Diabetes and Cardiac risk benefit in South Asians. MedDRA version: 14.1 Level: LLT Classification code 10063624 Term: Type II diabetes mellitus inadequate control System Organ Class: 10027433 - Metabolism and nutrition disorders
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Type 2 diabetes of at least 6 months duration; HbA1c should be 7-9%. 2. Established on metformin and sulphonylurea combination therapy for at least 3 months 3. Body mass index from 25 kg/m2 to 45 kg/m2 4. Stable body weight (=65 years) yes F.1.3.1 Number of subjects for this age range 33
Exclusion criteria
Exclusion criteria: 1. Nursing mothers, pregnant women (excluded by a negative pregnancy test). 2. Patients with a history of drug/alcohol abuse 3. Abnormal liver function tests 4. Severe chronic renal failure (GFR<50 ml/min) or diabetic nephropathy 5. previous/ known hypersensivity to Vildalgliptin or any other substance in the study medic ation. 6. Failure to provide informed consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: Patients will be given Vildagliptin 50mg daily and metformin or continue with their sulphonylurea and metformin algorithm to determine if Vildagliptin is effective in reducing cardiac risk profiles in South Asians. Patients diagnosed with Type II diabetes will be recruited into a 12-week, open labeled, randomized, case-controlled clinical study;Secondary Objective: The secondary outcome exploratory endpoints include cardiac autonomic function and continuous glucose monitoring testing and standardized quality of life measures. Safety measures will include glycosolated haemaglobin, lipid profiles, thyroid function tests, fasting glucose, liver function tests and full blood count. Further secondary measures include oxidative stress measurements.;Primary end point(s): We hypothesise that the enhanced cardiac risk in South Asians with T2DM reflects in part, increased glycaemic excursions and resultant periods of hypoglycaemia interspersed with episodes of oxidative stress. We also propose that vildagliptin by reducing glycaemic variability will decrease hypoglycaemia and reduce oxidative stress in diabetes to a greater extent than that achieved using sulphonylurea therapy. Ultimately we propose that this will translate into improved cardiovascular outcomes for South Asian patients with diabetes;Timepoint(s) of evaluation of this end point: 3months | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): The secondary outcome measure is the difference in MAGE in the vildagliptin and sulphonylurea treated subjects;Timepoint(s) of evaluation of this end point: 3months | — |
Countries
United Kingdom
Contacts
The University of Birmingham