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| Study Type: | Interventional |
|---|---|
| Study Design: | Randomized, Open Label, Parallel Assignment |
| Condition: |
Type II Diabetes |
| Interventions: |
Drug: Rosiglitazone in addition to background metformin Drug: Rosiglitazone in addition to background sulfonylurea Drug: Metformin in addition to background sulfonylurea Drug: Sulfonylurea in addition to background metformin |
Participant Flow
| Key information relevant to the recruitment process for the overall study, such as dates of the recruitment period and locations |
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| Significant events and approaches for the overall study following participant enrollment, but prior to group assignment |
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| Description | |
|---|---|
| RSG in Addition to Background MET | Participants inadequately controlled on background metformin (MET) were randomised to receive rosiglitazone (RSG), in addition to MET. RSG was initiated as a 4 mg once daily dose and was increased to a maximum dose of 8 mg per day as required to achieve a target HbA1c of less than or equal to 7.0 percent. |
| SU in Addition to Background MET | Participants inadequately controlled on background MET were randomised to receive, in addition to MET, a sulfonylurea (SU) (glibenclamide, gliclazide, or glimepiride). The SU was gradually increased to the maximum permitted dose (glibenclamide 15 mg per day or micronized equivalent of 10.5 mg per day; gliclazide 240 mg per day; glimepiride 4 mg per day) as required to achieve a target HbA1c of less than or equal to 7.0 percent. |
| RSG in Addition to Background SU | Participants inadequately controlled on background SU were randomised to receive, in addition to SU, RSG. RSG was initiated as a 4 mg once daily dose and was increased to a maximum dose of 8 mg per day as required to achieve a target HbA1c of less than or equal to 7.0 percent. |
| MET in Addition to Background SU | Participants inadequately controlled on background SU were randomised to receive, in addition to SU, MET. MET was gradually increased to the maximum permitted dose of 2550 mg per day as required to achieve a target HbA1c of less than or equal to 7.0 percent. |
| RSG in Addition to Background MET | SU in Addition to Background MET | RSG in Addition to Background SU | MET in Addition to Background SU | |
|---|---|---|---|---|
| STARTED | 1117 | 1105 | 1103 | 1122 |
| COMPLETED | 939 | 906 | 896 | 892 |
| NOT COMPLETED | 178 | 199 | 207 | 230 |
| Death | 57 | 67 | 54 | 72 |
| Adverse Event | 5 | 8 | 10 | 11 |
| Lost to Follow-up | 29 | 29 | 25 | 26 |
| Withdrawal by Subject | 46 | 56 | 72 | 70 |
| Moved to survival status follow-up only | 27 | 25 | 32 | 36 |
| Participant moved | 3 | 2 | 3 | 3 |
| Poor compliance | 3 | 2 | 2 | 1 |
| Prohibited glucose lowering medication | 0 | 3 | 0 | 1 |
| Site closed | 4 | 4 | 4 | 8 |
| Entry criteria violation | 0 | 0 | 1 | 1 |
| Participant did not take study drug | 0 | 0 | 1 | 0 |
| Physician Decision | 2 | 2 | 1 | 1 |
| Participant completed study at visit 27 | 1 | 0 | 0 | 0 |
| Personal reasons | 1 | 0 | 0 | 0 |
| Risk of heart failure | 0 | 1 | 0 | 0 |
| Investigator refused to log temperature | 0 | 0 | 1 | 0 |
| Reason unspecified | 0 | 0 | 1 | 0 |
Baseline Characteristics
| Description | |
|---|---|
| RSG in Addition to Background MET | Participants inadequately controlled on background metformin (MET) were randomised to receive rosiglitazone (RSG), in addition to MET. RSG was initiated as a 4 mg once daily dose and was increased to a maximum dose of 8 mg per day as required to achieve a target HbA1c of less than or equal to 7.0 percent. |
