search
Back to results

Rosiglitazone-Metformin Combination Versus Metformin-Sulfonylurea Combination On Beta-Cell Function In Type 2 Diabetes

Primary Purpose

Type 2 Diabetes Mellitus

Status
Completed
Phase
Phase 4
Locations
Study Type
Interventional
Intervention
rosiglitazone-metformin
Metformin
metformin+ gliclazide
Sponsored by
GlaxoSmithKline
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Type 2 Diabetes Mellitus focused on measuring Beta cell function, Type 2 diabetes, Combination treatment

Eligibility Criteria

40 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

INCLUSION CRITERIA: Males and females 40 to 75 years of age (inclusive at the time of screening) Type 2 diabetes mellitus as defined by the WHO criteria, diagnosed for at least 1 year Subjects receiving 1.5 to 3g of metformin alone at a constant dose for at least 8 weeks prior to visit 1 Patients with 6.5% < HbA1c > 8% at visit 1 and visit 2 25 < BMI < 35 EXCLUSION CRITERIA: Patient with type 1 diabetes Treatment with other hypoglycaemic agents than metformin in the last 3 months FPG >200 mg/dL at visit 2 Hypersensitivity to the studied treatments (rosiglitazone, metformin chlorhydrate, gliclazide) Congestive heart failure (NYHA class I to IV), unstable or severe angina, recent myocardial infarction Respiratory insufficiency Subjects who have required the use of insulin for glycaemic control in the past 6 months prior to visit 1 (except during pregnancy or acute episodes such as hospitalization, trauma or infection) or subjects with a history of metabolic acidosis including diabetic ketoacidosis Anemia defined by haemoglobin concentration <11.0 g/dL for males and <10.0 g/dL for females Renal disease or renal dysfunction, e.g. as suggested by serum creatinine levels ≥135.0 µmol/L in males and ≥110.0 µmol/L in females and/or creatinine clearance <40 mL/min Presence of clinically significant hepatic disease, with ALT, AST, total bilirubin, alkaline phosphatase >2.5 times the upper limit of the normal reference range Subjects with chronic diseases requiring periodic ot intermittent treatment with oral or IV corticosteroids Subjects receiving danazol, miconazole or phenylbutazone Active alcohol, drug or medication abuse within the last 6 months or any condition that would indicate the likelihood of poor subject compliance Women who are lactating, pregnant or planning to become pregnant Any clinically significant abnormality identified at screening which, in the investigator's judgement, makes the subject unsuitable for inclusion in the study Use of any other investigational agent within 30 days or 5 half-lives (whichever is longer) prior to visit 1 Subjects who receive or anticipate receiving radiocontrast dye during the study

Sites / Locations

    Outcomes

    Primary Outcome Measures

    Median Change From Baseline in the Insulin Secretory Capacity After a 36-month Treatment
    Change from baseline in the insulin secretory capacity was measured by the assesment of blood insulin concentrations (conc.) using the hyperglycaemic clamp (HC) technique, per intravenous glucose perfusion by a catheter. Change from baseline for insulin conc peaks (highest conc level) was calculated as the Month 36 value minus the baseline value. Insulin secretion was assessed by calculating AUC during the first 10 minutes of HC (incremental and total AUC0-10 min) and the AUC after the first 10 minutes of the HC (10-180min).

    Secondary Outcome Measures

    Median Change From Baseline in the Ratio M/I After a 36-month Treatment
    Median Change From Baseline in the Insulin Secretion Capacity After an 18-month Treatment
    Change from baseline was calculated as the Month 18 value minus the baseline value. Insulin secretion capacity is measured in blood (blood level of insulin) and is a response of the pancreatic beta-cells to hyperglycemia induced by a glucose IV bolus, then infusion. Hyperglycemic clamp (HC) is a reference technique to evaluate the initial and the secondary phases of insulin secretion.
    Mean Change From Baseline in HbA1c at Month 36
    Change from baseline was calculated as the Month 36 value minus the baseline value. HbA1c levels were measured by blood draw.
    Mean Change From Baseline in FBG at Month 36
    Change from baseline was calculated as the Month 36 value minus the baseline value. FBG levels were measured by blood draw.
    Median Change From Baseline in Insulin Resistance Index (HOMA-IR) After a 36-month Treatment
    Median Change From Baseline in Beta Cell Function Index (HOMA-beta) After a 36-month Treatment
    Mean Change From Baseline in CPP Total and Incremental AUC T0-T30 After a 36-month Treatment
    Mean Change From Baseline in CPP Concentration Peak and Incremental Concentration Peak T0-T30 After a 36-month Treatment
    Mean Change From Baseline in Insulin Sensitivity Index at Months 18 and 36
    Change from baseline was calculated as the Month 18 and 36 values minus the baseline value. Insulin sensitivity is measured as the quantity of glucose metabolized per unit of plasma insulin concentration.

