Effect of Liraglutide on Epicardial Fat in Subjects With Type 2 Diabetes

Overview[ - collapse ][ - ]

Purpose The purpose of this research study is to learn about the effect of Liraglutide, (Victoza®), on the fat surrounding the heart.Excessive amount of the fat around the heart is common in people with type 2 diabetes and can be associated with poor sugar control. Liraglutide is an injectable prescription medicine that can improve blood sugar control in adults with type 2 diabetes.
ConditionType 2 Diabetes
Overweight
Obesity
InterventionDrug: Liraglutide
Drug: Metformin
PhasePhase 4
SponsorUniversity of Miami
Responsible PartyUniversity of Miami
ClinicalTrials.gov IdentifierNCT02014740
First ReceivedDecember 12, 2013
Last UpdatedFebruary 7, 2014
Last verifiedFebruary 2014

Tracking Information[ + expand ][ + ]

First Received DateDecember 12, 2013
Last Updated DateFebruary 7, 2014
Start DateMarch 2014
Estimated Primary Completion DateSeptember 2015
Current Primary Outcome MeasuresEchocardiographic epicardial fat thickness [Time Frame: 6 months] [Designated as safety issue: No]Echocardiographic epicardial fat thickness is an non invasive, inexpensive, reproducible and direct measure of visceral fat. In fact, epicardial fat strongly reflects the intra-abdominal and intra-myocardial fat accumulation as measured by magnetic resonance imaging procedures.
Current Secondary Outcome MeasuresNot Provided

Descriptive Information[ + expand ][ + ]

Brief TitleEffect of Liraglutide on Epicardial Fat in Subjects With Type 2 Diabetes
Official TitleEffect of Liraglutide on Epicardial Fat in Subjects With Type 2 Diabetes
Brief Summary
The purpose of this research study is to learn about the effect of Liraglutide, (Victoza®),
on the fat surrounding the heart.Excessive amount of the fat around the heart is common in
people with type 2 diabetes and can be associated with poor sugar control. Liraglutide is
an injectable prescription medicine that can improve blood sugar control in adults with type
2 diabetes.
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
Condition
  • Type 2 Diabetes
  • Overweight
  • Obesity
InterventionDrug: Liraglutide
Liraglutide (Victoza) is an acylated analogue of glucagon-like peptide-1 (GLP-1) indicated for the treatment of type 2 diabetes mellitus• L-group will be started and dose-escalated to 1.8mg sc once daily according to below schedule: Liraglutide will be administered with a starting dose of 0.6 mg (after a least one week) and subsequent increments to 1.2 mg (after a least one week) and to 1.8 mg (after at least a week on 1.2 mg). L-group subjects will need to achieve the final dose of 1.8 mg by at least three weeks from the starting dose. Subjects who would not be able to achieve the dose of 1.8 mg (due to potential side effects) will be advised to lower the dose to 1.2 mg. Metformin regimen will be continued. .
Drug: Metformin
Study Arm (s)
  • Experimental: Liraglutide
    • L-group will be started and dose-escalated to 1.8mg sc once daily according to below schedule: Liraglutide will be administered with a starting dose of 0.6 mg (after a least one week) and subsequent increments to 1.2 mg (after a least one week) and to 1.8 mg (after at least a week on 1.2 mg). L-group subjects will need to achieve the final dose of 1.8 mg by at least three weeks from the starting dose. Subjects who would not be able to achieve the dose of 1.8 mg (due to potential side effects) will be advised to lower the dose to 1.2 mg. Metformin regimen will be continued.
  • Active Comparator: Metformin
    M-group will be treated with Metformin for the duration of the study. Metformin (from 500 mg twice daily to a maximum of 1000 mg twice daily) regimen will be continued to achieve fasting glucose between 80 and 140 mg/dl

Recruitment Information[ + expand ][ + ]

Recruitment StatusNot yet recruiting
Estimated Enrollment100
Estimated Completion DateSeptember 2015
Estimated Primary Completion DateDecember 2014
Eligibility Criteria
Inclusion Criteria:

- Type 2 diabetes, as defined by ADA criteria

- HbA1c < 8% measured at least 1 month prior to this study

- BMI ≥27 kg/m2

- Pre-treatment with Metformin

- Age > 18 and < 65 years old

Exclusion Criteria:

- • Known contra-indications to Liraglutide, such as previous history of pancreatitis
or medullary thyroid carcinoma, personal or family history of MEN, in accordance with
risks and safety information included in the latest updated Prescribing Information
for Victoza®

- Type 1 diabetes, as defined by American Diabetes Association (ADA) criteria

- Insulin dependent or treated type 2 diabetes

- Current use of other injectable incretins

- History of diabetes ketoacidosis

- Advanced Chronic Kidney Disease, as defined by Glomerular Filtration Rate (GFR)
< 30 mL/min/1.73m2

- Clinical signs or symptoms of New York Heart Association (NYHA) class III-IV
heart failure

- Clinical or laboratory evidences of chronic active liver diseases

- Acute or chronic infective diseases

- Cancer or chemotherapy

- Current use of systemic corticosteroids or in the 3 months prior this study

- Known or suspected allergy to Liraglutide, excipients, or related products

- Pregnant, breast-feeding or the intention of becoming pregnant

- Females of childbearing potential who are not using adequate contraceptive
methods
GenderBoth
Ages18 Years
Accepts Healthy VolunteersNo
ContactsContact: Gianluca Iacobellis, MD PhD
giacobellis@med.miami.edu
Location CountriesUnited States

Administrative Information[ + expand ][ + ]

NCT Number NCT02014740
Other Study ID Numbers20120811
Has Data Monitoring CommitteeNo
Information Provided ByUniversity of Miami
Study SponsorUniversity of Miami
CollaboratorsNot Provided
Investigators Not Provided
Verification DateFebruary 2014

Locations[ + expand ][ + ]

University of Miami
Miami, Florida, United States, 33136
Principal Investigator: Gianluca Iacobellis, MD PhD
Not yet recruiting