Glycemic Control and Complications in Diabetes Mellitus Type 2 (VADT)
NCT00032487 · Status: COMPLETED · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 1791
Last updated 2017-03-30
Summary
This study is a prospective, 2-arm, randomized controlled trial to determine whether glycemic control, achieved through intensification of treatment, is effective in preventing clinical macrovascular complications in patients with type 2 DM who are no longer responsive to oral agents alone. The study consists of a two-year accrual period and five years of follow-up (7 years total) of 1700 patients across 20 centers. We have powered the study to detect a 21% reduction in the primary event rate. Additional study goals are to determine whether the expenditures, discomfort, and adverse effects associated with intensive intervention are justified in terms of their clinical benefits, considering both macrovascular and microvascular complications.
Conditions
Interventions
- DRUG
-
Insulin (intermediate or long-lasting) in a.m. 1 unit 9 lbs Arm 1 Insulin (intermediate or long-lasting) in a.m. 1 unit 9 lbs, add one injection of insulin Arm 2
- DRUG
-
Glimepiride
Glimepiride 2 mg Arm 1 Glimepiride 8 mg Arm 2
- DRUG
-
Rosiglitazone
Rosiglitazone 4 mg Arm 1 Rosiglitazone 4 mg bid Arm 2
- DRUG
-
Metformin 500 mg (go up to 1000 mg) Arm 1 Metformin 500 mg (go up to 2000 mg) Arm
Sponsors & Collaborators
-
National Eye Institute (NEI)
collaborator NIH -
SmithKline Beecham
collaborator INDUSTRY -
VA Office of Research and Development
lead FED
Principal Investigators
-
Carlos Abraira, MD · Miami VA Healthcare System, Miami, FL
-
William Duckworth, MD · Phoenix VA Health Care System, Phoenix, AZ
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 40 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2000-12-01
- Primary Completion
- 2008-05-30
- Completion
- 2008-05-30
Countries
- United States
- Puerto Rico
Study Locations
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