    Full Information

    First Posted
    August 21, 2006
    Last Updated
    July 20, 2010
    Sponsor
    GlaxoSmithKline
    search

    1. Study Identification

    Unique Protocol Identification Number
    NCT00367055
    Brief Title
    Rosiglitazone-Metformin Combination Versus Metformin-Sulfonylurea Combination On Beta-Cell Function In Type 2 Diabetes
    Official Title
    Comparison of the Action of the Rosiglitazone-metformin Fixed-dose Combination and of a Metformin-sulfonylurea Free Combination on the B-cell Function in Type 2 Diabetic Patients Not Controlled With Metformin Alone.
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    July 2010
    Overall Recruitment Status
    Completed
    Study Start Date
    October 2004 (undefined)
    Primary Completion Date
    October 2008 (Actual)
    Study Completion Date
    October 2008 (Actual)

    3. Sponsor/Collaborators

    Name of the Sponsor
    GlaxoSmithKline

    4. Oversight

    5. Study Description

    Brief Summary
    It has been shown in previous study that progressive glycemic deterioration was associated with progressive loss of b-cell function, measured by the decrease in plasma insulin levels, irrespective of the therapy used (diet, sulfonylureas or metformin).There is growing evidence that thiazolidinediones could have a positive action on the b-cell function. But it has not yet been demonstrated that they could protect from a deterioration in insulin secretion in the long term. So, it appears interesting to study the long term evolution of the b-cell function and the possible protection with rosiglitazone in patients with type 2 diabetes showing evidence of loss of b-cell function with metformin alone.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Type 2 Diabetes Mellitus
    Keywords
    Beta cell function, Type 2 diabetes, Combination treatment

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 4
    Interventional Study Model
    Parallel Assignment
    Masking
    None (Open Label)
    Allocation
    Randomized
    Enrollment
    84 (Actual)

