Phase 4
Completed N=151
Clinical Trial of Efficacy and Safety of Subetta in the Combined Treatment of Patients With Type I Diabetes Mellitus
Type I Diabetes Mellitus
Source: ClinicalTrials.gov NCT01868594 ↗
Enrolled (actual)
151
Serious AEs
3.3%
Results posted
Mar 2019
Primary outcomePrimary: Changes in the Mean Value of HbA1c — -0.71; -0.49; -0.66; -0.27 percentage of HbA1c — p=0.019
◆ Published Evidence
Established
21citations · ~3 / year
Efficacy and safety of Subetta add-on therapy in type 1 diabetes mellitus: The results of a multicenter, double-blind, placebo-controlled, randomized clinical trial.
Summary
The purpose of this study is:
* to assess clinical efficacy of Subetta in the combined treatment of type I diabetes mellitus;
* to assess safety of Subetta in the combined treatment of type I diabetes mellitus.
Linked Publications
-
Efficacy and safety of Subetta add-on therapy in type 1 diabetes mellitus: The results of a multicenter, double-blind, placebo-controlled, randomized clinical trial.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Changes in the Mean Value of HbA1c |
-0.71; -0.49; -0.66; -0.27; -0.59; -0.20 | 0.019 sig |
| SECONDARY Change in Fasting Plasma Glucose (Based on the Data of Biochemical Analysis) |
-0.5; 0.3; -0.2; 0.8; -0.7; 0.7 | 0.0432 sig |
| SECONDARY Change in Average Daily Blood Glucose From a 7-point Patient Self-monitoring of Blood Glucose (SMBG) |
-0.1; 0.1; -0.2; -0.1; -0.2; -0.2 | 0.7344 |
| SECONDARY Changes in Lipids (Concentrations of Plasma Total Cholesterol, HDL Cholesterol, LDL Cholesterol and Triglycerides) |
0.2; 0.2; 0.1; 0.4; 0.2; 0.3 | 0.2780 |
| SECONDARY Changes in Dosage of Insulin (Basal, Prandial and Total Daily Dose Insulin Measured in IU) |
0.4; 0.9; -1.6; -0.9; -1.2; 0.0 | 0.3107 |
| SECONDARY Changes in Dosage of Total Insulin Measured in IU/kg of Body Weight |
-0.02; -0.01 | 0.6716 |
| SECONDARY Satisfaction of Diabetes Treatment Based on Diabetes Treatment Satisfaction Questionnaire Data |
9.7; 8.4; -0.7; -0.6; -0.4; -0.6 | 0.2484 |
Eligibility Criteria
Inclusion Criteria
- Diagnosed type I diabetes mellitus (according to WHO criteria, 1999 - 2006).
- Disease duration no less than 6 months.
- Patient's age from 18 to 65 years inclusive.
- Level of glycosylated hemoglobin 7.0- 10.0 %.
- Glomerular filtration rate ≥ 60 ml/ min/1.73m^2.
- Stable dose of basal insulin for the last 3 months. (Permissible fluctuations are ±10%.)
- Usage of contraceptive methods by both gender patients of reproductive age during the trial and within 30 days after ending the participation in the trial.
- Availability of signed patient information sheet (Informed Consent form) for participation in the clinical trial.
Exclusion Criteria
- Acute diabetes mellitus complications for 3 months prior to inclusion in the trial (diabetic ketoacidosis, hyperosmolar hyperglycemic state, lacticemia, severe hypoglycemia and hypoglycemic coma).
- Diabetic retinopathy, preproliferative, proliferative or terminal stages (based on the results of oculist examination during screening period or 6 months prior to the trial).
- Diabetic nephropathy, proteinuria stage, chronic kidney disease on 3, 4 or 5 stage.
- Diabetic microangiopathy:
- ishemic heart disease (medical history of a sudden coronary death with successful reanimation, medical history of myocardial infarction, stable exertional angina III or IV FC; unstable angina; post-infarction cardiosclerosis; chronic heart failure III or IV FC);
- cerebrovascular diseases (medical history of acute cerebrovascular accident; progressive vascular leukoencephalopathy; vascular dementia);
- chronic obliterative peripheral vascular diseases (clinically significant);
- diabetic neuroosteoarthropathy;
- diabetic foot (clinically significant).
- Heart rhythm disorder:
- II-III atrioventricular block;
- sick sinus syndrome;
- long QT interval syndrome;
- complete left bundle branch block;
- block of 2/3 bundle branches;
- WPW syndrome;
- ventricular arrhythmia of III grade according Laun-Wolf;
- paroxysmal supraventricular tachycardia;
- paroxysmal/recurrent ventricular tachycardia;
- atrial flutter and fibrillation;
- ventricular flutter and fibrillation;
- heart pacemaker implant.
- Uncontrolled arterial hypertension characterized by the following blood tension values: systolic blood pressure over 160 mm Hg and/or diastolic blood pressure over 100 mm Hg.
- Severe concomitant pathology including clinically significant cardiovascular diseases of III - IV functional class (according to New York Heart Association classification, 1964), nervous and endocrine system diseases, including morbid obesity (body mass index≥40.0 kg/m2), renal insufficiency, liver failure.
- Medical history of pancreatectomy or transplantation of pancreatic/islet cells.
- Medical history of renal transplantation.
- Malignant neoplasms/suspected malignant neoplasms.
- Exacerbations or decompensation of chronic diseases affecting a patient's ability to participate in the clinical trial.
- Level of fasting triglycerides >5.64 mmol/L.
- Medical history of bariatric surgical operations.
- Medical history of polyvalent allergy.
- Allergy/ intolerance to any of the components of medications used in the treatment.
- Intake of medicines listed in the section "Prohibited concomitant treatment" for 3 months prior to the inclusion in the trial.
- Pregnancy, breast-feeding.
- Drug addiction, alcohol usage in the amount exceeding 2 units of alcohol per day.
- Mental disorders of a patient.
- Night work.
- Participation in other clinical trials in the course of 3 months prior to the inclusion in the trial.
- Patients, who from the investigator's point of view, will fail to comply with the observation requirements of the trial or with the intake regimen of the investigated medicines.
- Other factors impeding patient's participation in the trial (for example, planned business trips or journeys).
- Patient is related to the research personnel of the investigative site, who
Data sourced from ClinicalTrials.gov (NCT01868594) and the linked publication. Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.