Our primary objective is to elucidate whether increase in cGMP mediated by acute administration of tadalafil, a selective well tolerated PDE-5 inhibitor, may affect capillary recruitment and muscle glucose uptake in type 2 diabetes subjects following a mixed meal. Our secondary objective is to elucidate whether tadalafil may modulate arterial stiffness as indicated by changes in pulse wave velocity. MedDRA version: 9.1 Level: LLT Classification code 10012613 Term: Diabetes mellitus non-insulin
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: To be acceptable for the study the type 2 diabetic subjects have to fulfill the following criteria: 1) Post-menopausal state, defined as natural amenorrhea for at least 12 months, age 52-67 yr or males 40-65 years; 2) Type 2 diabetes diagnosed or indicated by fasting or 2-hr OGTT plasma glucose levels (diabetes duration =65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: 1) Subjects with concurrent use of nitrates or NO donors, history of coronary heart or cerebrovascular disease, cardiac failure (stages NYHA II-IV), uncontrolled hypertension, significant diabetic complications, and inadequate glycemic control (HbA1c > 6.5%, ref values: 3.5-5.3%) will be excluded; 2) Patients on glitazones, insulin, beta-blockers, ACE-inhibitors, Angiotensin II Receptor subtype 1 Blocker or corticosteroids will be excluded.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To elucidate whether increase in cGMP mediated by acute administration of tadalafil, a selective well tolerated PDE-5 inhibitor, may affect capillary recruitment and muscle glucose uptake in type 2 diabetes subjects following a mixed meal. ;Secondary Objective: To elucidate whether tadalafil may modulate arterial stiffness as indicated by changes in pulse wave velocity. ;Primary end point(s): The primary endpoints are PS for glucose in muscle and uptake of glucose in the brachioradialis muscle following a mixed meal as well as Area Under the Curve (AUC) for plasma glucose following the meal. If the data suggest an enhanced glucose uptake induced by tadalafil there may be a new indication for the drug. The secondary endpoint will be to estimate the effects of tadalafil on indices of arterial stiffness. | — |
Countries
Sweden