Coronary artery disease, Type 2 diabetes mellitus
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) Type 2 diabetes mellitus patients with acute coronary syndrome and stable condition. 2) Coronary artery disease patients with type 2 diabetes mellitus Patients with coronary artery disease documented by CAG or CT with organic coronary stenosis of >50% in major coronary arteries.
Exclusion criteria
Exclusion criteria: 1) Type 1 diabetes mellitus patients 2) Patients with severe diabetic ketosis, or nonketotic hyperosmolar coma within 6 months preceding enrollment 3) Patients needed treatment by DPP-4 inhibitors 4) Patients receiving GLP-1 receptor analogues injection 5) Patients needed treatment by glinide drugs 6) Patients with active systemic inflammatory disease, severe trauma, before and after the operation, and active hepatic disease 7) Unstable patients with Cerebral infarction, Cerebral hemorrhage, Subarachnoid hemorrhage, and transient ischemic attack within 1 month preceding enrollment 8) Patients with heart failure (New York Heart Association functional class III and IV, BNP more than 400pg/mL, or left ventricular ejection fraction <35%) 9) Patients planed coronary and peripheral artery revascularization 10) Patients with peripheral ischemic ulcer and gangrene 11) Patients treated by DPP-4 inhibitors at enrollment 12) Patients with pregnant, lactating, or planned or possible pregnant 13) Patients with a history of hypersensitivity to study drug 14) Ineligible patients for any other reasons
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Cardiovascular events (composite of cardiovascular death, non-fatal myocardial infarction, unstable angina pectoris, non-fatal ischemic stroke, hospitalization fordecompensated heart failure, coronary revascularization, deep vein thrombosis, pulmonary embolism, or hospitalization for peripheral artery disease) | — |
Secondary
| Measure | Time frame |
|---|---|
| All cause death Hypoglycemic and hyperglycemic coma Event The change of parameters (GLP-1, BNP, high sensitivity CRP, IL-6 and other biochemical markers, blood pressure, body weight, heart rate, and waist circumference) Coronary angiography finding (Percent atheroma volume, the change of percent atheroma volume) The change of parameters in echocardiography Endothelial function assessed by reactive hyperemia peripheral arterial tonometry | — |
Countries
Japan
Contacts
Kumamoto University, Faculty of Life Sciences Department of Cardiovascular Medicine