ClinicalTrials.gg
Status unknownNCT03426085Updated Feb 11, 2019

The Effects of Liraglutide on Sudomotor Function and Inflammation in Type 2 Diabetes

A Phase 2 interventional study of Liraglutide 6 mg Solution for Injection and Placebo in Autonomic Nervous System Diseases, Sweat Gland Diseases and Diabetic Neuropathy With Neurologic Complication, sponsored by Eastern Virginia Medical School. Status unknown at 1 site in United States. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2019-02-11.

Sponsored by Eastern Virginia Medical School · Phase 2, Interventional, and Prevention

The sponsor has not verified this record recently (last verified Feb 2019), so the status shown — last known as Recruiting — may be out of date.

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Phase
Phase 2
Study type
Interventional
Enrollment
44
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 49 studies in Autonomic Nervous System Diseases with a site in United States — 12 open to participants now, 16 under way, none of them phase 3. Autonomic Nervous System Diseases · United States.

Planned enrollment
11th of 31
44 · median 20
Started
2016
with 2 others
Phase 2
3 of 49
1 open now
Registered
24th of 49
by date

Among the 49 studies in Autonomic Nervous System Diseases with a site in United States, this one is the 11th largest by planned enrollment of the 31 interventional ones that give a count, is one of 3 that started in 2016, is one of 3 in phase 2, and was the 24th registered.

Autonomic Nervous System Diseases

108 studies on the registry are indexed under Autonomic Nervous System Diseases; 29 are open to participants now.

Browse Autonomic Nervous System Diseases studies →

Open to participants now

12 of the 49 studies in Autonomic Nervous System Diseases with a site in United States are open now. Recruiting first, the newest first:

7 more — sign in →

All 12 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 21 Autonomic Nervous System Diseases studies recruiting now, 6 (29%) set no upper age limit and 12 (57%) stop at 75 or younger; 6 take children under 18; 8 take healthy volunteers.

This study: 18 Years to 80 Years · all sexes · no healthy volunteers.

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02

Study summary

The purpose of this study is to conduct an interventional, one year, randomized, double blind, placebo-controlled trial with Liraglutide in patients with type 2 diabetes (diabetes duration of >6 months and \<10 years, HbA1c \<10%) to evaluate its effects on the peripheral autonomic nervous system, as well as inflammatory markers, and measures of oxidative and nitrosative stress.

Read the detailed description

The investigators propose to examine the effects of GLP-1 receptor agonist Liraglutide on autonomic sudomotor function and endothelial and neurovascular functions as well as markers of inflammation in patients with type 2 diabetes mellitus (T2DM). The primary objective will be changes in peripheral autonomic function using sudorimetry (Sudoscan) after 1 year of treatment.

The secondary objectives include changes on markers of inflammation and oxidative/nitrosative stress including C-reactive protein (CRP), interleukin 1 beta (IL-1β), Interleukin 6 (IL6), interleukin 12 (IL12), interleukin 10 (IL10), tumor necrosis factor α (TNF α), plasminogen activator Inhibitor 1 (PAI-1), superoxide dismutase (SOD), nitrotyrosine, carboxymethyl-lysine (CML), thiobarbituric acid reactive substances (TBARS), and asymmetric dimethylarginine (ADMA). Additional objectives include changes in neurovascular and endothelial function, measured by continuous Laser Doppler assessment of skin blood flow in response to different stimuli; and changes in sensory-motor peripheral nerve function, measured by clinical neuropathy scores (NSS \& NIS), quantitative sensory testing and nerve conduction testing.