| SU in Addition to Background MET | Participants inadequately controlled on background MET were randomised to receive, in addition to MET, a sulfonylurea (SU) (glibenclamide, gliclazide, or glimepiride). The SU was gradually increased to the maximum permitted dose (glibenclamide 15 mg per day or micronized equivalent of 10.5 mg per day; gliclazide 240 mg per day; glimepiride 4 mg per day) as required to achieve a target HbA1c of less than or equal to 7.0 percent. |
| RSG in Addition to Background SU | Participants inadequately controlled on background SU were randomised to receive, in addition to SU, RSG. RSG was initiated as a 4 mg once daily dose and was increased to a maximum dose of 8 mg per day as required to achieve a target HbA1c of less than or equal to 7.0 percent. |
| MET in Addition to Background SU | Participants inadequately controlled on background SU were randomised to receive, in addition to SU, MET. MET was gradually increased to the maximum permitted dose of 2550 mg per day as required to achieve a target HbA1c of less than or equal to 7.0 percent. |
| RSG in Addition to Background MET | SU in Addition to Background MET | RSG in Addition to Background SU | MET in Addition to Background SU | Total | |
|---|---|---|---|---|---|
|
Number of Participants [units: participants] |
1117 | 1105 | 1103 | 1122 | 4447 |
|
Age [units: years] Mean ± Standard Deviation |
57.0 ± 8.02 | 57.2 ± 8.14 | 59.8 ± 8.26 | 59.7 ± 8.23 | 58.4 ± 8.27 |
|
Gender [units: participants] |
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| Female | 516 | 521 | 562 | 554 | 2153 |
| Male | 601 | 584 | 541 | 568 | 2294 |
|
Race/Ethnicity, Customized [units: participants] |
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| White | 1105 | 1087 | 1095 | 1112 | 4399 |
| Black | 3 | 6 | 2 | 3 | 14 |
| Oriental | 4 | 2 | 5 | 7 | 18 |
| Aboriginal | 1 | 0 | 0 | 0 | 1 |
| African | 1 | 0 | 0 | 0 | 1 |
| Asian | 1 | 2 | 1 | 0 | 4 |
| Egyptian | 1 | 0 | 0 | 0 | 1 |
| Gipsy | 1 | 0 | 0 | 0 | 1 |
| Indian | 0 | 1 | 0 | 0 | 1 |
| Maori | 0 | 1 | 0 | 0 | 1 |
| Middle East Hible | 0 | 1 | 0 | 0 | 1 |
| Pacific Islander | 0 | 1 | 0 | 0 | 1 |
| Polynesian | 0 | 1 | 0 | 0 | 1 |
| Sri Lankan | 0 | 2 | 0 | 0 | 2 |
| Tahitian | 0 | 1 | 0 | 0 | 1 |
Outcome Measures
| 1. Primary: | Number of Participants With Cardiovascular Death/Cardiovascular Hospitalisation Events [ Baseline through End of Study (up to 7.5 years) ] |
| 2. Secondary: | Number of Participants With Cardiovascular Events and All-cause Deaths [ Baseline through End of Study (up to 7.5 years) ] |
| 3. Secondary: | Total Number of Cardiovascular Hospitalisations and Cardiovascular Deaths [ Baseline through End of Study (up to 7.5 years) ] |
| 4. Secondary: | Number of Participants With First Cardiovascular Hospitalisations/Cardiovascular Deaths by Stratum [ Baseline through End of Study (up to 7.5 years) ] |
| 5. Secondary: | Number of Participants With CV/Microvascular Events [ Baseline through End of Study (up to 7.5 years) ] |
| 6. Secondary: | Number of Participants With Glycaemic Failure Events [ Baseline through to end of randomised dual therapy ] |
| 7. Secondary: | Number of Participants With Addition of Third Oral Agent/Switch to Insulin [ Baseline through End of Study (up to 7.5 years) ] |
| 8. Secondary: | The Number of Participants Starting Insulin at Any Time During the Study [ Baseline through End of Study (up to 7.5 years) ] |
