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Phase 4 Completed N=151 Randomized Quadruple-blind Supportive Care

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.
Diabetes research and clinical practice · 2018 · Open access · Likely link

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.
    Diabetes research and clinical practice · 2018 · 21 citations · Open access · Likely link

Outcome Measures

OutcomeResultp-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
View full record on ClinicalTrials.gov →

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.

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