Pioglitazone Protects DM Patients Against Re-Infarction (PPAR Study)
Recruitment status was Recruiting
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Purpose
To evaluate whether the pioglitazone could reduce the recurrence of myocardial infarction in patients with DM and old myocardial infarction
| Condition | Intervention |
|---|---|
|
Diabetes Mellitus Myocardial Infarction |
Drug: pioglitazone Drug: sulfonylurea agents |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Prevention |
| Official Title: | The Japan Working Group for the Assessment That the Pioglitazone Protects DM Patients Against Re-Infarction |
- 1.Cardiovascular mortality
- 2.Hospitalization due to cardiovascular events
- (1) All cause mortality
- (2) Hospitalization due to coronary artery disease
- (3) Progression of IGT to diabetes
- (4) Development or deterioration of either hypertension or hyperlipidemia
- (5) Deterioraion of renal function
- (6) Hospitalization due to cerebrovascular disease
- (7) Hospitalization due to heart failure
| Estimated Enrollment: | 3000 |
| Study Start Date: | April 2005 |
| Estimated Study Completion Date: | April 2009 |
Type 2 diabetes mellitus is a well-established risk factor for coronary heart disease and atherosclerotic change in coronary artery. So we designed a prospective randomized multi-center trial named the pioglitazone could reduce the recurrence of myocardial infarction in patients with DM and myocardial infarction(PPAR study) to evaluate whether pioglitazone could reduce the recurrence of myocardial infarction in patients with DM(HbA1c<6.5%) and myocardial infarction.
100 hospitals will participate in the PPAR study. Patients with DM who have history of prior myocardial infarction are randomly allocated to receive pioglitazone or (1)instructs weight reduction, appropriate diet, regular exercise and/or (2)prescribes sulfonylurea agents. The number of patients to be recruited is 3000 and this study will continue at least 2 years. The primary end-points are (1) cardiovascular mortality and (2) hospitalization for cardiovascular events. Effects in suppression of new diabetes development also will be evaluated.
We should recognize DM as important therapeutic target to decrease recurrence of cardiovascular events. PPAR study, a large scale multi-center trial in Japan, will provide us new evidence how to treat DM patients with prior myocardial infarction.
Eligibility| Ages Eligible for Study: | 20 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- diabetes mellitus (HbA1c < 6.5%)
- History of myocardial infarction
Exclusion Criteria:
- Symptomatic CHF
- Type I diabetes
- History of coronary artery bypass graft
- Severe liver and/or kidney dysfunction
- History of allergic response to drugs
- arteriosclerosis obliterans
Contacts and Locations| Contact: Masafumi Kitakaze, MD, PhD | 81-6-6833-5012 ext 2225 | kitakaze@zf6.so-net.ne.jp |
| Contact: Jiyoong Kim, MD | 81-6-6833-5012 ext 8212 | jikim@attglobal.net |
| Japan | |
| National Cardiovascular Center | Recruiting |
| Suita, Osaka, Japan, 565-8565 | |
| Contact: Masafumi Kitakaze, MD, PhD 81-6-6833-5012 ext 2225 kitakaze@zf6.so-net.ne.jp | |
| Study Chair: | Masafumi Kitakaze, MD, PhD | National Cerebral and Cardiovascular Center |
More Information
No publications provided
| ClinicalTrials.gov Identifier: | NCT00212004 History of Changes |
| Other Study ID Numbers: | CSSCJ-4, UMIN_ID:C000000091 |
| Study First Received: | September 13, 2005 |
| Last Updated: | September 13, 2005 |
| Health Authority: | Japan: Ministry of Health, Labor and Welfare |
Keywords provided by National Cerebral and Cardiovascular Center:
|
diabetes mellitus myocardial infarction pioglitazone |
Additional relevant MeSH terms:
|
Diabetes Mellitus Infarction Myocardial Infarction Glucose Metabolism Disorders Metabolic Diseases Endocrine System Diseases Ischemia Pathologic Processes Necrosis |
Myocardial Ischemia Heart Diseases Cardiovascular Diseases Vascular Diseases Pioglitazone Hypoglycemic Agents Physiological Effects of Drugs Pharmacologic Actions |
ClinicalTrials.gov processed this record on June 18, 2013