Understanding individual variation in treatment response in type 2 diabetes

ISRCTN ISRCTN91540163
DOI https://doi.org/10.1186/ISRCTN91540163
ClinicalTrials.gov number NCT01847144
Secondary identifying numbers 14154
Submission date
12/06/2013
Registration date
12/06/2013
Last edited
20/08/2019
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Nutritional, Metabolic, Endocrine
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Ms Catherine Angwin
Scientific

Royal Devon and Exeter Hospital
Barrack Road
Exeter
EX2 5DW
United Kingdom

Email C.Angwin@exeter.ac.uk

Study information

Study designBoth; Interventional; Design type: Treatment, Cohort study
Primary study designInterventional
Secondary study designCohort study
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use contact details to request a participant information sheet
Scientific titleMASTERMIND: Understanding individual variation in treatment response in type 2 diabetes
Study acronymDRN 788 (MASTERMIND)
Study objectivesResponse to treatment in type 2 diabetes is highly variable. The same medicine may have little effect on one person but a huge effect on another. Understanding mechanisms of altered response to treatment could aid treatment selection and assist the design of new medications with lower non- response rates.
This study will examine the physiological mechanisms and potential clinical/biomarker predictors of altered response to sulphonylurea and DPP-IV inhibitor glucose lowering medication and answer fundamental methodological questions for the future study of variation in treatment response in type 2 diabetes.
Participants will withdraw sulphonylurea therapy for up to 4 weeks with assessment of baseline characteristics and glycaemic response. Participants will then enter an optional extension where they receive sulphonylurea or DPP-IV inhibitor therapy in crossover fashion.
Ethics approval(s)12SW0346
Health condition(s) or problem(s) studiedTopic: Diabetes Research Network; Subtopic: Type 2; Disease: Diabetic Control
InterventionGliclazide 80mg OD, Gliclazide 80mg OD; Sitagliptin 100mg OD, Sitagliptin 100mg OD; Study Entry : Registration only
Intervention typeDrug
Pharmaceutical study type(s)
PhaseNot Applicable
Drug / device / biological / vaccine name(s)Gliclazide, sitagliptin
Primary outcome measureUnderstanding mechanisms of individual response to glucose lowering therapies in type 2 diabetes; Timepoint(s): End of study
Secondary outcome measuresNot provided at time of registration
Overall study start date18/04/2013
Completion date31/10/2014

Eligibility

Participant type(s)Patient
Age groupAdult
SexBoth
Target number of participantsPlanned Sample Size: 200; UK Sample Size: 200
Key inclusion criteria1. Age between 19 and 79 years
2. Clinical diagnosis of Type 2 Diabetes
3. Currently treated with sulphonylurea tablets
4. No change in diabetes treatment (new treatments or dose change) within last 3 months
5. Last HbA1c (taken within last 12 months) of =42 mmol/mol and =75 mmol/mol (6-9%)
6. Able and willing to monitor home blood glucose
7. Able and willing to give informed consent
Key exclusion criteria1. Current treatment includes: insulin, GLP-1 agonists, DPP-IV inhibitors, glinides, Renal impairment (eGFR <30 ml/min/1.73m2)
2. Active infection (any infection requiring antibiotics at present)
3. Recent (within 3 months) surgery or planned surgery
4. Cardiovascular disease (angina, myocardial infarction, stroke, transient ischemic episode) occurring within the previous 3 months
5. Previous history of pancreatitis
6. Pregnant, breastfeeding or planning a pregnancy over the study period
7. Unable/unwilling to monitor home blood glucose
Date of first enrolment18/04/2013
Date of final enrolment31/10/2014

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

Royal Devon and Exeter Hospital
Exeter
EX2 5DW
United Kingdom

Sponsor information

Royal Devon and Exeter NHS Foundation Trust (UK)
Hospital/treatment centre

Royal Devon and Exeter Hospital
Barrack Road
Exeter
EX2 5DW
England
United Kingdom

ROR logo "ROR" https://ror.org/03085z545

Funders

Funder type

Research council

Medical Research Council (MRC) (UK)
Government organisation / National government
Alternative name(s)
Medical Research Council (United Kingdom), UK Medical Research Council, MRC
Location
United Kingdom

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Editorial Notes

20/08/2019: ClinicalTrials.gov number added.
12/01/2017: No publications found, verifying study status with principal investigator.