Acute Coronary Syndrome, Diabetes Mellitus, Type 2
Conditions
Brief summary
This study evaluate the effect of dipeptidyl-peptidase 4 inhibitor on vascular healing after biodegradable polymer based sirolimus eluting stent implantation in diabetic pateints.
Interventions
Sitagliptin is indicated to control hyperglycemia in type 2 diabetic patients.
This group patients is permitted to take any other oral anti-hyperglycemic agents except sitagliptin.
Sponsors
Study design
Eligibility
Inclusion criteria
* Non-ST segement elevation acute coronary syndrome
Exclusion criteria
* Left main disease * Known hypersensitivity or contraindication to any of the following medications: Heparin, aspirin, clopidogrel, sirolimus, siptagliptin and statin * Congestive heart failure (patients with LVEF \<30% or cardiogenic shock) * Uncontrolled myocardial ischemia (repeated chest pain or dyspnea after revascularization) * Uncontrolled ventricular arrhythmia * History of malignancy with chemotherapy * Serious hematologic disease (e.g. CML, MDS) * Current infectious disease needs antibiotics therapy * Creatinine level \>1.5 mg/dL or dependence on dialysis * Other severe concurrent illness (e.g. active infection, malignancy). * Life expectancy of less than one year * Pregnancy or women with potential childbearing * Type I DM * Treatment with insulin * History of pancreatitis * Who cannot read the informed consent form (e.g. illiteracy, foreigner)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Neointimal coverage assessed by optical coherence tomography | 6 months |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Malapposition, neointimal thickness or any optical coherence tomographic finding | 6 months | — |
| Biomarkers | 6 months | CD 34+ cell, hs CRP ect. |
Countries
South Korea