The Effects of Hypolipemic and Antidiabetic Treatment on Cytokines

Overview[ - collapse ][ - ]

Purpose The study is planned to show whether combined hypolipemic and antidiabetic therapy with various daily dosages influence the fasting plasma glucose, insulin sensitivity and proinflammatory cytokines in diabetic and dyslipidemic subjects.
ConditionDiabetes
Dyslipidemia
Inflammation
Cytokines
InterventionDrug: Metformin 1000mg, simvastatin 10mg and fenofibrate 100mg
PhaseN/A
SponsorMedical University of Silesia
Responsible PartyMedical University of Silesia
ClinicalTrials.gov IdentifierNCT01101204
First ReceivedApril 7, 2010
Last UpdatedJuly 5, 2012
Last verifiedJuly 2012

Tracking Information[ + expand ][ + ]

First Received DateApril 7, 2010
Last Updated DateJuly 5, 2012
Start DateJuly 2012
Estimated Primary Completion DateDecember 2012
Current Primary Outcome MeasuresAntiinflammatory effects of combined antidiabetic and hypolipemic treatment [Time Frame: 30 days] [Designated as safety issue: Yes]As inflammatory effects we measure the difference in serum concentration before and after the treatment of the following proinflammatory cytokines:
Interleukin 1
TNF alpha
Interleukin 6
Interleukin 10
hsCRP
Current Secondary Outcome Measures
  • Insulin sensitivity [Time Frame: 30 days] [Designated as safety issue: Yes]Assesed by HOMA (Homeostatic Model of Assessment)
  • Coagulation parameters [Time Frame: 30 days] [Designated as safety issue: Yes]Assessed using:
    Fibrinogen
    PAI-1

Descriptive Information[ + expand ][ + ]

Brief TitleThe Effects of Hypolipemic and Antidiabetic Treatment on Cytokines
Official TitleEffects of High and Low Doses of Metformin, Fenofibrate and Simvastatin, Administered Together and in Sequence With Lifestyle Intervention on Lipid Profile, Glucose Metabolism, Low-grade Inflammation and Hemostasis in Patient's Blood Plasma in Type 2 Diabetic Patients With Serious Mixed Dyslipidemia
Brief Summary
The study is planned to show whether combined hypolipemic and antidiabetic therapy with
various daily dosages influence the fasting plasma glucose, insulin sensitivity and
proinflammatory cytokines in diabetic and dyslipidemic subjects.
Detailed DescriptionNot Provided
Study TypeInterventional
Study PhaseN/A
Study DesignAllocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Basic Science
Condition
  • Diabetes
  • Dyslipidemia
  • Inflammation
  • Cytokines
InterventionDrug: Metformin 1000mg, simvastatin 10mg and fenofibrate 100mg
Patient will take three pill consisting of metformin 1000mg, simvastatin 10mg and fenofibrate 100mg.
Study Arm (s)
  • Active Comparator: M1000 S10 F100
    metformin 1000mg, fenofibrate 100mg and simvastatin 10mg
  • Active Comparator: M1000 S10 F267
    metformin 1000mg, fenofibrate 267mg and simvastatin 10mg
  • Active Comparator: M1000 S40 F100
    metformin 1000mg, fenofibrate 100mg and simvastatin 40mg
  • Active Comparator: M1000 S40 F267
    metformin 1000mg, fenofibrate 267mg and simvastatin 40mg
  • Active Comparator: M2500 S10 F100
    metformin 2500mg, fenofibrate 100mg and simvastatin 10mg
  • Active Comparator: M2500 S10 F267
    metformin 2500mg, fenofibrate 267mg and simvastatin 10mg
  • Active Comparator: M2500 S40 F267
    metformin 2500mg, fenofibrate 267mg and simvastatin 40mg
  • Active Comparator: M2500 S40 F100
    metformin 2500mg, fenofibrate 100mg and simvastatin 40mg
  • Placebo Comparator: Therapeutic Lifestyle Change
    Only therapeutic lifestyle change

Recruitment Information[ + expand ][ + ]

Recruitment StatusNot yet recruiting
Estimated Enrollment200
Estimated Completion DateDecember 2012
Estimated Primary Completion DateOctober 2012
Eligibility Criteria
Inclusion Criteria:

- Age (35-64yr)

- Primary hyperlipidemia (Total cholesterol >200mg/dl, Triglycerides >150mg/dl)

- Type 2 Diabetes

- For women:

- Menopause (>12 months)

- Post hysterectomy

- Mechanical contraception

- Obtained informed consent

Exclusion Criteria:

- Secondary hyperlipidemia

- Morbid obesity (BMI>40kg/m2)

- Alcohol or drug abuse

- Acute or chronic inflammation

- Congestive Heart Failure (NYHA III or IV)

- Unstable Ischaemic Heart Disease

- Moderate or severe hypertension

- Cancer in less than 5 years

- Chronic kidney disease (stage III-V)

- Liver failure

- Oral contraception

- Not compliant patient

- Laboratory results:

- alanine transferase (>3xULN)

- creatine kinase (>5xULN)

- haemoglobin (<10/dl)

- PLT (<100G/l)

- WBC (<3,5G/l or >10G/l)
GenderBoth
Ages35 Years
Accepts Healthy VolunteersAccepts Healthy Volunteers
ContactsContact: Krzysztof Labuzek, MD, PhD
+48 32 252 39 02
lbuldak@gmail.com
Location CountriesPoland

Administrative Information[ + expand ][ + ]

NCT Number NCT01101204
Other Study ID NumbersMSF
Has Data Monitoring CommitteeNo
Information Provided ByMedical University of Silesia
Study SponsorMedical University of Silesia
CollaboratorsNot Provided
Investigators Not Provided
Verification DateJuly 2012

Locations[ + expand ][ + ]

Department of Clinical Pharmacology
Katowice, Poland, 40752
Contact: Krzysztof Labuzek, MD, PhD | +48 32 252 39 02 | lbuldak@gmail.com
Sub-Investigator: Łukasz Bułdak, MD
Not yet recruiting