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Effect of 13-Week Treatment With Vildagliptin as Add-On Therapy to Improve Glucose Variability in Type II Diabetes (VIDA) Phase 4 191

Terminated
Clinical Trial NCT01862263 (VIDA) is designed to study Treatment for Type 2 Diabetes Mellitus. It is a Phase 4 interventional study that is terminated, having started on 1 May 2013, with plans to enroll 191 participants. Led by Novartis Pharmaceuticals, it is expected to complete by 1 July 2015. The latest data from ClinicalTrials.gov was last updated on 5 June 2019.
Brief Summary
The purpose of the study is to assess if the addition of vildagliptin as add-on therapy improves glucose variability in type 2 diabetes mellitus (T2DM) patients inadequately controlled with insulin, with special emphasis in hypoglycemic episodes measured by continuous glucose monitoring.
Official Title

A Multicenter, Double-Blind, Randomized, Parallel-Group Placebo-Controlled Study to Compare the Effect of 13-Week Treatment With Vildagliptin as Add-On Therapy to Improve Glucose Variability in Type 2 Diabetes Mellitus Patients Inadequately Controlled With Insulin.

Conditions
Type 2 Diabetes Mellitus
Other Study IDs
  • VIDA
  • CLAF237AMX01
NCT ID Number
Start Date (Actual)
2013-05
Last Update Posted
2019-06-05
Completion Date (Estimated)
2015-07
Enrollment (Estimated)
191
Study Type
Interventional
PHASE
Phase 4
Status
Terminated
Keywords
Diabetes,
Type 2 diabetes,
Diabetes mellitus,
insulin,
Primary Purpose
Treatment
Design Allocation
Randomized
Interventional Model
Parallel
Masking
Double
Arms / Interventions
Participant Group/ArmIntervention/Treatment
ExperimentalVildagliptin
Vildagliptin 50 mg twice daily (bid) + Insulin 20 to 40 IU/day
Vildagliptin
Orally active and highly selective inhibitor of DPP-4
Insulin
Long- acting human insulin analog indicated to improve glycemic control
Placebo ComparatorPlacebo
Insulin 20 to 40 IU/day + Vildagliptin Placebo twice daily (bid)
Insulin
Long- acting human insulin analog indicated to improve glycemic control
Placebo
Matching placebo of vildagliptin
Primary Outcome Measures
Outcome MeasureMeasure DescriptionTime Frame
Percentage of patients with hyperglycemic events evaluated with CGM
An hypoglycemic event is defined as any continuous glucose monitoring (CGM) measurement less than 60 mg/dL and a hyperglycemic is define as any CGM greater than 140 mg/dL.
At 13 weeks
Secondary Outcome Measures
Outcome MeasureMeasure DescriptionTime Frame
Number of hypoglycemia and/or hyperglycemia measured by CGM
An episode of hypoglycemia is defined as any value of glucose under 60 mg/dL, an episode of hyperglycemia is defined as any value of glucose above 140mg/dL measured by CGM.
13 weeks
Area under the curve (AUC 0-24) of the excursions of glucose values below 60 mg/dl per day
Duration and intensity of hypoglycemic episodes, measured as area under the curve (AUC 0-24) of the excursions of glucose values below 60 mg/dl per day, measured by continuous glucose monitoring
0 to 24 hours daily for week 1, 4 and 13
Average of insulin units per day administered during the study
Change from baseline
13 weeks
Changes from the baseline in Lipid Profile
Lipid Profile will include total cholesterol, HDL cholesterol, LDL cholesterol, VLDL cholesterol
Baseline, 13 weeks
Change from baseline in Body weight
Weight will be measured on Kg.
Baseline, 13 weeks
Change from baseline in Blood pressure (BP),
BP will be mesured on mmHg
Baseline, 13 weeks
Change from baseline in Fasting plasma glucose (FPG),
FPG will be measured on mg/dL
Baseline, 13 weeks
Change from baseline in Hemoglobin A1C (HbA1c)
HbA1c will be measured on %
Baseline, 13 weeks
Change from baseline in Creatinine
Creatinine will be measured on mg/dL
Baseline, 13 weeks
Change from baseline in C-peptide
C-Peptide will be measured on microIU/mL
Baseline, 13 weeks
Changes from baseline in alanine aminotransferase (ALT)/aspartate aminotransferase (AST)
ALT/AST will be measured on ratio.
Baseline, 13 week
Changes from baseline in Direct bilirubin
Bilirubin will be measure on mg/dL
Baseline, 13 weeks
Changes from baseline in Body Mass Index (BMI)
Baseline, 13 weeks
Number of patients with adverse events, serious adverse events and death as evaluation of safety and tolerability of coadministration of vildagliptin with insulin
13 weeks
Eligibility Criteria

