Comparison of Metformin and Repaglinide Monotherapy in the Treatment of New Onset Type 2 Diabetes Mellitus in China

Overview[ - collapse ][ - ]

Purpose The prevalence of diabetes is up to 11.6% according to the data released in 2013 by the China Noncommunicable Disease Surveillance Group.Less than 40% of all diagnosed-diabetes were well controlled.Among all kinds of antidiabetic medications, metformin is recommended as the first-line antihyperglycemic management for type 2 diabetes. Insulin secretagogue,repaglinide is still one of the most widely used antidiabetic medications in China. However, there were few studies comparing the effects of these two medications on glycaemic control in Chinese patients with type 2 diabetes.
ConditionDiabetes Mellitus, Type 2
InterventionDrug: Repaglinide
Drug: Metformin
PhasePhase 4
SponsorRenJi Hospital
Responsible PartyRenJi Hospital
ClinicalTrials.gov IdentifierNCT02040246
First ReceivedDecember 25, 2013
Last UpdatedJanuary 16, 2014
Last verifiedJanuary 2014

Tracking Information[ + expand ][ + ]

First Received DateDecember 25, 2013
Last Updated DateJanuary 16, 2014
Start DateFebruary 2009
Estimated Primary Completion DateJanuary 2014
Current Primary Outcome MeasuresHbA1c change from baseline [Time Frame: week 12] [Designated as safety issue: No]
Current Secondary Outcome MeasuresNot Provided

Descriptive Information[ + expand ][ + ]

Brief TitleComparison of Metformin and Repaglinide Monotherapy in the Treatment of New Onset Type 2 Diabetes Mellitus in China
Official TitleComparison of Metformin and Repaglinide Monotherapy in the Treatment of New Onset Type 2 Diabetes Mellitus in China
Brief Summary
The prevalence of diabetes is up to 11.6% according to the data released in 2013 by the
China Noncommunicable Disease Surveillance Group.Less than 40% of all diagnosed-diabetes
were well controlled.Among all kinds of antidiabetic medications, metformin is recommended
as the first-line antihyperglycemic management for type 2 diabetes. Insulin
secretagogue,repaglinide is still one of the most widely used antidiabetic medications in
China. However, there were few studies comparing the effects of these two medications on
glycaemic control in Chinese patients with type 2 diabetes.
Detailed DescriptionNot Provided
Study TypeInterventional
Study PhasePhase 4
Study DesignAllocation: Randomized, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
ConditionDiabetes Mellitus, Type 2
InterventionDrug: Repaglinide
Initial dose of repaglinide 0.5 mg once daily. During the dose titration period of 1 week, the dose of repaglinide could be titrated up to 1 mg three times daily, according to fasting glucose values. The minimal dose was repaglinide 0.5 mg three times daily.
Drug: Metformin
Initial dose of metformin 250mg once daily. During the dose titration period of 1 week, the dose could be titrated up to metformin 500 mg three times daily, according to fasting glucose values.
Study Arm (s)
  • Experimental: Repaglinide
    Initial dose of repaglinide 0.5 mg once daily. During the dose titration period of 1 week, the dose of repaglinide could be titrated up to 1 mg three times daily, according to fasting glucose values. The minimal dose was repaglinide 0.5 mg three times daily.
  • Active Comparator: Metformin
    Initial dose of metformin 250mg once daily. During the dose titration period of 1 week, the dose could be titrated up to metformin 500 mg three times daily, according to fasting glucose values.

Recruitment Information[ + expand ][ + ]

Recruitment StatusCompleted
Estimated Enrollment107
Estimated Completion DateJanuary 2014
Estimated Primary Completion DateDecember 2013
Eligibility Criteria
Inclusion Criteria:

- All participants with type 2 diabetes, diagnosed by World Health Organization
criteria, were recruited from outpatient of the Endocrinology Department in Shanghai
Renji Hospital

Exclusion Criteria:

- Patients who had a history of coronary heart disease, abnormal renal function, active
liver disease, chronic metabolic acidosis (including diabetic ketoacidosis), or
severe chronic gastrointestinal disease.
GenderBoth
Ages40 Years
Accepts Healthy VolunteersNo
ContactsNot Provided
Location CountriesChina

Administrative Information[ + expand ][ + ]

NCT Number NCT02040246
Other Study ID NumbersNSFC-81070651
Has Data Monitoring CommitteeYes
Information Provided ByRenJi Hospital
Study SponsorRenJi Hospital
CollaboratorsNot Provided
Investigators Not Provided
Verification DateJanuary 2014

Locations[ + expand ][ + ]

Renji Hospital
Shanghai, Shanghai, China, 200127
Renji Hospital
Shanghai, China, 200127