The Effect of Metformin and DPP4 Inhibitors on Cognition and Cardiovascular Protection in Type 2 Diabetic Patients
Study Details
Study Description
Brief Summary
The Impact of Metformin and Dipeptidyl Peptidase- 4 Inhibitors on Cognitive Function and cardiovascular protection in Type 2 Diabetic Patients
Condition or Disease | Intervention/Treatment | Phase |
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Detailed Description
This study aims to investigate the effect of daily oral DPP4 inhibitors and oral metformin on neurodegeneration in type 2 diabetic patients.
This study aims to compare between the cardiovascular protective properties of DPP-4 inhibitors and Metformin in type 2 diabetic patients.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
group 1 patients will be treated with DPP4 inhibitor + metformin |
Drug: Vildagliptin
observe the effect of vildagliptin on cognitive function and cardiovascular in diabetic patients
|
control patients will be treated with metformin without DPP4 inhibitor. |
Outcome Measures
Primary Outcome Measures
- improve the neurodegeneration and cardiovascular effect in diabetic patients [September 2022]
improve the cognition and cardiovascular effect in type 2 diabetic patients
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Patient should be diagnosed with Type 2 diabetes mellitus (T2DM) and guided with HA1c ≥7, age ≥40 years.
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moderate hypertension.
Exclusion Criteria:
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• Diabetic patients who have been currently receiving anti-diabetic agents other than metformin and/or insulin
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Patients with type 1 DM, active liver disease, recent history of cardiovascular disease (acute coronary syndrome, coronary artery intervention, New York Heart Association Class III/IV heart failure, stroke, transient ischemic neurologic event, or new/worsening symptoms of coronary heart disease or cerebrovascular disease), severe peripheral vascular disease, triglyceride levels ≥ 600 mg/dL, history of HIV infection, pancreatitis, malignancy or clinically important hematologic disorder, and an estimated glomerular filtration rate (eGFR; calculated using the Modification of Diet in Renal Disease formula) less than 30 mL/min/1.73 m2.
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Moreover, patients with dementia, AD, those were in delirium status during evaluation period, patients with psychotic disease (schizoaffective disorder, etc.)
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Alcohol and substance addiction were not enrolled in the study.
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Also, patients who have any hypersensitivity to metformin or to DPP4 inhibitors were also excluded.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | National Institute of diabetes and endocrinology | Cairo | Al Kasr Al Aini | Egypt |
Sponsors and Collaborators
- MTI University
- National Institute of Diabetes and Endocrinology, Egypt
Investigators
- Principal Investigator: Toka Hesham, Bachelor of Pharmacy and Pharmaceutical sciences (Clinical Pharmacy)
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- IDEoo281