Glycemic Durability After Metformin Failure

Effect of Glimepiride, Vildagliptin, Pioglitazone and Canagliflozin on Durability of Glycemic Control After Metformin Failure in Type 2 Diabetes

Type 2 diabetes is epidemic and its treatment has become more and more difficult. Consensus algorithms have been developed to help clinicians to select among the numerous medications and their combinations for achieving and maintaining a target glycated hemoglobin A1c (HbA1c) of <7%.

AMAZING, a pragmatic clinical trial, aims to compare commonly used oral diabetes medications, when combined with metformin, on glycemia-lowering effectiveness.

• Source data verification: paper or electronic medical records.
• Statistical analysis: All analyses will compare the randomly assigned treatment groups under the intention- to-treat principle

Inclusion Criteria:

• Newly-diagnosed, type 2 diabetic patients, failing to diet

Exclusion Criteria:

• Suspected type 1 diabetes or secondary diabetes resulting from specific causes
• Current or previous (within past 3 months) treatment with any investigational drug
• Any major cardiovascular event in previous year
• Plans for pregnancy during the course of the study for women of childbearing potential
• Serum creatinine level >1.3 mg/dL in women and >1.4 mg/dL in men
• History of cancer, other than nonmelanoma skin cancer, that required therapy in the 5 years before randomization
• Treatment with oral, loal, systemic glucocorticoids 14. Treatment with atypical antipsychotics