A Trial in Adults With Type 1 Diabetes Mellitus Evaluating the Effects of Fenofibrate Versus Placebo on Macular Thickness and Volume (FAME 1 EYE)
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Purpose
The purpose of this study is to evaluate the potential benefits of Fenofibrate in 300 adults with Type 1 diabetes mellitus who are at high risk of eye damage.
| Condition | Intervention | Phase |
|---|---|---|
|
Type 1 Diabetes Mellitus Retinopathy Diabetic Nephropathy |
Drug: Fenofibrate Drug: Inert lactose placebo |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | The Fenofibrate And Microvascular Event Eye (FAME 1 EYE) Trial: A Randomised Trial in Adults With Type 1 Diabetes Mellitus Evaluating the Effects of Daily Oral Fenofibrate Compared With Placebo on Macular Thickness and Volume |
- Central zone macular thickness measured using optical coherence tomography [ Time Frame: At 12 months after randomisation ] [ Designated as safety issue: No ]
- Total macular volume measured using optical coherence tomography. [ Time Frame: At 12 months after randomisation ] [ Designated as safety issue: No ]
- Albuminuria measured as urinary albumin:creatinine ratio. [ Time Frame: Assessed at 12 months after randomisation ] [ Designated as safety issue: No ]
- Visual acuity using Snellen Chart [ Time Frame: At 12 months after randomisation ] [ Designated as safety issue: No ]
- Corneal confocal microscopic measurement of neural damage (only assessed in a representative subset of the participants at sites with the specialised confocal microscope). [ Time Frame: At 12 months after randomisation ] [ Designated as safety issue: No ]
- Estimated glomerular filtration rate using MDRD formula [ Time Frame: At 12 months after randomisation. ] [ Designated as safety issue: No ]
- Peripheral neuropathy status assessed by temperature sensation and monofilament sensation. [ Time Frame: At 12 months after randomisation. ] [ Designated as safety issue: No ]
- Vascular function using non-invasive pulse wave techniques and plethysmography. [ Time Frame: At 12 months after randomisation. ] [ Designated as safety issue: No ]
- Blood lipids and biomarkers in plasma [ Time Frame: At 6 weeks, 6 months and 12 months after randomisation ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 300 |
| Study Start Date: | September 2011 |
| Estimated Study Completion Date: | September 2014 |
| Estimated Primary Completion Date: | September 2014 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: Fenofibrate |
Drug: Fenofibrate
Oral Fenofibrate 145mg given once daily for 12 months.
|
| Placebo Comparator: Placebo |
Drug: Inert lactose placebo
Oral matching inert lactose placebo given once daily for 12 months.
|
Detailed Description:
Diabetes is the commonest cause of adult onset blindness. Vision loss, which is irreversible, is a most feared complication of diabetes. A blood fat lowering drug called fenofibrate, available in Australia, has been shown to reduce eye damage in people with Type 2 diabetes by 35-40%, and to prevent eye damage in Type 1 diabetic animal models. This study will evaluate the potential benefits of oral Fenofibrate 145mg once daily for 12 months in 300 adults with Type 1 diabetes mellitus who are at high risk of eye damage.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Subjects with type 1 diabetes mellitus
- Over 18 years of age
- Established macular thickening on optical coherence tomography (OCT) greater than or equal to 300 micrometres in at least one macular zone
- No definite indication for receiving, and no contraindication to receiving fenofibrate in addition to their existing therapy
Exclusion Criteria:
- Subjects with type 1 diabetes mellitus and the contraindications of definite need for intra-ocular treatment or photocoagulation therapy within next 3 months
- Allergy to any fibrate drugs
- History of pancreatitis or pulmonary embolism or DVT
- Use of any other investigational agents in last 8 weeks
- Unstable condition including recent MI, heart failure, prior organ transplant, severe renal or liver dysfunction, history of myositis or untreated hypothyroidism
Contacts and Locations| Contact: Anthony Keech, Professor | +61 2 95625003 | tony@ctc.usyd.edu.au |
| Contact: Alicia Jenkins, Professor | +1 4052504069 | alicia-jenkins@ouhsc.edu |
| United States, Oklahoma | |
| Oklahoma University Health Sciences Center | Not yet recruiting |
| Oklahoma City, Oklahoma, United States, 73104 | |
| Contact: Alicia Jenkins, Professor alicia-jenkins@ouhsc.edu | |
| Principal Investigator: Alicia Jenkins, Professor | |
| Principal Investigator: Timothy Lyons, Dr | |
| Australia, New South Wales | |
| NHMRC Clinical Trials Centre | Not yet recruiting |
| Camperdown, New South Wales, Australia, 2050 | |
| Contact: Anthony Keech, Professor tony@ctc.usyd.edu.au | |
| Principal Investigator: Anthony Keech, Professor | |
| Royal Prince Alfred Hospital | Not yet recruiting |
| Camperdown, New South Wales, Australia, 2050 | |
| Contact: Stephen Twigg, Professor stephen.twigg@sydney.edu.au | |
| Principal Investigator: Stephen Twigg, Professor | |
| Westmead Children's Hospital | Not yet recruiting |
| Westmead, New South Wales, Australia, 2145 | |
| Contact: Kim Donaghue, Professor kimd@chw.edu.au | |
| Principal Investigator: Kim Donaghue, Professor | |
| Australia, Victoria | |
| St Vincents Hospital | |
| Melbourne, Victoria, Australia, 3065 | |
| Royal Melbourne Hospital | Not yet recruiting |
| Melbourne, Victoria, Australia, 3050 | |
| Contact: Peter Colman, Professor peter.colman@mh.org.au | |
| Principal Investigator: Peter Colman, Professor | |
| Principal Investigator: | Anthony Keech, Professor | University of Sydney, NHMRC Clinical Trials Centre |
More Information
No publications provided
| Responsible Party: | Professor Anthony Keech, University of Sydney, NHMRC Clinical Trials Centre |
| ClinicalTrials.gov Identifier: | NCT01320345 History of Changes |
| Other Study ID Numbers: | FAME0001, ACTRN12611000249954 |
| Study First Received: | March 18, 2011 |
| Last Updated: | January 15, 2012 |
| Health Authority: | Australia: Department of Health and Ageing Therapeutic Goods Administration |
Keywords provided by University of Sydney:
|
Diabetes Mellitus Type 1 Diabetes Mellitus Retinopathy Diabetic Nephropathy Fenofibrate |
Additional relevant MeSH terms:
|
Diabetes Mellitus Diabetes Mellitus, Type 1 Diabetic Nephropathies Kidney Diseases Retinal Diseases Glucose Metabolism Disorders Metabolic Diseases Endocrine System Diseases Autoimmune Diseases Immune System Diseases |
Urologic Diseases Diabetes Complications Eye Diseases Fenofibrate Hypolipidemic Agents Antimetabolites Molecular Mechanisms of Pharmacological Action Pharmacologic Actions Lipid Regulating Agents Therapeutic Uses |
ClinicalTrials.gov processed this record on May 22, 2013