Effect of Combination of Mitiglinide and Metformin on Glycemic Control in Patients With Type 2 Diabetes Mellitus
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Purpose
We performed a prospective, randomized, multicenter trial to assess the efficacy and safety of combined treatment with mitiglinide and metformin for patients with type 2 diabetes who show inadequate glycemic control with metformin monotherapy. Subjects with HbA1c >7.0% after an 8-week metformin run-in phase were randomized to a 16-week trial phase with metformin plus mitiglinide (Met+Mit) or metformin plus placebo (Met).
| Condition | Intervention | Phase |
|---|---|---|
|
Type 2 Diabetes |
Drug: Mitiglinide Drug: Placebo |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator) Primary Purpose: Treatment |
| Official Title: | Phase 3 Study of Combination of Mitiglinide and Metformin in Patients With Type 2 Diabetes Mellitus |
- the change in HbA1c from randomization to endpoint [ Time Frame: 16 weeks after radomization ] [ Designated as safety issue: No ]
- the proportion of subjects with HbA1c <7% after 16 weeks of treatment and the change in FPG and 2-hr postprandial glucose (PPG) from baseline [ Time Frame: 16 weeks after radomization ] [ Designated as safety issue: No ]
| Enrollment: | 145 |
| Study Start Date: | August 2006 |
| Study Completion Date: | May 2008 |
| Primary Completion Date: | March 2008 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: Metformin+Mitiglinide
mitiglinide 10 mg three times a day added to metformin 500 mg three times a day
|
Drug: Mitiglinide
mitiglinide 10 mg three times a day added to metformin 500 mg three times a day for 16 weeks |
|
Placebo Comparator: Metformin+Placebo
placebo three times a day added to metformin 500 mg three times a day
|
Drug: Placebo
placebo three times a day added to metformin 500 mg three times a day for 16 weeks
|
Detailed Description:
This was a 16-week, randomized, double-blind study for comparing metformin plus mitiglinide (Met+Mit) versus metformin plus placebo (Met+Pcb). An 8-week metformin run-in phase (500 mg twice a day for the first 4 weeks and 500 mg three times a day for the following 4 weeks) was followed by a 16-week trial phase (mitiglinide 10 mg or placebo three times a day added to metformin 500 mg three times a day). The subjects with an HbA1c >7.0% at the end of the metformin run-in phase were randomized to a Met+Mit group or a Met+Pcb group of the trial phase.
Eligibility| Ages Eligible for Study: | 30 Years to 70 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- aged 30-70 years
- had a duration of diabetes of <10 years
- body mass index (BMI) 20-35 kg/m2
- a plasma HbA1c level of 7.5-11% during the previous 4 weeks
Exclusion Criteria:
- subjects who were diagnosed with type 1 diabetes, gestational diabetes, or diabetes with any specific causes
- Subjects who had been treated with nateglinide, repaglinide, metformin (over 1,000 mg/day), or sulfonylurea (over a quarter of the maximum recommended dose) during the previous 8 weeks
Contacts and Locations| Korea, Republic of | |
| Pusan National University College of Medicine | |
| Busan, Korea, Republic of | |
| Kyungpook National University School of Medicine | |
| Daegu, Korea, Republic of | |
| Chungnam National University College of Medicine | |
| Daejeon, Korea, Republic of | |
| Chonnam National University College of Medicine | |
| Gwangju, Korea, Republic of | |
| Chonbuk National University College of Medicine | |
| Jeonju, Korea, Republic of | |
| The Catholic University of Korea | |
| Seoul, Korea, Republic of | |
| Hallym University College of Medicine | |
| Seoul, Korea, Republic of | |
| Yonsei University College of Medicine | |
| Seoul, Korea, Republic of | |
| Korea University College of Medicine | |
| Seoul, Korea, Republic of | |
| Seoul St. Mary's Hospital | |
| Seoul, Korea, Republic of | |
| Eulji University School of Medicine | |
| Seoul, Korea, Republic of | |
| SungKyunKwan University School of Medicine | |
| Seoul, Korea, Republic of | |
| Uijeongbu St. Mary Hospital | |
| Uijeongbu, Korea, Republic of | |
More Information
No publications provided
| ClinicalTrials.gov Identifier: | NCT01037842 History of Changes |
| Other Study ID Numbers: | IMMEDIATE |
| Study First Received: | December 19, 2009 |
| Last Updated: | December 19, 2009 |
| Health Authority: | Korea: Food and Drug Administration |
Additional relevant MeSH terms:
|
Diabetes Mellitus Diabetes Mellitus, Type 2 Glucose Metabolism Disorders Metabolic Diseases Endocrine System Diseases |
Mitiglinide Metformin Hypoglycemic Agents Physiological Effects of Drugs Pharmacologic Actions |
ClinicalTrials.gov processed this record on May 22, 2013