This is a prospective interventional study to assess the effect of sarpogrelate compared with aspirin in Korean type 2 diabetic patients with atherosclerosis.
Type 2 diabetes has been increased exponentially, arousing serious economic, social and health repercussions. Also, macrovascular complications of diabetes such as myocardial infarct or stroke have been increased. Individuals with diabetes have a greater risk of cardiovascular disease (CVD), approximately two to four times than that of those without diabetes. Currently, the U.S. Food and Drug Administration requires demonstration that new anti-hyperglycemic agents do not increase cardiovascular risk. The comprehensive and multifactorial management in type 2 diabetes, which includes control of hypertension, dyslipidemia and obesity, is known to significantly reduce the risk of CVD as shown in Steno-2 study. However, most anti-diabetic agents currently used in clinical practice do not seem to provide enough cardiovascular protection.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
40
Sarpogrelate
Aspirin
Seoul National University Bundang Hospital
Seongnam-si, Gyeonggi-do, South Korea
Coronary artery disease assessed by cardiac computed tomography angiography
Time frame: 6 months
Coronary artery calcium score assessed by cardiac computed tomography angiography
Time frame: 6 months
Coronary artery stenosis assessed by cardiac computed tomography angiography
Time frame: 6 months
Changes of plaque size assessed by cardiac computed tomography angiography
Time frame: 6 months
Changes of plaque composition assessed by cardiac computed tomography angiography
Time frame: 6 months
Changes of Ankle-branchial index
Time frame: 6 months
Changes of pulse wave velocity
Time frame: 6 months
Glucose metabolism assessed by glycated hemoglobin
Time frame: 6 months
Lipid metabolism assessed by triglyceride and high density lipoprotein-cholesterol
Time frame: 6 months
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