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CTRI Number  CTRI/2025/08/092573 [Registered on: 07/08/2025] Trial Registered Prospectively
Last Modified On: 07/08/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   A Study Comparing the Effect and Safety of Imeglimin and Glimepiride in People with Type 2 Diabetes in a Tribal Area of Gujarat 
Scientific Title of Study   A comparative evaluation of Imeglimin versus Glimepiride in patients with type 2 Diabetes Mellitus in a tribal population of Gujarat 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Yash Rajubhai Pathak 
Designation  Post Graduate Resident 
Affiliation  Zydus Medical College and Hospital 
Address  Department of Pharmacology, Zydus Medical College and Hospital, Nimnaliya, Muvaliya, Dahod

Dohad
GUJARAT
389151
India 
Phone  6358279598  
Fax    
Email  yashpathak5656@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Suraj Tripathi 
Designation  Professor and Head of Department 
Affiliation  Zydus Medical College and Hospital 
Address  Department of Pharmacology, Zydus Medical College and Hospital, Nimnaliya, Muvaliya, Dahod

Dohad
GUJARAT
389151
India 
Phone  9926396896  
Fax    
Email  surajpharmacol@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Suraj Tripathi 
Designation  Professor and Head of Department 
Affiliation  Zydus Medical College and Hospital 
Address  Department of Pharmacology, Zydus Medical College and Hospital, Nimnaliya, Muvaliya, Dahod


GUJARAT
389151
India 
Phone  9926396896  
Fax    
Email  surajpharmacol@gmail.com  
 
Source of Monetary or Material Support  
Self Funded.Zydus Medical College and Hospital Civil Hospital, Opp.Naheru Baug, Behind Bhagini Samaj, Station Road, Dahod-389151,Gujarat-India.  
 
Primary Sponsor  
Name  Dr Yash Pathak 
Address  Department of Pharmacology, Zydus Medical College and Hospital, Nimnaliya-Muvaliya, Dahod 
Type of Sponsor  Other [Self funded] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Yash Pathak  Zydus Medical Hospital  Room No.2,Ground Floor,Department Of Medicine,NCD Clinic.
Ahmadabad
GUJARAT 
6358279598

yashpathak5656@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: E11||Type 2 diabetes mellitus,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Glimepiride  Glimepiride 2 mg oral tablet, administered once daily, as add-on to Metformin, for a duration of 3 months 
Intervention  Imeglimin  Imeglimin 500 mg oral tablet, administered twice daily, as add-on to Metformin, for a duration of 3 months 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  80.00 Year(s)
Gender  Both 
Details  1. Informed consent from participants as documented by signature
2. Type 2 Diabetes Mellitus
4. HbA1c 7 to 10%
5. Patient already on metformin with uncontrolled Type 2 diabetes
 
 
ExclusionCriteria 
Details  1. Type 1 Diabetes Patients
2. Hypersensitivity to Imeglimin, Sulfonylureas & Metformin
3. Chronic Kidney Diseases (eGFR less than 45ml/min)
4. Liver dysfunction (AST/ALT more than 3× upper limit).
5. Pregnant and lactating women
6. Corticosteroids within 3 months before enrollment or during period of study

 
 
Method of Generating Random Sequence   Other 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Proportion of patients achieving HbA1c less than 7%  3 months 
 
Secondary Outcome  
Outcome  TimePoints 
possible secondary outcome - Reduced Incidence of hypoglycemic episodes.   
 
Target Sample Size   Total Sample Size="170"
Sample Size from India="170" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   21/08/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

This is an academic, hospital-based, interventional, prospective cohort study designed to compare the efficacy and safety of Imeglimin versus Glimepiride as add-on therapy to Metformin in patients with Type 2 Diabetes Mellitus (T2DM) belonging to a tribal population of Gujarat. The trial is being conducted at Zydus Medical College and Hospital, Dahod, as part of a postgraduate academic research project.

A total of 170 participants with uncontrolled T2DM on Metformin (HbA1c 7–10%) will be enrolled and randomized into two groups:

  • Group A: Metformin + Glimepiride

  • Group B: Metformin + Imeglimin

Participants will be followed for 3 months with monthly assessments of glycemic parameters (HbA1c, FBS, PPBS) along with body weight, blood pressure, and safety outcomes (including adverse events). Ophthalmic evaluation and relevant laboratory investigations (lipid profile, RFT, LFT, electrolytes, CBC) will also be performed.

The primary objective is to compare glycemic efficacy (HbA1c, FBS, PPBS).
The secondary objectives include evaluating safety, changes in body weight, and blood pressure.

The study adheres to ethical standards, with Institutional Ethics Committee approval and written informed consent from all participants. Data will be analyzed using appropriate statistical tests (independent t-test). Being a single-center, self-funded academic trial, the results aim to provide evidence on whether Imeglimin offers superior efficacy and safety compared to Glimepiride in this specific population.

 
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