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Study for Beinaglutide Versus Glargine Therapy in Glycemic Variability of Type 2 Diabetes Mellitus

Primary Purpose

Type 2 Diabetes Mellitus

Status
Completed
Phase
Not Applicable
Locations
China
Study Type
Interventional
Intervention
Beinaglutide
glargine
Sponsored by
Xijing Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Type 2 Diabetes Mellitus focused on measuring Type 2 Diabetes Mellitus, Beinaglutide, glycemic variability

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Informed consent obtained before any trial-related activities
  • Male or female between the age of 18 and 70 years by the time of visit 1
  • Have been diagnosed as type 2 diabetes for at least half a year
  • Prestudy combination OAD therapy for at least 1 month(except glinides, DPP-VI inhibitor,insulin,GLP-1 receptor agonists ),
  • The dose of Sulfonylureas less than the half maximum dose of insert
  • 7.5%≤HbA1c≤11.0% in recent 2 weeks or on visit 1(local lab test)
  • 21Kg/m2≤BMI≤35Kg/m2

Exclusion Criteria:

  • Females of child bearing potential who are pregnant, breast-feeding or intend to become pregnant or are not using adequate contraceptive methods .
  • Current diagnosis or history of following:

    • Type 1 diabetes
    • Diabetes caused by impaired pancreas
    • Diabetes is the secondary diagnosis ,such as acromegaly,Cushing syndrome etc.
    • Acute decompensation of glycaemic control requiring immediate intensification of treatment to prevent acute complications of diabetes (eg. diabetes ketoacidosis, hyperosmolar coma) within 6months prior to screening.
    • Use of any glinides, DPP-VI inhibitor,GLP-1 receptor agonists within 3months prior to screening.Use of any insulin within 1months prior to screening.
    • History of allergy (such as systemic allergy, Vascular neuroedema, epidermal exfoliation, etc.)
    • Systemic use of glucocorticoids (oral or intravenous) continued for more than seven days in the past half year.
    • Triglyceride (fasting)> 4.5mmol/L at visit 1.
  • Impaired liver function,such as manifested in one of the following situations:

    • Two consecutive measurements of AST or ALT in the first four weeks of the visit exceeded the maximum normal value by more than three times (local laboratory data)
    • Bilirubin synthesis and/or excretion disorders (such as hyperbilirubinemia) and other decompensated liver diseases such as coagulation,Blood disorders, hepatic encephalopathy, hypoproteinemia, ascites, esophageal variceal bleeding
    • Acute viral, active autoimmune, alcoholic and other types of hepatitis
  • Moderate to severe renal impairment or end-stage renal disease (estimated kidney) at visit or 4 weeks before visit (local data)Globular filtration rate < 60 mL/minNew York Heart Association (NYHA) Class III or IV congestive heart failure
  • Visit 1 has a major history of cardiovascular disease in the past three months, defined as myocardial infarction, coronary angioplasty or bypass surgery, valvular disease or repair, unstable angina, transient ischemic attack or cerebrovascular accident.
  • History of acute or chronic pancreatitis
  • History of gastrointestinal diseases, including gastrointestinal stoma anastomosis, intestinal resection, gastric cardiac syndrome, severe hernia, intestinal obstruction, intestinal ulcer
  • Malignant tumors (except cutaneous basal cell carcinoma, cervical carcinoma in situ and prostate cancer in situ) have been diagnosed in the past five years.
  • History of organ transplantation or AIDS
  • History of medullary thyroid cancer
  • History of alcohol or drug abuse in the past 12 months
  • Individuals or researchers who do not comply with the potential risks of the program are judged to be unsuitable for the study.

Sites / Locations

  • Chang'an Hospital
  • Shaanxi Aerospace Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Beinaglutide

glargine

Arm Description

Beinaglutide for 8 weeks, Beinaglutide + glargine for 8 weeks(only the subjects whose blood glucose not reach the standard )

Glargine for 8 weeks, Glargine+Beinaglutide for 8 weeks(only the subjects whose blood glucose not reach the standard )

Outcomes

Primary Outcome Measures

The proportion and rate of the fasting blood glucose control.
Proportion of patients with glycosylated hemoglobin < 7%.
Changes of blood sugar variation .