| 9. Secondary: | Model Adjusted Change From Baseline in HbA1c at Month 60 [ Baseline and Month 60 of randomised dual therapy treatment period ] |
| 10. Secondary: | Model Adjusted Change From Baseline in Fasting Plasma Glucose at Month 60 [ Baseline to Month 60 of the randomised dual therapy treatment period ] |
| 11. Secondary: | Model Adjusted Mean Change From Baseline in Insulin and Pro-insulin at Month 60 [ Baseline to Month 60 of the randomised dual therapy treatment period ] |
| 12. Secondary: | Number of HbA1c and Fasting Plasma Glucose (FPG) Responders at Month 60 [ Baseline to Month 60 of the randomised dual therapy treatment period ] |
| 13. Secondary: | Model Adjusted Ratio to Baseline (Expressed as a Percentage) Homeostasis Model Assessment (HOMA) Beta Cell Function and Insulin Sensitivity at Month 60 [ Baseline to Month 60 of the randomised dual therapy treatment phase ] |
| 14. Secondary: | Model Adjusted Ratio to Baseline (Expressed as a Percentage) for Total Cholesterol, Low-density Lipoprotein (LDL) Cholesterol, High-density Lipoprotein (HDL) Cholesterol, Triglycerides, and Free Fatty Acids at Month 60 [ Baseline to Month 60 of the randomised dual therapy treatment phase ] |
| 15. Secondary: | Model Adjusted Ratio to Baseline (Expressed as a Percentage) for Total Cholersterol:High-density Lipoprotein (HDL) Cholesterol and Low-density Lipoprotein (LDL) Cholesterol:HDL Cholesterol Ratios at Month 60 [ Baseline to Month 60 of the randomised dual therapy treatment period ] |
| 16. Secondary: | Model Adjusted Ratio to Baseline (Expressed as a Percentage) for Apolipoprotein B (Apo-B) at Month 60 [ Baseline to Month 60 of the randomised dual therapy treatment period ] |
| 17. Secondary: | Model Adjusted Ratio to Baseline (Expressed as a Percentage) for Urinary Albumin Creatinine Ratio at Month 60 [ Baseline to Month 60 of the randomised dual therapy treatment phase ] |
| 18. Secondary: | Model Adjusted Change From Baseline in Body Weight at Month 60 [ Baseline to Month 60 of the randomised dual therapy treatment phase ] |
| 19. Secondary: | Model Adjusted Change From Baseline in Alanine Aminotransferase at Month 60 [ Baseline to Month 60 of the randomised dual therapy treatment phase ] |
| 20. Secondary: | Model Adjusted Change From Baseline in Waist Circumference at Month 60 [ Baseline to Month 60 of the randomised dual therapy treatment phase ] |
| 21. Secondary: | Model Adjusted Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Month 60 [ Baseline to Month 60 of the randomised dual therapy treatment phase ] |
| 22. Secondary: | Model Adjusted Change From Baseline in C- Reactive Protein (CRP) at Month 60 [ Baseline to Month 60 of the randomised dual therapy treatment phase ] |
| 23. Secondary: | Model Adjusted Change From Baseline in Fibrinogen at Month 60 [ Baseline to Month 60 of the randomised dual therapy treatment phase ] |
| 24. Secondary: | Model Adjusted Change From Baseline in Plasminogen Activator Inhibitor-1 (PAI-1) Antigen at Month 60 [ Baseline to Month 60 of the randomised dual therapy treatment phase ] |
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 |
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| No text entered. |
| Responsible Party: | GSK ( Study Director ) |
| Study ID Numbers: | BRL-049653/231 |
| Study First Received: | September 21, 2006 |
| Results First Received: | August 24, 2009 |
| Last Updated: | November 20, 2009 |
| ClinicalTrials.gov Identifier: | NCT00379769 History of Changes |
| Health Authority: | United Kingdom: Medicines and Healthcare Products Regulatory Agency |