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. 2017 May 10;2017(5):CD012204. doi: 10.1002/14651858.CD012204.pub2

NCT01548651.

Trial name or title Effect of Saxagliptin Treatment on Myocardial Fat Content, Left Ventricular Function, and Monocyte Inflammation in Patients with Impaired Glucose Tolerance
Methods Type of trial: not reported in available protocol, but assume efficacy
Allocation: randomised
Intervention model: parallel assignment
Masking: double blind (participant, carer, investigator, outcomes assessor)
Primary purpose: treatment
Participants Condition: IGT
Enrolment: estimated 40
Inclusion criteria: men and women with IGT (i.e. FPG ≤ 125 mg/dL, 2‐h post OGTT 75‐g glucose 140‐199 mg/dL, HbA1c < 6.5% as per American Diabetes Association criteria; age 30‐70 years; using an acceptable method of contraception to avoid pregnancy throughout the study in such a manner that the risk of pregnancy is minimised; BMI 30‐35 kg/m² and stable body weight
Exclusion criteria: must not be on anti‐diabetes therapy for treatment of IGT and must have a FPG concentration ≤ 125 mg/dL; T1DM or T2DM (FPG > 125 mg/dL); must not be on or have received metformin, thiazolidinediones, sulphonylureas, DPP‐4 inhibitor or exenatide/liraglutide treatment for IGT at any time; must not be receiving any of the following: thiazide or furosemide diuretics, beta‐blockers or other chronic medications such as hormone replacement therapy with known adverse effects on glucose tolerance levels; people taking systemic glucocorticoids excluded; history of clinically significant heart disease, peripheral vascular disease or pulmonary disease; must not have clinically significant liver disease (aspartate aminotransferase < 2.5 times upper limit of normal, alanine transaminase < 2.5 times upper limit of normal, alkaline phosphatase < 2.5 times upper limit of normal), kidney disease (serum creatinine < 1.5 mg/dL in men and 1.4 mg/dL in women) or significant anaemia (hematocrit < 34 vol%); history of any serious hypersensitivity reaction to saxagliptin or a DPP‐4 inhibitor; concomitant treatment with systemic cytochrome P450 3A4 inducers; pregnant or breastfeeding
Interventions Intervention: saxagliptin 5 mg/day, PO
Comparator: placebo daily
Duration of intervention: 6 months
Outcomes Primary outcomes: myocardial and hepatic fat content (%) (at 6 months); % change in hepatic fat and myocardial fat from baseline as measured by magnetic resonance imaging and spectroscopy
Secondary outcomes: left ventricular ejection fraction (%) (at 6 months); % change in left ventricular ejection fraction from baseline as measured by magnetic resonance imaging; monocyte inflammatory protein NFkappaB (%) (at 6 months); % change in monocyte inflammatory proteins NFkappaB from baseline
Other outcomes: none
Starting date Trial start date: February 2012
Trial completion date: December 2016 (final data collection date for primary outcome measure)
Contact information Responsible party/principal investigator: Mandeep Bajaj, MD, Baylor College of Medicine
Study identifier NCT number: NCT01548651
Official title Effect of Saxagliptin Treatment on Myocardial Fat Content, Left Ventricular Function, and Monocyte Inflammation in Patients with Impaired Glucose Tolerance
Stated purpose of study Quote: "The purpose of the study is to examine the effect of saxagliptin, an anti‐diabetes medication, on hepatic and myocardial fat content and monocyte inflammation in patients with Impaired Glucose Tolerance (IGT)."
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