Patients with diabetes mellitus type 2 inadequately controlled on metformin monotherapy
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - type 2 diabetes - age 40-80 years - stable dose of = 1500 mg metformin for > 6 weeks - HbA1c = 7 % - = 9.0% for age =65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: Type 1 diabetes previous treatment with insulin, GLP1 analogues and SU - HbA1c > 9 % or FPG > 15 mmol/l at randomization - renal impairment with eGFR < 60 ml/min - medical history of severe hypoglycemia < 1 year - preexisting atrial fibrillation, absolute ventricular arrhythmia, AV block III degree, pace-maker - major cardiovascular event in medical history < 6 months - heart failure NYHA = 3 - contraindications to glimepiride and sitagliptin or to any excipients according to product information - acute infection diseases - cognitive deficits - Pregnant or breast-feeding woman and woman without adequate method of contraception. - Patients who are disable to read and understand informative aspects of the trial
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: Hypoglycemic episodes (HE) and time spent below critical values are the primary objectives of this study. We will calculate overall episodes/time (5 days) and nocturnal episodes. Analysis will be performed as change between baseline and EOT by group and between group comparison at study end for CGMS and ECG results.;Secondary Objective: - overall VES (per patient, couplets per patient, triplets per patient) - VT per patient - glycemic variability - biomarkers of inflammation - cardiovascular risk factors Analysis will be performed as change between baseline and EOT by group and between group comparison at study end for CGMS and ECG results.;Primary end point(s): - Hypoglycemic episodes and time of episodes;Timepoint(s) of evaluation of this end point: Analysis will be performed as change between baseline (Week 0) and EOT (week 12 +/-3days) by group and between group comparison at study end for CGMS and ECG results. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): - nocturnal ventricular arrhythmias - glycemic variability - biomarkers of inflammation - cardiovascular risk factors;Timepoint(s) of evaluation of this end point: Analysis will be performed as change between baseline (Week 0) and EOT (week 12 +/-3days) by group and between group comparison at study end for CGMS and ECG results. | — |
Countries
Germany
Contacts
GWT-TUD GmbH