NCT01947790

Brief Summary

Cardiovascular complications account for the highest mortality in type 2 diabetic patients, mainly due to ischeamia heart disease (IHD). Most of the attention in treating IHD in type 2 diabetes is understandably directed toward treating coronary artery conditions. However there are other treatable culprits in these patients. Left ventricular hypertrophy (LVH) is widespread in type 2 diabetic patients with IHD, even in the absence of hypertension. It is a strong predictor of cardiovascular events and all-cause mortality. In one study, the presence of LVH was a stronger predictor of mortality than either multivessel coronary disease or impaired left ventricular function. Regression of LVH has been associated with an improved prognosis, independent of change in blood pressure (BP). Therefore, cardiovascular events and mortality in type 2 diabetes with IHD might will be reduced if we can find novel therapies to regress LVH. Pioglitazone can improve atherosclerosis. Therefore, we hypothesied that pioglitazone can regress the left ventricular mass (LVM) in type 2 diabetes with IHD.Therefore, in this study, we will treat patients with pioglitazone, and we will also metformin as control.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
120

participants targeted

Target at P50-P75 for phase_4

Timeline
Completed

Started Sep 2013

Geographic Reach
1 country

2 active sites

Status
completed

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

September 1, 2013

Completed
1 day until next milestone

First Submitted

Initial submission to the registry

September 2, 2013

Completed
18 days until next milestone

First Posted

Study publicly available on registry

September 20, 2013

Completed
1.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 1, 2015

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

July 1, 2015

Completed
Last Updated

August 19, 2015

Status Verified

August 1, 2015

Enrollment Period

1.8 years

First QC Date

September 2, 2013

Last Update Submit

August 17, 2015

Conditions

Keywords

Type 2 diabetesleft ventricular masspioglitazone

Outcome Measures

Primary Outcomes (1)

  • The changes of LVM

    The LVM will be measured at baseline, 6 momth and 9 month

Secondary Outcomes (1)

  • The changes of endothelial function

    The endothelial function will be measured at baseline, 6 month and 9 month

Study Arms (2)

Pioglitazone group

EXPERIMENTAL

Pioglitazone 15 mg/day will be given in this group for 9 months

Drug: pioglitazone group

Metformin group

ACTIVE COMPARATOR

Metformin 0.85 twice daily will be given in this group for 9 months as control.

Drug: Metformin group

Interventions

Pioglitazone group
Metformin group

Eligibility Criteria

Age40 Years - 75 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • type 2 diabetes
  • aged 40~75 years old
  • with IHD

You may not qualify if:

  • heart failure
  • renal failure
  • hypertension (\>130/80 mmHg)
  • hemoglobin A1c 9%

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

Unknown Facility

Wuhan, Hubei, 43000, China

Location

Xiang Guangda

Wuhan, Hubei, 430070, China

Location

MeSH Terms

Conditions

Diabetes Mellitus, Type 2

Condition Hierarchy (Ancestors)

Diabetes MellitusGlucose Metabolism DisordersMetabolic DiseasesNutritional and Metabolic DiseasesEndocrine System Diseases

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR INVESTIGATOR
PI Title
Pioglitazone regress the left ventricular mass in normotensive type 2 diabetic patients with ischeamia heart disease

Study Record Dates

First Submitted

September 2, 2013

First Posted

September 20, 2013

Study Start

September 1, 2013

Primary Completion

July 1, 2015

Study Completion

July 1, 2015

Last Updated

August 19, 2015

Record last verified: 2015-08

Locations