Evaluating Berlim 25/20 for treating Type II diabetes and dyslipidemia

National, Multicenter, Randomized, Double-blind, Triple-dummy, Phase III Clinical Trial to Evaluate the Efficacy and Safety of Berlim 25/20 Association in the Treatment of Type II Diabetes Mellitus and Dyslipidemia.

This study is testing if a new combination treatment called Berlim 25/20 can help people with Type II diabetes and high cholesterol reach their blood sugar and cholesterol goals better than a placebo.

Quick facts

• Phase: Phase 3
• Study type: Interventional
• Enrollment: 228 (estimated)
• Ages: 18 Years to 85 Years
• Sex: All
• Sponsor: Ems (Industry-sponsored)
• Locations: 1 site (Campinas, São Paulo)
• Trial ID: NCT04602754 on ClinicalTrials.gov

What this trial studies

This clinical trial aims to assess the efficacy and safety of the Berlim 25/20 combination in patients with Type II diabetes mellitus and dyslipidemia. Participants will receive either the active treatment or placebo for comparison. The study will focus on individuals who have not achieved their blood sugar and cholesterol goals despite previous treatments. The trial will measure changes in HbA1c levels and lipid profiles to determine the effectiveness of the intervention.

Who should consider this trial

Good fit: Ideal candidates are adults aged 18 to 85 with Type II diabetes and dyslipidemia who have not met their treatment goals.

Not a fit: Patients who have achieved their therapeutic goals for blood sugar and cholesterol levels may not benefit from this study.

Why it matters

Potential benefit: If successful, this treatment could help patients better manage their Type II diabetes and dyslipidemia, potentially reducing cardiovascular risks.

How similar studies have performed: Other studies have shown promising results with similar combinations of diabetes and dyslipidemia treatments, suggesting potential for success.

Eligibility criteria

Inclusion Criteria:

* Ability to confirm voluntary participation and agree to all trial purposes by signing and dating the informed consent forms;
* Participants of both sexes, with age greater than or equal to 18 years and less than or equal to 85 years;
* Participants presenting the diagnosis of type II diabetes mellitus, and who did not reach the therapeutic goals of HbA1c with previous dietary, physical exercise guidance and previous therapies at a stable dose in the last 3 months;
* HbA1c ≥ 7,5% and ≤ 10,5% and fasting blood glucose \> 100 mg/dL at the screening visit;
* Participants with high or very high cardiovascular risk according to the Brazilian guideline on the prevention of cardiovascular diseases in patients with diabetes (2017), which have not reached the goal of LDL-c ≤ 70 mg/dL or ≤ 50 mg/dL, respectively, with lifestyle changes, who are or aren't using low or moderate potency statins;
* BMI (body mass index) \> 19 Kg/m2 and ≤ 45 Kg/m2.

Exclusion Criteria:

* Any clinical and laboratory findings that, in the judgment of the investigator, may interfere with the safety of research participants;
* History of alcohol abuse or illicit drug use;
* Participation in a clinical trial in the year prior to this study;
* Pregnancy or risk of pregnancy and lactating patients;
* Known hypersensitivity to the formula components used during the clinical trial;
* Type 1 diabetes mellitus;
* Fasting blood glucose \> 300 mg/dL;
* Risk factors for volume depletion;
* Participants with total cholesterol \> 500 mg/dL or triglycerides \> 500 mg/dL;
* Impaired renal function and end-stage renal disease;
* Participants with known heart failure, class III to IV (New York Heart Association);
* Impaired hepatic function;
* Medical history of pancreatic diseases that may suggest insulin deficiency;
* Participants who had any cardiovascular event (acute myocardial infarction, acute coronary syndrome, recent onset stable angina, stroke, unstable congestive heart failure requiring treatment change), underwent revascularization or vascular surgery in the 6 months prior to screening;
* Bariatric surgery in the last two years and/ or other gastrointestinal surgeries that can cause chronic malabsorption syndrome;
* Condition that, in the investigator's judgment, may favor clinically significant changes in CPK levels;
* Current medical history of cancer and/ or cancer treatment in the last 5 years;
* Participants with known uncontrolled hypothyroidism or TSH levels \> 5 mIU/L;
* History of known muscle disease or prior statin intolerance;
* Participants using SGLT2 inhibitors, sulfonylureas and/or insulin therapy or PCSK9 inhibitors;
* Participants who used other medications with prominent action in the control of serum triglyceride and cholesterol levels in the last 4 weeks or who are using low or moderate-intensity statins that cannot be replaced by rosuvastatin 20 mg;
* Participants using medications that may interfere with triglyceride and cholesterol metabolism started less than 4 weeks ago or with dose adjustment in the last 4 weeks prior to the screening visit;
* Treatment with anti-obesity drugs for less than 2 months or with dose change in the last 2 months.

Where this trial is running

Campinas, São Paulo

• Allergisa — Campinas, São Paulo, Brazil (Recruiting)

Study contacts

• Study coordinator: Cassiano O Berto, BD

Conditions Dyslipidemia Associated With Type II Diabetes Mellitus; Dyslipidemia; Type II Diabetes Mellitus