Eligible Ages
Adult, Older Adult
Minimum Age
18 Years
Eligible Sexes
All
  1. Informed consent read and signed before any protocol procedure.
  2. Free will to sign the informed consent.
  3. Male and female between 18 and 80 years. If female, patient must be non-fertile or of childbearing potential using a medically approved birth control method.
  4. Type 2 diabetes mellitus
  5. Patient under insulin treatment within 3 years with stable insulin NPH (Neutral ProtamineHagedorn) regimen at dose of at least 20 UI/day up to 40 UI/day for a minimum of 4 weeks prior to enrolment, only NPH and glargine insulin are allowed.
  6. HbA1c between 7.5 to 9%.
  7. Fasting plasma glucose (FPG) less than 270 mg/dL.
  8. Body mass index (BMI) between 20 to 35 kg/m2.
  9. Free willing to take the vildagliptin tablets during the study.

  1. Pregnant or lactating female or without birth control method if of childbearing potential.
  2. Type 1 diabetes, diabetes that is a result of pancreatic injury, or secondary forms of diabetes, e.g., Cushing's syndrome.
  3. Acute cardiovascular complications or metabolic complications within the past 4 months.
  4. History cerebrovascular disease during the last year.
  5. History of Torsades de Points, ventricular tachycardia or ventricular fibrillation.
  6. Ischemic heart disease (e.g. myocardial infarction, unstable angina, coronary artery bypass surgery).
  7. Congestive heart failure requiring pharmacologic treatment.
  8. Any known serious heart condition.
  9. ALT and/or AST greater than three times the upper limit of the normal range.
  10. Serum creatinine levels greater than 1.5 mg/dL
  11. Malignancy including leukemia and lymphoma within the last 5 years

Other inlcusion/exclusion criteria may apply

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13 Study Locations in 1 Countries

Guanajuato

Novartis Investigative Site, Celaya, Guanajuato, 38000, Mexico

Jalisco

Novartis Investigative Site, Guadalajara, Jalisco, 44150, Mexico
Novartis Investigative Site, Guadalajara, Jalisco, 44600, Mexico
Novartis Investigative Site, Guadalajara, Jalisco, 44670, Mexico

Mexico City

Novartis Investigative Site, Mexico City, Mexico City, 06700, Mexico
Novartis Investigative Site, Mexico City, Mexico City, 07300, Mexico
Novartis Investigative Site, Mexico City, Mexico City, 14050, Mexico

Nuevo León

Novartis Investigative Site, Monterrey, Nuevo León, 64020, Mexico
Novartis Investigative Site, Monterrey, Nuevo León, 64710, Mexico

Quintana Roo

Novartis Investigative Site, Cancún, Quintana Roo, 77500, Mexico

Sinaloa

Novartis Investigative Site, Culiacán, Sinaloa, 80000, Mexico

State of Mexico

Novartis Investigative Site, Metepec, State of Mexico, 52140, Mexico
Novartis Investigative Site, Puebla City, 72190, Mexico