Secondary Outcome Measures

Change percentage of glycosylated hemoglobin
Change of blood glucose
Change of blood pressure
Change of blood lipids
Change of body weight report in kilograms
Change of body mass index report in kg/m^2
Waist-hip ration change
Oxidative Stress Indice (8-Iso-PGF2α) change
Inflammatory factors (MCP-1) change
Inflammatory factors (hs-CRP) change

Full Information

First Posted
January 27, 2019
Last Updated
January 16, 2022
Sponsor
Xijing Hospital
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1. Study Identification

Unique Protocol Identification Number
NCT03829891
Brief Title
Study for Beinaglutide Versus Glargine Therapy in Glycemic Variability of Type 2 Diabetes Mellitus
Official Title
A Randomized, Open-label, Controlled,Parallel-group Study for Beinaglutide Versus Glargine Therapy in Glycemic Variability of Type 2 Diabetes Mellitus
Study Type
Interventional

2. Study Status

Record Verification Date
August 2020
Overall Recruitment Status
Completed
Study Start Date
August 7, 2018 (Actual)
Primary Completion Date
December 31, 2019 (Actual)
Study Completion Date
December 4, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Xijing Hospital

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
The investigators aimed to assess the efficacy and safety of Beinaglutide versus glargine , in individuals with type 2 diabetes who did not achieve adequate glycaemic control with oral antidiabetic drug.
Detailed Description
The investigators wonder in clinical hypoglycemic treatment for patients with hyperglycemia, whether to reduce fasting blood glucose or postprandial blood glucose first. In this study, subjects with type 2 diabetes mellitus in combination with oral medication will be treated with basic insulin to reduce fasting blood glucose, or with beinaglutide to reduce postprandial blood glucose, in order to find out which one of controling blood glucose can be more effective and observe the change of blood fluctuation.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Type 2 Diabetes Mellitus
Keywords
Type 2 Diabetes Mellitus, Beinaglutide, glycemic variability

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
60 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Beinaglutide
Arm Type
Experimental
Arm Description
Beinaglutide for 8 weeks, Beinaglutide + glargine for 8 weeks(only the subjects whose blood glucose not reach the standard )
Arm Title
glargine
Arm Type
Active Comparator
Arm Description
Glargine for 8 weeks, Glargine+Beinaglutide for 8 weeks(only the subjects whose blood glucose not reach the standard )
Intervention Type
Drug
Intervention Name(s)
Beinaglutide
Intervention Description
Beinaglutide for 8 weeks, Beinaglutide + glargine for 8 weeks(only the subjects whose blood glucose not reach the standard )
Intervention Type
Drug
Intervention Name(s)
glargine
Intervention Description
Glargine for 8 weeks, Glargine+Beinaglutide for 8 weeks(only the subjects whose blood glucose not reach the standard )
Primary Outcome Measure Information:
Title
The proportion and rate of the fasting blood glucose control.
Time Frame
Baseline and week 16
Title
Proportion of patients with glycosylated hemoglobin < 7%.
Time Frame
Baseline and week 16
Title
Changes of blood sugar variation .
Time Frame
Baseline and week 16
Secondary Outcome Measure Information:
Title
Change percentage of glycosylated hemoglobin
Time Frame
Baseline and week16
Title
Change of blood glucose
Time Frame
Baseline and week16
Title
Change of blood pressure
Time Frame
Baseline and week16
Title
Change of blood lipids
Time Frame
Baseline and week16
Title
Change of body weight report in kilograms
Time Frame
Baseline and week16
Title
Change of body mass index report in kg/m^2
Time Frame
Baseline and week16
Title
Waist-hip ration change
Time Frame
Baseline and week16
Title
Oxidative Stress Indice (8-Iso-PGF2α) change
Time Frame
Baseline and week16
Title
Inflammatory factors (MCP-1) change
Time Frame
Baseline and week16
Title
Inflammatory factors (hs-CRP) change
Time Frame
Baseline and week16
Other Pre-specified Outcome Measures:
Title
Safety Outcome Measure: Adverse Event
Description
Adverse Event
Time Frame
From baseline to week 16
Title
Safety Outcome Measure: Serious adverse event
Description
Serious adverse event
Time Frame
From baseline to week 16

