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Diabetes MellitusPhase 3NCT00770653

Efficacy of Pioglitazone/Metformin Combination Therapy in Subjects With Type 2 Diabetes Mellitus and Dyslipidemia.

A Phase 3 study testing Pioglitazone and Metformin and Glimepiride and Metformin in people with Diabetes Mellitus and Dyslipidemias, run by Takeda at 64 sites in Germany.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The purpose of this study is to compare pioglitazone and metformin combination therapy, twice daily (BID), to glimepiride and metformin combination therapy for treating diabetic subjects with dyslipidemia. Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Diabetes Mellitus, Dyslipidemias
What is being tested?
Pioglitazone and Metformin and Glimepiride and Metformin
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
305 participants
Where
64 sitesGermany
Study dates
Apr 2007to May 2009
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

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 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Type 2 diabetes according to the American Diabetes Association Criteria.
  • Treatment with individual maximal tolerated dose of metformin (850 - 2000 mg) as monotherapy within the last 12 weeks.
  • Glycosylated Hemoglobin greater than or equal to 6.5% and less than or equal to 9%.
  • Dyslipidemia defined as high-density lipoprotein cholesterol less than or equal to 1.03 mmol/l (40 mg/dL) and/or triglycerides greater than or equal to 1.7 mmol/l (150 mg/dL).
  • 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.

Who cannot join

  • Type 1 diabetes mellitus.
  • Insulin-dependent type 2 diabetes mellitus.
  • Treatment or history of treatment with any insulin formulation other than emergency for more than 2 weeks.
  • Treatment with other oral antidiabetic drugs in addition to metformin within the last 12 weeks.
  • Anamnestic history of hypersensitivity to the study drugs or to drugs with similar chemical structures.
  • Is required to take or intends to continue taking any disallowed medication, any prescription medication, herbal treatment or over-the counter medication that may interfere with evaluation of the study medication, including:
Show all 30Show fewer
  • Heparin (and heparin-like drugs)
  • coumarin
  • phenprocoumon
  • hirudin
  • Protein C
  • Fondaparinux
  • antithrombin III
  • Peroxisome Proliferation Activating Receptor (gamma) agonists
  • Treatment within the last 12 weeks with:
  • fibrates
  • gemfibrozil
  • niacin
  • months
  • Rifampicin
  • Changes in dosage of any statin treatment to lower low-density lipoprotein within 2 weeks before study entry and during study participation interval.
  • Changes in dosage of any anticoagulant treatment with acetyl salicylic acid and/or clopidogrel within 2 weeks before study entry and during study participation interval.
  • Start of statin and/or anticoagulant treatment during study participation interval.
  • History of severe or multiple allergies and/ or acute severe infections.
  • Have had more than one unexplained episode of severe hypoglycemia (defined as requiring assistance of another person due to disabling hypoglycemia) within 6 months prior to screening visit.
  • Progressive fatal disease.
  • Any elective surgery during study participation.
  • History of drug or alcohol abuse within the last 5 years.
  • A history of significant cardiovascular (New York Heart Association stage I - IV), respiratory, gastrointestinal, hepatic (alanine aminotransferase and/or aspartate aminotransferase greater than 2.5 times the upper limit of the normal reference range), renal (serum creatinine greater than 1.2 mg/dL in women and greater than 1.5 mg/dL in men, glomerular filtration rate less than 60 ml/min as estimated by the Cockroft-Gault formula), neurological, psychiatric and/or hematological disease as judged by the investigator, history of macular edema.
  • Blood donation within the last 30 days.

Trial locations and contacts

64 sites in 1 country.

