| E.1 Medical condition or disease under investigation |
| E.1.1 | Medical condition(s) being investigated |
| Platelet Aggregation in type 2 diabetes |
|
| MedDRA Classification |
| E.1.3 | Condition being studied is a rare disease | No |
| E.2 Objective of the trial |
| E.2.1 | Main objective of the trial |
| To determine the clinical potential of NAC in reducing thrombotic potential in patients with type 2 diabetes, either alone or as an adjunct to aspirin therapy. |
|
| E.2.2 | Secondary objectives of the trial |
To determine whether NAC orally has the same impact on platelet biochemistry and activity as found in the previous in vitro study. To establish whether fibrinolysis is also affected by oral dosing with NAC in patients with type 2 diabetes. |
|
| E.2.3 | Trial contains a sub-study | No |
| E.3 | Principal inclusion criteria |
Men or post menopausal women with type 2 diabetes Not recieving aspirin (group A) Receiving Aspirin (Group B)
|
|
| E.4 | Principal exclusion criteria |
Very poorly controlled diabetes (HbA1c > 10%) Significant hypertriglyceridaemia (TG > 4 mmol/L) Renal disease (creatinine > 150 umol/L) Current or recently stopped smokers (< 6 months) Patients receiving other anti platelet therapy (i.e. clopidogrel, dipyridamole), or lipid lowering therapy where the patients are unable or unwilling to stop therapy for the duration of study participation. Patients with asthma Current use of tetracycline antibiotics or cough suppressants
|
|
| E.5 End points |
| E.5.1 | Primary end point(s) |
Does daily administration of NAC alone or as an adjunct to aspirin therapy for a period of 1 week alter platelet activation, as assessed by platelet-monocyte interaction and ex vivo platelet aggregometry?
Does oral dosing with NAC alter platelet GCL activity, GSH levels and anti oxidant capacity?
Does NAC alone or as an adjunct to aspirin therapy, alter plasma t-PA and/or PAI-1 levels? |
|
| E.6 and E.7 Scope of the trial |
| E.6 | Scope of the trial |
| E.6.1 | Diagnosis | No |
| E.6.2 | Prophylaxis | Yes |
| E.6.3 | Therapy | Yes |
| E.6.4 | Safety | No |
| E.6.5 | Efficacy | Yes |
| E.6.6 | Pharmacokinetic | No |
| E.6.7 | Pharmacodynamic | No |
| E.6.8 | Bioequivalence | No |
| E.6.9 | Dose response | No |
| E.6.10 | Pharmacogenetic | No |
| E.6.11 | Pharmacogenomic | No |
| E.6.12 | Pharmacoeconomic | No |
| E.6.13 | Others | No |
| E.7 | Trial type and phase |
| E.7.1 | Human pharmacology (Phase I) | No |
| E.7.1.1 | First administration to humans | No |
| E.7.1.2 | Bioequivalence study | No |
| E.7.1.3 | Other | No |
| E.7.1.3.1 | Other trial type description | |
| E.7.2 | Therapeutic exploratory (Phase II) | No |
| E.7.3 | Therapeutic confirmatory (Phase III) | No |
| E.7.4 | Therapeutic use (Phase IV) | Yes |
| E.8 Design of the trial |
| E.8.1 | Controlled | Yes |
| E.8.1.1 | Randomised | Yes |
| E.8.1.2 | Open | No |
| E.8.1.3 | Single blind | No |
| E.8.1.4 | Double blind | Yes |
| E.8.1.5 | Parallel group | Yes |
| E.8.1.6 | Cross over | Yes |
| E.8.1.7 | Other | No |
| E.8.2 | Comparator of controlled trial |
| E.8.2.1 | Other medicinal product(s) | No |
| E.8.2.2 | Placebo | Yes |
| E.8.2.3 | Other | No |
| E.8.3 |
The trial involves single site in the Member State concerned
| Yes |
| E.8.4 | The trial involves multiple sites in the Member State concerned | No |
| E.8.5 | The trial involves multiple Member States | No |
| E.8.6 Trial involving sites outside the EEA |
| E.8.6.1 | Trial being conducted both within and outside the EEA | No |
| E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
| E.8.7 | Trial has a data monitoring committee | No |
| E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
|
| Last visit of last subject undergoing the trial |
|
| E.8.9 Initial estimate of the duration of the trial |
| E.8.9.1 | In the Member State concerned years | |
| E.8.9.1 | In the Member State concerned months | 12 |
| E.8.9.1 | In the Member State concerned days | |