Unique ID issued by UMIN | UMIN000008620 |
---|---|
Receipt number | R000010058 |
Scientific Title | The impact of DPP-4 inhibitor on daily glucose profile and coronary plaque character in impaired glucose tolerance patients with coronary artery disease |
Date of disclosure of the study information | 2012/08/06 |
Last modified on | 2022/03/15 18:50:33 |
The impact of DPP-4 inhibitor on daily glucose profile and coronary plaque character in impaired glucose tolerance patients with coronary artery disease
the impact of Vildagliptin On daily Glucose profile and coronary plaqUE character in impaired glucose tolerance patients with coronary artery disease:VOGUE-KOBE
The impact of DPP-4 inhibitor on daily glucose profile and coronary plaque character in impaired glucose tolerance patients with coronary artery disease
the impact of Vildagliptin On daily Glucose profile and coronary plaqUE character in impaired glucose tolerance patients with coronary artery disease:VOGUE-KOBE
Japan |
patients with coronary artery disease and impaired glucose tolerance (IGT)
Medicine in general | Cardiology | Endocrinology and Metabolism |
Others
NO
Comparison of vildagliptin versus conventional treatment without DDP-4 inhibitor on daily glucose profile analyzed by 24-hour continuous glucose monitoring system and coronary plaque character using coronary imaging devices in IGT patients with coronary artery disease
Efficacy
Change in coronary plaque character analyzed by coronary angiography, intravascular ultrasound, and optical coherence tomography, and daily glucose profile analyzed by 24-hour continuous glucose monitoring system before and after 6 months treatment with vildagliptin in comparison with conventional treatment without DPP-4 inhibitor
1)Changes in the IMT value measured by carotid arterial echography
2)Changes in HbA1c (NGSP) and 75g OGTT (glucose and insulin levels after glucose load)
Interventional
Parallel
Randomized
Individual
Open -no one is blinded
Active
2
Treatment
Medicine |
Vildagliptin group:start with Vildagliptin 50 mg/day
Diet and exercise without DPP-4 inhibitotr
20 | years-old | <= |
80 | years-old | >= |
Male and Female
1)In patients undergoing PCI, "untreated IGT" and "2-hour plasma/serum glucose level: 140mg/dL to 199mg/dL in a 75g oral glucose tolerance test"
2)LDL-chol < 100mg/dl in patients without statin. LDL-chol < 120mg/dl in patients with statin.
3)patients between 20 and 80 years old
4)Written consent for participation in the study
Patients meeting one of the following conditions will be excluded:
1)under treatment of diabetes, or type 1 diabetes
2)severe liver dysfunction
3)severe renal dysfunction
4)severe heart failure) (NYHA/New York Heart Association stage III or severer)
5)Malignancies or other diseases with poor prognosis
6) pregnant, lactating, and possibly pregnant women and those planning to become pregnant
7) past medical history of hypersensitivity to investigational drugs
8) judged as ineligible by clinical investigators
50
1st name | Toshiro |
Middle name | |
Last name | Shinke |
Kobe University Graduate School of Medicine
Division of Cardiovascular Medicine
650-0017
7-5-1 Kusunoki-cho, Chuo-ku, Kobe 650-0017, Japan
+81-78-382-5846
shinke@med.kobe-u.ac.jp
1st name | Toshiro |
Middle name | |
Last name | Shinke |
Kobe University Graduate School of Medicine
Division of Cardiovascular Medicine
650-0017
7-5-1 Kusunoki-cho, Chuo-ku, Kobe 650-0017, Japan
+81-78-382-5846
shinke@med.kobe-u.ac.jp
Division of Cardiovascular Medicine, Kobe University Graduate School of Medicine
Division of Cardiovascular Medicine, Kobe University Graduate School of Medicine
Self funding
Division of diabetes and metabolism, Kobe University Graduate School of Medicine
Hyogo Brain and Heart Center
Kobe University Graduate School of Medicine
7-5-1 Kusunoki-cho, Chuo-ku, Kobe 650-0017, Japan
+81-78-382-5846
shinke@med.showa-u.ac.jp
NO
2012 | Year | 08 | Month | 06 | Day |
https://bmccardiovascdisord.biomedcentral.com/track/pdf/10.1186/s12872-021-01902-0.pdf
Published
https://bmccardiovascdisord.biomedcentral.com/articles/10.1186/s12872-021-01902-0
24
Vildagliptin could reduce the MAGE at 6 months and may be associated with the decreased lipid arc and increased minimum FCT of the coronary plaques in CAD patients with IGT as compared with the control group.
These findings may represent its potential stabilization effect on coronary plaques, which are characteristic in this patient subset.
2022 | Year | 03 | Month | 15 | Day |
Patients included in this study satisfied the following criteria: (1) scheduled to undergo percutaneous coronary intervention (PCI) for stable CAD with an untreated IGT(2) under lipid-lowering management; low-density lipoprotein cholesterol<120 mg/dl with statin administration, and<100 mg/dl without statin administration, (3) between 20 and 80 years old, and 4) having provided written informed consent for participation in the study.
a multicenter, open-label, randomized
controlled trial at two institutes in Japan
nothing
In this trial protocol, the primary endpoint was changes in coronary plaque characteristics, such as the minimum FCT and lipid arc detected by OCT between baseline and
6 months after intervention, and those in the MAGE. The following OCT parameters were determined for analysis: the minimum lumen area, lipid length, lipid mean arc, and minimum FCT for quantitative variables.
As outcomes of glycemic metabolic variables, the MAGE, time in hyperglycemia/ hypoglycemia, and mean, maximum, and minimum blood glucose levels were measured. As clinical outcome, cardiac death, myocardial infarction (MI), cerebral infarction, target
lesion revascularization (TLR), and target vessel revascularization (TVR) were set.
Completed
2012 | Year | 07 | Month | 04 | Day |
2012 | Year | 07 | Month | 04 | Day |
2012 | Year | 09 | Month | 01 | Day |
2019 | Year | 03 | Month | 30 | Day |
2019 | Year | 03 | Month | 31 | Day |
2019 | Year | 03 | Month | 31 | Day |
2019 | Year | 03 | Month | 31 | Day |
2012 | Year | 08 | Month | 05 | Day |
2022 | Year | 03 | Month | 15 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000010058