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Rosiglitazone-Metformin Combination Versus Metformin-Sulfonylurea Combination On Beta-Cell Function In Type 2 Diabetes
This study has been completed.
Study NCT00367055   Information provided by GlaxoSmithKline
First Received: August 21, 2006   Last Updated: October 2, 2009   History of Changes

August 21, 2006
October 2, 2009
October 2004
October 2008   (final data collection date for primary outcome measure)
  • Median Change From Baseline in the Insulin Secretory Capacity After a 36-month Treatment [ Time Frame: Baseline and Month 36 ] [ Designated as safety issue: No ]
  • Median Change From Baseline in Insulin Total and Incremental AUC T0-T30 After a 36-month Treatment [ Time Frame: Baseline and Month 36 ] [ Designated as safety issue: No ]
  • Median Change From Baseline in Insulin Total AUC T0-T180 After a 36-month Treatment [ Time Frame: Baseline and Month 36 ] [ Designated as safety issue: No ]
Beta-cell function is reflected by insulin response. Evolution of insulin secretion capacity will be assessed over 3 years, by using clamp tests and meal tests before treatment and after 18 and 36 months of treatment
Complete list of historical versions of study NCT00367055 on ClinicalTrials.gov Archive Site
  • Median Change From Baseline in the Ratio M/I After a 36-month Treatment [ Time Frame: Baseline and Month 36 ] [ Designated as safety issue: No ]
  • Median Change From Baseline in the Insulin Secretion Capacity After an 18-month Treatment [ Time Frame: Baseline and Month 18 ] [ Designated as safety issue: No ]
  • Mean Change From Baseline in HbA1c at Month 36 [ Time Frame: Baseline and Month 36 ] [ Designated as safety issue: No ]
  • Mean Change From Baseline in FBG at Month 36 [ Time Frame: Baseline and Month 36 ] [ Designated as safety issue: No ]
  • Median Change From Baseline in Insulin Resistance Index (HOMA-IR) After a 36-month Treatment [ Time Frame: Baseline and Month 36 ] [ Designated as safety issue: No ]
  • Mean Change From Baseline in HbA1c After a 36-month Treatment [ Time Frame: Baseline and Months 18 and 36 ] [ Designated as safety issue: No ]
  • Median Change From Baseline in Beta Cell Function Index (HOMA-beta) After a 36-month Treatment [ Time Frame: Baseline and Month 36 ] [ Designated as safety issue: No ]
  • Median Change From Baseline in Insulin Concentration Peak T0-T180 After a 36-month Treatment [ Time Frame: Baseline and Month 36 ] [ Designated as safety issue: No ]
  • Median Change From Baseline in Insulin Concentration Peak and Incremental Concentration Peak T0-T30 After a 36-month Treatment [ Time Frame: Baseline and Month 36 ] [ Designated as safety issue: No ]
  • Mean Change From Baseline in CPP Total and Incremental AUC T0-T30 After a 36-month Treatment [ Time Frame: Baseline and Month 36 ] [ Designated as safety issue: No ]
  • Mean Change From Baseline in CPP Concentration Peak and Incremental Concentration Peak T0-T30 After a 36-month Treatment [ Time Frame: Baseline and Month 36 ] [ Designated as safety issue: No ]
insulin secretion and sensitivity at baseline,M18 and 36. HbA1c ( glycosylated haemoglobin) at baseline ,M18 and 36. C peptide at baseline, M18 and 36
 
Rosiglitazone-Metformin Combination Versus Metformin-Sulfonylurea Combination On Beta-Cell Function In Type 2 Diabetes
Comparison of the Action of the Rosiglitazone-metformin Fixed-dose Combination and of a Metformin-sulfonylurea Free Combination on the B-cell Function in Type 2 Diabetic Patients Not Controlled With Metformin Alone.

It has been shown in previous study that progressive glycemic deterioration was associated with progressive loss of b-cell function, measured by the decrease in plasma insulin levels, irrespective of the therapy used (diet, sulfonylureas or metformin).There is growing evidence that thiazolidinediones could have a positive action on the b-cell function. But it has not yet been demonstrated that they could protect from a deterioration in insulin secretion in the long term. So, it appears interesting to study the long term evolution of the b-cell function and the possible protection with rosiglitazone in patients with type 2 diabetes showing evidence of loss of b-cell function with metformin alone.

 
Phase IV
Interventional
Treatment, Randomized, Open Label, Parallel Assignment, Safety/Efficacy Study
Type 2 Diabetes Mellitus
  • Drug: rosiglitazone-metformin
  • Drug: Metformin
  • Drug: metformin+ gliclazide
 
 

*   Includes publications given by the data provider as well as publications identified by National Clinical Trials Identifier (NCT ID) in Medline.
 
Completed
84
October 2008
October 2008   (final data collection date for primary outcome measure)

INCLUSION CRITERIA:

  • Males and females 40 to 75 years of age (inclusive at the time of screening)
  • Type 2 diabetes mellitus as defined by the WHO criteria, diagnosed for at least 1 year
  • Subjects receiving 1.5 to 3g of metformin alone at a constant dose for at least 8 weeks prior to visit 1
  • Patients with 6.5% < HbA1c > 8% at visit 1 and visit 2
  • 25 < BMI < 35

EXCLUSION CRITERIA:

  • Patient with type 1 diabetes
  • Treatment with other hypoglycaemic agents than metformin in the last 3 months
  • FPG >200 mg/dL at visit 2
  • Hypersensitivity to the studied treatments (rosiglitazone, metformin chlorhydrate, gliclazide)
  • Congestive heart failure (NYHA class I to IV), unstable or severe angina, recent myocardial infarction
  • Respiratory insufficiency
  • Subjects who have required the use of insulin for glycaemic control in the past 6 months prior to visit 1 (except during pregnancy or acute episodes such as hospitalization, trauma or infection) or subjects with a history of metabolic acidosis including diabetic ketoacidosis
  • Anemia defined by haemoglobin concentration <11.0 g/dL for males and <10.0 g/dL for females
  • Renal disease or renal dysfunction, e.g. as suggested by serum creatinine levels ≥135.0 µmol/L in males and ≥110.0 µmol/L in females and/or creatinine clearance <40 mL/min
  • Presence of clinically significant hepatic disease, with ALT, AST, total bilirubin, alkaline phosphatase >2.5 times the upper limit of the normal reference range
  • Subjects with chronic diseases requiring periodic ot intermittent treatment with oral or IV corticosteroids
  • Subjects receiving danazol, miconazole or phenylbutazone
  • Active alcohol, drug or medication abuse within the last 6 months or any condition that would indicate the likelihood of poor subject compliance
  • Women who are lactating, pregnant or planning to become pregnant
  • Any clinically significant abnormality identified at screening which, in the investigator's judgement, makes the subject unsuitable for inclusion in the study
  • Use of any other investigational agent within 30 days or 5 half-lives (whichever is longer) prior to visit 1
  • Subjects who receive or anticipate receiving radiocontrast dye during the study
Both
40 Years to 75 Years
No
Contact information is only displayed when the study is recruiting subjects
 
 
NCT00367055
Study Director, GSK
101765, AVAF4001
GlaxoSmithKline
 
Study Director: GSK Clinical Trials, MD GlaxoSmithKline
GlaxoSmithKline
October 2009

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP