E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
TYPE 2 DIABETIC HOSPITALIZED PATIENTS WITH ACUTE CORONARY SYNDROME. |
PACIENTE DIABÉTICO TIPO 2 HOSPITALIZADO CON SÍNDROME CORONARIO AGUDO. |
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E.1.1.1 | Medical condition in easily understood language |
TYPE 2 DIABETIC HOSPITALIZED PATIENTS WITH ACUTE CORONARY SYNDROME. |
PACIENTE DIABÉTICO TIPO 2 HOSPITALIZADO CON SÍNDROME CORONARIO AGUDO. |
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E.1.1.2 | Therapeutic area | Diseases [C] - Nutritional and Metabolic Diseases [C18] |
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 study the efficacy of glycemic control with the use of liraglutide in hospitals defined by glicosilated hemoglobin. - To study the impact of liraglutide on cardiovascular risk factors. |
- Estudiar la eficacia en el control glucémico con el uso de liraglutida en el medio hospitalario definido por la Hemoglogina glicosilada. - Estudiar el impacto de liraglutida en los factores de riesgo cardiovascular. |
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E.2.2 | Secondary objectives of the trial |
- To study the safety of liraglutide in hospitals. - To study the usefulness of liraglutide in oxidative stress markers 3 months after the acute coronary event. - To study glycemic variability and incidence of hypoglycemia during hospitalization in patients included in each group. - To study the usefulness of 1.5 anhydroglucitol on these patients as an indirect measure of glycemic variability. - To study the efficacy of glycemic control with the use of liraglutide in hospitals defined by the mean pre and postprandial glycemia. |
- Estudiar la seguridad de liraglutida en el medio hospitalario. - Estudiar la utilidad de liraglutida en los marcadores de estrés oxidativo a 3 meses del evento coronario agudo. - Estudiar la variabilidad glucémica e incidencia de hipoglucemias durante la hospitalización en los pacientes incluidos en cada uno de los grupos. - Estudiar en estos pacientes la utilidad del 1,5 anhidroglucitol como medición indirecta de variabilidad glucémica. - Estudiar la eficacia en el control glucémico con el uso de liraglutida en el medio hospitalario definido por la glucemia media, pre y posprandial. |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
- 18-80 years hospitalized patients with acute coronary syndrome and diagnosed with type 2 diabetes for more than 3 months and an admission plasma glucose between 140-400 mg / dL. - In treatment with diet, oral agents in any combination or lower daily dose of insulin at 0.4 IU / kg. - Patients who have signed the Informed Consent. |
- Pacientes de entre 18-80 años hospitalizados con síndrome coronario agudo y diagnosticados de diabetes tipo 2 durante un tiempo mayor a 3 meses que presenten una glucemia al ingreso entre 140-400 mg/dL. - En tratamiento con dieta, antidiabéticos orales en cualquier combinación o dosis diaria de insulina inferior a 0.4 UI/kg. - Pacientes que hayan firmado el Consentimiento Informado. |
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E.4 | Principal exclusion criteria |
- Those patients with admission plasma glucose> 400 mg / dL were excluded. - Patients with hyperglycemia on admission but without diagnosed diabetes. - Patients with a history of diabetic ketoacidosis. - Patients with a severe disease that may include cardiac surgery or intensive care stay. - Patients with a history of pancreatitis or biliary tract active disease . - Patients with hepatic or renal failure (GFR <60 mL / min / 1.73m2). - Pregnancy, lactation. - Mental disease. - Patients who do not sign the informed consent. - Patients with kidney, liver, adrenal, pituitary or thyroid gland problems. |
- Se excluirá a aquellos pacientes que presenten glucemia al ingreso >400 mg/dL. - Pacientes con hiperglucemia al ingreso pero sin diagnóstico de diabetes. - Pacientes con antecedentes de cetoacidosis diabética. - Pacientes con gravedad que pueda incluir cirugía cardíaca o estancia en cuidados intensivos. - Pacientes con antecedentes de pancreatitis o enfermedad activa de vías biliares. - Pacientes con fallo renal (FG < 60 mL/min/1.73m2) o hepático. - Embarazo, lactancia. -Trastorno mental. - Pacientes que no firmen el consentimiento para la participación en el estudio. -Pacientes con problemas de riñón, hígado, glándulas suprarrenales, hipófisis o glándula tiroidea. |
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E.5 End points |
E.5.1 | Primary end point(s) |
