ, Sijbrands EJ. The Prevention Of WEight Regain in diabetes type 2 (POWER) study: the effectiveness of adding a combined psychological intervention to a very low calorie diet, design and pilot data of a randomized controlled trial. BMC Public Health. 2012 Nov 23;12:1026. doi: 10.1186/1471-2458-12-1026.
Results Reference
background
PubMed Identifier
22140269
Citation
Browning JD, Baxter J, Satapati S, Burgess SC. The effect of short-term fasting on liver and skeletal muscle lipid, glucose, and energy metabolism in healthy women and men. J Lipid Res. 2012 Mar;53(3):577-586. doi: 10.1194/jlr.P020867. Epub 2011 Dec 3.
Results Reference
result
PubMed Identifier
28163748
Citation
Oshakbayev K, Dukenbayeva B, Togizbayeva G, Durmanova A, Gazaliyeva M, Sabir A, Issa A, Idrisov A. Weight loss technology for people with treated type 2 diabetes: a randomized controlled trial. Nutr Metab (Lond). 2017 Jan 31;14:11. doi: 10.1186/s12986-017-0163-9. eCollection 2017.
Results Reference
derived

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Development of Rational Ways of Medical and Non-medical Treatment Methods for Metabolic Syndrome

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