Trial Outcomes & Findings for Does Thiazolidinedione Therapy Improve Endothelial Function and Preserve Renal Function (NCT NCT00586261)

NCT ID: NCT00586261

Last Updated: 2013-03-15

Results Overview

Brachial arterial reactivity was measured by ultrasound. A blood pressure cuff was placed around the right forearm. Using the ultrasound probe of the ultrasound, 2-dimensional images clearly defining the anterior and posterior intimal wall of the brachial artery were collected. Flow velocities were then measured using pulsed wave Doppler. The blood pressure cuff previously placed around the patient's right forearm was inflated to 200 mmHg. The cuff remained inflated for 5 minutes as the patient remained motionless and quiet. Prior to deflation, the patient was asked to remain still as flow velocities and 2-dimensional images were obtained immediately following cuff deflation. Then a 0.4 mg sublingual nitroglycerin tablet was given to all patients without a contraindication and all measurements were repeated.

Recruitment status

TERMINATED

Study phase

NA

Target enrollment

36 participants

Primary outcome timeframe

After 6 months of treatment

Results posted on

2013-03-15

Participant Flow

Patients were recruited from the Mayo Clinic, Rochester, Minnesota.

Participant milestones

Participant milestones
Measure
Pioglitazone
Pioglitazone 30 mg daily for 6 months
Placebo
Placebo 30 mg daily for 6 months
Overall Study
STARTED
17
19
Overall Study
COMPLETED
17
19
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Does Thiazolidinedione Therapy Improve Endothelial Function and Preserve Renal Function

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Pioglitazone Arm
n=17 Participants
study the specific dose of pioglitazone 30 mg daily for 6 months pioglitazone : pioglitazone 30 mg daily for 6 months
Placebo Arm
n=19 Participants
study the specific dose of placebo 30 mg daily for 6 months placebo : placebo 30 mg daily for 6 months
Total
n=36 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
3 Participants
n=99 Participants
4 Participants
n=107 Participants
7 Participants
n=206 Participants
Age, Categorical
>=65 years
14 Participants
n=99 Participants
15 Participants
n=107 Participants
29 Participants
n=206 Participants
Age Continuous
74.2 years
STANDARD_DEVIATION 7.4 • n=99 Participants
72.1 years
STANDARD_DEVIATION 8.3 • n=107 Participants
73.1 years
STANDARD_DEVIATION 7.9 • n=206 Participants
Sex: Female, Male
Female
7 Participants
n=99 Participants
9 Participants
n=107 Participants
16 Participants
n=206 Participants
Sex: Female, Male
Male
10 Participants
n=99 Participants
10 Participants
n=107 Participants
20 Participants
n=206 Participants
Region of Enrollment
United States
17 participants
n=99 Participants
19 participants
n=107 Participants
36 participants
n=206 Participants

PRIMARY outcome

Timeframe: After 6 months of treatment

Population: The study was stopped early due to low recruitment and no evidence of an effect in this analysis.

Brachial arterial reactivity was measured by ultrasound. A blood pressure cuff was placed around the right forearm. Using the ultrasound probe of the ultrasound, 2-dimensional images clearly defining the anterior and posterior intimal wall of the brachial artery were collected. Flow velocities were then measured using pulsed wave Doppler. The blood pressure cuff previously placed around the patient's right forearm was inflated to 200 mmHg. The cuff remained inflated for 5 minutes as the patient remained motionless and quiet. Prior to deflation, the patient was asked to remain still as flow velocities and 2-dimensional images were obtained immediately following cuff deflation. Then a 0.4 mg sublingual nitroglycerin tablet was given to all patients without a contraindication and all measurements were repeated.

Outcome measures

Outcome measures
Measure
Pioglitazone Arm
n=17 Participants
study the specific dose of pioglitazone 30 mg daily for 6 months pioglitazone : pioglitazone 30 mg daily for 6 months
Placebo Arm
n=19 Participants
study the specific dose of placebo 30 mg daily for 6 months placebo : placebo 30 mg daily for 6 months
Change in Brachial Arterial Reactivity
0.8476 mm
Standard Error 1.35
2.6058 mm
Standard Error 1.35

Adverse Events

Pioglitazone

Serious events: 1 serious events
Other events: 1 other events
Deaths: 0 deaths

Placebo

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

Serious adverse events

Serious adverse events
Measure
Pioglitazone
n=17 participants at risk
Pioglitazone 30 mg daily for six months
Placebo
n=19 participants at risk
Placebo 30 mg daily for six months
Endocrine disorders
hypoglycemia
5.9%
1/17 • Number of events 1
0.00%
0/19

Other adverse events

Other adverse events
Measure
Pioglitazone
n=17 participants at risk
Pioglitazone 30 mg daily for six months
Placebo
n=19 participants at risk
Placebo 30 mg daily for six months
Vascular disorders
edema
5.9%
1/17 • Number of events 1
0.00%
0/19

Additional Information

Dr. Patricia Best

Mayo Clinic

Phone: 507-284-4441

Results disclosure agreements

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