64 sites in 1 country

Germany64 sites
  • Study site

    Altenburg, Thuringia

  • Study site

    Augsburg, Bavaria

  • Study site

    Bad Berleburg, North Rhine-Westphalia

  • Study site

    Bad Laasphe, North Rhine-Westphalia

  • Study site

    Bad Oeynhausen, North Rhine-Westphalia

  • Study site

    Bensheim, Hesse

  • Study site

    Berlin, State of Berlin

  • Study site

    Bermerhaven, Free Hanseatic City of Bremen

  • Study site

    Blankenhain, Thuringia

  • Study site

    Bocholt, North Rhine-Westphalia

  • Study site

    Borna, Saxony

  • Study site

    Bretten, Baden-Wurttemberg

  • Study site

    Celle, Lower Saxony

  • Study site

    Cologne, North Rhine-Westphalia

  • Study site

    Deggingen, Baden-Wurttemberg

  • Study site

    Dettenheim, Baden-Wurttemberg

  • Study site

    Diez, Rhineland-Palatinate

  • Study site

    Dinslaken, North Rhine-Westphalia

  • Study site

    Dorsten, North Rhine-Westphalia

  • Study site

    Dresden, Saxony

  • Study site

    Duisburg, North Rhine-Westphalia

  • Study site

    Ehrenberg, Hesse

  • Study site

    Einbeck, Lower Saxony

  • Study site

    Essen, North Rhine-Westphalia

  • Study site

    Feldafing, Bavaria

  • Study site

    Frechen, North Rhine-Westphalia

  • Study site

    Furth im Wald, Bavaria

  • Study site

    Gersfeld, Hesse

  • Study site

    Hamburg, Free and Hanseatic City of Hamburg

  • Study site

    Hanover, Lower Saxony

  • Study site

    Hildesheim, Lower Saxony

  • Study site

    Immenstadt im Allgäu, Bavaria

  • Study site

    Isselburg, North Rhine-Westphalia

  • Study site

    Kamen, North Rhine-Westphalia

  • Study site

    Kassel, Hesse

  • Study site

    Kelkheim, Hesse

  • Study site

    Ketzin, Brandenburg

  • Study site

    Künzelsau, Baden-Wurttemberg

  • Study site

    Lichtenfels, Bavaria

  • Study site

    Magdeburg, Saxony-Anhalt

  • Study site

    Mainz, Rhineland-Palatinate

  • Study site

    Marl, North Rhine-Westphalia

  • Study site

    Meissen, Saxony

  • Study site

    Menden, North Rhine-Westphalia

  • Study site

    Mittweida, Saxony

  • Study site

    München, Bavaria

  • Study site

    Münster, North Rhine-Westphalia

  • Study site

    Neuwied, Rhineland-Palatinate

  • Study site

    Offenbach, Hesse

  • Study site

    Reinfeld, Schleswig-Holstein

  • Study site

    Rodenbach, Rhineland-Palatinate

  • Study site

    Rottweil, Baden-Wurttemberg

  • Study site

    Rüdersdorf, Brandenburg

  • Study site

    Schweinfurt, Bavaria

  • Study site

    Schwerin, Mecklenburg-Vorpommern

  • Study site

    Siegen, North Rhine-Westphalia

  • Study site

    Simmern, Rhineland-Palatinate

  • Study site

    Spaichingen, Baden-Wurttemberg

  • Study site

    Stockach, Baden-Wurttemberg

  • Study site

    Waldkraiburg, Bavaria

  • Study site

    Wallerfing, Bavaria

  • Study site

    Wangen, Baden-Wurttemberg

  • Study site

    Weilersbach, Bavaria

  • Study site

    Würzburg, Bavaria

Other trials in Germany

About this study

Official title: Effects of a Pioglitazone/Metformin Fixed Combination in Comparison to Metformin in Combination With Glimepiride on Diabetic Dyslipidemia

The purpose of this study is to compare pioglitazone and metformin combination therapy, twice daily (BID), to glimepiride and metformin combination therapy for treating diabetic subjects with dyslipidemia.

