Table 3. Proposed glipizide and metformin challenge endpoints.
Glipizide Challenge | Metformin Challenge |
---|---|
Glucose-based | Glucose-based |
Glucose trough | Δ fasting glucose Visit 1 and Visit 2 |
Glucose trough adjusted for baseline glucose * | Fasting glucose at Visit 2 adjusted for fasting glucose at Visit 1 * |
Δ (glucose 0 min to trough) | Δ fasting glucose Visit 1 and Visit 2 adjusted for BMI |
Δ (glucose 0 to 90 min) | Fasting glucose at Visit 2 adjusted for baseline glucose at Visit 1 and BMI |
Glucose at 120 min adjusted for baseline glucose | |
Δ (glucose 0 to 120 min) | |
Area over the glucose curve from 0 to 120 min | |
Time to glucose trough * | |
Time to glucose trough adjusted for baseline glucose * | |
Δ (glucose 0 min to trough)/time to trough | |
Insulin-based | Insulin-based |
Insulin peak | Δ fasting insulin Visit 1 and Visit 2 |
Insulin peak adjusted for baseline insulin * | Fasting insulin at Visit 2 adjusted for fasting insulin at Visit 1 |
Insulin at 60 min adjusted for baseline insulin | Δ fasting insulin Visit 1 and Visit 2 adjusted for BMI |
Δ (insulin 0 min to peak insulin) | Fasting insulin at Visit 2 adjusted for fasting insulin at Visit 1 and BMI |
Δ (insulin 0 to 60 min) | |
Area under the insulin curve from 0 to 240 min | |
Time to insulin peak | |
Δ (insulin 0 min to peak insulin) / time to peak insulin | |
Recovery period | HOMA-IR based |
Δ (glucose 120 to 240 min) | Δ HOMA-IR Visit 1 and Visit 2 |
Δ (glucose trough to 240 min) | HOMA-IR at visit 2 adjusted for HOMA-IR at Visit 1 |
Δ (glucose trough to 240 min) /time from trough to 240 min * | Δ HOMA-IR Visit 1 and Visit 2 adjusted for BMIHOMA-IR at Visit 2 adjusted for HOMA-IR at Visit 1 and BMI |
Δ: change
* Selected endpoints
Δ: change
BMI: body mass index; HOMA-IR: homeostatic model assessment of insulin resistance.