Myocardial Perfusion in Type 2 Diabetes

Overview[ - collapse ][ - ]

Purpose The investigators aimed to evaluate microvascular circulation with novel method: real-time myocardial contrast echocardiography in patients with type 2 diabetes and normal coronary arteries. Myocardial blood flow reserve will be determined by quantitative contrast Stress echocardiography. Diabetic individuals will be evaluate in a decompensated state (Phase 1) and after optimization of medical treatment four months later (Phase 2).
ConditionType 2 Diabetes
InterventionDrug: Metformin
PhasePhase 1/Phase 2
SponsorUniversity of Sao Paulo General Hospital
Responsible PartyUniversity of Sao Paulo General Hospital
ClinicalTrials.gov IdentifierNCT01043965
First ReceivedJanuary 6, 2010
Last UpdatedJanuary 6, 2010
Last verifiedAugust 2005

Tracking Information[ + expand ][ + ]

First Received DateJanuary 6, 2010
Last Updated DateJanuary 6, 2010
Start DateAugust 2005
Estimated Primary Completion DateAugust 2009
Current Primary Outcome Measuresmyocardial blood flow velocity, myocardial blood flow reserve [Time Frame: 3 months] [Designated as safety issue: No]
Current Secondary Outcome MeasuresNot Provided

Descriptive Information[ + expand ][ + ]

Brief TitleMyocardial Perfusion in Type 2 Diabetes
Official TitleEvaluation of Myocardial Perfusion and Microvascular Reserve in Real-time Utilizing Myocardial Contrast Echocardiography in Type 2 Diabetes.
Brief Summary
The investigators aimed to evaluate microvascular circulation with novel method: real-time
myocardial contrast echocardiography in patients with type 2 diabetes and normal coronary
arteries.

Myocardial blood flow reserve will be determined by quantitative contrast Stress
echocardiography. Diabetic individuals will be evaluate in a decompensated state (Phase 1)
and after optimization of medical treatment four months later (Phase 2).
Detailed Description
Early stages of epicardial atherosclerosis in patients with type 2 diabetes are associated
with an impairment in endothelium-dependent dilation of the coronary microvasculature,
indicating that the pathophysiological consequences of atherosclerosis may extend into the
coronary microcirculation.

The investigators will evaluate three parameters of myocardial quantification with contrast
Stress echocardiography and correlate with HbA1C levels.
Study TypeInterventional
Study PhasePhase 1/Phase 2
Study DesignAllocation: Non-Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Single Blind (Investigator), Primary Purpose: Diagnostic
ConditionType 2 Diabetes
InterventionDrug: Metformin
Metformin 850mg
Other Names:
Glucophage
Study Arm (s)
  • Active Comparator: Diabetes
    Type 2 diabetes patients without obstructive coronary disease. Interventional group: lifestyle changes and treatment with metformin.
  • No Intervention: Control
    Control group - normal, healthy individuals.

Recruitment Information[ + expand ][ + ]

Recruitment StatusCompleted
Estimated Enrollment61
Estimated Completion DateAugust 2009
Estimated Primary Completion DateAugust 2009
Eligibility Criteria
Inclusion Criteria:

- Type 2 diabetes mellitus

- Normal echocardiogram

- Absence of obstructive epicardial coronary disease

Exclusion Criteria:

- Obstructive coronary disease

- Heart valve disease

- COPD

- Cardiac Arrhythmias

- Cardiomyopathy
GenderBoth
Ages30 Years
Accepts Healthy VolunteersAccepts Healthy Volunteers
ContactsNot Provided
Location CountriesNot Provided

Administrative Information[ + expand ][ + ]

NCT Number NCT01043965
Other Study ID Numbers0925
Has Data Monitoring CommitteeYes
Information Provided ByUniversity of Sao Paulo General Hospital
Study SponsorUniversity of Sao Paulo General Hospital
CollaboratorsFundação de Amparo à Pesquisa do Estado de São Paulo
Investigators Study Director: Wilson Mathias Jr, Md, PhD Heart Institute - Sao Paulo - Brazil
Verification DateAugust 2005