The aim of this study is to capture patients early in the disease process, when autonomic dysfunction is still potentially reversible. Several studies have shown the presence of autonomic imbalance in the early stages of diabetes and even in the pre-diabetic state (impaired glucose tolerance, impaired fasting glucose, and metabolic syndrome). We hypothesize that by treating type 2 diabetic patients with Liraglutide early in the disease process (\<10 years of diagnosis), we will be able to improve peripheral autonomic imbalance, endothelial and neurovascular function, and reduce inflammation and oxidative/nitrosative stress. This will shed further insight into the mechanisms by which glucagon-like peptide-1 (GLP-1) exerts a neuroprotective role and improves the inflammatory process. The possibility of improving autonomic imbalance, endothelial function and inflammation may have important impact in the development of new potential therapeutic strategies to abrogate the microvascular complications of diabetes

03

Conditions studied

  • Autonomic Nervous System Diseases
  • Sweat Gland Diseases
  • Diabetic Neuropathy With Neurologic Complication
04

Who can participate

Ages eligible
18 Years to 80 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

  1. established type 2 diabetes (diabetes duration of >6 months and \<10 years).
  2. Age 18-80 years
  3. at screening ≤ 10%
  4. Subjects on stable (≥3 months prior to Screening) Standard of Care background diabetic therapy. Diabetic treatment regimens include diet and exercise alone or in association with oral anti-diabetic drugs (monotherapy or combinations) and/or long-acting insulin.

Exclusion criteria

Exclusion Criteria:

  1. Presence of type 1 diabetes mellitus (defined as C-peptide \<1 ng /ml, \<35y and prone to ketoacidosis)
  2. Treatment with rapid-acting or short-acting insulin within the last 3 months
  3. Proliferative retinopathy or maculopathy requiring acute treatment
  4. Impaired renal function , defined as serum creatinine ≥ 125 µmol/L (≥1.4 mg/dL) for males and ≥ 110 µmol/L (≥1.24 mg/dL) for females
  5. Impaired liver function, defined as (AST) or alanine transaminase (ALT), ≥ 2.5 times the
  6. Presence of peripheral or autonomic neuropathy that is clearly of non-diabetic origin
  7. Uncontrolled treated/untreated hypertension (systolic blood pressure (BP) ≥180 or diastolic blood pressure (BP) ≥100 at screening)
  8. Clinically significant active macrovascular disease including myocardial infarction or cerebrovascular event within the past 6 months. Other exclusions include coronary artery bypass graft or coronary angioplasty in the previous 3 months, unstable angina pectoris (chest pain at rest, worsening chest pain, or admission to the emergency room (ER) or hospital for chest pain) within the previous 3 months, and/or congestive heart failure ( Class III-IV)
  9. Subjects known to be surface antigen or antibody positive with active hepatitis.
  10. Active infection (e.g., (HIV), hepatitis), or a history of severe infection during the 30 days prior to screening
  11. Evidence of status, including but not limited to individuals who have undergone organ transplantation, who are known to be HIV positive, or who are taking immunosuppressive drugs or chronic systemic treatment.
  12. Major surgical procedure during the 30 days prior to screening
  13. Diagnosis and/or treatment of (except for basal cell or squamous cell skin cancer, in-situ carcinoma of the cervix, or in-situ prostate cancer) within the past 5 years
  14. Known clinically significant gastric emptying abnormality (e.g. severe gastroparesis), or history of gastric bypass (bariatric) surgery
  15. Thyroid stimulating hormone (TSH) outside of normal limits at screening, or presence of a thyroid nodule detected on physical examination that has not been fully evaluated
  16. Thyroid hormone therapy that has not been stable for ≥6 weeks prior to Screening
  17. Personal or family history of medullary thyroid carcinoma or multiple endocrine neoplasia type 2 (MEN-2)
  18. History of acute or chronic pancreatitis
  19. Subjects taking medications that are known to affect autonomic function need to be at a stable dose of those medications ≥ 3 months prior to inclusion in the study
  20. Other clinically significant, active (over the past 12 months) disease of the gastrointestinal, pulmonary, neurological, genitourinary or hematological system that, in the opinion of the investigator, would compromise the subject's participation in the study, might confound the results of the study or pose additional risk in administering the study drug
  21. Recurrent severe hypoglycemia and/or hypoglycemia unawareness.
  22. Concurrent participation in another clinical trial with use of an experimental drug or device within 30 days of study entry.
  23. Known or suspected history of alcohol or substance abuse
  24. Mental incapacity, unwillingness or language barrier precluding adequate understanding of or cooperation with the study.
  25. Women of (WOCBP*) who are pregnant, breast-feeding or intend to become pregnant
  26. WOCBP* must have a negative pregnancy test at Screening and must agree to use adequate methods** during the study and for one additional menstrual cycle following the end-of-treatment visit
  27. Known or suspected to study product(s) or related products
  28. Patients with low vitamin B12 levels will be excluded
  29. Current use or use 6 months prior to study participation of dipeptidyl peptidase-4 (DPP-4) inhibitors or glucagon like peptide-1 (GLP-1) agonists will be excluded
  30. Liraglutide has not been studied in combination with prandial insulin. Patients who use prandial insulin may be excluded
Terms in these criteria, in plain language(14)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

