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Patients newly diagnosed with T2D will be recruited and will receive sitagliptin treatment for 3 months. The gut microbiome of the participants before and after the treatment and the effectiveness of sitagliptin treatment on type 2 diabetes will be evaluated.
The dipeptidyl peptidase-4 inhibitor sitagliptin is a classic anti-diabetic drug(1) and is widely applied to both scientific research and clinical trial(2-6). This clinical trial aims to study the effectiveness of sitagliptin treatment in T2D patients and related change of gut microbiome. 50 Patients newly diagnosed with T2D will be recruited. With patient's informed consent, patient-related vital signs (such as age, height, weight, body mass index), laboratory indicators (including glycated hemoglobin, glycated albumin, low-density lipoprotein, total cholesterol, triglycerides), fasting blood glucose, insulin levels and Insulin resistance index (HOMA-IR)(7) will be recorded and analyzed. The feces of the patients will be collected to analyze the gut microbiome. All of the patients will receive the sitagliptin treatment for 3 months. The gut microbiome of the patients and the effectiveness of sitagliptin treatment on diabetes will be evaluated at indicated times during follow-up.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| sitagliptin | Experimental | sitagliptin 100mg |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Sitagliptin 100mg | Drug | Sitagliptin 100mg Qd |
|
| Measure | Description | Time Frame |
|---|---|---|
| HbA1c change | Changes in HbA1c from baseline at 1 month and 3 months during follow-up | Changes in HbA1c from baseline at 1 month and 3 months during follow-up |
| Measure | Description | Time Frame |
|---|---|---|
| fasting blood glucose change | Changes in fasting blood glucose from baseline at 1 month and 3 months during follow-up | Changes in fasting blood glucose from baseline at 1 month and 3 months during follow-up |
| HOMA-IR change |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Jia Liu, MD | Contact | 010-85231710 | liujia0116@126.com | |
| Yan Duan, MD | Contact | 010-85231711 |
| Name | Affiliation | Role |
|---|---|---|
| Guang Wang, MD | Beijing Chao Yang Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Beijing Chao-Yang Hospital, Capital Medical University | Recruiting | Beijing | Beijing Municipality | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 36476135 | Derived | Wang Q, An Y, Zhang L, Zhang Y, Wang G, Liu J. Regulation of Adropin by Sitagliptin monotherapy in participants with newly diagnosed type 2 Diabetes. BMC Endocr Disord. 2022 Dec 7;22(1):306. doi: 10.1186/s12902-022-01233-x. | |
| 33625721 | Derived | Wang Q, Ma L, Zhang Y, Zhang L, An Y, Liu J, Wang G. Effect of Sitagliptin on Serum Irisin Levels in Patients with Newly Diagnosed Type 2 Diabetes Mellitus. Diabetes Ther. 2021 Apr;12(4):1029-1039. doi: 10.1007/s13300-021-01023-z. Epub 2021 Feb 24. |
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| ID | Term |
|---|---|
| D003924 | Diabetes Mellitus, Type 2 |
| ID | Term |
|---|---|
| D003920 | Diabetes Mellitus |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
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| ID | Term |
|---|---|
| D000068900 | Sitagliptin Phosphate |
| ID | Term |
|---|---|
| D014230 | Triazoles |
| D001393 | Azoles |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
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Changes in HOMA-IR from baseline at 1 month and 3 months during follow-up
| Changes in HOMA-IR from baseline at 1 month and 3 months during follow-up |
| Glycated Albumin(GSA)change | Changes in Glycated Albumin from baseline at 1 month and 3 months during follow-up | Changes in Glycated Albumin from baseline at 1 month and 3 months during follow-up |
| D004700 | Endocrine System Diseases |
| D011719 |
| Pyrazines |