Diabetes MellitusPhase 4COMPLEMENTNCT00672919
Pioglitazone Study of Triglyceride Changes in Subjects With Type 2 Diabetes After Conversion From Rosiglitazone.
A Phase 4 study testing Pioglitazone in people with Diabetes Mellitus, run by Takeda at 53 sites in 2 countries.
Trial summary
The purpose of this study is to measure the triglyceride changes in subjects with type 2 diabetes mellitus taking pioglitazone, once daily (QD), following treatment conversion from rosiglitazone. Read more about this study
- Who is it for?
- Ages 18 to 70 years
- Conditions the study is for
- Diabetes Mellitus
- What is being tested?
- Pioglitazone
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 305 participants
- Where
- 53 sitesin 2 countries
- Study dates
- Nov 2003to Aug 2004
- Phase
- Phase 4
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 70 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Diagnosed with type 2 diabetes mellitus
- Females of childbearing potential who are sexually active must agree to use adequate contraception, and can neither be pregnant nor lactating from Screening throughout the duration of the study
- Has been taking a stable dose of rosiglitazone for greater than 90 days prior to screening.
- Has a triglyceride level greater than 200 mg per dL but less than 1000 mg per dL.
- Has been taking a stable statin therapy for greater than 90 days prior to screening.
- Has a glycosylated hemoglobin less than 10.5%.
Who cannot join
- Type 1 diabetes mellitus.
- Treated with Gemfibrozil within 90 days of screening.
- Previous history of cancer, other than basal cell carcinoma, that has not been in remission for at least 5 years prior to the first dose of study drug.
- The subject has an alanine aminotransaminase level of greater than 2.5 times the upper limit of normal, active liver disease, or jaundice.
- Male subjects who have serum creatinine greater than 2.0 mg per dL and female subjects with serum creatinine greater than1.8 mg per dL.
- Unexplained microscopic hematuria greater than plus 1 confirmed by repeat testing.
Show all 15Show fewer
- Male subjects who have hemoglobin less than 10.5 g per dL and female subjects who have hemoglobin less than 10.0 g per dL.
- Significant cardiovascular disease including, but not limited to, New York Heart Association Functional (Cardiac) Classification III or IV
- Currently is participating in another investigational study or has participated in an investigational study within the past 30 days.
- Any other serious disease or condition that might affect life expectancy or make it difficult to successfully manage and follow the subject according to the protocol.
- Is required to take or continues taking any disallowed medication, prescription medication, herbal treatment or over-the counter medication that may interfere with evaluation of the study medication, including:
- Glucocorticoids (eg. prednisone, cortisone, hydrocortisone, dexamethasone) with the exception of a topical glucocorticoid agent.
- Gemfibrozil
- Steroid-joint injections.
- Thiazolidinediones with the exception of the study medication.
Trial locations and contacts
53 sites in 2 countries.
53 sites in 2 countries
United States51 sites
Study site
Arlington, Texas
Study site
Arvada, Colorado
Study site
Aventura, Florida
Study site
Bellflower, California
Study site
Birmingham, Alabama
Study site
Burlingame, California
Study site
Centerville, Ohio
Study site
Chattanooga, Tennessee
Study site
Chesterfield, Missouri
Study site
Chicago Heights, Illinois
Study site
Columbus, Georgia
Study site
Dayton, Ohio
Study site
Des Moines, Iowa
Study site
Evansville, Indiana
Study site
Fall River, Massachusetts
Study site
Fresno, California
Study site
Hollywood, Florida
Study site
Houston, Texas
Study site
Idaho Falls, Idaho
Study site
Jacksonville, Florida
Study site
La Jolla, California
Study site
Lafayette, Louisiana
Study site
Long Beach, California
Study site
Man, West Virginia
Study site
Meadville, Pennsylvania
Study site
Medford, Oregon
Study site
Miami, Florida
Study site
Midland, Texas
Study site
Morristown, Tennessee
Study site
Murfreesboro, Tennessee
Study site
Nashville, Tennessee
Study site
North Miami Beach, Florida
Study site
Norwalk, Connecticut
Study site
Ogden, Utah
Study site
Omaha, Nebraska
Study site
Orange, Virginia
Study site
Pasadena, California
Study site
Pittsburgh, Pennsylvania
Study site
Raleigh, North Carolina
Study site
San Antonio, Texas
Study site
Staten Island, New York
Study site
Tallahassee, Florida
Study site
Tucson, Arizona
Study site
Tupelo, Mississippi
Study site
Virginia Beach, Virginia
Study site
Waltham, Massachusetts
Study site
Warwick, Rhode Island
Study site
Waterbury, Connecticut
Study site
Wausau, Wisconsin
Study site
West Palm Beach, Florida
Study site
Winston-Salem, North Carolina
About this study
Official title: A Single-Arm, Open-Label, Multicenter Study Evaluating the Triglyceride Changes in Subjects With Type 2 Diabetes Mellitus and Dyslipidemia Following Treatment Conversion From Rosiglitazone to Pioglitazone HCl in Combination With Stable Statin Therapy
The purpose of this study is to measure the triglyceride changes in subjects with type 2 diabetes mellitus taking pioglitazone, once daily (QD), following treatment conversion from rosiglitazone.
