Type 2 Diabetes
Conditions
Brief summary
We performed a prospective, randomized, multicenter trial to assess the efficacy and safety of combined treatment with mitiglinide and metformin for patients with type 2 diabetes who show inadequate glycemic control with metformin monotherapy. Subjects with HbA1c \>7.0% after an 8-week metformin run-in phase were randomized to a 16-week trial phase with metformin plus mitiglinide (Met+Mit) or metformin plus placebo (Met).
Detailed description
This was a 16-week, randomized, double-blind study for comparing metformin plus mitiglinide (Met+Mit) versus metformin plus placebo (Met+Pcb). An 8-week metformin run-in phase (500 mg twice a day for the first 4 weeks and 500 mg three times a day for the following 4 weeks) was followed by a 16-week trial phase (mitiglinide 10 mg or placebo three times a day added to metformin 500 mg three times a day). The subjects with an HbA1c \>7.0% at the end of the metformin run-in phase were randomized to a Met+Mit group or a Met+Pcb group of the trial phase.
Interventions
mitiglinide 10 mg three times a day added to metformin 500 mg three times a day for 16 weeks
placebo three times a day added to metformin 500 mg three times a day for 16 weeks
Sponsors
Study design
Eligibility
Inclusion criteria
* aged 30-70 years * had a duration of diabetes of \<10 years * body mass index (BMI) 20-35 kg/m2 * a plasma HbA1c level of 7.5-11% during the previous 4 weeks
Exclusion criteria
* subjects who were diagnosed with type 1 diabetes, gestational diabetes, or diabetes with any specific causes * Subjects who had been treated with nateglinide, repaglinide, metformin (over 1,000 mg/day), or sulfonylurea (over a quarter of the maximum recommended dose) during the previous 8 weeks
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| the change in HbA1c from randomization to endpoint | 16 weeks after radomization |
Secondary
| Measure | Time frame |
|---|---|
| the proportion of subjects with HbA1c <7% after 16 weeks of treatment and the change in FPG and 2-hr postprandial glucose (PPG) from baseline | 16 weeks after radomization |
Countries
South Korea