Trial Outcomes & Findings for The VA Diabetes Trial Follow-up Study (VADT-FS) (NCT NCT00756613)

NCT ID: NCT00756613

Last Updated: 2019-06-19

Results Overview

Major CV events (non-fatal MI resulting in hospitalization, non-fatal stroke, new Congestive Heart Failure (CHF), amputation for ischemic diabetic gangrene, or CV-related death).

Recruitment status

COMPLETED

Target enrollment

1044 participants

Primary outcome timeframe

15 years

Results posted on

2019-06-19

Participant Flow

All alive VADT study subjects were approached for participation in the VADT-FS.

Participant milestones

Participant milestones
Measure
465 VADT Participants - Standard
The participants had previously participated in the VADT trial in the standard of care group.
465 VADT Participants - Intensive
The participants had previously participated in the VADT CSP #465 study in the intensive treatment group.
Overall Study
STARTED
512
532
Overall Study
COMPLETED
426
462
Overall Study
NOT COMPLETED
86
70

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

The VA Diabetes Trial Follow-up Study (VADT-FS)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
465 VADT Participants - Standard
n=512 Participants
The participants had previously participated in the VADT CSP #465 study
465 VADT Participants -Intensive
n=532 Participants
The participants had previously participated in the VADT CSP #465 study
Total
n=1044 Participants
Total of all reporting groups
Sex: Female, Male
Male
498 Participants
n=99 Participants
514 Participants
n=107 Participants
1012 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
95 Participants
n=99 Participants
113 Participants
n=107 Participants
208 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
417 Participants
n=99 Participants
419 Participants
n=107 Participants
836 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
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
354 Participants
n=99 Participants
393 Participants
n=107 Participants
747 Participants
n=206 Participants
Age, Categorical
>=65 years
158 Participants
n=99 Participants
139 Participants
n=107 Participants
297 Participants
n=206 Participants
Age, Continuous
60.1 years
STANDARD_DEVIATION 8.3 • n=99 Participants
59.5 years
STANDARD_DEVIATION 8.0 • n=107 Participants
59.8 years
STANDARD_DEVIATION 8.2 • n=206 Participants
Sex: Female, Male
Female
14 Participants
n=99 Participants
18 Participants
n=107 Participants
32 Participants
n=206 Participants
Race (NIH/OMB)
American Indian or Alaska Native
3 Participants
n=99 Participants
6 Participants
n=107 Participants
9 Participants
n=206 Participants
Race (NIH/OMB)
Asian
2 Participants
n=99 Participants
5 Participants
n=107 Participants
7 Participants
n=206 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
2 Participants
n=99 Participants
1 Participants
n=107 Participants
3 Participants
n=206 Participants
Race (NIH/OMB)
Black or African American
89 Participants
n=99 Participants
91 Participants
n=107 Participants
180 Participants
n=206 Participants
Race (NIH/OMB)
White
409 Participants
n=99 Participants
418 Participants
n=107 Participants
827 Participants
n=206 Participants
Race (NIH/OMB)
More than one race
7 Participants
n=99 Participants
11 Participants
n=107 Participants
18 Participants
n=206 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants

PRIMARY outcome

Timeframe: 15 years

Population: Total number of participants reflect all that participated in the VA Cooperative Studies Program (CSP) #465 study, Glycemic Control and Complications in Diabetes Mellitus Type 2 (VADT) NCT00032487, but censored those who refused to consent to 465 follow-up study or died or withdrew from the study.

Major CV events (non-fatal MI resulting in hospitalization, non-fatal stroke, new Congestive Heart Failure (CHF), amputation for ischemic diabetic gangrene, or CV-related death).

Outcome measures

Outcome measures
Measure
465 VADT Participants - Standard
n=899 Participants
The participants had previously participated in the VADT Cooperative Studies Program (CSP) #465 study in standard treatment group.
465 VADT Participants -Intensive
n=892 Participants
The participants had previously participated in the VADT Cooperative Studies Program (CSP) #465 study in the intensive group.
The Long Term Effect of Intensive Glycemic Control in Type 2 Diabetes on Major Cardiovascular Complication.
336 number of events
325 number of events

SECONDARY outcome

Timeframe: 15 years

Population: Total number of participants reflect all that participated in the VA Cooperative Studies Program (CSP) #465 study, Glycemic Control and Complications in Diabetes Mellitus Type 2 (VADT) NCT00032487, but censored those who refused to consent to 465 follow-up study or died or withdrew from the study.

