Type 2 diabetes mellitus with hyperlipidemia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) Type 2 diabetes mellitus patients, those who received both DPP IV inhibitors and HMG-CoA inhibitors, and have HbA1c level of < 8.0% (NGSP) and LDL-C level of < 120mg/dl. 2) Patients have fasting TG level of >=150mg/dl, those who received diet and exercise therapy more than 12 weeks, and clinically determined to have an additional pharmacotherapy. 3) Patients aged from 20 to 80 years at the baseline 4) Patients provided written informed consent
Exclusion criteria
Exclusion criteria: Among the patients, those who judged as the criteria below are not eligible for the trial. 1) TG>=1000mg/dl or HDL-C =<30mg/dl 2) Received Fibrates 3) Received Pioglitazone 4) 0mega-3 fatty acids contraindication status (Bleeding: Hemophilia, Peptic ulcer, etc) 5) Hypersensitive history to EPA formulation or EPA/DHA formulation 6) Familial combined hyper low-density lipoproteinaemia 7) Type 1 diabetes mellitus 8) Severe diabetic ketosis, diabetic coma or total coma within 6 months 9) Severe infectious disease, before or after surgery, and sever trauma 10) Moderate renal dysfunction (Serum creatinine (mg/dl): male, 1.5=<; female, 1.3=<) 11) Occurrence of stroke, AMI, and the other severe cardiovascular events that lead patients to be hospitalized within 6 months 12) Concomitant malignant disease 13) Pregnant, lactating, possibly pregnant or planning to become pregnant women 14) Without written informed consent 15) Patients considered as inadequate by the principal investigator
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The change of parameters in LDL particle size (for 12 weeks with administration of EPA/DHA) | — |
Secondary
| Measure | Time frame |
|---|---|
| The change of - LDL particle concentration - LDL particle number - Cholesterol and triglyceride concentration, free glycerol concentration - Other cholesterol and triglyceride particle sizes - Other cholesterol and triglyceride particle concentration - Other cholesterol and triglyceride particle number - Lipoprotein Insulin Resistance Score (LPIR) - Inflammation Marker (GlycA) - EPA/AA ratio, DHA/AA ratio - Lipid profile (LDL-C, HDL-C, TG, etc) - HbA1c - Fasting blood glucose - Safety assessment (Renal function, Liver function, etc) | — |
Countries
Japan
Contacts
Chiba University Hospital Diabetes, Metabolism and Endocrinology