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Completed

NCT Number: NCT03568409

ABO-GLYC in Type 2 Diabetes

Evaluation of the improvement of the overall glycemic control after 6 months of treatment with ABO-GLYC, as a result of reduction of HbA1c and/or post-prandial glycemic peak.

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Key information

Conditions

Age range

18 year–75 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Azienda Ospedaliera Padova

Padova, Italy

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Male and female patients with diagnosis of type 2 diabetes, aged 18-75
  • HbA1c at screening between 6.5% and 7.5%
  • Last 2 HbA1c values in the last 12 months between 6.5% and 7.5%
  • Intolerance to metformin without unquestionable indication to other oral hypoglycemic agents
  • BMI 25-38 kg/m2
  • Willing and able to understand and sign the informed consent and complete the patient diary provided
  • Women participant of childbearing age should be negative to pregnancy test (performed on blood), and will have to use an appropriate contraceptive method throughout the study.

Exclusion criteria

  • Micro and macrovascular complication of diabetes in advanced stage (i.e., proliferative diabetic retinopathy; chronic renal failure III-IV stage KDOQI)
  • Chronic gastro-intestinal disease
  • Heavy smoker subjects
  • Alcohol abuse
  • Chronic liver and kidney disease (AST or ALT values > 2.5 UNL or plasma creatinine > 1.5 mg/dl)
  • Previous major gastrointestinal surgery
  • History of eating disorders
  • Pregnancy or lactation
  • Use of food supplements containing in particular but not limited to fibers and polysaccharides, in the last six months with frequency and dosage such as to interfere with the study.
  • Autoimmune diseases
  • Known hypersensitivity to any of the components of the product.
  • Any condition which prevent subject participation in the opinion of the principal investigator.

Treatment and study plan

ABO-GLYC

Device

3 tablets twice a day, before the main meals (lunch and dinner) continuatively for 24 weeks.

Other names: Libramed

ABO-GLYC Placebo

Other

3 tablets twice a day, before the main meals (lunch and dinner) continuatively for 24 weeks.

Primary outcomes

  1. Improvement of the overall glycemic control after 6 months of treatment with ABO-GLYC, as a result of reduction of HbA1c and/or post-prandial glycemic peak.

    Time frame: Week0 and Week24

    HbA1c measure

  2. Improvement of the overall glycemic control after 6 months of treatment with ABO-GLYC, as a result of reduction of HbA1c and/or post-prandial glycemic peak.

    Time frame: Week0 and Week24

    Tmax

  3. Improvement of the overall glycemic control after 6 months of treatment with ABO-GLYC, as a result of reduction of HbA1c and/or post-prandial glycemic peak.

    Time frame: Week0 and Week24

    Cmax

Secondary outcomes

  1. Improvement of markers of glycemic variability (plasma glucose level)

    Time frame: Week0 to Week24

    Composite measurement of standard deviation and coefficient of variation of the plasma glucose level

  2. Improvement of markers of glycemic variability (MAGE)

    Time frame: Week0 to Week24

    mean amplitude of glucose excursion (MAGE)

  3. Improvement of markers of glycemic variability (HBGl)

    Time frame: Week0 to Week24

    high blood glycemic index (HBGI)

  4. Improvement of markers of glycemic variability (LBGI)

    Time frame: Week0 to Week24

    , low blood glycemic index (LBGI)

  5. Improvement of markers of glycemic variability (hypo/hyper glycemia)

    Time frame: Week0 to Week24

    percentage of time spent in hypoglycemia or hyperglycemia

  6. Improvement of markers of metabolic status (BMI)

    Time frame: Week0 to Week24

    Weight and height will be combined to report BMI in kg/m^2,total cholesterol, LDL triglycerides or NEFA, HDL and in the percentage of body fat determined by bioimpedentiometry

  7. Improvement of markers of glyco-oxidative stress

    Time frame: Week0 to Week24

    Measurement of receptor for advanced glycation endproducts (RAGE), Malondialdehyde (MDA) and/or oxidized LDL

  8. Improvement of markers of inflammation

    Time frame: Week0 to Week24

    Measurement of TNF-alpha, IL-1, IL-6

  9. Improvement of markers of metabolic status (lipid profile)

    Time frame: Week0 to Week24

    Measurement of total cholesterol, HDL cholesterol and Tryglycerides

  10. Improvement of markers of metabolic status (body composition)

    Time frame: Week0 to Week24

    percentage of body fat determined by bioimpedentiometry

  11. Evaluation of gut microbiome changes (bacteria population)

    Time frame: Week 0, Week 1, Week 12, Week 24

    Evaluation of bacteria population

  12. Evaluation of gut microbiome changes (SCFA)

    Time frame: Week 0, Week 1, Week 12, Week 24

    Evaluation of short change fatty acids measurements (SCFA)

  13. Improvement in markers of insulin resistance

    Time frame: Week 0 and Week 24

    Measurement of HOMA-IR and QUICKI

  14. Improvement in markers of insulin secretion after standardized meal.

    Time frame: Week 0 and Week 24

    Measurement of insulin and c-peptide secretion measured during the glycemic curve after a standardized meal

  15. Evaluation of the dietary adherence

    Time frame: Week0 to Week24

    Perceived Dietary Adherence Questionnaire (PDAQ). The PDAQ uses a 5-point Likert scale to assess perceived difficulty.

  16. Adverse events (AEs) evaluation and product tolerability.

    Time frame: Week0 to Week24

    Adverse event will be recorded during the course of the study, after the signature of the informed consent

  17. Control of the glycemia.

    Time frame: Week0 to Week24

    The data from the glycemic diary will be monitored to assess the good control of the glycemia as measured by Self Monitoring of Blood Glucose (SMBG).

Sponsors and collaborators

Lead sponsor

Aboca Spa Societa' Agricola

Industry

Collaborators

  • Fondazione Edmund Mach
  • Latis S.r.l.

Registry information

Official study title

Efficacy of ABO-GLYC on Glycemic and Metabolic Status of Patients With Type 2 Diabetes

Important dates

Study start
2017
Primary completion
2021
Study completion
2021
First posted
Jun 26, 2018
Registry last updated
Jun 30, 2022

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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