Posts Tagged Clinical Trials

Diabetes Clinical Trial Update

Before we review what’s going on in diabetes clinical trials let’s review the basics of clinical trials for our new readers.

What is a clinical trial?

A clinical trial is scientific research involving people that studies the effects of a new medication, therapy or device to determine if it is safe and effective.

In the United States, clinical trials are monitored by the Food and Drug Administration.

The Phases of a Clinical Trial:

Phase I evaluates dosage parameters.

Phase II continues to evaluate safety and begins to study efficacy.

Phase III compares the new drug with standards of care or if there are none, a placebo.

Phase IV is used if the drug normally used as a standard is to be used for another condition or if the formulation is changed. This phase may also be used for extended studies on drug side effects.

Diabetes clinical trials may involve studies of prevention of diabetes or the treatment of diabetes.

Types of Diabetes Clinical Trials

  • Action studies (doing something) - These focus on finding out whether actions people take, such as exercising more or quitting smoking, can prevent diabetes or their impact on current diabetics.
  • Agent studies (taking something) - These studies examine whether taking certain medicines, vitamins or food supplements (or a combination) have an affect on preventing or treating diabetes.

Why Participate in a Clinical Trial?

People participate in clinical trials for many reasons including the opportunity to try new cutting edge therapies under the care of leading researchers and health care providers, and for the opportunity to contribute to research to help themselves and others.

Clinical trials do have side effects including the possible negative effect of the therapies and/or no effects at all and they can be more time consuming than originally anticipated.

If you are considering participating in a clinical trial not only is it important to explore all facets of the trials through informed consent, but it is important to determine the cost and funding of a clinical trial and how your insurance coverage or Medicare comes into play. While often the medication being tested is free, there may be additional costs such as lab tests and hospitalization which are not.

Get answers ahead of time.

In depth resources on clinical trials and registries for clinical trials:

ClinicalTrials.gov not only lists registries of current clinical trials in the U.S and other countries but breaks them down according to condition, drug, sponsor and location.

World Health Organization International Clinical Trials Registry Platform. “The mission of the WHO Registry Platform is to ensure that a complete view of research is accessible to all those involved in health care decision making.”

CRISP, Computer Retrieval of Information on Scientific Projects. “A biomedical database system containing information on research projects and programs supported by the Dept. of Health and Human Services.”

Center Watch: Clinical Trials Listing Service. This site provides a notification services for new clinical trials.

American Diabetes Association provides basic information on clinical trials.

Juvenile Diabetes Research Foundation International lists current JDRF funded clinical studies and provides information on what phase those studies are currently in.

The Children With Diabetes site lists current clinical trials.

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Qnexa

Qnexa is a new drug targeted at diabetes from VIVUS, currently undergoing clinical trials.

Basically Qnexa is combination of phentermine and an epilepsy drug Topamax (also used for migraines) .

From the VIVUS site:

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Diabetes Clinical Trial Update

Time for an update on what’s new in the area of diabetic clinical trials.

A clinical trial is scientific research involving people that studies the effects of a new medication, therapy or device to determine if it is safe and effective.

For more information on what a clinical trial is, see the Battling Diabetes archives on clinical trials.

Currently enrolling clinical trials of interest to diabetics:

The University of California at San Francisco, Diabetes Center is currently enrolling patients in five studies of people with type 1 and type 2 diabetes, and three related studies of non-diabetics. Two of particular interest are:

Non-Diabetics: Alpha Lipoic Acid and Insulin Resistance — In this study, which is seeking volunteers 20 to 60 years of age, researchers wish to see if the antioxidant Alpha Lipoic Acid (LA) will improve insulin sensitivity in healthy, non-diabetic volunteers. See the Battling Diabetes article on ALA in the archives.

Non-Diabetics: Chromium and Insulin Resistance — This study is seeking volunteers 20 to 50 years of age with normal body weight who are not exercising regularly. Researchers want to find out the effect of chromium therapy on insulin resistance and will test all study subjects to determine if they are insulin-resistant or insulin-sensitive. See the Battling Diabetes article on chromium in the archives.

Currently the New Mexico ACT Trials (Albuquerque Clinical Trials) are recruiting Type Two Diabetics. Two of particular interest are sponsored by GlaxoSmithKline and are intended to study and compare the effects of two medications, one new and one already approved, in lowering high blood sugars, lowering lipids, and lowering body weight in patients who use diet and exercise only to control their type II diabetes.

A third of interest is sponsored by Bristol Myers Squibb and involves a new compound combination with Metformin and/or TZD and/or Insulin therapy. Now enrolling patients ages 18-77 with the intention of assessing the effects of lowering blood sugars by management of diabetic medications.

In the News!

Forbes.com, July 3, 2008. The Great Drug Debate. A panel of FDA experts voted 14-2 on Wednesday that diabetes drugs should face far more scrutiny to be sure they don’t cause heart attacks. The doctors present agreed the drugs should be tested for several years in 2,000 diabetics without heart disease before being approved.

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Turmeric for Diabetes

turmeric.jpgFamiliar with turmeric?

Turmeric is a spice in the ginger family.

Spelled t-u-r-m-e-r-i-c, it is pronounced tumeric.

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Diabetes Clinical Trials

j0409545.jpgWhat is a clinical trial?

A clinical trial is scientific research involving people that studies the effects of a new medication, therapy or device to determine if it is safe and effective.

In the United States, clinical trials are monitored by the Food and Drug Administration.

More →