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OpenTrials
Completed

NCT Number: NCT00147745

Effects of Colesevelam on How the Body Responds to Insulin in Patients With Type 2 Diabetes

This study is designed to assess the potential mechanism of action by which WelChol® (colesevelam) may improve blood glucose control in patients with type 2 diabetes

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Key information

Age range

18 year–75 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

San Diego VMC

San Diego, California, 92161, United States

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Patients between the ages of 18 - 75, inclusive
  • Diagnosed with type 2 diabetes
  • Hemoglobin A1c value greater than or equal to 8.0%
  • Antidiabetic treatments may include sulfonylurea agents (non-sulfonylurea agents must be withdrawn)
  • Overweight, obese (body mass index 25-45 kg/m2)

Exclusion criteria

  • Change of dose of lipid or blood pressure lowering therapy within past three months
  • Previous treatment with colesevelam for hyperlipidemia
  • Serum triglyceride greater than 500 mg/dL
  • Serum low density lipoprotein-cholesterol less than 60 mg/dL

Treatment and study plan

Colesevelam

Drug

Colesevelam 3.8g for 12 weeks

Colesevelam matching placebo

Drug

Colesevelam matching placebo for 12 weeks

Insulin Glargine (Lantus)

Drug

Insulin glargine for 12 weeks

Primary outcomes

  1. Difference in Endogenous (Hepatic) Glucose Output During a High-dose Insulin Infusion From Baseline to After 12 Weeks of Treatment.

    Time frame: Baseline to 12 weeks

    The parameter measured is the endogenous (hepatic) glucose output during a high-dose insulin infusion. A decrease after treatment with colesevelam is indicative of greater sensitivity of the liver to insulin.

  2. Difference in Endogenous (Hepatic) Glucose Output During a Low-dose Insulin Infusion From Baseline to Week 12.

    Time frame: Baseline to 12 weeks

    The parameter measured is the endogenous (hepatic) glucose output during a low-dose insulin infusion. A decrease is indicative of greater senstitivity of the liver to insulin.

  3. Acute Effect of a Single Dose of Colesevelam on Oral Glucose Absorption From Baseline to First Dose

    Time frame: Baseline (Day -4) to first dose (Day 1)

    Change in area under the curve for glucose (AUCg) after a glucose tolerance test. A decrease in AUCg is indicative of a drug effect.

Secondary outcomes

  1. The Acute Effect of Colesevelam (Multiple Doses) on Oral Glucose Absorption From Baseline to 12 Weeks

    Time frame: Baseline to 12 weeks

    The parameter measured is the change in area under the curve for glucose(AUCg) after an oral glucose tolerance test. A decrease in AUCg indicative of drug effect on glucose absorption.

  2. Change in Hemoglobin A1C Due to Effect of Colesevelam From Baseline to 12 Weeks

    Time frame: Baseline to 12 weeks

    The parameter measured is the percent of hemoglobin A that is glycosylated. A decrease in this parameter is indicative of improved glucose control.

Sponsors and collaborators

Lead sponsor

Daiichi Sankyo

Industry

Registry information

Official study title

Effects of Colesevelam on Insulin Sensitivity in Type 2 Diabetes Mellitus

Important dates

Study start
2005
Primary completion
2008
Study completion
2008
First posted
Sep 7, 2005
Registry last updated
Apr 2, 2014

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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