Pioglitazone and Serum Asymmetric Dimethylarginine (ADMA) in Patients With Diabetes
2 other identifiers
interventional
36
1 country
1
Brief Summary
SPECIFIC AIMS
- 1.To determine whether pioglitazone will reduce levels of asymmetric dimethylarginine(ADMA) in patients with diabetes.
- 2.To determine whether nitric oxide(NOx) products are increased with pioglitazone treatment.
- 3.To determine whether pioglitazone reduces oxidative stress (F2-isoprostanes).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_4 diabetes
Started Oct 2008
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
October 1, 2008
CompletedFirst Submitted
Initial submission to the registry
October 9, 2008
CompletedFirst Posted
Study publicly available on registry
October 10, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2009
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2010
CompletedResults Posted
Study results publicly available
November 18, 2010
CompletedAugust 31, 2018
December 1, 2011
1.2 years
October 9, 2008
July 8, 2010
August 1, 2018
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Asymmetric Dimethylarginine (ADMA) Level
Labs measured micro moles per liter of ADMA levels in participants.
3 months
Secondary Outcomes (1)
NOx f2-isoprostanes
3 months
Study Arms (2)
Pioglitazone then Placebo
EXPERIMENTAL18 volunteers that are Diabetic adults, 40-75 years that have higher ADMA levels as well as increased inflammation will take Pioglitazone for the first 12 week period of the study and then take the placebo for the final 12 weeks of the study.
Placebo then Pioglitazone
EXPERIMENTAL18 (other half of participants) volunteers that are Diabetic adults, 40-75 years that have higher ADMA levels as well as increased inflammation will take the placebo for the first 12 week period of the study and then take the Pioglitazone for the final 12 weeks of the study.
Interventions
Subjects will take the pioglitazone 30mg tablet daily for 3 months. This will be followed by a 4-week period during which subjects will not be taking either the study drug or placebo. During the final 12-week period the group will take a placebo.
Subjects will take the placebo for the first 12 weeks of the study. This will be followed by a 4-week period during which subjects will not be taking either the study drug or placebo. During the final 12-week period the group will take the pioglitazone 30mg tablet daily for 3 months.
Eligibility Criteria
You may qualify if:
- Adults age 40--75 years-of-age, non-pregnant
- Informed consent
- History of type 2 Diabetes Mellitus
- Stable weight for the last 3 months (no change greater than +5% of body weight)
- ADMA \> 0.50 µM/L (mean of non-diabetic reference group) (Devangelio 2007)
- On stable medical therapy for at least 3 months
- A working telephone
You may not qualify if:
- Any history of known coronary heart disease, including a history of congestive heart failure, myocardial infarction, coronary re-vascularization, or stroke
- Pregnancy
- Chronic kidney disease, serum creatinine \>2.0mg/dl, chronic liver disease, or uncontrolled hypertension (\>160/100).
- Current participation in a formal weight loss program or planning to start such a program during the next 3 months
- Collagen vascular disease, infection, or other inflammatory condition
- Electrocardiogram (EKG) evidence of ischemia or infarction
- Macular edema (swelling of the back of the eye), recent excessive weight gain (over 5% of weight in 30 days), elevated liver function tests \> 2.5 X the upper limit, or history of osteoporosis
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Department of Family Medicine, MUSC
Charleston, South Carolina, 29425, United States
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Dana King MD
- Organization
- Medical University of South Carolina
Study Officials
- PRINCIPAL INVESTIGATOR
Dana E King, MD
Medical University of South Carolina
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- PREVENTION
- Intervention Model
- CROSSOVER
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
October 9, 2008
First Posted
October 10, 2008
Study Start
October 1, 2008
Primary Completion
December 1, 2009
Study Completion
June 1, 2010
Last Updated
August 31, 2018
Results First Posted
November 18, 2010
Record last verified: 2011-12