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The aim of this study is to evaluate the effect of vildagliptin on copeptin in comparison to glimepiride, and whether copeptin could be used as a marker for the efficacy of vildagliptin in type 2 diabetes mellitus patients, and how copeptin correlates with other diabetic and cardiac markers.
Approval will be obtained from Research Ethics Committee of Faculty of Pharmacy, Damanhour University.
All participants agreed to take part in this clinical study and provide informed consent.
Patients with uncontrolled DM type 2 who are on metformin will be enrolled from endocrinology clinic at Damanhour general hospital.
Serum samples will be collected for measuring the biomarkers.
All enrolled patients will be divided into two groups; both groups will be patients who are uncontrolled and already on metformin, group I will receive vildagliptin as an add-on therapy while group II will receive glimepiride.
All patients will be followed up during 12 week period.
At the end of the 12 week period, serum samples will be recollected for measuring the biomarkers after treatment.
Statistical tests appropriate to the study design will be conducted to evaluate the significance of the results.
Measuring outcome: The primary outcome is the change of serum levels of the measured markers after 12 weeks.
Results, conclusion, discussion and recommendations will be given. Methodology
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Vildagliptin | Experimental | Group I (N=35) are patients who the endocrinologist prescribed them Vildagliptin 50mg /tab plus their Metformin 500mg /tab once daily for 12 weeks to control their blood sugar level. |
|
| Glimepiride | Active Comparator | Group II (N=35) are patients who the endocrinologist prescribed them Glimepiride 3mg / tab plus Metformin 500mg /tab once daily for 12 weeks. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Vildagliptin 50 MG | Drug | vildagliptin plus their metformin. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Copeptin Concentration (pg/ml) | Copeptin serum Level | 3 month |
| NT-proBNP Concentration (pg/ml) | NT-proBNP serum Level | 3 Months |
| Measure | Description | Time Frame |
|---|---|---|
| Fasting blood glucose (mg/dl) | Fasting Blood Glucose level | 3 month |
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Inclusion criteria
• 70 uncontrolled adult patients with Type II-diabetes mellitus
Exclusion criteria
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| Name | Affiliation | Role |
|---|---|---|
| Rehab H Werida, Ass Prof. | Damanhour University | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Damanhour Teaching Hospital, General Organization for Teaching Hospitals and Institutes. | Damanhūr | Elbehairah | 31527 | Egypt |
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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 |
|---|---|
| D000077597 | Vildagliptin |
| C057619 | glimepiride |
| D013607 | Tablets |
| ID | Term |
|---|---|
| D009570 | Nitriles |
| D009930 | Organic Chemicals |
| D011759 | Pyrrolidines |
| D006573 | Heterocyclic Compounds, 1-Ring |
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70 enrolled patients will be divided into two groups (35 each); both groups will be patients who are uncontrolled and already on metformin, group I will receive vildagliptin as an add-on therapy while group II will receive glimepiride.
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Double Blind
| Glimepiride 3 Mg Oral Tablet | Drug | glimepiride plus their metformin |
|
|
| D004700 | Endocrine System Diseases |
| D006571 |
| Heterocyclic Compounds |
| D004304 | Dosage Forms |
| D004364 | Pharmaceutical Preparations |