Type 2 diabetes
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age between 20 and 85 years 2. Both gender 3. Treated with metformin +/- basal insulin 4. Stable treatment for diabetes over 8 weeks 5. Fasting plasma glucose level between 70 mg/dL and 180 mg/dL at screening 6. HbA1c less than 9.5% at screening
Exclusion criteria
Exclusion criteria: 1. Treated with incretin-based therapy 2. Type 1 diabetes or secondary forms of diabetes 3. Renal dysfunction (eGFR <35 ml/min/1.73m2) 4. Hepatic dysfunction (AST and/or ALT >3X upper limit of normal) 5. Malignant neoplasm 6. Severe infection or injury 7. Hypersensitivity to dulaglutide or trelagliptin 8. Pregnant or willing to be pregnant during this study 9. Unable to obtain informed consent to this study 10. Unable to maintain compliance during this study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Comparing the two groups of change in beta-cell function over the 24-week treatment period, measured using the disposition index. | — |
Secondary
| Measure | Time frame |
|---|---|
| Change in next items between baseline and 24 weeks of treatment. 1. HOMA2-%beta (%) 2. HOMA2-IR 3. CPR-index 4. Change in CPR during glucagon stimulation test 5. Area under the curve of C-peptide during glucagon stimulation test 6. HbA1c 7. Glycated alubumin 8. Fasting plasma glucose 9. Self-measured postprandial glucose 10. Systolic blood pressure 11. Diastolic blood pressure 12. Pulse rate 13. Lipid profile 14. eGFR 15. Urine albumin/creatinine ratio 16. Basal insulin dose 17. Body weight 18. Waist circumference 19. Fat mass 20. Skeletal muscle mass 21. Hypoglycemic events 22. Medication compliance 23. Other adverse events | — |
Countries
Japan
Contacts
Graduate School of Medicine, Yokohama City University Department of Endocrinology and Metabolism