Effect of Cilostazol on Carotid Atherosclerosis Estimated by 3D Ultrasound in Patients With Type 2 Diabetes
Study Details
Study Description
Brief Summary
To investigate the effect of cilostazol compared with aspirin on carotid atherosclerosis in patients with type 2 diabetes mellitus
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
Phase 4 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: Cilostazol group Cilostazol 200 mg or maximal tolerate dose |
Drug: Cilostazol
Cilostazol 200 mg/day
|
Active Comparator: Aspirin group Aspirin 100 mg |
Drug: Aspirin
Aspirin 100 mg/day
|
Outcome Measures
Primary Outcome Measures
- Change of carotid artery atherosclerosis [6 months]
Plaque composition
Secondary Outcome Measures
- Change of carotid artery atherosclerosis 1 [6 months]
Changes in carotid intima-media thickness after treatment
- Change of carotid artery atherosclerosis 2 [6 months]
Changes in carotid artery stenosis after treatment
- Change of carotid artery atherosclerosis 3 [6 months]
Plaque volume in carotid artery
Other Outcome Measures
- Glucose metabolism 1 [6 months]
HOMA-Insulin Resistance
- Diabetic complication [6 months]
Albuminuria
- Glucose metabolism 2 [6 months]
HbA1c
- Body composition [6 months]
Body fat mass and percent
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Age between 30 and 80 years
-
Patients with type 2 diabetes on treatment (HbA1c 6.0-11.0%)
-
Carotid plaque on 3D ultrasound
Exclusion Criteria:
-
Acute bleeding or bleeding tendency
-
Diagnosed with heart failure
-
Suggestive of ischemia on ECG
-
Uncontrolled hypertension
-
Recently diagnosed with peptic ulcer disease
-
Taking other antiplatelet agents
-
Hypersensitivity to salicylic acid
-
Aspirin induced asthma
-
Severe kidney, liver, heart disease
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Seoul National University Bundang Hospital | Seongnam | Gyeonggi | Korea, Republic of | 463-707 |
Sponsors and Collaborators
- Seoul National University Bundang Hospital
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
- Huh JH, Seok H, Lee BW, Kang ES, Lee HC, Cha BS. Effect of cilostazol on carotid intima-media thickness in type 2 diabetic patients without cardiovascular event. Endocrine. 2014 Sep;47(1):138-45. doi: 10.1007/s12020-013-0120-y. Epub 2014 Jan 1.
- Katakami N, Kim YS, Kawamori R, Yamasaki Y. The phosphodiesterase inhibitor cilostazol induces regression of carotid atherosclerosis in subjects with type 2 diabetes mellitus: principal results of the Diabetic Atherosclerosis Prevention by Cilostazol (DAPC) study: a randomized trial. Circulation. 2010 Jun 15;121(23):2584-91. doi: 10.1161/CIRCULATIONAHA.109.892414. Epub 2010 Jun 1.
- Cilostazol_Carotid a. plaque