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Efficacy Study of Pioglitazone Compared to Glimepiride on Coronary Atherosclerotic Disease Progression in Subjects With Type 2 Diabetes Mellitus (PERISCOPE)
This study has been completed.
Study NCT00225277   Information provided by Takeda Global Research & Development Center, Inc.
First Received: September 21, 2005   Last Updated: September 23, 2009   History of Changes
Study Type: Interventional
Study Design: Randomized, Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Parallel Assignment
Condition: Diabetes Mellitus
Interventions: Drug: Pioglitazone
Drug: Glimepiride

  Participant Flow
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Recruitment Details
Key information relevant to the recruitment process for the overall study, such as dates of the recruitment period and locations
Subjects were enrolled at 97 sites in the United States, Canada, Argentina and Chile from 21 July 2003 to 18 October 2007.

Pre-Assignment Details
Significant events and approaches for the overall study following participant enrollment, but prior to group assignment
The participant flow results below do not include 4 subjects who were randomized but did not receive drug. Subjects participating in this study were enrolled in Pioglitazone or Glimepiride once daily (QD) treatment group.

Reporting Groups
  Description
Pioglitazone QD Subjects received up to 45 mg Pioglitazone (dose optimized for glucose control) for up to 72 weeks.
Glimepiride QD Subjects received up to 4 mg Glimepiride (dose optimized for glucose control) for up to 72 weeks.

Participant Flow:   Overall Study
  Pioglitazone QD Glimepiride QD
STARTED   274[1]   273[2]
COMPLETED   177     178  
NOT COMPLETED   97     95  
      Adverse Event               30                 34  
      Lack of Efficacy               4                 1  
      Lost to Follow-up               4                 6  
      Physician Decision               6                 8  
      Protocol Violation               6                 3  
      Withdrawal by Subject               40                 34  
      Other               7                 9  
[1] 274 subjects randomized, but four subjects did not receive drug.
[2] Mean treatment durations were 56.3 weeks (glimepiride) and 56.5 weeks (pioglitazone).



  Baseline Characteristics
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  Outcome Measures
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1.  Primary:   Nominal Change From Baseline in Percent Atheroma Volume   [ Baseline and Final Visit (up to 72 weeks) ]

2.  Secondary:   Nominal Change From Baseline in Normalized Total Atheroma Volume   [ Baseline and Final Visit (up to 72 weeks) ]

3.  Secondary:   Number of Subjects Experiencing Any of the Composite Endpoint A Cardiovascular Events   [ Up to 72 weeks ]

4.  Secondary:   Number of Subjects Experiencing Any of the Composite Endpoint B Cardiovascular Events   [ Up to 72 weeks ]

5.  Secondary:   Number of Subjects Experiencing Any of the Composite Endpoint C Cardiovascular Events   [ Up to 72 weeks ]

6.  Other Pre-specified:   Number of Cardiovascular Events as Adjudicated by the Clinical Endpoint Committee   [ Up to 72 weeks ]


  Serious Adverse Events
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  Other Adverse Events
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  More Information
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Certain Agreements:  
Principal Investigators are NOT employed by the organization sponsoring the study.
There IS an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.
The agreement is:
unchecked The only disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is less than or equal to 60 days. The sponsor cannot require changes to the communication and cannot extend the embargo.
unchecked The only disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is more than 60 days but less than or equal to 180 days. The sponsor cannot require changes to the communication and cannot extend the embargo.


Limitations and Caveats
Limitations of the study, such as early termination leading to small numbers of participants analyzed and technical problems with measurement leading to unreliable or uninterpretable data
Composite Endpoints A,B,C include cardiovascular mortality, nonfatal MI and nonfatal stroke. In addition, B: coronary revascularization, carotid endarterectomy/stenting, unstable angina hosp. or CHF; C: hospitalization for unstable angina or CHF.  


Results Point of Contact:  
Name/Title: Sr. VP Clinical Sciences
Organization: Takeda Global Research and Development Center Inc.
phone: 800-778-2860
e-mail: clinicaltrialregistry@tpna.com


Publications of Results:

Responsible Party: Takeda Global Research & Development Center, Inc. ( Sr. VP, Clinical Science )
Study ID Numbers: 01-01-TL-OPI-516
Study First Received: September 21, 2005
Results First Received: October 17, 2008
Last Updated: September 23, 2009
ClinicalTrials.gov Identifier: NCT00225277     History of Changes
Health Authority: United States: Food and Drug Administration;   Argentina: Administracion Nacional de Medicamentos, Alimentos y Tecnologia Medica;   Canada: Health Canada;   Chile: Instituto de Salud Publica de Chile