Diabetes Mellitus, Type 2
Conditions
Keywords
Type 2 diabetes, vildagliptin, incretin effect, metformin
Brief summary
This mechanistic study will evaluate the effect of vildagliptin on glucose-stimulated insulin secretion to improve the incretin effect in patients with type 2 diabetes.
Interventions
vildagliptin 100 mg
matching placebo
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients with type 2 diabetes on metformin for at least 3 months and have been on a stable dose of at least 1500 mg daily for a minimum of 4 weeks * Agreement to maintain the same dose of metformin throughout the study * Body mass index (BMI) in the range of 22-35 kg/m2 * HbA1c in the range of 7.0 to 9.0% * FPG \<200 mg/dl (11.1 mmol/L) * Agreement to maintain prior diet and exercise habits during the full course of the study * Ability to comply with all study requirements and signed informed consent to participate in the study
Exclusion criteria
* A history of type 1 diabetes * A history of acute metabolic diabetic complications * Evidence of significant diabetic complications * Insulin treatment for longer than 10 days within the past 6 months * Treatment with any oral anti-diabetic other than metformin within 3 months prior to visit 1 Other protocol-defined inclusion/
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in C-peptide IAUC (0-4hr) | 2 weeks after treatment |
Secondary
| Measure | Time frame |
|---|---|
| Change in insulin secretion rate (ISR) relative to glucose (0-2hr) | after 2 weeks of treatment |
| Change in postprandial C-peptide | after two weeks of treatment |
| Change in postprandial insulin | after two weeks of treatment |
| Change in postprandial glucagon | after two weeks of treatment |
| Change in postprandial GLP-1 | after 2 weeks of treatment |
Countries
Germany, Switzerland