Health Condition 1: E119- Type 2 diabetes mellitus without complications
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Established Type 2 DM according to ADA diagnostic criteria HbA1c between 7.0% and 10.0% with existing oral antidiabetic drugs (OADs) and Insulin Willing and able to provide written informed consent.
Exclusion criteria
Exclusion criteria: History of serious hypersensitivity reaction to any DPP-4 inhibitor. Pregnant or breastfeeding women. Renal impairment with estimated GFR less than 50 mL/min/1.73 m . Cardiac rhythm disorders such as atrial fibrillation atrial flutter implanted permanent pacemaker sick sinus syndrome or atrioventricular block of second degree or higher. Recent cardiovascular or cerebrovascular events-Acute Myocardial Infarction Unstable Angina or Cerebrovascular Accident within the last 6 months. Heart failure- NYHA Class III or IV. Severe hepatic dysfunction- Child-Pugh Class C or baseline AST/ALT more than 3 times upper limit of normal. History of chronic pancreatitis. History of Bullous Pemphigoid. Body Mass Index (BMI) more than 40 kg/m . Concomitant medications affecting cardiac autonomic function (e.g. SGLT2 inhibitors GLP-1 receptor agonists). Tobacco alcohol or substance abuse. Known malignancy or ongoing chemotherapy. Active infectious diseases such as HIV Hepatitis B or Hepatitis C.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To evaluate the effect of Trelagliptin vs Teneligliptin on cardiac autonomic function as an add-on to standard oral antidiabetic therapy in patients with T2DM (HbA1c more than 7% to less than 9 %) from baseline to 24 weeks. Timepoint: 6 months | — |
Secondary
| Measure | Time frame |
|---|---|
| To assess change in HbA1c, FBS, PPBS, and BMI from baseline to week 24. To assess change in insulin resistance markers (HOMA-IR, TyG index, TG/HDL, METS-IR) from baseline to week 24. To evaluate any adverse effects during the study period. Timepoint: 6 months | — |
Countries
India