Read the detailed description

Insulin resistance is a major endocrinopathy preceding the development of hyperglycemia, diabetic dyslipidemia and cardiovascular disease in type 2 diabetes. The most common pattern of dyslipidemia in patients with type 2 diabetes are elevated triglyceride levels, decreased hih-density lipoprotein cholesterol and a predominance of small dense low-density lipoprotein particles. Each of these dyslipidemia features is associated with an increased risk of cardiovascular events.

Pioglitazone and Metformin are established drugs which can be used for the treatment of type 2 diabetes. This study will investigate the effects of treatment with fixed Pioglitazone/Metformin combination therapy of Metformin and Glimepiride in Metformin-pretreated type 2 diabetic patients with dyslipidemia.

Total participation time in this study is anticipated to be approximately 24 weeks.

Being tested
Pioglitazone and Metformin, Glimepiride and Metformin
Keywords
Glucose Metabolism Disorder, Dysmetabolic Syndrome, Type II Diabetes, Diabetes Mellitus, Lipoatrophic, Dyslipidemia, Hyperlipidemias, Drug Therapy
Medical subject headings
Diabetes Mellitus, Dyslipidemias, Glucose Metabolism Disorders, Diabetes Mellitus, Type 2, Diabetes Mellitus, Lipoatrophic, Hyperlipidemias

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Pioglitazone and MetforminDrug

    Also called ACTOS®, AD-4833, OPIMET

    Pioglitazone 15 mg/metformin 850 mg combination tablets, orally, twice daily and glimepiride placebo-matching tablets, orally, once daily and metformin placebo-matching tablets, orally, twice daily for up to 24 weeks.

  • Glimepiride and MetforminDrug

    Also called Amaryl, Glista

    Pioglitazone/metformin placebo-matching combination tablets, orally, twice daily and glimepiride 2 mg, tablets, orally, once daily and metformin 850 mg, tablets, orally, twice daily for up to 24 weeks.

Study groups in NCT00770653
Study groupRoleWhat they receive
Pioglitazone 15 mg and Metformin 850 mg BIDExperimentalNot described
Receives: Drug: Pioglitazone and Metformin
Glimepiride 2 mg and Metformin 850 mg BIDActive comparatorNot described
Receives: Drug: Glimepiride and Metformin

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. The Mean Increase From Baseline in High-Density Lipoprotein Cholesterol.

    The increase in High-Density Lipoprotein (HDL) Cholesterol collected at week 24 or final visit and HDL-Cholesterol collected at baseline.

    Measured: Baseline and Week 24.

Secondary outcomes (31)
  1. Change From Baseline in High-Density Lipoprotein Cholesterol.

    The change between HDL-Cholesterol collected at week 24 or final visit and HDL-Cholesterol collected at baseline.

    Measured: Baseline and Week 24.

  2. Change From Baseline in High-Density Lipoprotein/Low-Density Lipoprotein Ratio.

    The change between High-Density Lipoprotein/Low-Density Lipoprotein Ratio collected at week 24 or final visit and High-Density Lipoprotein/Low-Density Lipoprotein Ratio collected at baseline.

    Measured: Baseline and Week 24.

  3. Change From Baseline in Triglycerides.

    The change between the value of Triglycerides collected at week 24 or final visit and Triglycerides collected at baseline.

    Measured: Baseline and Week 24.

  4. Change From Baseline in Low-Density Lipoprotein Subfractions.

    The change between the value of Low-Density Lipoprotein Subfractions collected at week 24 or final visit and Low-Density Lipoprotein Subfractions collected at baseline.

    Measured: Baseline and Week 24.

  5. Change From Baseline in Low-Density Lipoprotein Cholesterol.

    The change between Low-Density Lipoprotein Cholesterol collected at week 24 or final visit and Low-Density Lipoprotein Cholesterol collected at baseline.

    Measured: Baseline and Week 24.

  6. Change From Baseline in Glycosylated Hemoglobin.

    The change between the value of Glycosylated Hemoglobin (the concentration of glucose bound to hemoglobin as a percent of the absolute maximum that can be bound) collected at week 24 or final visit and Glycosylated Hemoglobin collected at baseline.