The major secondary end-point of cardiovascular (CV) mortality will measure the cause of death (end-stage renal disease, amputation for either ischemic or non-ischemic gangrene, CV-related death, or nonfatal myocardial infarction (MI), stroke, or new congestive heart failure (CHF)) retrieved by the National Death Index (NDI). Survival analysis will analyzed by time of event to death.

Outcome measures

Outcome measures
Measure
465 VADT Participants - Standard
n=899 Participants
The participants had previously participated in the VADT Cooperative Studies Program (CSP) #465 study in standard treatment group.
465 VADT Participants -Intensive
n=892 Participants
The participants had previously participated in the VADT Cooperative Studies Program (CSP) #465 study in the intensive group.
The Long Term Effects of Intensive Glycemic Control in Type 2 Diabetes on the Secondary Outcome Total Mortality.
366 Participants
376 Participants

SECONDARY outcome

Timeframe: 15 years

Population: Total number of participants reflect all that participated in the VA Cooperative Studies Program (CSP) #465 study, Glycemic Control and Complications in Diabetes Mellitus Type 2 (VADT)NCT00032487, but censored those who refused to consent to 465 follow-up study or died or withdrew from the study.

The major secondary end-point of total mortality will measure all deaths with data retrieved from VA Information Resource Center (VIREC) Cooperate Data Warehouse (CDW) . Survival analysis will analyzed by time to death.

Outcome measures

Outcome measures
Measure
465 VADT Participants - Standard
n=899 Participants
The participants had previously participated in the VADT Cooperative Studies Program (CSP) #465 study in standard treatment group.
465 VADT Participants -Intensive
n=892 Participants
The participants had previously participated in the VADT Cooperative Studies Program (CSP) #465 study in the intensive group.
The Long Term Effects of Intensive Glycemic Control in Type 2 Diabetes on the Secondary Outcome Cardiovascular Mortality.
125 Participants
118 Participants

SECONDARY outcome

Timeframe: 15 years

Population: Total number of participants reflect all that participated in the VA Cooperative Studies Program (CSP) #465 study, Glycemic Control and Complications in Diabetes Mellitus Type 2 (VADT) NCT00032487, but censored those who refused to consent to 465 follow-up study or died or withdrew from the study.

End-stage renal disease, amputation for either ischemic or non-ischemic gangrene, CV-related death, or nonfatal MI, stroke, or new CHF.

Outcome measures

Outcome measures
Measure
465 VADT Participants - Standard
n=899 Participants
The participants had previously participated in the VADT Cooperative Studies Program (CSP) #465 study in standard treatment group.
465 VADT Participants -Intensive
n=892 Participants
The participants had previously participated in the VADT Cooperative Studies Program (CSP) #465 study in the intensive group.
Number of Events on Major Microvascular or Macrovascular Outcome
355 events
342 events

SECONDARY outcome

Timeframe: 9 years

Population: T-test for comparing between the two treatment groups using the average of last two responses of the surveys.

Self-reported health status using an instrument adapted for type 2 diabetes mellitus patients from the Diabetes Control and Complications Trial (DCCT) (Duckworth, 1998; Saudek 1996). This survey tool has been used since the inception of the VADT and will be continued in the annual survey. The minimum value is 0 and the maximum value is 100. The higher score is a better outcome.

Outcome measures

Outcome measures
Measure
465 VADT Participants - Standard
n=449 Participants
The participants had previously participated in the VADT Cooperative Studies Program (CSP) #465 study in standard treatment group.
465 VADT Participants -Intensive
n=470 Participants
The participants had previously participated in the VADT Cooperative Studies Program (CSP) #465 study in the intensive group.
Patients Reported Health Related Quality of Life
62.2 score on a scale
Standard Deviation 17.6
63.8 score on a scale
Standard Deviation 17.2

Adverse Events

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

Tamara Paine

VA

Phone: 7082028387

Results disclosure agreements

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