Trial Outcomes & Findings for Rosiglitazone for Clozapine Induced Glucose Metabolism Impairment (NCT NCT00337350)

NCT ID: NCT00337350

Last Updated: 2015-05-08

Results Overview

Insulin Sensitivity (IS) was assessed using a Frequently Sampled Intravenous Glucose Tolerance Test (FSIVGTT), performed at Baseline and at week 8 (study endpoint). Subjects in the Rosiglitazone treatment arm were compared to subjects in the placebo treatment arm on their change in IS between Baseline and week 8. SI was calculated from plasma glucose and serum insulin values using the MINMOD Millennium computer program. SI represents the increase in net fractional glucose clearance rate per unit change in serum insulin concentration after the intravenous glucose load (microUnits/mL).

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

20 participants

Primary outcome timeframe

baseline, week 8

Results posted on

2015-05-08

Participant Flow

Subjects were recruited from the Freedom Trial Clinic at the Erich Lindemann Mental Health Center and were studied at the Mallinckrodt General Clinical Research Center (GCRC) at Massachusetts General Hospital (MGH), Boston.

Participant milestones

Participant milestones
Measure
Rosiglitazone
rosiglitazone 4mg/day
Placebo
matched placebo for rosiglitazone 4mg/day
Overall Study
STARTED
9
11
Overall Study
COMPLETED
8
10
Overall Study
NOT COMPLETED
1
1

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Rosiglitazone for Clozapine Induced Glucose Metabolism Impairment

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Rosiglitazone
n=9 Participants
rosiglitazone 4mg/day
Placebo
n=11 Participants
matched placebo for rosiglitazone 4mg/day
Total
n=20 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Age, Categorical
Between 18 and 65 years
9 Participants
n=99 Participants
11 Participants
n=107 Participants
20 Participants
n=206 Participants
Age, Categorical
>=65 years
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Age, Continuous
41.11 years
STANDARD_DEVIATION 10.29 • n=99 Participants
39.36 years
STANDARD_DEVIATION 7.06 • n=107 Participants
40.15 years
STANDARD_DEVIATION 8.46 • n=206 Participants
Sex: Female, Male
Female
2 Participants
n=99 Participants
3 Participants
n=107 Participants
5 Participants
n=206 Participants
Sex: Female, Male
Male
7 Participants
n=99 Participants
8 Participants
n=107 Participants
15 Participants
n=206 Participants
Region of Enrollment
United States
9 participants
n=99 Participants
11 participants
n=107 Participants
20 participants
n=206 Participants

PRIMARY outcome

Timeframe: baseline, week 8

Insulin Sensitivity (IS) was assessed using a Frequently Sampled Intravenous Glucose Tolerance Test (FSIVGTT), performed at Baseline and at week 8 (study endpoint). Subjects in the Rosiglitazone treatment arm were compared to subjects in the placebo treatment arm on their change in IS between Baseline and week 8. SI was calculated from plasma glucose and serum insulin values using the MINMOD Millennium computer program. SI represents the increase in net fractional glucose clearance rate per unit change in serum insulin concentration after the intravenous glucose load (microUnits/mL).

Outcome measures

Outcome measures
Measure
Rosiglitazone
n=8 Participants
rosiglitazone 4mg/day
Placebo
n=10 Participants
matched placebo for rosiglitazone 4mg/day
Change From Baseline in Insulin Sensitivity
3.2 microUnits/mL
Standard Deviation 3.9
0.4 microUnits/mL
Standard Deviation 0.1

PRIMARY outcome

Timeframe: baseline, week 8

Glucose utilization (SG) was assessed using a Frequently Sampled Intravenous Glucose Tolerance Test (FSIVGTT), performed at Baseline and at week 8 (study endpoint). Subjects in the Rosiglitazone treatment arm were compared to subjects in the placebo treatment arm on their change in SG between Baseline and week 8. SG was calculated from plasma glucose and serum insulin values using the MINMOD Millennium computer program. SG represents the net fractional glucose clearance rate because of the increase in glucose independent of any increase in circulating insulin concentrations above baseline.

Outcome measures

Outcome measures
Measure
Rosiglitazone
n=8 Participants
rosiglitazone 4mg/day
Placebo
n=10 Participants
matched placebo for rosiglitazone 4mg/day
Change From Baseline on Glucose Utilization (SG)
.002 min^-1
Standard Deviation .002
-0.01 min^-1
Standard Deviation 0.01

PRIMARY outcome

Timeframe: baseline, week 8

Acute insulin response to glucose (AIRG) was assessed using a Frequently Sampled Intravenous Glucose Tolerance Test (FSIVGTT), performed at Baseline and at week 8 (study endpoint). Subjects in the Rosiglitazone treatment arm were compared to subjects in the placebo treatment arm on their change in SG between Baseline and week 8. AIRG was calculated from plasma glucose and serum insulin values using the MINMOD Millennium computer program. AIRG measures the acute(0-10 min) beta\\ cell response to a glucose load calculated by the areas under the curve higher than basal insulin values. The AIRG was assessed as the incremental area under the curve (calculated by the trapezoid rule) from 0 to 10 min of the FSIVGTT.

Outcome measures

Outcome measures
Measure
Rosiglitazone
n=8 Participants
rosiglitazone 4mg/day
Placebo
n=10 Participants
matched placebo for rosiglitazone 4mg/day
Change From Baseline in Acute Insulin Response to Glucose (AIRG)
-151 Units/mL per 10 minutes
Standard Deviation 457
19 Units/mL per 10 minutes
Standard Deviation 22

Adverse Events

Rosiglitazone

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Placebo

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. David Henderson

Massachusetts General Hospital Schizophrenia Research Program

Phone: (617) 912-7800

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place