24-Hour Glycemia: Rosiglitazone Versus Glimepiride In Type 2 Diabetes

Overview[ - collapse ][ - ]

Purpose A better glycemic control is associated with less complications (cardiac diseases, blindness, etcetera) for type 2 diabetic patients. The objective is to study if rosiglitazone may lead to a more regular glycemic pattern with less hyperglycemia and hypoglycemia episodes than with a sulphonylurea (glimepiride).
ConditionNon-Insulin-Dependent Diabetes Mellitus
InterventionDrug: rosiglitazone-metformin fixed dose combination
Drug: metformin + glimepiride
PhasePhase 4
SponsorGlaxoSmithKline
Responsible PartyGlaxoSmithKline
ClinicalTrials.gov IdentifierNCT00318656
First ReceivedApril 25, 2006
Last UpdatedApril 10, 2009
Last verifiedApril 2009

Tracking Information[ + expand ][ + ]

First Received DateApril 25, 2006
Last Updated DateApril 10, 2009
Start DateNovember 2005
Estimated Primary Completion DateOctober 2007
Current Primary Outcome Measures
  • Duration of Hyperglycaemia (>126 mg/dL) in Hours at Baseline Compared to After 12 Weeks on Treatment [Time Frame: Baseline and 12 weeks] [Designated as safety issue: No]
  • Episodes of Hyperglycaemia (>126 mg/dL) at Baseline Compared to After 12 Weeks on Treatment [Time Frame: Baseline and 12 weeks] [Designated as safety issue: No]
Current Secondary Outcome Measures
  • Duration of Severe Hyperglycaemia (>150 mg/dL) in Hours at Baseline Compared to After 12 Weeks on Treatment [Time Frame: Baseline and 12 weeks] [Designated as safety issue: No]
  • Episodes of Severe Hyperglycaemia (>150 mg/dL) at Baseline Compared to After 12 Weeks on Treatment [Time Frame: Baseline and 12 weeks] [Designated as safety issue: No]
  • Duration of Hypoglycaemia (<80 mg/dL) in Hours at Baseline Compared to After 12 Weeks on Treatment [Time Frame: Baseline and 12 weeks] [Designated as safety issue: No]
  • Episodes of Hypoglycaemia (<80 mg/dL) at Baseline Compared to After 12 Weeks on Treatment [Time Frame: Baseline and 12 weeks] [Designated as safety issue: No]
  • Duration of Hypoglycaemia (<60 mg/dL) in Hours at Baseline Compared to After 12 Weeks on Treatment [Time Frame: Baseline and 12 weeks] [Designated as safety issue: No]
  • Episodes of Hypoglycaemia (<60 mg/dL) at Baseline Compared to After 12 Weeks on Treatment [Time Frame: Baseline and 12 weeks] [Designated as safety issue: No]
  • HbA1c (Glycosylated Hemoglobin) [Time Frame: Baseline and 12 weeks] [Designated as safety issue: No]
  • 8-Iso Prostaglandin F2α (8-Iso PGF2α) Excretion Rate [Time Frame: Baseline and 12 weeks] [Designated as safety issue: No]
  • Glycaemia According to CGMS (Nocturnal), mg/dL [Time Frame: Baseline and 12 weeks] [Designated as safety issue: No]
  • Glycaemia According to CGMS (Diurnal), mg/dL [Time Frame: Baseline and 12 weeks] [Designated as safety issue: No]
  • Glycaemia According to CGMS (Dawn), mg/dL [Time Frame: Baseline and 12 weeks] [Designated as safety issue: No]
  • Glycaemia According to CGMS (Total Area Under the Curve (AUC) for Values Above 1 mg/dL), mg/dL [Time Frame: Baseline and 12 weeks] [Designated as safety issue: No]
  • Glycaemia According to CGMS (Postprandial Incremental AUC or Values Above 1 mg/dL), mg/dL [Time Frame: Baseline and 12 weeks] [Designated as safety issue: No]
  • Glycaemia According to CGMS (Basal Incremental AUC or Values Above 1 mg/dL), mg/dL [Time Frame: Baseline and 12 weeks] [Designated as safety issue: No]
  • Glycaemia According to CGMS (MAGE), mg/dL [Time Frame: Baseline and 12 weeks] [Designated as safety issue: No]

