Tuesday, March 15, 2016

Towards personalised treatment for diabetes mellitus – HealthCanal.com (press release) (blog)

(Vienna ) 600,000 to 800,000 Austrians suffer from diabetes mellitus. Thanks to the biomarker referred to as NT-proBNP (a hormone personal to the heart), the sub-group of individuals that go to increased risk of cardio illness can easily be motivated although their hearts appear to be healthy.

This group accounts for about 40 every cent of every one of diabetics. Researchers at the University Departments of Internal Medicine II and III at the MedUni Vienna have actually now displayed in the PONTIAC I Study that high-dose, personalised therapy along with ACE inhibitors and beta blockers can easily considerably lessen the risk of cardiac illness among afflicted patients – by as considerably as 64 every cent. Now, researchers at the MedUni Vienna are looking to go on this successful method along with the PONTIAC II Study involving a total population of patients along with kind 2 diabetes free of cardiac disease. PONTIAC II has actually now been launched.

A total of 300 patients along with diabetes mellitus and increased NT-proBNP levels however that had no history of heart illness took portion in PONTIAC I. In the follow-on the subject of study, 2 randomised teams of 2,400 participants will certainly be used to compare the preventative effect of high-dose therapy along with renin-angiotensin unit antagonists and beta blockers along with conventional therapy. “The primary end point will certainly be the inspire on the subject of the lot of unplanned hospital admissions and mortality paces after 2 years,” explain the study leaders Raphael Wurm and Martin Hülsmann from the University Department of Internal Medicine II at the MedUni Vienna.
Part of the strive of PONTIAC II is to confirm the outcomes of the PONTIAC I study. One more portion is to test the extent to which the primary preventative effect is restricted exclusively to an at-risk population characterised by a raised NT-proBNP. If this is successful, it would certainly be the very first successful method to personalised treatment in kind 2 diabetes.
Ophthalmology department supplies sustain along with sub-study
The study is likewise being supported by the University Department of Ophthalmology and Optometry at the MedUni Vienna (led by Ursula Schmidt-Erfurth) as portion of a sub-study. Under the supervision of Sonja Prager, the partnership in between diabetic retinopathy and the over-task of cardio bodily hormones will certainly be investigated. The planned job has actually currently been commended by the highly respected DOC Bursary of the Academy of Sciences. These outcomes can likewise provide rise to forever brand-new procedures to treating retinopathy.

The study is currently beginning in Austria along with the complying with centres, the majority of which have actually currently taken portion in PONTIAC:
•    University Department of Internal Medicine III at the MedUni Vienna, Clinical Department of Endocrinology and Metabolic Medicine (led by: Anton Luger)
•    Rudolfstiftung Hospital 1st Medical Department along with Diabetology, Endocrinology and Nephrology (led by: Bernhard Ludvik)
•    Hietzing Hospital 3rd Medical Department along with Metabolic Diseases and Nephrology (led by: Rudolf Prager)
•    WGKK “Ambulatorium Süd” (led by: Helmut Brath),
•    KH der Barmherzigen Brüder Linz (led by: Martin Clodi).
Other global centres are currently in the pipeline.

Roche Diagnostics is the cooperation companion on the subject of the study.

MedUni Vienna