Status:

UNKNOWN

Prognostic Predictors of Response to Hypoglycemic Therapy

Lead Sponsor:

Federal State Budgetary Institution, V. A. Almazov Federal North-West Medical Research Centre, of the Ministry of Health

Conditions:

Diabetes Mellitus, Type 2

Eligibility:

All Genders

18-70 years

Phase:

PHASE4

Brief Summary

This is a randomized controlled trial aimed to determine highly specific personified predictors of response to the therapy by different groups of hypoglycemic drugs (SGLT-2 inhibitors, DPP-4 inhibitor...

Detailed Description

The study aims to determine highly specific personified predictors of response to the therapy by different groups of hypoglycemic drugs in patients with type 2 diabetes mellitus, to develop on their b...

Eligibility Criteria

Inclusion

  • Male and female aged 17-70 years
  • Type 2 diabetes mellitus with non-target HbA1c exciding less than 1% (\<1%)
  • Initiation of the treatment by SGLT- 2 inhibitors, dipeptidyl peptidase-4 inhibitors, GLP-1 analogues
  • Stable hypoglycemic therapy for 12 weeks before enrollment
  • Signed informed consent

Exclusion

  • Type 1 diabetes mellitus
  • Recent acute coronary syndrome or acute disturbance of cerebral blood circulation (less than 2 months ago)
  • Decompensation of chronic heart failure, chronic heart failure class IV (NYHA), acute heart failure
  • Confirmed non-diabetic kidney disease (glomerulonephritis, pyelonephritis, amyloidosis)
  • Chronic kidney disease requiring hemodialysis and/or urinary albumin concentration (morning spot) \>1000 mg/L
  • Regular nephrotoxic drugs intake (long-term intake of NSAIDs, aminoglycosides, sulfonamides, cyclosporine, lithium preparations)
  • Anamnesis of malignancy.
  • Diabetic foot ulcer and neuropathic osteoarthropathy
  • Anamnesis of bariatric surgery or surgical interventions on the gastrointestinal tract leading to malabsorption.
  • Treatment with drugs reducing body weight less than 3 months ago or any other drugs use that can lead to a change in body weight.
  • Liver disorders with elevation of ALT/AST exceeding three-fold the upper limit of normal
  • Immunosuppressive therapy or regular nonsteroidal anti-inflammatory drugs intake
  • Change in the dosage of thyroid hormones less than 6 weeks ago.

Key Trial Info

Start Date :

August 1 2017

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

May 1 2020

Estimated Enrollment :

800 Patients enrolled

Trial Details

Trial ID

NCT03804411

Start Date

August 1 2017

End Date

May 1 2020

Last Update

February 10 2020

Active Locations (1)

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1

Alina Babenko

Saint Petersburg, Russia, 197143