Unique ID issued by UMIN | UMIN000029169 |
---|---|
Receipt number | R000012442 |
Scientific Title | Effect of antidiabetic drug on endothelial function |
Date of disclosure of the study information | 2017/09/16 |
Last modified on | 2018/03/18 12:17:13 |
Effect of antidiabetic drug on endothelial function
EFFORT
Effect of antidiabetic drug on endothelial function
EFFORT
Japan |
Untreated type 2 diabetic patients with ischemic heart disease
Cardiology | Endocrinology and Metabolism |
Others
NO
To investigate the effect of DPP4 inhibitor and alpha glucosidase inhibitor on vascular endothelial function
Efficacy
Changes of RHI(Reactive hyperemia index)
blood glucose, serum insulin level, HbA1c(NGSP), LDL, HDL, Triglyceride, total cholesterol, urine albumin/creatinine ratio, MDA-LDL, hs-CRP, IL-8, MCP-1, periostin, RAGE, HMW adiponectin, NT-pro BNP, active GLP1
Interventional
Parallel
Randomized
Individual
Open -no one is blinded
Active
NO
NO
Institution is not considered as adjustment factor.
NO
Central registration
2
Treatment
Medicine |
Linagliptin 5mg once a day for 3 months
Voglibose 0.3mg three times a day for 3 months
20 | years-old | <= |
Not applicable |
Male and Female
Patients
1) with ischemic heart disease (old myocardial infarction, stable angina pectoris, silent myocardial ischemia, history of percutaneous transluminal coronary angioplasty, history of coronary artery bypass grafting)
2) with untreated diabetic melitus and HbA1c (NGSP) less than or equal to 6.4%
3) with unchanged medication during latest 1 month
4) aged 20 years old or older
1. Patients with liver disease (ALT or AST level is over 100IU/L, total Bil level is over 2.5mg/dl).
2. Patients with congenital heart disease.
3. Patients with highly advanced cardiac dysfunction.
4. Patients with endocrine disease.
5. Patients with malignancy or inflammatory disease.
6. Patinets with highly advanced respiratory disease (containing pulmonary arterial pulmonary hypertension.
7. Patients with cranial nerve disease or locomotor apparatus disease, and severely compromised daily life.
8. Patients with severe hypertension.
9. Patients administrated steroid or immune suppressor.
10. Patients with type1 DM or type2 DM and HbA1c (NGSP) 6.5% or more.
11. Patients during pregnancy or with possibility of pregnancy.
12. Patients administrated catecholamine.
13. Patients with symptomatic hypotension.
14. Patients with significant LVOT obstruction (Hypertrophic obstructive cardiomyopathy or aortic stenosis).
15. Patients without written consent.
16. Patients recognized inadequate by primary doctor.
40
1st name | |
Middle name | |
Last name | Koichi Node |
Saga university
Department of cardiovascular medicine
5-1-1 Nabeshima Saga-city
0952(34)2364
node@cc.saga-u.ac.jp
1st name | |
Middle name | |
Last name | Taku Koyama |
Chiyukai Fukuoka Wajiro hospital
Cardiovascular medicine
2-2-75 Wajirogaoka Higashi-ku Fukuoka-city
092(608)0001
taku-koyama@umin.ac.jp
Chiyukai Fukuoka Wajiro hospital
none
Self funding
Division of cardiovascular medicine, Saga university
NO
池友会 福岡和白病院
2017 | Year | 09 | Month | 16 | Day |
Published
The RH-PAT and laboratory parameters, including 75 g oral glucose tolerance test, were measured at baseline and 3 months. Linagliptin reduced serum levels of glucose and insulin at 2 hours, and increased levels of active glucagon-like peptide-1 and high-molecular-weight adiponectin. Age-, sex-, and baseline-adjusted changes in logarithmic RH-PAT index (LnRHI) after 3 months were significant between groups (linagliptin, 0.135±0.097; voglibose, -0.124±0.091; P=0.047). In the linagliptin group, change in LnRHI was positively correlated with change in high-density lipoprotein cholesterol and negatively correlated with changes in both urine albumin-to-creatinine ratio and high-sensitivity C-reactive protein.
Main results already published
2013 | Year | 06 | Month | 10 | Day |
2013 | Year | 08 | Month | 31 | Day |
2017 | Year | 09 | Month | 20 | Day |
2017 | Year | 09 | Month | 20 | Day |
2017 | Year | 09 | Month | 30 | Day |
2018 | Year | 03 | Month | 17 | Day |
2017 | Year | 09 | Month | 16 | Day |
2018 | Year | 03 | Month | 18 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000012442