Read the detailed description
Diabetes mellitus is a chronic disease with multiple metabolic defects that result in hyperglycemia arising from inadequate insulin activity. Type 2 diabetes has a genetic predisposition, but lifestyle, physical habits and age play important roles in determining its time of onset and severity. Type 2 diabetes is usually the result of a progression from reduced sensitivity of hepatic (liver) and peripheral-tissue cells to circulating insulin (ie, insulin resistance) to a progressive inability of the body to produce adequate insulin to overcome insulin resistance (ie, insulin deficiency due to beta-cell insufficiency) resulting in impaired glucose tolerance and ultimately overt diabetes. In the United States, an estimated 15.7 million people have diabetes, with type 2 diabetes occurring in approximately 90 to 95% of cases.
Therapeutic agents have been developed to address each of the major functional metabolic defects associated with type 2 diabetes. Recently introduced drugs for diabetes therapy are the thiazolidinedione class. Thiazolidinediones increase glucose utilization, decrease gluconeogenesis and increase glucose disposal through an incompletely understood mechanism but one associated with binding of the drug to receptors known as peroxisomal proliferator-activated receptors.
Thiazolidinediones are peroxisomal proliferator-activated receptor agonists reducing insulin resistance in muscle cells, adipose (fat) tissue, and hepatic cells (inhibiting hepatic gluconeogenesis) with no direct impact on insulin secretion. Thus peroxisomal proliferator-activated receptor agonists improve glycemic control and result in reduced levels of circulating insulin. Peroxisomal proliferator-activated receptors are found in various tissues important for insulin action, with the greatest concentration of these receptors is in adipose tissue.
Pioglitazone is a peroxisomal proliferator-activated receptor agonist developed by Takeda Chemical Industries, Ltd. (Osaka, Japan).
Participation in this study is anticipated to be approximately 20 weeks.
- Conditions
- Diabetes Mellitus
- Being tested
- Pioglitazone
- Keywords
- Glucose Metabolism Disorder, Dysmetabolic Syndrome, Type II Diabetes, Diabetes Mellitus, Lipoatrophic, Dyslipidemia, Drug Therapy
- Medical subject headings
- Diabetes Mellitus, Glucose Metabolism Disorders, Diabetes Mellitus, Type 2, Diabetes Mellitus, Lipoatrophic, Dyslipidemias
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
PioglitazoneDrug
Also called ACTOS®, AD-4833
Pioglitazone 30 mg to 45 mg, tablets, orally, once daily in combination with stable statin therapy for up to 17 weeks.
