ADIponectin and Asymmetric Dimethylarginine (ADMA) Level in Type-2 Diabetes Patients After 12 Weeks of Treatment With GlimepiRide And Metformin Fixed Dose Combination

Overview[ - collapse ][ - ]

Purpose Primary Objective: To evaluate the change in plasma levels of adiponectin and Asymmetric Dimethylarginine (ADMA) in type 2 diabetes patients after 12 weeks of treatment with Amaryl-M Secondary Objectives: 1. To assess the role of Amaryl-M in the change of plasma levels of adiponectin and ADMA in type 2 diabetes patients after 8 weeks of therapy 2. To evaluate the brachial-ankle pulse wave velocity (baPWV) change after 8 and 12 weeks of therapy with Amaryl-M 3. To evaluate the efficacy of Amaryl-M in the improvement of patients glycemic level (Fasting blood glucose (FBG) and glycosylated hemoglobin (HbA1c)) 4. To evaluate the change of Tumor Necrosis Factor - Alfa (TNF-Alfa) after 12 weeks of therapy with Amaryl-M 5. To evaluate the Homeostatic Model Assessment of Insulin Resistance (HOMA-IR) change after 12 weeks of therapy with Amaryl-M 6. To evaluate the HOMA-β change after 12 weeks of therapy with Amaryl-M 7. To evaluate the relationship between adiponectin and ADMA level with FBG or HbA1c level
ConditionDiabetes Mellitus, Type 2
InterventionDrug: GLIMEPIRIDE + METFORMIN
PhasePhase 4
SponsorSanofi
Responsible PartySanofi
ClinicalTrials.gov IdentifierNCT01204580
First ReceivedSeptember 16, 2010
Last UpdatedApril 2, 2012
Last verifiedApril 2012

Tracking Information[ + expand ][ + ]

First Received DateSeptember 16, 2010
Last Updated DateApril 2, 2012
Start DateDecember 2010
Estimated Primary Completion DateMarch 2012
Current Primary Outcome MeasuresAdiponectin and Asymmetric Dimethylarginine (ADMA) plasma level changes [Time Frame: from baseline to end of Clinical Trial (12 weeks)] [Designated as safety issue: No]
Current Secondary Outcome Measures
  • Change in adiponectin and Asymmetric Dimethylarginine (ADMA) plasma levels [Time Frame: at week 8] [Designated as safety issue: No]
  • Pulse Wave Velocity (PWV) change [Time Frame: at week 8 and week 12] [Designated as safety issue: No]
  • Change in Fasting Blood Glucose (FBG) [Time Frame: At week 2, 4, 8 and 12] [Designated as safety issue: No]
  • Change in glycosylated hemoglobin (HbA1c) [Time Frame: at week 12] [Designated as safety issue: No]
  • Change in Homeostatic Model Assessment of Insulin Resistance (HOMA-IR) and Homeostatic Model Assessment (HOMA-β) [Time Frame: At week 12] [Designated as safety issue: No]
  • Change of Tumor Necrosis Factor- Alfa (TNF-Alfa) [Time Frame: At week 12] [Designated as safety issue: No]

Descriptive Information[ + expand ][ + ]

Brief TitleADIponectin and Asymmetric Dimethylarginine (ADMA) Level in Type-2 Diabetes Patients After 12 Weeks of Treatment With GlimepiRide And Metformin Fixed Dose Combination
Official TitleADIponectin and ADMA Level in Type-2 Diabetes Patients After 12 Weeks of Treatment With GlimepiRide And Metformin Fixed Dose Combination (Amaryl-M)
Brief Summary
Primary Objective:

To evaluate the change in plasma levels of adiponectin and Asymmetric Dimethylarginine
(ADMA) in type 2 diabetes patients after 12 weeks of treatment with Amaryl-M

Secondary Objectives:

1. To assess the role of Amaryl-M in the change of plasma levels of adiponectin and ADMA
in type 2 diabetes patients after 8 weeks of therapy

2. To evaluate the brachial-ankle pulse wave velocity (baPWV) change after 8 and 12 weeks
of therapy with Amaryl-M

3. To evaluate the efficacy of Amaryl-M in the improvement of patients glycemic level
(Fasting blood glucose (FBG) and glycosylated hemoglobin (HbA1c))

4. To evaluate the change of Tumor Necrosis Factor - Alfa (TNF-Alfa) after 12 weeks of
therapy with Amaryl-M

5. To evaluate the Homeostatic Model Assessment of Insulin Resistance (HOMA-IR) change
after 12 weeks of therapy with Amaryl-M

6. To evaluate the HOMA-β change after 12 weeks of therapy with Amaryl-M

7. To evaluate the relationship between adiponectin and ADMA level with FBG or HbA1c level
Detailed Description
The clinical trial will consist of 2 weeks of selection followed by a 12 weeks (3 months) of
treatment period.
Study TypeInterventional
Study PhasePhase 4
Study DesignAllocation: Non-Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
ConditionDiabetes Mellitus, Type 2
InterventionDrug: GLIMEPIRIDE + METFORMIN
Pharmaceutical form: film coated tablet Route of administration: oral Dose regimen: 1 tablet of 1/250 mg per day
Other Names:
Amaryl-M
Study Arm (s)Experimental: Amaryl-M (Glimepiride + Metformin)
Glimepiride 1 mg and metformin 250 mg are the active ingredients of Amaryl-M 1/250 mg film coated tablets.
Starting dosage is 1 tablet per day, then dosage titration will be based on the result of patient FBG test.

Recruitment Information[ + expand ][ + ]

Recruitment StatusCompleted
Estimated Enrollment40
Estimated Completion DateMarch 2012
Estimated Primary Completion DateMarch 2012
Eligibility Criteria
Inclusion criteria:

- Type 2 diabetes mellitus patients

- Patients with HbA1c >or= 7.0% and < 10.0%

- Patients not currently treated with any oral antidiabetic drugs (OADs)

Exclusion criteria:

- Participation in other investigational Clinical Trial

- Current temporary insulin treatment: gestational diabetes, pancreas cancer, surgery
etc.

- Women who are pregnant and lactating

- Type 1 diabetes mellitus patients

- Treatment with antihypertensive Angiotensin-Converting Enzyme (ACE)-Inhibitors and/or
Angiotensin II Receptor Blocker (ARB) or has just stopped treatment for less than two
months

- Treatment with lipid lowering agent statins or has just stopped treatment for less
than two months

- Known hypersensitive to any of the excipients of Amaryl-M, sulphonylureas,
sulfonamides or biguanide

- Patients with active smoking or history of smoking cessation less than 2 months

- Patients with history of severe hepatic dysfunction

- Patients with serum creatinine >or= 1.5 mg/dL (male) and >or= 1.4 mg/dL (female)

- Patients with congestive heart failure requiring pharmacologic treatment

- Treatment with antifungal agent especially Miconazole

The above information is not intended to contain all considerations relevant to a
patient's potential participation in a clinical trial.
GenderBoth
Ages40 Years
Accepts Healthy VolunteersNo
ContactsNot Provided
Location CountriesIndonesia

Administrative Information[ + expand ][ + ]

NCT Number NCT01204580
Other Study ID NumbersGLMET_L_04735
Has Data Monitoring CommitteeNot Provided
Information Provided BySanofi
Study SponsorSanofi
CollaboratorsNot Provided
Investigators Study Director: Clinical Sciences & Operations Sanofi
Verification DateApril 2012

Locations[ + expand ][ + ]

Sanofi-Aventis Administrative Office
Jakarta, Indonesia