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| 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
| 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. |
| 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. |
| 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. |
| 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). |
Outcome Measures
| 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 ] |
More Information
| 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:
|
| 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. |
| 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 |