Superiority of Glimepiride Over Sitagliptin in Naive Type 2 Diabetes Patients (SUMER)
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Purpose
Primary Objective:
To determine the superiority of glimepiride over sitagliptin in the reduction of HbA1c after 6 months of treatment in patients with monotherapy until the end of the trial.
Secondary Objective:
To evaluate the effect of glimepiride compared to sitagliptin in:
Glucose in fasting conditions; Postprandial glucose; Percentage of patients with HbA1c < 7% and < 6.5%; Symptomatic Hypoglycemia; Body weight; Percentage of withdrawal and percentage of patients with rescue therapy; Safety (adverse events and serious adverse events, hypoglycemia, vital signs and laboratory results).
| Condition | Intervention | Phase |
|---|---|---|
|
Diabetes Mellitus, Type 2 |
Drug: GLIMEPIRIDE (HOE490) Drug: SITAGLIPTIN |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | A Multicenter, Open, Randomized, 24 Weeks Study to Evaluate the Superiority of Glimepiride Over Sitagliptin for the Treatment of naïve Patients With Type 2 Diabetes Mellitus |
- HbA1c [ Time Frame: at baseline, week 12 and week 24 ] [ Designated as safety issue: No ]
- Fasting and postprandial glucose [ Time Frame: at baseline, week 2, 4, 12 and 24 ] [ Designated as safety issue: No ]
| Enrollment: | 400 |
| Study Start Date: | July 2009 |
| Study Completion Date: | October 2010 |
| Primary Completion Date: | October 2010 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: glimepiride
The initial dose is 2 mg once a day. At week 2, the dose can be increased to 4 mg once a day according to the titration. At week 4 and 12, the dose can be increased from 2 mg to 4 mg or from 4 mg to 6 mg according to the titration.
|
Drug: GLIMEPIRIDE (HOE490)
Pharmaceutical form: 2 mg and 4 mg tablets Route of administration: oral
|
|
Active Comparator: sitagliptin
100 mg once a day. The dose will not be titrated.
|
Drug: SITAGLIPTIN
Pharmaceutical form: 100 mg tablets Route of administration: oral
|
Eligibility| Ages Eligible for Study: | 18 Years to 70 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion criteria:
- Subject naïve to treatment
- HbA1c > 8.5 up to 11 %
- Lipid lowering therapy, antihypertensive, hormonal substitutes, thyroid hormone substitutes, and contraceptives are allowed as long as they are kept at a stable dosing
Exclusion criteria:
- Treatment with any oral antidiabetics or insulin
- Known type 1 Diabetes Mellitus
- Pregnant or breast feeding women
- Ketoacidosis history
- History of sensitivity to any of the active substances
- Renal dysfunction : serum creatinine > or = 1.5 mg/dL in male subjects > or = 1.4 mg/dL in female subjects
- Liver impairment (ALT, AST > 3-fold the upper limit of normal range)
- Systemic corticosteroid treatment 3 months prior to study or during the study
- Drug or alcohol abuse history
- Patients with history of acute coronary syndrome, cerebrovascular events/transient ischaemic attack in the last three months
- Presence of any condition (medical, psychological, social or geographic) current or previously seen that according to Investigators judgment jeopardizes the safety or restricts the participation of the patient during the study
- Neoplasias
The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
Contacts and Locations| Guatemala | |
| Sanofi-Aventis Administrative Office | |
| Guatemala City, Guatemala | |
| Mexico | |
| Sanofi-Aventis Administrative Office | |
| Col. Coyoacan, Mexico | |
| Study Director: | Judith Diaz | Sanofi |
More Information
No publications provided
| Responsible Party: | Trial Transparency Team, sanofi-aventis |
| ClinicalTrials.gov Identifier: | NCT00957060 History of Changes |
| Other Study ID Numbers: | GLIME_L_04140 |
| Study First Received: | August 11, 2009 |
| Last Updated: | November 26, 2010 |
| Health Authority: | Mexico: Ministry of Health |
Additional relevant MeSH terms:
|
Diabetes Mellitus Diabetes Mellitus, Type 2 Glucose Metabolism Disorders Metabolic Diseases Endocrine System Diseases Glimepiride Sitagliptin Hypoglycemic Agents Physiological Effects of Drugs Pharmacologic Actions |
Immunosuppressive Agents Immunologic Factors Anti-Arrhythmia Agents Cardiovascular Agents Therapeutic Uses Dipeptidyl-Peptidase IV Inhibitors Protease Inhibitors Enzyme Inhibitors Molecular Mechanisms of Pharmacological Action |
ClinicalTrials.gov processed this record on May 21, 2013