    8. Arms, Groups, and Interventions

    Intervention Type
    Drug
    Intervention Name(s)
    rosiglitazone-metformin
    Intervention Type
    Drug
    Intervention Name(s)
    Metformin
    Intervention Type
    Drug
    Intervention Name(s)
    metformin+ gliclazide
    Other Intervention Name(s)
    rosiglitazone-metformin, Metformin
    Primary Outcome Measure Information:
    Title
    Median Change From Baseline in the Insulin Secretory Capacity After a 36-month Treatment
    Description
    Change from baseline in the insulin secretory capacity was measured by the assesment of blood insulin concentrations (conc.) using the hyperglycaemic clamp (HC) technique, per intravenous glucose perfusion by a catheter. Change from baseline for insulin conc peaks (highest conc level) was calculated as the Month 36 value minus the baseline value. Insulin secretion was assessed by calculating AUC during the first 10 minutes of HC (incremental and total AUC0-10 min) and the AUC after the first 10 minutes of the HC (10-180min).
    Time Frame
    Baseline and Month 36
    Secondary Outcome Measure Information:
    Title
    Median Change From Baseline in the Ratio M/I After a 36-month Treatment
    Time Frame
    Baseline and Month 36
    Title
    Median Change From Baseline in the Insulin Secretion Capacity After an 18-month Treatment
    Description
    Change from baseline was calculated as the Month 18 value minus the baseline value. Insulin secretion capacity is measured in blood (blood level of insulin) and is a response of the pancreatic beta-cells to hyperglycemia induced by a glucose IV bolus, then infusion. Hyperglycemic clamp (HC) is a reference technique to evaluate the initial and the secondary phases of insulin secretion.
    Time Frame
    Baseline and Month 18
    Title
    Mean Change From Baseline in HbA1c at Month 36
    Description
    Change from baseline was calculated as the Month 36 value minus the baseline value. HbA1c levels were measured by blood draw.
    Time Frame
    Baseline and Month 36
    Title
    Mean Change From Baseline in FBG at Month 36
    Description
    Change from baseline was calculated as the Month 36 value minus the baseline value. FBG levels were measured by blood draw.
    Time Frame
    Baseline and Month 36
    Title
    Median Change From Baseline in Insulin Resistance Index (HOMA-IR) After a 36-month Treatment
    Time Frame
    Baseline and Month 36
    Title
    Median Change From Baseline in Beta Cell Function Index (HOMA-beta) After a 36-month Treatment
    Time Frame
    Baseline and Month 36
    Title
    Mean Change From Baseline in CPP Total and Incremental AUC T0-T30 After a 36-month Treatment
    Time Frame
    Baseline and Month 36
    Title
    Mean Change From Baseline in CPP Concentration Peak and Incremental Concentration Peak T0-T30 After a 36-month Treatment
    Time Frame
    Baseline and Month 36
    Title
    Mean Change From Baseline in Insulin Sensitivity Index at Months 18 and 36
    Description
    Change from baseline was calculated as the Month 18 and 36 values minus the baseline value. Insulin sensitivity is measured as the quantity of glucose metabolized per unit of plasma insulin concentration.
    Time Frame
    Baseline and Months 18 and 36

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    40 Years
    Maximum Age & Unit of Time
    75 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    INCLUSION CRITERIA: Males and females 40 to 75 years of age (inclusive at the time of screening) Type 2 diabetes mellitus as defined by the WHO criteria, diagnosed for at least 1 year Subjects receiving 1.5 to 3g of metformin alone at a constant dose for at least 8 weeks prior to visit 1 Patients with 6.5% < HbA1c > 8% at visit 1 and visit 2 25 < BMI < 35 EXCLUSION CRITERIA: Patient with type 1 diabetes Treatment with other hypoglycaemic agents than metformin in the last 3 months FPG >200 mg/dL at visit 2 Hypersensitivity to the studied treatments (rosiglitazone, metformin chlorhydrate, gliclazide) Congestive heart failure (NYHA class I to IV), unstable or severe angina, recent myocardial infarction Respiratory insufficiency Subjects who have required the use of insulin for glycaemic control in the past 6 months prior to visit 1 (except during pregnancy or acute episodes such as hospitalization, trauma or infection) or subjects with a history of metabolic acidosis including diabetic ketoacidosis Anemia defined by haemoglobin concentration <11.0 g/dL for males and <10.0 g/dL for females Renal disease or renal dysfunction, e.g. as suggested by serum creatinine levels ≥135.0 µmol/L in males and ≥110.0 µmol/L in females and/or creatinine clearance <40 mL/min Presence of clinically significant hepatic disease, with ALT, AST, total bilirubin, alkaline phosphatase >2.5 times the upper limit of the normal reference range Subjects with chronic diseases requiring periodic ot intermittent treatment with oral or IV corticosteroids Subjects receiving danazol, miconazole or phenylbutazone Active alcohol, drug or medication abuse within the last 6 months or any condition that would indicate the likelihood of poor subject compliance Women who are lactating, pregnant or planning to become pregnant Any clinically significant abnormality identified at screening which, in the investigator's judgement, makes the subject unsuitable for inclusion in the study Use of any other investigational agent within 30 days or 5 half-lives (whichever is longer) prior to visit 1 Subjects who receive or anticipate receiving radiocontrast dye during the study
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    GSK Clinical Trials, MD
    Organizational Affiliation
    GlaxoSmithKline
    Official's Role
    Study Director

    12. IPD Sharing Statement

    Learn more about this trial

    Rosiglitazone-Metformin Combination Versus Metformin-Sulfonylurea Combination On Beta-Cell Function In Type 2 Diabetes

    We'll reach out to this number within 24 hrs