HbA1c

A blood test of average blood sugar over the past two to three months, given as a percentage or in mmol/mol. 6.5% (48 mmol/mol) or more is the usual threshold for diabetes, normally confirmed by a second test.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

05

Study design

Phase
Phase 2
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
44 participants (estimated)

Study arms

  • Placebo comparator
    Placebo

    Same formulation as active medication minus the active ingredient. Patients will start with 0.1 mL of liraglutide placebo and will escalate the dose every week in 0.1 ml increments until the 0.3 ml dose is reached. Escalation will be done according to patients' tolerance and glucose control

    Other: Placebo

  • Experimental
    Liraglutide 6 mg Solution for Injection

    After randomization, patients will undergo a treatment dose escalation phase. Liraglutide will be started at 0.6 mg SQ QD for 1 week, increased to 1.2 mg subcutaneous, per day (SQ, QD) for 1 week, and then increased and maintained on 1.8 mg SQ QD or maximally tolerated dose if self monitored blood glucose (SMBG) is at goal. Escalation will be done according to patients' tolerance and glucose control

    Drug: Liraglutide 6 mg Solution for Injection

Interventions

06

What researchers measure

Primary outcomes

  1. Sudomotor Function

    Changes in peripheral autonomic function using sudorimetry (Sudoscan) after 1 year of treatment.

    Time frame: One Year

Secondary outcomes

  1. Inflammatory Markers C-Reactive Protein (CRP)

    Changes on markers of inflammation and oxidative/nitrosative stress including C-reactive protein (CRP)

    Time frame: One year

  2. Inflammatory Markers IL-1β

    Changes on markers of inflammation and oxidative/nitrosative stress including IL-1β

    Time frame: One Year

  3. Inflammatory Markers IL6

    Changes on markers of inflammation and oxidative/nitrosative stress including IL6

    Time frame: One Year

  4. Inflammatory Markers Tumor Necrosis factor α (TNF α)

    Changes on markers of inflammation and oxidative/nitrosative stress including Tumor Necrosis factor α (TNF α)

    Time frame: One Year

07

Study locations

1 of 1 sites recruiting
  • Strelitz Diabetes Center
    Norfolk, Virginia 23510, United States
    Recruiting
    • Henri K Parson, PhD · Contactparsonhk@evms.edu · 757-446-7976
    • Joshua F Edwards, MPH · Contactedwardj@evms.edu · 7574460335
    • Aaron I Vinik, MD, PhD · Principal investigator
08

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of May 2016, a primary completion of Apr 2020 and a completion of Aug 2020. It does not say whether these dates are actual or estimated.

How these figures are worked out, and which studies are left out of them.

Registered
Feb 2, 2018
First posted
Feb 8, 2018
Start
May 2016
Primary completionEst.
Apr 2020
CompletionEst.
Aug 2020
Last update
Feb 11, 2019
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Feb 11, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT03426085
Lead sponsor
Eastern Virginia Medical School
Responsible party
Aaron I. Vinik, MD, PhD (Professor of Medicine/Pathology/Neurobiology Director of Research & Neuroendocrine Unit, Eastern Virginia Medical School) — Principal investigator
First posted
Feb 8, 2018
Start date
May 2016
Primary completion
Apr 2020 (estimated)
Completion
Aug 2020 (estimated)
Last update
Feb 11, 2019

Study contacts

Henri K Parson, PhD
Contact
parsonhk@evms.edu
7574467976
Joshua F Edwards, MPH
Contact
edwardj@evms.edu
7574460335
Aaron Vinik, MD, PhD
principal investigator · Eastern Virginia Medical School

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Feb 2019. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Liraglutide

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