Home » Trials » SLCTR/2015/022


Effect of sitagliptin compared to glimepiride on vascular risk factors among patients with type 2 diabetes mellitus

-

SLCTR Registration Number

SLCTR/2015/022


Date of Registration

28 Sep 2015

The date of last modification

Apr 30, 2019



Application Summary


Scientific Title of Trial

Effect of sitagliptin compared to glimepiride on vascular risk factors among patients with type 2 diabetes mellitus


Public Title of Trial

Sitagliptin compared to glimepiride on vascular risk factors among patients with type 2 diabetes mellitus


Disease or Health Condition(s) Studied

Type 2 Diabetes Mellitus


Scientific Acronym

None


Public Acronym

None


Brief title

Sitagliptin compared to glimepiride on vascular risk factors among patients with type 2 diabetes mellitus


Universal Trial Number

U1111-1172-2205


Any other number(s) assigned to the trial and issuing authority

ERC Ruhuna Ref:26.02.2015:3.14


Trial Details


What is the research question being addressed?

What is the effect of sitagliptin compared to glimepiride on glycaemic control, selected vascular risk factors and selected biochemical markers among patients with type 2 diabetes mellitus?


Type of study

Interventional


Study design

Allocation

Randomized controlled trial


Masking

Double blinded


Control

Active


Assignment

Parallel


Purpose

Treatment


Study Phase

Phase 4


Intervention(s) planned

Patients will be selected from the Medical and Endocrinology clinics of the Teaching Hospital, Karapitiya. Following screening and recruitment based on eligibility criteria by the principal investigator, the participants will be allocated using block randomization method to either the intervention or control arms.

The intervention arm will receive sitagliptin 50mg daily with maximum tolerable dose of metformin (2g daily or less depending on patient adverse effects) per a day for three months duration. The control arm will receive glimepiride 1mg daily with maximum tolerable dose of metformin (2g daily or less depending on patient adverse effects) per a day for three months duration.

Randomization and treatment will be provided by independent doctors. The patients and the principal investigator will be blind to the group assignment and type of therapy.


Inclusion criteria

  1. Age > 20 years
  2. On metformin 2g per day or the maximum tolerable dose for the patient.
  3. Any one of the following indicators of poor glycaemic control • HbA1C > 8% in last clinic visit or • FBS > 150 mg/dl in each visit for the last three months or • RBS > 200 mg/dl in each visit for the last three months

Exclusion criteria

  1. Pregnant women
  2. Patients on oral hypoglycemic agents other than metformin
  3. Patients with cardiovascular diseases like ischemic heart disease, heart failure, and arrhythmia.
  4. Patients with cerebrovascular accidents
  5. Patients with stage 4,5 renal disease
  6. Patients with acute illnesses
  7. Patients already on drugs to modify the vascular risk factors, • anti-platelets • anti anginals • lipid lowering drugs • folic acid • anti-inflammatory drugs • anticoagulants


Primary outcome(s)

1.
  1. Glycemic control (Fasting Blood Glucose, HbA1C)
  2. Insulin resistance (Fasting Insulin and fasting blood glucose. Insulin resistance will be calculated by HOMA-IR method).
  3. Serum fibrinogen level
  4. Lipid profile
  5. High sensitivity C reactive protein (Hs CRP)
  6. Serum homocystein
  7. Serum creatinine
  8. eGFR
  9. Serum alanine and aspartate transaminase
  10. Serum amylase
[

At baseline and at the end of 3 months

]

Secondary outcome(s)

1.

Blood pressure

[

Baseline and monthly for 3 months

]

Target number/sample size

190 (95 in each arm)


Countries of recruitment

Sri Lanka


Anticipated start date

2015-09-28


Anticipated end date

2016-09-01


Date of first enrollment


Date of study completion


Recruitment status

Pending


Funding source

University Grants Commission, Sri Lanka.


Regulatory approvals



State of Ethics Review Approval


Status

Approved


Date of Approval

2015-05-20


Approval number

26.02.2015:3.14


Details of Ethics Review Committee

Name: Ethics Review Committee, Faculty of Medicine, University of Ruhuna
Institutional Address:PO Box 70, Labuduwa Rd, Galle, Sri Lanka
Telephone:+94-91-2234801/803 (Extension: 161)
Email: ethics@med.ruh.ac.lk

Contact & Sponsor Information


Contact person for Scientific Queries/Principal Investigator

Aruma Thantirige Isuru Madushika Amarasinghe
Lecturer (Probationary)
Department of Pharmacology, Faculty of Medicine University of Ruhuna Galle Sri Lanka
Tel: 0912246877
Mob: 0772332651

amarasingheisuru@yahoo.com

Contact Person for Public Queries

Professor Sarath Lekamwasam
Dean and Professor in Medicine
Faculty of Medicine University of Ruhuna Galle, Sri Lanka

Mob: 0777275360

slekamwasam@gmail.com


Primary study sponsor/organization

University Grants Commission, Sri Lanka

Post box 1406 No 20, Ward place Colombo -07, Sri Lanka
Tel: 0112695301


http:/www.ugc.ac.lk

Secondary study sponsor (If any)

None





Trial Completion details


Do the investigators plan to share identified individual clinical trial participant-level data (IPD)?


IPD sharing plan description


Study protocol available


Protocol version and date

Not Available


Protocol URL

Not Available


Results summary available

No


Date of posting results


Date of study completion


Final sample size


Date of first publication


Link to results


Brief summary of results