Status:

COMPLETED

Study to Evaluate the Effects of Colesevelam on Insulin Sensitivity and ß-Cell Function in Subjects With Impaired Fasting Glucose (Prediabetes)

Lead Sponsor:

Seattle Institute for Biomedical and Clinical Research

Collaborating Sponsors:

VA Puget Sound Health Care System

Conditions:

Impaired Fasting Glucose

Prediabetes

Eligibility:

All Genders

18-75 years

Phase:

PHASE3

Brief Summary

The objective of this study is to determine the effect of 8 weeks of treatment with colesevelam HCl 3.75 g once daily with the evening meal on ß-cell function by evaluating the acute insulin response ...

Detailed Description

Colesevelam is a bile acid sequestrant that was initially approved for treatment of patients with dyslipidemia. Subsequently it was observed that patients with type 2 diabetes receiving this medicatio...

Eligibility Criteria

Inclusion

  • Males or females (postmenopausal, surgically sterile or using double-barrier method of contraception), aged 18-75 years, FPG 100-115 mg/dl at screening (average of 2 measurements during screening; no individual measurement outside of the range 92-125 mg/dl)
  • In good health as determined by past medical history, physical examination, electrocardiogram, laboratory tests and urinalysis
  • HbA1c \<6.5% at screening
  • Body mass index (BMI) in the range of 22-40 kg/m2 inclusive and with a stable (+/-2.5 kg) weight for the last 6 months
  • Subjects must be willing to:
  • Maintain prior exercise and dietary habits throughout the study
  • Comply with all study requirements
  • Provide written informed consent

Exclusion

  • Pregnant or lactating females
  • Patients diagnosed with type 2 diabetes or that have taken glucose-lowering agents or insulin, except during pregnancy
  • Chronic oral or parenteral corticosteroid treatment (\>7 consecutive days of treatment) within 8 weeks prior to screening
  • HIV protease inhibitors
  • Warfarin or phenytoin use
  • Triglycerides \>500 mg/dl
  • History of major gastrointestinal tract surgery such as gastrectomy, gastroenterostomy, or bowel resection
  • History of dysphagia, swallowing disorders or intestinal motility disorder
  • History of pancreatitis
  • Uncontrolled hypothyroidism
  • Individuals with clinical hepatic disease or liver function tests greater than ≥2 times upper limits of normal within 30 days preceding the first dose of study drug
  • On a weight loss program with ongoing weight loss, or starting an intensive exercise program within 4 weeks of study initiation
  • Current or prior (within the past 3 months) treatment with a bile acid sequestrant (colesevelam, colestipol, colestimide, or cholestyramine)
  • Use of any investigational drug in the last 30 days
  • Donation of one unit (500 ml) or more of blood, significant blood loss equaling at least one unit of blood within the past 2 weeks or a blood transfusion within 8 weeks prior to screening
  • Employment by the research center

Key Trial Info

Start Date :

September 1 2009

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

October 1 2010

Estimated Enrollment :

21 Patients enrolled

Trial Details

Trial ID

NCT00990184

Start Date

September 1 2009

End Date

October 1 2010

Last Update

November 21 2012

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