Descriptive Information[ + expand ][ + ]

Brief Title24-Hour Glycemia: Rosiglitazone Versus Glimepiride In Type 2 Diabetes
Official TitleComparison of the Effects of Rosiglitazone and Glimepiride, Both Given in Combination With Metformin, on 24-Hour Glycemia in Type 2 Diabetes Patients Not Controlled With Metformin Alone. A 3-Month Multicentre, Randomized, Parallel-Group, Open-Label Study.
Brief Summary
A better glycemic control is associated with less complications (cardiac diseases,
blindness, etcetera) for type 2 diabetic patients. The objective is to study if
rosiglitazone may lead to a more regular glycemic pattern with less hyperglycemia and
hypoglycemia episodes than with a sulphonylurea (glimepiride).
Detailed DescriptionNot Provided
Study TypeInterventional
Study PhasePhase 4
Study DesignAllocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
ConditionNon-Insulin-Dependent Diabetes Mellitus
InterventionDrug: rosiglitazone-metformin fixed dose combination
Drug: metformin + glimepiride
Other Names:
  • rosiglitazone-metformin fixed dose combination
  • metformin + glimepiride
Study Arm (s)Not Provided

Recruitment Information[ + expand ][ + ]

Recruitment StatusCompleted
Estimated Enrollment23
Estimated Completion DateOctober 2007
Estimated Primary Completion DateOctober 2007
Eligibility Criteria
Inclusion Criteria:

- Males and females aged 40 to 80 years

- Diagnosis of type 2 diabetes mellitus for at least 6 months

- Body mass index (BMI) ≥25kg/m2

- 7%≥HbA1c ≤ 9% at visit 2

- Treatment with metformin between 1.7g/day and 3g/day for at least 12 weeks prior to
visit 1

- Female subjects must be non-pregnant, post-menopausal, surgically sterile or using
effective contraceptive measures

- Written informed consent

Exclusion Criteria:

- Use of any oral antidiabetic drug other than metformin within 12 weeks prior to
screening

- Significant hypersensitivity to thiazolidinediones and sulfonylureas or compounds
with similar chemical structure

- Subjects who have required the use of insulin for glycaemic control at any time in
the past or subject with a history of metabolic acidosis including diabetic
ketoacidosis

- Subjects with clinically significant ongoing oedema or with a history of oedema in
the 12 months prior to visit 1

- Subjects with a history of severe hypoglycaemia

- Anemia defined by haemoglobin concentration <11.0g/dL for males or <10.0g/dL for
females

- Renal disease or renal dysfunction, e.g. as suggested by serum creatinine levels
≥135µmol/L in males and ≥110µmol/L in females

- Presence of clinically significant hepatic disease (i.e. ALT, AST, total bilirubin or
alkaline phosphatase >2.5 times the upper limit of the normal reference range)

- Congestive heart failure (NYHA class I to IV), unstable or severe angina, recent
myocardial infarction

- Subjects with chronic diseases requiring periodic or intermittent treatment with oral
or intravenous corticosteroids

- Female who are lactating, pregnant, or planning to become pregnant

- Any clinically significant abnormality identified at screening which in the judgement
of the investigator makes the subject unsuitable for inclusion in the study (e.g.
physical examination, laboratory test, ECG, ...)

- Use of any investigational agent within 30 days or 5 half-lives (whichever is longer)
prior to enrolment in this study

- Active alcohol, drug or medication abuse within the last 6 months or any condition
that would indicate the likelihood of poor subject compliance

- Subjects not willing to comply with the procedures described in this protocol.
GenderBoth
Ages40 Years
Accepts Healthy VolunteersNo
ContactsNot Provided
Location CountriesNot Provided

Administrative Information[ + expand ][ + ]

NCT Number NCT00318656
Other Study ID Numbers104988
Has Data Monitoring CommitteeNot Provided
Information Provided ByGlaxoSmithKline
Study SponsorGlaxoSmithKline
CollaboratorsNot Provided
Investigators Study Director: GSK Clinical Trials, MD GlaxoSmithKline
Verification DateApril 2009