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Informed consent obtained before any trial-related activities Male or female between the age of 18 and 70 years by the time of visit 1 Have been diagnosed as type 2 diabetes for at least half a year Prestudy combination OAD therapy for at least 1 month(except glinides, DPP-VI inhibitor,insulin,GLP-1 receptor agonists ), The dose of Sulfonylureas less than the half maximum dose of insert 7.5%≤HbA1c≤11.0% in recent 2 weeks or on visit 1(local lab test) 21Kg/m2≤BMI≤35Kg/m2 Exclusion Criteria: Females of child bearing potential who are pregnant, breast-feeding or intend to become pregnant or are not using adequate contraceptive methods . Current diagnosis or history of following: Type 1 diabetes Diabetes caused by impaired pancreas Diabetes is the secondary diagnosis ,such as acromegaly,Cushing syndrome etc. Acute decompensation of glycaemic control requiring immediate intensification of treatment to prevent acute complications of diabetes (eg. diabetes ketoacidosis, hyperosmolar coma) within 6months prior to screening. Use of any glinides, DPP-VI inhibitor,GLP-1 receptor agonists within 3months prior to screening.Use of any insulin within 1months prior to screening. History of allergy (such as systemic allergy, Vascular neuroedema, epidermal exfoliation, etc.) Systemic use of glucocorticoids (oral or intravenous) continued for more than seven days in the past half year. Triglyceride (fasting)> 4.5mmol/L at visit 1. Impaired liver function,such as manifested in one of the following situations: Two consecutive measurements of AST or ALT in the first four weeks of the visit exceeded the maximum normal value by more than three times (local laboratory data) Bilirubin synthesis and/or excretion disorders (such as hyperbilirubinemia) and other decompensated liver diseases such as coagulation,Blood disorders, hepatic encephalopathy, hypoproteinemia, ascites, esophageal variceal bleeding Acute viral, active autoimmune, alcoholic and other types of hepatitis Moderate to severe renal impairment or end-stage renal disease (estimated kidney) at visit or 4 weeks before visit (local data)Globular filtration rate < 60 mL/minNew York Heart Association (NYHA) Class III or IV congestive heart failure Visit 1 has a major history of cardiovascular disease in the past three months, defined as myocardial infarction, coronary angioplasty or bypass surgery, valvular disease or repair, unstable angina, transient ischemic attack or cerebrovascular accident. History of acute or chronic pancreatitis History of gastrointestinal diseases, including gastrointestinal stoma anastomosis, intestinal resection, gastric cardiac syndrome, severe hernia, intestinal obstruction, intestinal ulcer Malignant tumors (except cutaneous basal cell carcinoma, cervical carcinoma in situ and prostate cancer in situ) have been diagnosed in the past five years. History of organ transplantation or AIDS History of medullary thyroid cancer History of alcohol or drug abuse in the past 12 months Individuals or researchers who do not comply with the potential risks of the program are judged to be unsuitable for the study.
Facility Information:
Facility Name
Chang'an Hospital
City
Xi'an
State/Province
China,Shanxi
ZIP/Postal Code
710016
Country
China
Facility Name
Shaanxi Aerospace Hospital
City
Xi'an
State/Province
China,Shanxi
ZIP/Postal Code
710025
Country
China

12. IPD Sharing Statement

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Study for Beinaglutide Versus Glargine Therapy in Glycemic Variability of Type 2 Diabetes Mellitus

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