Home » Trials » SLCTR/2025/014


Comparison of Metformin versus Repaglinide monotherapy in the treatment of new-onset type 2 diabetes mellitus

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SLCTR Registration Number

SLCTR/2025/014


Date of Registration

09 Apr 2025

The date of last modification

Apr 09, 2025



Application Summary


Scientific Title of Trial

Comparison of Metformin versus Repaglinide monotherapy in the treatment of new-onset type 2 diabetes mellitus


Public Title of Trial

Glycemic control [using HbA1c (%) levels] after three months of treatment with repaglinide versus metformin monotherapy; as initial treatment in patients with newly diagnosed type 2 diabetes mellitus naive to oral hypoglycemic agents


Disease or Health Condition(s) Studied

Type 2 Diabetes Mellitus


Scientific Acronym

None


Public Acronym

None


Brief title

Comparison of glycemic control with the use of Repaglinide vs Metformin in T2DM


Universal Trial Number

U1111-1318-5820


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

ERC - 1546/NMU


Trial Details


What is the research question being addressed?

What is the difference in achievement of glycemic control (HbA1c) among new onset Type 2 diabetes patients after three months of treatment with Metformin versus Repaglinide monotherapy?


Type of study

Interventional


Study design

Allocation

Randomized controlled trial


Masking

Masking not used


Control

Standard therapy/practice


Assignment

Parallel


Purpose

Treatment


Study Phase

Phase 4


Intervention(s) planned

Study setting: Department of Medicine, Nishtar Hospital Multan, Pakistan.

Randomization: Lottery method using sealed opaque envelopes.

Intervention: (A) Active / Experimental: Repaglinide monotherapy 0.75-1.5 mg/day. (B) Standard therapy / Practice: Metformin monotherapy 750-1500mg/day.

The administration of Metformin or Repaglinide will be adjusted according to the blood glucose levels in the first week after treatment assignment.

All patients will be given diet and lifestyle advice and will be asked to keep behavior modification programme as a part of routine care of diabetic patients.

Compliance will be monitored by assessing a checklist which the participants will mark after taking the medication and will be checked by weekly telephone contact.


Inclusion criteria

  1. Patients 20 – 60 years of age.
  2. Both male or female gender.
  3. Newly diagnosed T2DM as per World Health Organization criteria.

Exclusion criteria

1.Existing coronary artery disease 2. Renal disease 3. Liver disease 4. Gastrointestinal diseases assessed on history and medical record review.



Primary outcome(s)

1.

Outcome: Glycemic control Metric: HbA1c (%) Method of Measurement: Measured by high pressure liquid chromatography

[

Three months after treatment assignment

]

Secondary outcome(s)

1.

None

[

None

]

Target number/sample size

Total 60 patients, 30 in each group


Countries of recruitment

Pakistan


Anticipated start date

2025-04-10


Anticipated end date

2025-08-31


Date of first enrollment


Date of study completion


Recruitment status

Pending


Funding source

None


Regulatory approvals

Not applicable



State of Ethics Review Approval


Status

Approved


Date of Approval

2025-01-31


Approval number

1546/NMU


Details of Ethics Review Committee

Name: Institutional Ethical Review Board
Institutional Address:Nishtar Medical University, Nishtar Roadd, Gillani Colony, Multan, Pakistan
Telephone:061-9200993, 061-9200231
Email: info@nmu.edu.pk

Contact & Sponsor Information


Contact person for Scientific Queries/Principal Investigator

Waseem Ahmad
Postgraduate Resident
Nishtar Medical University, Nishtar Road, Gillani Colony, Multan, Punjab 66000
061-9200993, 061-9200231
03321878602

waseemghani302@gmail.com
https://nmu.edu.pk/

Contact Person for Public Queries

Dr. Shahzad Alam Khan
Associate Professor
Department of Medicine Nishtar Medical University & Hospital Multan
0300-7195857
03321878602

shahzadalam177735@gmail.com
https://nmu.edu.pk/


Primary study sponsor/organization

Waseem Ahmad
Postgraduate Resident
Nishtar Medical University, Nishtar Road, Gillani Colony, Multan, Punjab 66000
061-9200993, 061-9200231

waseemghani302@gmail.com
https://nmu.edu.pk/

Secondary study sponsor (If any)

None





Trial Completion details


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

Yes


IPD sharing plan description

De-identified individual patient data underlying the results reported in publication will be shared, beginning one year ending 3 years after the research publication, on reasonable request made to the Principal investigator at waseemghani302@gmail.com


Study protocol available

No


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