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CompletedNCT01346254GCPDUpdated Dec 5, 2011

Glucose Control in Pre-Diabetic Renal Transplant Patients

A Phase 2 interventional study of Vildagliptin and Pioglitazone in Impaired Glucose Tolerance and Kidney Transplantation, sponsored by Marcus Saemann. Completed at 1 site in Austria. Open to participants aged 18 Years to 81 Years. Per ClinicalTrials.gov, last updated 2011-12-05.

Sponsored by Marcus Saemann · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
51
Allocation
Randomized
Ages
18 Years to 81 Years
Sex
All
01

Study summary

Development of New-Onset Diabetes after Transplantation (NODAT) is common and serious complication after kidney transplantation. Patients who develop NODAT are at increased risk for loss of the transplanted organ and for diseases of the cardiovascular system.

It is believed that in many patients the development of overt NODAT is preceded by a phase of impaired glucose tolerance that is called pre-diabetes.

This study aims at improving glucose metabolism in patients after kidney transplantation who are in a pre-diabetic metabolic state. Patients who exhibit impaired glucose tolerance (IGT) after kidney transplantation are randomized to either receive vildagliptin (Galvus), pioglitazone(Actos) or placebo for three months.

The investigators hypothesize that treatment with vildagliptin or pioglitazone leads to improved glycemic control compared to placebo.

02

Conditions studied

  • Impaired Glucose Tolerance
  • Kidney Transplantation

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Keywords

  • after
03

In context

Glucose Intolerance

792 studies on the registry are indexed under Glucose Intolerance; 126 are open to participants now.

This study's enrollment of 51 is below the median of 60 across 656 interventional studies indexed under Glucose Intolerance.

Browse Glucose Intolerance studies →

Lead sponsor

Marcus Saemann is the lead sponsor of 4 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 81 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Time since renal transplantation > 6 months
  • Stable graft function
  • Routine OGTT has been performed, and pre-diabetes has been diagnosed by pathological OGTT (2h, 75 g glucose, glucose level between 140 and 200 mg/dl)
  • Informed consent of the patient

Exclusion criteria

Exclusion Criteria:

  • Patients with type 1 or type 2 diabetes
  • Patients with NODAT (2h glucose level at OGTT >200 mg/dl)
  • allergy against vildagliptin or pioglitazone
  • pregnancy
  • GFR\<15ml/min/1.73 with need for dialysis
  • hepatic impairment
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
51 participants (actual)

Study arms

  • Experimental
    Vildagliptin

    16 patients randomized into this arm will receive vildagliptin (Galvus) 50mg orally once daily

    Drug: Vildagliptin · Behavioral: Life-Style Modification

  • Experimental
    Pioglitazone

    16 patients randomized into this arm will receive pioglitazone (Actos) 30mg orally once daily

    Drug: Pioglitazone · Behavioral: Life-Style Modification

  • Placebo comparator
    Placebo

    16 patients randomized into this arm will receive placebo medication orally once daily

    Behavioral: Life-Style Modification

Interventions

  • 50mg tablets once daily 20 min before breakfast for 3 months

    Also known as: Galvus

  • 30mg tablets once daily 20 min before breakfast for 3 months

    Also known as: Actos

  • BehavioralLife-Style Modification

    All study participants were counselled regarding life-style modification including regular exercise, weight loss and diet.

06

What researchers measure

Primary outcomes

  1. Oral glucose tolerance test (OGTT)

    Glucose tolerance and insulin resistance three months after study start will be measured by means of a frequent sampling OGTT (75g glucose, determination of glucose, insulin and C-peptide) over 120 mins.

    Time frame: three months

Secondary outcomes

  1. glycated hemoglobin

    HbA1c will be measured after three months and compared between the study arms

    Time frame: 3 months

  2. Renal function

    Renal function will be assessed by measuring serum creatinin and glomerular filtration rate (GFR)at the beginning of the study and after three months of treatment

    Time frame: 3 months

  3. Liver function

    Liver enzymes (ALAT, ASAT, Gamm-GT) will be measured at the start of the study and after three months treatment

    Time frame: 3 months

  4. Lipid profiles

    Lipid profiles will be analyzed at the beginning and end of the study including Cholesterol, HDL, LDL and triglycerides.

    Time frame: 3 months

07

Study locations

1 site
  • Allgemeines Krankenhaus der Stadt Wien, Universitätskliniken
    Vienna, 1090, Austria
08

References and documents

Publications

  • Lo C, Toyama T, Oshima M, Jun M, Chin KL, Hawley CM, Zoungas S. Glucose-lowering agents for treating pre-existing and new-onset diabetes in kidney transplant recipients. Cochrane Database Syst Rev. 2020 Jul 30;8(8):CD009966. doi: 10.1002/14651858.CD009966.pub3. PubMed 32803882 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 5, 2011, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01346254
Lead sponsor
Marcus Saemann
Responsible party
Marcus Saemann (Dr, Medical University of Vienna) — Sponsor-investigator
First posted
May 2, 2011
Start date
Dec 2009
Primary completion
Nov 2011
Completion
Nov 2011
Last update
Dec 5, 2011

Study contacts

Marcus Säemann, MD
principal investigator · Medical University of Vienna, Department of Internal Medicine III, Division of Nephrology and Dialysis

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Dec 2011. You cannot join it, but the record below documents what was studied.

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Studies of the drugs tested here: Vildagliptin · Pioglitazone

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