    Measured: Baseline and Week 24.

  7. Change From Baseline in Fasting Intact Proinsulin.

    The change between Fasting Intact Proinsulin collected at week 24 or final visit and Fasting Intact Proinsulin collected at baseline.

    Measured: Baseline and Week 24.

  8. Change From Baseline in Fasting Glucose.

    The change between Fasting Glucose collected at week 24 or final visit and Fasting Glucose collected at baseline.

    Measured: Baseline and Week 24.

  9. Change From Baseline in Adiponectin.

    The change between Adiponectin collected at week 24 or final visit and Adiponectin collected at baseline.

    Measured: Baseline and Week 24.

  10. Change From Baseline in High Sensitivity C-reactive Protein (Original).

    The change between the value of High Sensitivity C-reactive Protein collected at week 24 or final visit and High Sensitivity C-reactive Protein collected at baseline.

    Measured: Baseline and Week 24.

  11. Change From Baseline in High Sensitivity C-reactive Protein (≤ 10 mg/L).

    The change between the value of High Sensitivity C-reactive Protein less than or equal to 10 mg/L collected at week 24 or final visit and High Sensitivity C-reactive Protein less than or equal to 10 mg/L collected at baseline.

    Measured: Baseline and Week 24.

  12. Change From Baseline in Systolic Blood Pressure.

    The change between Systolic Blood Pressure measured at week 24 or final visit and Systolic Blood Pressure measured at baseline.

    Measured: Baseline and Week 24.

  13. Change From Baseline in Diastolic Blood Pressure.

    The change between Diastolic Blood Pressure measured at week 24 or final visit and Diastolic Blood Pressure measured at baseline.

    Measured: Baseline and Week 24.

  14. Intake of Study Medication Greater Than 80% and Less Than 120%.

    The change between the Intake of study medication greater than 80% at week 24 or final visit and Baseline and the Intake of study medication greater than 80% at baseline.

    Measured: Baseline and Week 24.

  15. Change From Baseline in Nitrotyrosine.

    The change between the value of Nitrotyrosine collected at week 24 or final visit and Nitrotyrosine collected at baseline.

    Measured: Baseline and Week 24.

  16. Change From Baseline in Soluble CD40 Ligand.

    The change between the value of Soluble CD40 Ligand collected at week 24 or final visit and Soluble CD40 Ligand collected at baseline.

    Measured: Baseline and Week 24.

  17. Change From Baseline in Matrix Metallo Proteinase-9.

    The change between the value of Baseline in Matrix Metallo Proteinase-9 collected at week 24 or final visit and Baseline in Matrix Metallo Proteinase-9 collected at baseline.

    Measured: Baseline and Week 24.

  18. Change From Baseline in Soluble Intracellular Adhesion Molecule.

    The change between the value of Baseline in Soluble Intracellular Adhesion molecule at week 24 or final visit and Baseline in Soluble Intracellular Adhesion molecule collected at baseline.

    Measured: Baseline and Week 24.

  19. Change From Baseline in Soluble Vascular Cell Adhesion Molecule.

    The change between the value of Soluble Vascular Cell Adhesion Molecule collected at week 24 or final visit and Soluble Vascular Cell Adhesion Molecule collected at baseline.

    Measured: Baseline and Week 24.

  20. Change From Baseline in Thromboxane B2.

    The change between the value of Thromboxane B2 collected at week 24 or final visit and Thromboxane B2 collected at baseline.

    Measured: Baseline and Week 24.

  21. Change From Baseline in Platelet Function.

    The change between the value of Platelet Function by PFA 100 collected at week 24 or final visit and Platelet Function by PFA 100 collected at baseline.

    Measured: Baseline and Week 24.

  22. Change From Baseline in E-Selectin.

    The change between the value of E-Selectin collected at week 24 or final visit and E-Selectin collected at baseline.

