Phase 4 · Liraglutide

STARDUST trial results

Effects of the Glucagon Like-peptide 1 (GLP-1) Receptor Agonist Liraglutide on Lower Limb Perfusion in People With Type 2 Diabetes and Peripheral Artery Disease: a Randomized Controlled Trial

Peripheral Transcutaneous Oxygen Pressure (mmHg), 6 months. Liraglutide Group: 54.2; Control Group: 43.4.

Participants
60
Status
completed
Completed
2022-12-31
Sponsor
University of Campania Luigi Vanvitelli

As posted on ClinicalTrials.gov (NCT04881110), updated at source Mar 3, 2025. Read again whenever the registry updates it. Registry figures can differ from a published paper, which may use another analysis.

Primary outcome

What STARDUST measured first

Peripheral Transcutaneous Oxygen PressuremmHg · 6 months · mean
Liraglutide Groupn=27Control Groupn=28
54.2(5.9)43.4(4.8)
Secondary outcomes

What else it measured

HbA1c Glucose Controlpercentage of HbA1c · 6 months · mean
Liraglutide Groupn=27Control Groupn=28
6.7(0.7)6.8(0.8)
Glucose Controlmg/dL · 6 months · median
Liraglutide Groupn=27Control Groupn=28
118.5(91 to 132.5)117(98 to 122)
Weight ChangeKg · 6 months · mean
Liraglutide Groupn=27Control Groupn=28
78.5(14.4)80.7(12.5)
BMI ChangeKg/m2 · 6 months · mean
Liraglutide Groupn=27Control Groupn=28
28.7(4)27.7(4.4)
Waist Circumference Changecm · 6 months · mean
Liraglutide Groupn=27Control Groupn=28
108.9(10.3)104.1(11.6)
Systolic Blood Pressure ChangemmHg · 6 months · median
Liraglutide Groupn=27Control Groupn=28
130(120 to 130)130(125 to 140)
Lipid Profilemg/dL · 6 months · mean
Liraglutide Groupn=27Control Groupn=28
142.3(40.6)158.8(55.1)
C-reactive Protein (CRP) Changemg/dL · 6 months · mean
Liraglutide Groupn=27Control Groupn=28
0.5(0.5)0.8(0.5)
Renal Functionmg/dL · 6 months · median
Liraglutide Groupn=27Control Groupn=28
1(0.8 to 1.2)0.8(0.8 to 1)
Estimated Glomerular Filtration RatemL/min/1.73 m^2 · 6 months · mean
Liraglutide Groupn=27Control Groupn=28
71(18.4)74.7(13.4)
Angiogenesispg/mL · 6 months · median
Liraglutide Groupn=27Control Groupn=28
124(77.5 to 188)68.4(52.2 to 80.8)
Ankle-brachial Index (ABI) Changeratio · 6 months · median
Liraglutide Groupn=27Control Groupn=28
0.9(0.9 to 1)1(0.9 to 1.1)
The trial

How STARDUST was run

STARDUST is an open-label, two-arm randomized controlled trial, aimed at evaluating the effects of liraglutide on peripheral perfusion, as compared with the aggressive treatment of cardio-metabolic risk factors, in people with type 2 diabetes and peripheral artery disease. The potential benefits for participants in the study include the possibility of improving peripheral perfusion with drugs that have been evaluated as effective in controlling diabetes and safe and protective for cardiovascular health. The primary outcome of the study is the change of peripheral transcutaneous oxygen tension between groups at three and six months. Participants in the study will be followed for 6 months in order to evaluate the effects of liraglutide and the change of other secondary outcomes.

  • Liraglutide group: Patients in this arm will receive liraglutide, according to the current clinical practice.
  • Control group: Patients in this arm will be strictly monitored with optimization of the therapy for atherosclerosis major risk factors.
Who could join the trial

Inclusion Criteria: * diagnosis of type 2 diabetes within at least 6 months * peripheral arterial disease documented within al least 1 year by doppler ultrasound, angio-CT or arteriography * peripheral transcutaneous oxygen pressure between 30 and 49 mmHg on anterior and/or posterior tibial arteries * Hba1c 6,5-8% * treatment of diabetes with metformin, insulin and/or sulfonylurea Exclusion Criteria: * diagnosis of type 1 diabetes * current treatment with GLP-1 receptor agonists (GLP-1RAs) or dipeptidyl peptidase -4 (DPP-4) inhibitors * GLP-1RAs allergy or intolerance * participation to other clinical studies * history of pancreatitis, thyroid disease, diabetic gastroparesis or inflammatory bowel disease * current or planned pregnancy * acute myocardial infarction and/or acute cerebrovascular disease within 14 days from the screening visit * planned revascularization procedure * renal function with estimated glomerular filtration rate (eGFR) below 15 ml/min * history of cancer and/or oncological treatment within 5 years from the screening visit * current treatment with corticosteroids * psychiatric or other clinical conditions which may interfere with the study

Published papers

Papers from STARDUST

Trial averages do not predict what one person will experience. Results are shown as the registry posts them, without interpretation.

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