Diacerein on Insulin Secretion in Diabetes
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Purpose
Aim. To assess the effect of interleukin 1β (IL-1β) and tumor necrosis factor α (TNFα) inhibition with diacerein administration on insulin secretion and metabolic control of drug-naïve patients with type 2 diabetes mellitus (T2DM) and overweight or obesity.
Hypothesis. Diacerein administration improves insulin secretion and metabolic control of drug-naïve patients with type 2 diabetes mellitus (T2DM) and overweight or obesity.
Materials and methods. Design: Randomized, double-blind, placebo-controlled clinical trial. Population: 40 drug-naïve adult patients with T2DM and overweight or obesity. Measurements: A metabolic profile including IL-1β, TNFα, interleukin 6, and fasting insulin levels, as well as, hyperglycemic-hyperinsulinemic clamp technique; to assess the phases of insulin secretion and insulin sensitivity. Intervention for 2 mo: diacerein (50 mg once daily) for the first 15 days and twice daily for 45 additional days or placebo. Statistical analyses: Wilcoxon signed rank and Mann-Whitney U test.
| Condition | Intervention | Phase |
|---|---|---|
|
Type 2 Diabetes Mellitus Overweight Obesity |
Drug: Diacerein Other: Placebo |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Intervention Model: Parallel Assignment Primary Purpose: Treatment |
| Official Title: | Effect of Diacerein on Insulin Secretion in Patients With Type 2 Diabetes Mellitus and Overweight or Obesity |
- Fasting insulin concentration [ Time Frame: 2 mo ] [ Designated as safety issue: No ]
- Fasting glucose concentration [ Time Frame: 2 mo ] [ Designated as safety issue: No ]
- A1C concentration [ Time Frame: 2 mo ] [ Designated as safety issue: No ]
- First phase of insulin secretion [ Time Frame: 2 mo ] [ Designated as safety issue: No ]
- Late phase of insulin secretion [ Time Frame: 2 mo ] [ Designated as safety issue: No ]
- Total insulin secretion concentration [ Time Frame: 2 mo ] [ Designated as safety issue: No ]
| Arms | Assigned Interventions |
|---|---|
| Experimental: Diacerein | Drug: Diacerein |
| Placebo Comparator: Placebo | Other: Placebo |
Eligibility| Ages Eligible for Study: | 40 Years to 60 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Fasting glucose levels between 7.0 and 11.1 mmol/L
- A1C levels between 7 and 9%
- Same residential area and socioeconomic status
- Excessively sedentary or participated in heavy physical activity
- Nonsmokers
- Body weight was stable for at least 3 months before the study
- Blood pressure was <130/80 mm Hg
Exclusion Criteria:
- Personal history of hepatic, renal or coronary artery disease
- Medications known to affect metabolism during the previous 6 months.
Contacts and Locations| Mexico | |
| Unidad de Investigación Médica en Epidemiología Clínica | |
| Guadalajara, Jalisco, Mexico, 44380 | |
More Information
No publications provided by Coordinación de Investigación en Salud, Mexico
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| Responsible Party: | Manuel González-Ortiz, CIS Mexico |
| ClinicalTrials.gov Identifier: | NCT01298882 History of Changes |
| Other Study ID Numbers: | DIADM2-001 |
| Study First Received: | January 31, 2011 |
| Last Updated: | February 16, 2011 |
| Health Authority: | Mexico: Coordinación de Investigación en Salud |
Keywords provided by Coordinación de Investigación en Salud, Mexico:
|
Type 2 diabetes mellitus Overweight Obesity |
Additional relevant MeSH terms:
|
Diabetes Mellitus Diabetes Mellitus, Type 2 Obesity Overweight Glucose Metabolism Disorders Metabolic Diseases Endocrine System Diseases Overnutrition |
Nutrition Disorders Body Weight Signs and Symptoms Diacetylrhein Anti-Inflammatory Agents Therapeutic Uses Pharmacologic Actions |
ClinicalTrials.gov processed this record on May 21, 2013