Preservation of Beta-cell Function in Type 2 Diabetes Mellitus

Overview[ - collapse ][ - ]

Purpose The study evaluates the rate beta-cell function decline in newly diagnosed type 2 diabetic patients on two different treatment regimens: insulin and metformin versus glyburide, metformin and pioglitazone.
ConditionType 2 Diabetes Mellitus
InterventionDrug: Metfomin & Insulin
Drug: Metformin, pioglitazone, glyburide
PhaseN/A
SponsorUniversity of Texas Southwestern Medical Center
Responsible PartyUniversity of Texas Southwestern Medical Center
ClinicalTrials.gov IdentifierNCT00232583
First ReceivedSeptember 30, 2005
Last UpdatedJanuary 22, 2013
Last verifiedJanuary 2013

Tracking Information[ + expand ][ + ]

First Received DateSeptember 30, 2005
Last Updated DateJanuary 22, 2013
Start DateNovember 2003
Estimated Primary Completion DateDecember 2011
Current Primary Outcome MeasuresBeta-cell function [Time Frame: 72 mo] [Designated as safety issue: No]
Current Secondary Outcome Measures
  • Insulin resistance (HOMA) [Time Frame: 72 mo] [Designated as safety issue: No]
  • Glycemic control [Time Frame: 72 mo] [Designated as safety issue: No]
  • Weight change [Time Frame: 72 mo] [Designated as safety issue: No]
  • Inflammatory markers [Time Frame: 72 mo] [Designated as safety issue: No]
  • quality of life, treatment satisfaction, and treatment compliance [Time Frame: 72mo] [Designated as safety issue: No]

Descriptive Information[ + expand ][ + ]

Brief TitlePreservation of Beta-cell Function in Type 2 Diabetes Mellitus
Official TitlePreservation of Beta-cell Function in Type 2 Diabetes Mellitus
Brief Summary
The study evaluates the rate beta-cell function decline in newly diagnosed type 2 diabetic
patients on two different treatment regimens: insulin and metformin versus glyburide,
metformin and pioglitazone.
Detailed Description
This is a 72 months long randomized clinical trial longitudinally evaluating beta-cell
function, as well as glycemic control and inflammatory markers in newly diagnosed type 2
diabetic patients on two different treatment regimens: insulin and metformin versus
glyburide, metformin and pioglitazone.
Study TypeInterventional
Study PhaseN/A
Study DesignAllocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
ConditionType 2 Diabetes Mellitus
InterventionDrug: Metfomin & Insulin
Metfomin 1000mg/BID Insulin Novolg 70/30 per protocol titration
Drug: Metformin, pioglitazone, glyburide
Metformin 1000mg/bid Glyburide per protocol titration Pioglitazone 45mg
Study Arm (s)Active Comparator: Metfomin, Insulin & Metfomin, pioglitazone, glyburide

Recruitment Information[ + expand ][ + ]

Recruitment StatusCompleted
Estimated Enrollment58
Estimated Completion DateDecember 2011
Estimated Primary Completion DateDecember 2011
Eligibility Criteria
Inclusion Criteria:

- type 2 diabetes mellitus diagnosed within the prior 2 months

- HbA1c > 7% at the time of inclusion

- willing to perform intensive diabetes management

- able to comply with treatment and follow-up regimen

Exclusion Criteria:

- HbA1c > 8% at time of randomization

- creatinine > 1.5 mg/dl

- liver function tests > 3 times the upper limit of normal

- severe anemia

- severe proliferative retinopathy

- NYHA class III or IV heart failure

- active CAD or recent (within 6 months) MI

- pregnant, willing to get pregnant, or not willing to practice any contraceptive
method

- non-english speaking

- active heavy alcohol or illicit drug users (within past 6 months)

- history of lactic acidosis
GenderBoth
Ages25 Years
Accepts Healthy VolunteersNo
ContactsNot Provided
Location CountriesUnited States

Administrative Information[ + expand ][ + ]

NCT Number NCT00232583
Other Study ID Numbers1003-623
Has Data Monitoring CommitteeNo
Information Provided ByUniversity of Texas Southwestern Medical Center
Study SponsorUniversity of Texas Southwestern Medical Center
CollaboratorsNot Provided
Investigators Principal Investigator: Philip Raskin, MD University of TexasPrincipal Investigator: Ildiko Lingvay, MD University of Texas
Verification DateJanuary 2013

Locations[ + expand ][ + ]

University of Texas Southwestern
Dallas, Texas, United States, 75390