| Study group | Role | What they receive |
|---|---|---|
| Pioglitazone QD | Experimental | (and stable statin therapy) Receives: Drug: Pioglitazone |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change from Baseline in Triglyceride Levels
Measured: Weeks 8 and 17 or Final Visit
Secondary outcomes (8)
Change from Baseline in Total Cholesterol
Measured: Weeks 8 and 17 or Final Visit
Change from Baseline in direct Low Density Lipoprotein cholesterol
Measured: Weeks 8 and 17 or Final Visit
Change from Baseline in High Density Lipoprotein cholesterol
Measured: Weeks 8 and 17 or Final Visit
Change from Baseline in apolipoprotein B (apoB)
Measured: Weeks 8 and 17 or Final Visit
Change from Baseline in apolipoprotein A1 (apoA1)
Measured: Weeks 8 and 17 or Final Visit
Change from Baseline in Free Fatty Acids
Measured: Weeks 8 and 17 or Final Visit
Change from Baseline in Lipid Fractionation
Measured: Weeks 8 and 17 or Final Visit
Change from Baseline in C-reactive Protein
Measured: Weeks 8 and 17 or Final Visit
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted6 May 2008 (estimated)
- Study startNov 2003
- Primary completionAug 2004
- Study completionAug 2004
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Diabetes MellitusStudies of the same condition, open and under way.
- More trials run by TakedaThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 4
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 305 participants (actual)
Sponsor and investigators
- Lead sponsor
- Takeda
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- VP Clinical Science Strategy, Study director, Takeda
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00672919
- Sponsor's protocol ID
- 01-03-TL-OPI-523
- Other IDs
- U1111-1115-8914
- Acronym
- COMPLEMENT
- Status last verified
- Feb 2012
- First submitted
- 2 May 2008
- Last updated
- 28 Feb 2012
- Results posted
- No
- Data monitoring committee
- No
Publications
Berhanu P, Kipnes MS, Khan MA, Perez AT, Kupfer SF, Spanheimer RC, Demissie S, Fleck PR. Effects of pioglitazone on lipid and lipoprotein profiles in patients with type 2 diabetes and dyslipidaemia after treatment conversion from rosiglitazone while continuing stable statin therapy. Diab Vasc Dis Res. 2006 May;3(1):39-44. doi: 10.3132/dvdr.2006.005.
PubMed 16784180
Study at a glance
From the registry record, last updated by the sponsor on 28 Feb 2012. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Single-Arm, Open-Label, Multicenter Study Evaluating the Triglyceride Changes in Subjects With Type 2 Diabetes Mellitus and Dyslipidemia Following Treatment Conversion From Rosiglitazone to Pioglitazone HCl in Combination With Stable Statin Therapy
- ClinicalTrials.gov ID
- NCT00672919
- Acronym / sponsor ID
- COMPLEMENT / 01-03-TL-OPI-523
- Conditions
- Diabetes Mellitus
- Keywords
- Glucose Metabolism Disorder, Dysmetabolic Syndrome, Type II Diabetes, Diabetes Mellitus, Lipoatrophic, Dyslipidemia, Drug Therapy
- Phase
- Phase 4
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 305 participants (actual)
- Lead sponsor
- TakedaIndustry (pharma, biotech, devices)
- Study start
- Nov 2003
- Primary completion
- Aug 2004 (actual)
- Study completion
- Aug 2004 (actual)
- First posted
- 6 May 2008 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to measure the triglyceride changes in subjects with type 2 diabetes mellitus taking pioglitazone, once daily (QD), following treatment conversion from rosiglitazone.
Detailed description
Diabetes mellitus is a chronic disease with multiple metabolic defects that result in hyperglycemia arising from inadequate insulin activity. Type 2 diabetes has a genetic predisposition, but lifestyle, physical habits and age play important roles in determining its time of onset and severity. Type 2 diabetes is usually the result of a progression from reduced sensitivity of hepatic (liver) and peripheral-tissue cells to circulating insulin (ie, insulin resistance) to a progressive inability of the body to produce adequate insulin to overcome insulin resistance (ie, insulin deficiency due to beta-cell insufficiency) resulting in impaired glucose tolerance and ultimately overt diabetes. In the United States, an estimated 15.7 million people have diabetes, with type 2 diabetes occurring in approximately 90 to 95% of cases.
Therapeutic agents have been developed to address each of the major functional metabolic defects associated with type 2 diabetes. Recently introduced drugs for diabetes therapy are the thiazolidinedione class. Thiazolidinediones increase glucose utilization, decrease gluconeogenesis and increase glucose disposal through an incompletely understood mechanism but one associated with binding of the drug to receptors known as peroxisomal proliferator-activated receptors.