- Efficacy of liraglutide: - Differences glycosylated hemoglogine recorded during the study. -Number Glycemia in the objectives range set in admission. - Impact of liraglutide CVRF - Change in SCORE cardiovascular risk corresponding to SPAIN. |
- Eficacia de liraglutida: - Diferencias de Hemoglogina glicosilada registrada durante el estudio. -Número de glucemias en el rango marcado como objetivos en ingreso hospitalario. - Impacto de liraglutida en FRCV: - Variación del SCORE de riesgo cardiovascular correspondiente a ESPAÑA. |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
-Hospital Admission -Hospital Stay -Hospital Discharge -Weekly phone Control (11 weeks) -Visit Week 12 -Visit Week 16 |
-Ingreso hospitalario -Estancia hospitalaria -Alta hospitalaria -Control teléfonico semanal (11 semanas) -Visita semana 12 -Visita semana 16 |
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E.5.2 | Secondary end point(s) |
- Safety of Liraglutide: - Number of hypoglycaemia during hospitalization. - Number of severe hypoglycemia. - Risk of hypoglycemia determined by iPRO sensor calibration algorithm. - Risk of hyperglycemia determined by iPRO sensor calibration algorithm. - Number of glycemia out of range. - Utility liraglutide in oxidative stress markers: - Changes in the levels of oxidative stress markers from baseline after 3 months of treatment. - Glycemic variability and incidence of hypoglycemia: - Number of severe hypoglycemia during the entire hospitalization. - Risk of hypoglycemia determined by iPRO sensor calibration algorithm. - Comparison of glycemic variability using the standard deviation obtained by digital blood glucose and obtained iPRO sensor. - Utility of 1.5 anhydroglucitol: - Change in basal levels anhydroglucitol 1.5 and 3 months compared with previously obtained glycemic variability. |
- Seguridad de liraglutida: - Número de hipoglucemias durante el ingreso hospitalario. - Número de hipoglucemias graves. - Riesgo de hipoglucemia determinado por algoritmo calibrado en sensor iPRO. - Riesgo de hiperglucemia determinado por algoritmo calibrado en sensor iPRO. - Número de glucemias fuera de rango. - Utilidad de liraglutida en los marcadores de estrés oxidativo: - Variación en los niveles de marcadores de estrés oxidativo respecto al basal tras 3 meses de tratamiento. - Variabilidad glucémica e incidencia de hipoglucemias: - Número de hipoglucemias graves durante el ingreso hospitalario total. - Riesgo de hipoglucemia determinado por algoritmo calibrado en sensor iPRO. - Comparación de la variabilidad glucémica mediante la desviación estándar obtenida por glucemias digitales y obtenidas en sensor iPRO. - Utilidad del 1,5 anhidroglucitol: - Variación de los niveles 1,5 anhidroglucitol basal y a los 3 meses comparándolo con la variabilidad glucémica obtenida con anterioridad. |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
-Hospital Admission -Hospital Stay -Hospital Discharge -Weekly phone Control (11 weeks) -Visit Week 12 -Visit Week 16 |
-Ingreso hospitalario -Estancia hospitalaria -Alta hospitalaria -Control teléfonico semanal (11 semanas) -Visita semana 12 -Visita semana 16 |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | Yes |
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) | Yes |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | Yes |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | Yes |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 2 |
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 | No |
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
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-Subjects Liraglutide failing to achieve glycemic goals scored (a pattern of basal insulin as the basal-bolus group will be added. -Subjects Liraglutide group when the daily mean blood glucose> 240 mg / dL or two consecutive measurements are> 240 mg / dL, ( he will begin treatment with basal-bolus regimen with a total daily insulin dose of 0.5 IU / kg / day ). -Withdrawal Consent. -Investigator´s decision. -Sponsor´s decision. |
-Sujetos de liraglutida que no alcancen los objetivos glucémicos marcados (se añadirá una pauta de insulina basal como la del grupo basal-bolus). -Sujetos en grupo de liraglutida cuando la glucemia media diaria >240 mg/dL o dos medidas consecutivas se encuentren > 240 mg/dL, (comenzará tratamiento con pauta basal-bolus con una dosis diaria total de insulina de 0.5 UI/kg/día). -Retirada del consentimiento. -A criterio del investigador. -A criterio del promotor. |
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 2 |
E.8.9.1 | In the Member State concerned months | |
E.8.9.1 | In the Member State concerned days | |