    Measured: Baseline and Week 24.

  23. Change From Baseline in Von-Willebrand Factor.

    The change between the value of Von-Willebrand Factor collected at week 24 or final visit and Von-Willebrand Factor collected at baseline.

    Measured: Baseline and Week 24.

  24. Change From Baseline in Erythrocyte Deformability (0.30%).

    The change between the 0.30 percent value of Erythrocyte (Red Blood Cell) Deformability collected at week 24 or final visit and Erythrocyte Deformability collected at baseline.

    Measured: Baseline and Week 24.

  25. Change From Baseline in Erythrocyte Deformability (0.60%)

    The change between the 0.60 percent value of Erythrocyte (Red Blood Cell) Deformability collected at week 24 or final visit and Erythrocyte Deformability collected at baseline.

    Measured: Baseline and Week 24.

  26. Change From Baseline in Erythrocyte Deformability (1.20).

    The change between the 1.20 percent value of Erythrocyte (Red Blood Cell) Deformability collected at week 24 or final visit and Erythrocyte Deformability collected at baseline.

    Measured: Baseline and Week 24.

  27. Change From Baseline in Erythrocyte Deformability (3.00).

    The change between the 3.00 percent value of Erythrocyte (Red Blood Cell) Deformability collected at week 24 or final visit and Erythrocyte Deformability collected at baseline.

    Measured: Baseline and Week 24.

  28. Change From Baseline in Erythrocyte Deformability (6.00).

    The change between the 6.00 percent value of Erythrocyte (Red Blood Cell) Deformability collected at week 24 or final visit and Erythrocyte Deformability collected at baseline.

    Measured: Baseline and Week 24.

  29. Change From Baseline in Erythrocyte Deformability (12.00).

    The change between the 12.00 percent value of Erythrocyte (Red Blood Cell) Deformability collected at week 24 or final visit and Erythrocyte Deformability collected at baseline.

    Measured: Baseline and Week 24.

  30. Change From Baseline in Erythrocyte Deformability (30.00).

    The change between the 30.00 percent value of Erythrocyte (Red Blood Cell) Deformability collected at week 24 or final visit and Erythrocyte Deformability collected at baseline.

    Measured: Baseline and Week 24.

  31. Change From Baseline in Erythrocyte Deformability (60.00).

    The change between the 60.00 percent value of Erythrocyte (Red Blood Cell) Deformability collected at week 24 or final visit and Erythrocyte Deformability collected at baseline.

    Measured: Baseline and Week 24.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted10 Oct 2008 (estimated)
  2. Study startApr 2007
  3. Primary completionMay 2009
  4. Study completionMay 2009

Resources

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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
305 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00770653
Sponsor's protocol ID
ATS K024
Other IDs
2006-004455-37, D-PIO-114, U1111-1114-1678
Status last verified
Sep 2010
First submitted
9 Oct 2008
Last updated
6 Oct 2010
Data monitoring committee
No

Publications

  • Pfutzner A, Schondorf T, Tschope D, Lobmann R, Merke J, Muller J, Lehmann U, Fuchs W, Forst T. PIOfix-study: effects of pioglitazone/metformin fixed combination in comparison with a combination of metformin with glimepiride on diabetic dyslipidemia. Diabetes Technol Ther. 2011 Jun;13(6):637-43. doi: 10.1089/dia.2010.0233. Epub 2011 Apr 2.

    PubMed 21457065

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Pioglitazone and Metformin and Glimepiride and Metformin in people with Diabetes Mellitus and Dyslipidemias, run by Takeda at 64 sites in Germany.

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 5 inclusion and 30 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 6 Oct 2010. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 64 sites in Germany. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 6 Oct 2010). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

The Mean Increase From Baseline in High-Density Lipoprotein Cholesterol. (time frame: Baseline and Week 24.). 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 NCT00770653, 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 6 Oct 2010.

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