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Clinical Trials to Compare the Effects of Pioglitazone and Evogliptin on Hepatic Fibrosis in Patients With Chronic Hepatitis B With Significant Hepatic Fibrosis With Type 2 Diabetes

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Yonsei University

Status and phase

Unknown
Phase 4

Conditions

Chronic Hepatitis B With Significant Hepatic Fibrosis With Type 2 Diabetes

Treatments

Drug: gluconon tab 15mg
Drug: suganon tab 5mg

Study type

Interventional

Funder types

Other

Identifiers

NCT04584242
4-2019-0305

Details and patient eligibility

About

The clinical study determines the effect of Evogliptin in patients with type 2 diabetes mellitus and chronic hepatitis B to confirm the improvement of hepatic fibrosis.

Enrollment

40 estimated patients

Sex

All

Ages

20 to 80 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Adultes between 20 and 80 years of age

  • Patients who satisfy the following conditions among chronic hepatitis B patients diagnosed with type 2 diabetes

    1. Patients who are newly diagnosed as type 2 diabetes : 6.5% ≤ HbA1c < 10.0%
    2. Patients who are already diagnosed as type 2 diabetes: HbA1c < 10.0%
  • Patients who have significant liver fibrosis of at least 7 kPa in a hepaticity test using fibroscan

  • Patients who voluntarily signed the consent form after informed on the object, method, benefits and risks of the clinical study

Exclusion criteria

  • Patients who were taking Pioglitazone or Evoglipitin medication or who took diabetes medication within 4 weeks at the time
  • Patients who meet the standard of alcoholic fatty liver (in excess of 210g per week for men and 140g per week for women over the last two years)
  • Liver cirrhosis patients with impaired liver function (CTP class B and C)
  • Patients who took drugs that can cause fatty liver (amiodarone, methotrexate, tamoxifen, valproate, corticosteroids, etc.)
  • Patients with acute or chronic metabolic acidosis with or without coma and history of ketonic acid (within 24 weeks)
  • Allergic or hypersensitive to the target drug or its composition;
  • Patients treated with oral or non - oral corticosteroid treatment for chronic (more than 14 consecutive days) within 8 weeks prior to screening.
  • Poor nutrition, starvation, and debilitating conditions (including severe infections and severe injury patients before and after surgery)
  • Patients who are receiving radiation and chemotherapy for malignant tumors or patients who have been on chemotherapy or radiation treatment for less than two years.
  • Patients with heart failure in 24 weeks (class III to IV in NYHA classification) or unregulated arrhythmia.
  • Patients with acute cardiovascular disease in 12 weeks or less (e.g. unstable angina, myocardial infarction, routine ischemic seizures, cerebrovascular disease, coronary bypass surgery, or coronary artery interventions).
  • Patients with renal failure, chronic neuropathy (estimated glomerular filtration rate <60 mL/min/1.73 m2) or dialysis
  • Anemia patients whose Hb levels are less than 10.5g/dl
  • Women who are pregnant or breastfeeding
  • Patients who do not agree to use proper contraception during clinical trials only for women or men.
  • Patients who took medicines for clinical trials in other clinical trials within four weeks of document consent
  • Patients who are unable to participate in clinical trials on the judgment of other researchers
  • Patients who cannot read the consent form (e.g. illiteracy, foreigners, etc.)

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

40 participants in 2 patient groups

Pioglitazone
Experimental group
Treatment:
Drug: gluconon tab 15mg
Evogliptin
Experimental group
Treatment:
Drug: suganon tab 5mg

Trial contacts and locations

4

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Central trial contact

Seung Up Kim

Data sourced from clinicaltrials.gov

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