type 2 diabetes
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) Type 2 diabetic patients who should be treated with anti-diabetic agents recommended by Japan Diabetes Society Guidelines 2) Outpatients 3) Subjects who gave written informed consent
Exclusion criteria
Exclusion criteria: 1) Allergy against vildagliptin 2) Type 1 diabetes or secondary diabetes 3) Under administration of DPP-4 inhibitors 4) Patients with diabetic retinopathy who need or underwent light coagulation and vitreous surgery for diabetic retinopathy within 1 year 5) History of stroke, acute coronary syndrome or any cardiovascular diseases needed for inpatient-treatments within 6 months 6) Either level of aspartate aminotransaminase or alanine aminotransferase exceeds three-fold of the normal limits 7) End stage renal disease 8) Symptomatic (NYHA III or IV) congestive heart failure 9) Malignancies or other diseases with poor prognosis 10) Pregnant 11) Severe infectious/traumatic diseases 12) Subjects whose doctor in charge do not agree to join the trial
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| (1) Carotid atherosclerosis evaluated by ultrasound (Intima-media thickness; IMT (meanIM/maxIMT) and plaque score) (2) Area and thickness of atherosclerotic plaques in aorta detected by magnetic resonance imaging (MRI) 12/24 months after randomization | — |
Secondary
| Measure | Time frame |
|---|---|
| (1) Flow-mediated vasodilation in forearm (2) ankle/brachial index and cardio ankle vascular index (3) Markers for diabetes (hemoglobin A1c, glycoalbumin, blood glucose) (4) Serum lipids (5) Markers indicating obesity (e.g. adiponectin) (6) Markers indicating inflammation (e.g. high sensitive CRP) (7) Markers indicating oxidative stress (8-OHdG/ MDA-LDL) (8) Markers indicating chronic renal diseases (urine albumin/L-FABP) (9) Blood/urine urate levels (10) body weight/waist circumference (11) blood pressures | — |
Countries
Japan
Contacts
National Defense Medical College Department of Internal Medicine