The Effect of Sitagliptin on Hypertension, Arterial Stiffness, Oxidative Stress and Inflammation - Full Text View

Sponsor:	Assaf-Harofeh Medical Center
Information provided by:	Assaf-Harofeh Medical Center
ClinicalTrials.gov Identifier:	NCT00696982

Purpose

Recently a new category of antihyperglycemic therapy aiming to modulate the incretin system has emerged. These drugs induce insulin secretion without inducing hypoglycemia. The effect of the incretin modulators drugs on hypertension, arterial stiffness, inflammation and oxidative stress parameters have not been fully investigated yet.GLP-1 analogue has been suggested to have an effect on endothelium and the development of hypertension. Nystrom et al have demonstrated that GLP-1 improves endothelial dysfunction in a small group of type 2 diabetes subjects, with coronary heart disease. We hypothesize that DPP-4 inhibitor will have an effect on hypertension and arterial stiffness by effect on the NO pathway.The aim of this study is to investigate the effect of two insulin inducers drugs, sulfonyl urea and DPP-4 inhibitor on 24 hours blood pressure monitoring, arterial stiffness, oxidative stress and inflammation.

Condition	Intervention
Diabetes Mellitus Arterial Stiffness	Drug: sitagliptin Drug: glibenclamide

Study Type:	Interventional
Study Design:	Randomized, Open Label, Active Control, Crossover Assignment
Official Title:	The Effect of Sitagliptin on Hypertension, Arterial Stiffness, Oxidative Stress and Inflammation

Resource links provided by NLM:

MedlinePlus related topics: Diabetes High Blood Pressure

Drug Information available for: Glyburide Sitagliptin Sitagliptin phosphate

U.S. FDA Resources

Further study details as provided by Assaf-Harofeh Medical Center:

Primary Outcome Measures:

arterial stiffness, defined as change in augmentation index measured by means of a non-invasive technique using the commercially available SphygmoCor System, and the results of the 24 hour blood pressure monitoring [ Time Frame: 6 months ] [ Designated as safety issue: No ]

Secondary Outcome Measures:

The secondary end results would be oxidative stress parameters, as evaluated by oxidized LDL and Isoprostanes, and markers of inflammatory status, including measurements of pro-inflammatory interleukins and performance of highly sensitive CRP test. [ Time Frame: 6 months ] [ Designated as safety issue: No ]

Estimated Enrollment:	60
Study Start Date:	June 2008
Estimated Study Completion Date:	June 2009
Estimated Primary Completion Date:	June 2009 (Final data collection date for primary outcome measure)

Arms	Assigned Interventions
A: Experimental diabetic patients who are treated with metformin wiyh HBA1C>7% will get sitagliptin	Drug: sitagliptin sitagliptin 100 mg once daily for 3 months
B: Experimental diabetic patients who are treated with metformin with HBA1C>7% will get glibenclamide	Drug: glibenclamide glibenclamide 5 mg once a day titrated as neede up to 20 mg a day

Show Detailed Description

Eligibility

Ages Eligible for Study:	18 Years and older
Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	No

Criteria

Inclusion Criteria:

diabetic patients
aged 18 years or older
treated with metformin
Only patients with HbA1C levels within the range 7% - 11% will be enrolled in the study

Exclusion Criteria:

CCT<30
A history of treatment with incretins or sulfonylurea during the last 3 months
Treatment with nitrates
Uncontrolled heart failure
Uncontrolled hypertension and/or any change in the hypertensive medications within one month prior starting the study
No proven regular treatment with aspirin or statins within one month prior starting the study
Any malignancy with life expectancy of less then 1 year
pregnancy

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00696982

Contacts

Contact: Shlomit Koren, MD	972-546-888-385	shlomitks@gmail.com
Contact: Shai Efrati, MD	972-577-346-364	efratishai@013.net

Locations

Israel
Department of Internal Medicine A , Research & Development unit Assaf Harofeh Medical Center, Zerifin, affiliated to Sackler School of Medicine, Tel Aviv, Israel	Recruiting
Zrifin, Israel, 70300
Contact: Shlomit Koren, MD 972-546-888=385 shlomitks@gmail.com
Contact: Shai Efrati, MD 972-577-346-364 efratishai@013.net
Principal Investigator: Shlomit Koren, MD

Sponsors and Collaborators

Assaf-Harofeh Medical Center

Investigators

Principal Investigator:

Shlomit Koren, MD

Department of Internal Medicine A , Research & Development unit Assaf Harofeh Medical Center, Zerifin, affiliated to Sackler School of Medicine, Tel Aviv, Israel

More Information

No publications provided

Responsible Party:	Assaf-Harofeh Medical Center internal medicine A ( Shlomit Koren MD )
Study ID Numbers:	shlomit9
Study First Received:	June 11, 2008
Last Updated:	June 12, 2008
ClinicalTrials.gov Identifier:	NCT00696982 History of Changes
Health Authority:	Israel: Israeli Health Ministry Pharmaceutical Administration

Keywords provided by Assaf-Harofeh Medical Center:

Arterial stiffness
Augmentation index
diabetes mellitus

Additional relevant MeSH terms:

Glyburide
Metabolic Diseases
Molecular Mechanisms of Pharmacological Action
Physiological Effects of Drugs
Diabetes Mellitus
Vascular Diseases
Endocrine System Diseases
Enzyme Inhibitors
Pharmacologic Actions

Protease Inhibitors
Inflammation
Sitagliptin
Dipeptidyl-Peptidase IV Inhibitors
Pathologic Processes
Hypoglycemic Agents
Cardiovascular Diseases
Glucose Metabolism Disorders
Hypertension

ClinicalTrials.gov processed this record on February 09, 2010