Thiazolidinediones are peroxisomal proliferator-activated receptor agonists reducing insulin resistance in muscle cells, adipose (fat) tissue, and hepatic cells (inhibiting hepatic gluconeogenesis) with no direct impact on insulin secretion. Thus peroxisomal proliferator-activated receptor agonists improve glycemic control and result in reduced levels of circulating insulin. Peroxisomal proliferator-activated receptors are found in various tissues important for insulin action, with the greatest concentration of these receptors is in adipose tissue.
Pioglitazone is a peroxisomal proliferator-activated receptor agonist developed by Takeda Chemical Industries, Ltd. (Osaka, Japan).
Participation in this study is anticipated to be approximately 20 weeks.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Pioglitazone QD | Experimental | Drug: Pioglitazone(and stable statin therapy) |
Who may qualify
- Ages
- 18 to 70 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Diagnosed with type 2 diabetes mellitus
- Females of childbearing potential who are sexually active must agree to use adequate contraception, and can neither be pregnant nor lactating from Screening throughout the duration of the study
- Has been taking a stable dose of rosiglitazone for greater than 90 days prior to screening.
- Has a triglyceride level greater than 200 mg per dL but less than 1000 mg per dL.
- Has been taking a stable statin therapy for greater than 90 days prior to screening.
Key exclusion criteria (15 listed)
- Type 1 diabetes mellitus.
- Treated with Gemfibrozil within 90 days of screening.
- Previous history of cancer, other than basal cell carcinoma, that has not been in remission for at least 5 years prior to the first dose of study drug.
- The subject has an alanine aminotransaminase level of greater than 2.5 times the upper limit of normal, active liver disease, or jaundice.
- Male subjects who have serum creatinine greater than 2.0 mg per dL and female subjects with serum creatinine greater than1.8 mg per dL.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| PioglitazoneAlso: ACTOS®, AD-4833Pioglitazone 30 mg to 45 mg, tablets, orally, once daily in combination with stable statin therapy for up to 17 weeks. | Drug | Pioglitazone QD |
Primary outcome
Change from Baseline in Triglyceride Levels
Time frame: Weeks 8 and 17 or Final Visit
8 secondary outcomes
Change from Baseline in Total Cholesterol
Time frame: Weeks 8 and 17 or Final Visit
Change from Baseline in direct Low Density Lipoprotein cholesterol
Time frame: Weeks 8 and 17 or Final Visit
Change from Baseline in High Density Lipoprotein cholesterol
Time frame: Weeks 8 and 17 or Final Visit
Change from Baseline in apolipoprotein B (apoB)
Time frame: Weeks 8 and 17 or Final Visit
Change from Baseline in apolipoprotein A1 (apoA1)
Time frame: Weeks 8 and 17 or Final Visit
Change from Baseline in Free Fatty Acids
Time frame: Weeks 8 and 17 or Final Visit
Change from Baseline in Lipid Fractionation
Time frame: Weeks 8 and 17 or Final Visit
Change from Baseline in C-reactive Protein
Time frame: Weeks 8 and 17 or Final Visit
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 28 Feb 2012.
- Background: PubMed 16784180Berhanu P, Kipnes MS, Khan MA, Perez AT, Kupfer SF, Spanheimer RC, Demissie S, Fleck PR. Effects of pioglitazone on lipid and lipoprotein profiles in patients with type 2 diabetes and dyslipidaemia after treatment conversion from rosiglitazone while continuing stable statin therapy. Diab Vasc Dis Res. 2006 May;3(1):39-44. doi: 10.3132/dvdr.2006.005.
- ACTOS® Package InsertLink provided by the sponsor.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
VP Clinical Science Strategy study director
Takeda
53 sites in 2 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 4 study testing Pioglitazone in people with Diabetes Mellitus, run by Takeda at 53 sites in 2 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 6 inclusion and 15 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 28 Feb 2012. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 53 sites in United States, Puerto Rico. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change from Baseline in Triglyceride Levels (time frame: Weeks 8 and 17 or Final Visit). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00672919, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 28 Feb 2012; AzTrials last refreshed its copy on 6 Nov 2026.