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Focusing on newly diagnosed type 2 diabetes participants with overweight and obesity (24kg/m2 ≤ body mass index ≤ 30kg/m2).
50 participants per arm (acarbose & lifestyle combination / vildagliptin & lifestyle combination), using abdominal computed tomography scans and other methods to evaluate the effects of acarbose and vildagliptin on visceral fat distribution in overweight and obesity patients with newly diagnosed type 2 diabetes.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group A | Experimental | Acarbose |
|
| Group B | Active Comparator | Vildagliptin |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Acarbose | Drug | 1-2 week: 50mg tid; 3-24 week: 100mg tid. |
|
|
| Measure | Description | Time Frame |
|---|---|---|
| Change of the visceral fat area in square centimeter assessed by abdominal CT scans from baseline to 24 weeks. | 24 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Change of body weight in kilograms measured by investigators from baseline to 24 weeks. | 24 weeks | |
| Change of waist circumstance in centimeters measured by investigators from baseline to 24 weeks. | 24 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Linong Ji, MD | Contact | +86 10 8832 4108 |
| Name | Affiliation | Role |
|---|---|---|
| Linong Ji, MD | Peking University People's Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Beijing Pinggu Hospital | Recruiting | Beijing | Beijing Municipality | 101200 | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 19656312 | Result | Ibrahim MM. Subcutaneous and visceral adipose tissue: structural and functional differences. Obes Rev. 2010 Jan;11(1):11-8. doi: 10.1111/j.1467-789X.2009.00623.x. Epub 2009 Jul 28. | |
| 16112958 | Result | Schernthaner GH, Schernthaner G. Insulin resistance and inflammation in the early phase of type 2 diabetes: potential for therapeutic intervention. Scand J Clin Lab Invest Suppl. 2005;240:30-40. doi: 10.1080/00365510500236119. |
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Do not share data.
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| ID | Term |
|---|---|
| D003924 | Diabetes Mellitus, Type 2 |
| D009765 | Obesity |
| ID | Term |
|---|---|
| D003920 | Diabetes Mellitus |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
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| ID | Term |
|---|---|
| D020909 | Acarbose |
| D000077597 | Vildagliptin |
| ID | Term |
|---|---|
| D014312 | Trisaccharides |
| D009844 | Oligosaccharides |
| D011134 | Polysaccharides |
| D002241 | Carbohydrates |
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| Vildagliptin | Drug | 1-24 week: 50mg bid |
|
|
| Change of body mass index in kg/m^2 measured by investigators from baseline to 24 weeks. | 24 weeks |
| Change of the subcutaneous fat area in square centimeters assessed by abdominal CT scans from baseline to 24 weeks. | 24 weeks |
| Change of hemoglobin A1c in percents from baseline to 24 weeks. | 24 weeks |
| Change of hemoglobin fasting plasma glucose in millimols per liter from baseline to 24 weeks. | 24 weeks |
| Change of hemoglobin 2-hour-post-prandial plasma glucose in millimols per liter from baseline to 24 weeks. | 24 weeks |
| Change of triglyceride in millimols per liter from baseline to 24 weeks. | 24 weeks |
| Change of total cholesterol in millimols per liter from baseline to 24 weeks. | 24 weeks |
| Change of low-density lipoprotein-cholesterol in millimols per liter from baseline to 24 weeks. | 24 weeks |
| Change of high-density lipoprotein-cholesterol in millimols per liter from baseline to 24 weeks. | 24 weeks |
| Change of insulin in international units per liter from baseline to 24 weeks. | 24 weeks |
| Change of brain natriuretic peptide in nanograms per milliliter from baseline to 24 weeks. | 24 weeks |
| 19515542 | Result | Monami M, Iacomelli I, Marchionni N, Mannucci E. Dipeptydil peptidase-4 inhibitors in type 2 diabetes: a meta-analysis of randomized clinical trials. Nutr Metab Cardiovasc Dis. 2010 May;20(4):224-35. doi: 10.1016/j.numecd.2009.03.015. Epub 2009 Jun 9. |
| 24030946 | Result | Kodama N, Tahara N, Tahara A, Honda A, Nitta Y, Mizoguchi M, Kaida H, Ishibashi M, Abe T, Ikeda H, Narula J, Fukumoto Y, Yamagishi S, Imaizumi T. Effects of pioglitazone on visceral fat metabolic activity in impaired glucose tolerance or type 2 diabetes mellitus. J Clin Endocrinol Metab. 2013 Nov;98(11):4438-45. doi: 10.1210/jc.2013-2920. Epub 2013 Sep 12. |
| 40395816 | Derived | Yang X, Zhang X, Sun C, Zhao C, Kong X, Zhao M, Ji L, Li Y. Effect of acarbose and vildagliptin on plasma trimethylamine N-oxide levels in patients with type 2 diabetes mellitus: a 6-month, two-arm randomized controlled trial. Front Endocrinol (Lausanne). 2025 May 6;16:1575087. doi: 10.3389/fendo.2025.1575087. eCollection 2025. |
| 35930018 | Derived | Zhang X, Ren H, Zhao C, Shi Z, Qiu L, Yang F, Zhou X, Han X, Wu K, Zhong H, Li Y, Li J, Ji L. Metagenomic analysis reveals crosstalk between gut microbiota and glucose-lowering drugs targeting the gastrointestinal tract in Chinese patients with type 2 diabetes: a 6 month, two-arm randomised trial. Diabetologia. 2022 Oct;65(10):1613-1626. doi: 10.1007/s00125-022-05768-5. Epub 2022 Aug 5. |
| D004700 | Endocrine System Diseases |
| D050177 | Overweight |
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
| D001835 | Body Weight |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D009570 |
| Nitriles |
| D009930 | Organic Chemicals |
| D011759 | Pyrrolidines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |