- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02002975
Pioglitazone Special Drug Use Surveillance "Metabolic Syndrome in Patients With Type 2 Diabetes Mellitus"
Actos Tablets Special Drug Use Surveillance "Metabolic Syndrome in Patients With Type 2 Diabetes Mellitus"
Study Overview
Detailed Description
This is a special drug use surveillance on long-term use of pioglitazone (Actos Tablets) in patients with type 2 diabetes mellitus, designed to determine the onset of new cerebral and cardiovascular events and changes in metabolic syndrome parameters, and to analyze the association between patient baseline characteristics, including any metabolic syndrome-related risk factors, and the onset of new cerebral and cardiovascular events in an exploratory setting.
Participants will be patients with type 2 diabetes mellitus. The planned sample size is 20000.
The usual adult dosage is 15 to 30 mg of pioglitazone administered orally once daily before or after breakfast.
Study Type
Enrollment (Actual)
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- Patients must have type 2 diabetes mellitus and have undergone measurements for all of the following parameters to be included in this survey:
Waist circumference, height, body weight, blood pressure, Haemoglobin A1c (HbA1c), fasting triglyceride, High-density Lipoprotein (HDL)-cholesterol
Exclusion Criteria:
Patients meeting any of the following criteria (1) to (5) will be excluded:
Patients with any contraindications to pioglitazone (Actos Tablets) treatment as specified below:
Cardiac failure, history of cardiac failure, severe ketosis, diabetic coma or precoma, type 1 diabetes mellitus, serious hepatic dysfunction, serious renal dysfunction, severe infection, perioperative state, serious trauma, history of hypersensitivity to any ingredients of pioglitazone (Actos Tablets), pregnancy or possible pregnancy
- Patients aged < 20 or ≥ 75 years
- Patients who currently have or have had any of the following: myocardial infarction, angina pectoris, cardiomyopathy, hypertensive heart disease (including left ventricular hypertrophy with cardiac hypofunction*), atrial fibrillation, atrial flutter, valvular disease, aortic dissection, cerebral infarction, cerebral hemorrhage (including subarachnoid hemorrhage). (*Reduced cardiac function is roughly defined as having a brain natriuretic peptide [BNP] ≥ 40 pg/mL.)
- Patients who have taken pioglitazone (Actos Tablets) within 3 months before enrollment in this survey
- Patients who have been enrolled in the candesartan cilexetil (Blopress) special drug use surveillance "hypertension: survey on metabolic equivalents (MetS) (Challenge-MetS)" at each medical institution.
Study Plan
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
Pioglitazone 15 to 30 mg
administered orally once daily before or after breakfast for 3 years.
|
Pioglitazone tablets
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Percentage of Participants Who Met at Least One New Cerebral and Cardiovascular Events
Time Frame: From Baseline, Up to 3 Years
|
Cerebral and cardiovascular events (Macroangiopathy) include the following: Sudden death, Cerebral infarction, Cerebral hemorrhage, Subarachnoid hemorrhage, Acute myocardial infarction, Angina pectoris requiring intervention or hospitalization for treatment, Cardiac failure requiring hospitalization for treatment, Atrial fibrillation, Aortic dissection.
Reported data was frequency of participants who met at least one new cerebral and cardiovascular event throughout this study.
|
From Baseline, Up to 3 Years
|
Changes From Baseline in Metabolic Syndrome Parameters (Body Weight) at Final Assessment Point
Time Frame: From Baseline and final assessment point (Up to 3 Years)
|
Changes from baseline in metabolic syndrome parameters at final assessment point (up to 3 years) were reported.
The reported data on this outcome measure is in body weight as a one of metabolic syndrome parameters and for each gender (male/female).
|
From Baseline and final assessment point (Up to 3 Years)
|
Changes From Baseline in Metabolic Syndrome Parameters (Waist Circumference) at Final Assessment Point
Time Frame: From Baseline and final assessment point (Up to 3 Years)
|
Changes from baseline in metabolic syndrome parameters at final assessment point (up to 3 years) were reported.
The reported data on this outcome measure is in waist circumference as a one of metabolic syndrome parameters and for each gender (male/female).
|
From Baseline and final assessment point (Up to 3 Years)
|
Changes From Baseline in Metabolic Syndrome Parameters (Haemoglobin A1c (HbA1c) [National Glycohemoglobin Standardization Program (NGSP)]) at Final Assessment Point
Time Frame: From Baseline and final assessment point (Up to 3 Years)
|
Changes from baseline in metabolic syndrome parameters at final assessment point (up to 3 years) were reported.
The reported data on this outcome measure is in HbA1c (NGSP) as a one of metabolic syndrome parameters.
|
From Baseline and final assessment point (Up to 3 Years)
|
Changes From Baseline in Metabolic Syndrome Parameters (Fasting Blood Glucose) at Final Assessment Point
Time Frame: From Baseline and final assessment point (Up to 3 Years)
|
Changes from baseline in metabolic syndrome parameters at final assessment point (up to 3 years) were reported.
The reported data on this outcome measure is in fasting blood glucose as a one of metabolic syndrome parameters.
|
From Baseline and final assessment point (Up to 3 Years)
|
Changes From Baseline in Metabolic Syndrome Parameters (Fasting Blood Insulin Level) at Final Assessment Point
Time Frame: From Baseline and final assessment point (Up to 3 Years)
|
Changes from baseline in metabolic syndrome parameters at final assessment point (up to 3 years) were reported.
The reported data on this outcome measure is in fasting blood insulin level as a one of metabolic syndrome parameters.
|
From Baseline and final assessment point (Up to 3 Years)
|
Changes From Baseline in Metabolic Syndrome Parameters (Total Cholesterol Level) at Final Assessment Point
Time Frame: From Baseline and final assessment point (Up to 3 Years)
|
Changes from baseline in metabolic syndrome parameters at final assessment point (up to 3 years) were reported.
The reported data on this outcome measure is in total cholesterol level as a one of metabolic syndrome parameters.
|
From Baseline and final assessment point (Up to 3 Years)
|
Changes From Baseline in Metabolic Syndrome Parameters (High-density Lipoprotein (HDL) Cholesterol Level) at Final Assessment Point
Time Frame: From Baseline and final assessment point (Up to 3 Years)
|
Changes from baseline in metabolic syndrome parameters at final assessment point (up to 3 years) were reported.
The reported data on this outcome measure is in HDL cholesterol level as a one of metabolic syndrome parameters.
|
From Baseline and final assessment point (Up to 3 Years)
|
Changes From Baseline in Metabolic Syndrome Parameters (Fasting Triglyceride Level) at Final Assessment Point
Time Frame: From Baseline and final assessment point (Up to 3 Years)
|
Changes from baseline in metabolic syndrome parameters at final assessment point (up to 3 years) were reported.
The reported data on this outcome measure is in fasting triglyceride level as a one of metabolic syndrome parameters.
|
From Baseline and final assessment point (Up to 3 Years)
|
Changes From Baseline in Metabolic Syndrome Parameters (Systolic Blood Pressure) at Final Assessment Point
Time Frame: From Baseline and final assessment point (Up to 3 Years)
|
Changes from baseline in metabolic syndrome parameters at final assessment point (up to 3 years) were reported.
The reported data on this outcome measure is in systolic blood pressure as a one of metabolic syndrome parameters.
|
From Baseline and final assessment point (Up to 3 Years)
|
Changes From Baseline in Metabolic Syndrome Parameters (Diastolic Blood Pressure) at Final Assessment Point
Time Frame: From Baseline and final assessment point (Up to 3 Years)
|
Changes from baseline in metabolic syndrome parameters at final assessment point (up to 3 years) were reported.
The reported data on this outcome measure is in diastolic blood pressure as a one of metabolic syndrome parameters.
|
From Baseline and final assessment point (Up to 3 Years)
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Changes From Baseline in HbA1c (NGSP) With Number of Metabolic Syndrome-related Risk Factor (MetS-related Factor) at Final Assessment Point
Time Frame: From Baseline and final assessment point (Up to 3 Years)
|
Changes from baseline in HbA1c (NGSP) with number of MetS-related factor were reported instead.
Risk factors included Glucose Intolerance, Complication of Hypertension, Complication of Hyperlipidemia, Obesity, and Family History of Diabetes in Second-Degree Relatives.
|
From Baseline and final assessment point (Up to 3 Years)
|
Association Between Patient Baseline Characteristics, Including Any Metabolic Syndrome-related Risk Factors, and Onset of New Cerebral and Cardiovascular Events
Time Frame: 3 Years
|
3 Years
|
Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 237-016
- JapicCTI-132328 (Registry Identifier: JapicCTI)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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