Trial Outcomes & Findings for An Open Label, Multi-centre, Non-interventional Post-marketing Surveillance to Monitor the Safety and/or Efficacy of AVANDAMET Between June 2004 and January 2010 (NCT NCT01294553)

NCT ID: NCT01294553

Last Updated: 2017-07-07

Results Overview

An adverse event is any untoward medical occurrence in a participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. For a list of all adverse events occurring during the course of the study, please see the table entitled "Other (non-serious) adverse events" in the Adverse Event section of the results record.

Recruitment status

COMPLETED

Target enrollment

717 participants

Primary outcome timeframe

41.4 weeks

Results posted on

2017-07-07

Participant Flow

The objective of this post-marketing surveillance (PMS) study was to monitor the safety and efficacy of Avandamet in the real clinical setting after launch.

Participant milestones

Participant milestones
Measure
Avandamet 1/500, 2/500, 4/500, 2/1000, or 4/1000 mg
Participants were assigned to the appropriate dose of Avandamet tablet based on their current regimen (fixed dose combination of rosiglitazone and metformin, 1/500 milligrams \[mg\], 2/500 mg, 4/500 mg, 2/1000 mg, or 4/1000 mg). Participants were not to have exceeded the maximum recommended daily dose of 8/2000. All participants were to have started the rosiglitazone component of Avandamet at the lowest recommended dose, and all dose increases should have been accompanied by careful monitoring for adverse events related to fluid retention.
Overall Study
STARTED
982
Overall Study
COMPLETED
713
Overall Study
NOT COMPLETED
269

Reasons for withdrawal

Reasons for withdrawal
Measure
Avandamet 1/500, 2/500, 4/500, 2/1000, or 4/1000 mg
Participants were assigned to the appropriate dose of Avandamet tablet based on their current regimen (fixed dose combination of rosiglitazone and metformin, 1/500 milligrams \[mg\], 2/500 mg, 4/500 mg, 2/1000 mg, or 4/1000 mg). Participants were not to have exceeded the maximum recommended daily dose of 8/2000. All participants were to have started the rosiglitazone component of Avandamet at the lowest recommended dose, and all dose increases should have been accompanied by careful monitoring for adverse events related to fluid retention.
Overall Study
Duplicated Participants
1
Overall Study
Protocol Violation
268

Baseline Characteristics

An Open Label, Multi-centre, Non-interventional Post-marketing Surveillance to Monitor the Safety and/or Efficacy of AVANDAMET Between June 2004 and January 2010

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Avandamet 1/500, 2/500, 4/500, 2/1000, or 4/1000 mg
n=713 Participants
Participants were assigned to appropriate dose of Avandamet tablet (fixed dose combination of rosiglitazone and metformin, 1/500 milligrams \[mg\], 2/500 mg, 4/500 mg, 2/1000 mg, or 4/1000 mg) per physician's decision based on participant's condition
Age, Continuous
56.4 Years
STANDARD_DEVIATION 11.5 • n=99 Participants
Sex: Female, Male
Female
369 Participants
n=99 Participants
Sex: Female, Male
Male
344 Participants
n=99 Participants
Race/Ethnicity, Customized
Korean
713 participants
n=99 Participants
Race/Ethnicity, Customized
Not Korean
0 participants
n=99 Participants

PRIMARY outcome

Timeframe: 41.4 weeks

Population: Intent-to-Treat (ITT) Population: all participants who had been administered the investigational drug at least once and had undergone all safety assessments

An adverse event is any untoward medical occurrence in a participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. For a list of all adverse events occurring during the course of the study, please see the table entitled "Other (non-serious) adverse events" in the Adverse Event section of the results record.

Outcome measures

Outcome measures
Measure
Avandamet 1/500, 2/500, 4/500, 2/1000, or 4/1000 mg
n=713 Participants
Participants were assigned to appropriate dose of Avandamet tablet (fixed dose combination of rosiglitazone and metformin, 1/500 milligrams \[mg\], 2/500 mg, 4/500 mg, 2/1000 mg, or 4/1000 mg) per physician's decision based on participant's condition
Number of Participants With an Adverse Event
110 participants

SECONDARY outcome

Timeframe: 41.4 weeks

Population: ITT Population

A serious adverse event is defined as any untoward medical occurrence that, at any dose, results in death, is life threatening, requires hospitalization or results in prolongation of existing hospitalization, results in disability/incapacity, or is a congenital anomaly/birth defect. For a list of all serious adverse events occurring during the course of the study, please see the table entitled "Serious Adverse Events" in the Adverse Event section of the results record.

Outcome measures

Outcome measures
Measure
Avandamet 1/500, 2/500, 4/500, 2/1000, or 4/1000 mg
n=713 Participants
Participants were assigned to appropriate dose of Avandamet tablet (fixed dose combination of rosiglitazone and metformin, 1/500 milligrams \[mg\], 2/500 mg, 4/500 mg, 2/1000 mg, or 4/1000 mg) per physician's decision based on participant's condition
Number of Participants With a Serious Adverse Event
2 participants

SECONDARY outcome

Timeframe: 41.4 weeks

Population: ITT Population

Unexpected adverse events are defined as those that were not described in the locally approved label by the Korean Food and Drug Administration (KFDA) at the time of surveillance completion.

Outcome measures

Outcome measures
Measure
Avandamet 1/500, 2/500, 4/500, 2/1000, or 4/1000 mg
n=713 Participants
Participants were assigned to appropriate dose of Avandamet tablet (fixed dose combination of rosiglitazone and metformin, 1/500 milligrams \[mg\], 2/500 mg, 4/500 mg, 2/1000 mg, or 4/1000 mg) per physician's decision based on participant's condition
Number of Participants With the Indicated Unexpected Adverse Events
Albuminuria
1 participants
Number of Participants With the Indicated Unexpected Adverse Events
Liver fatty
1 participants
Number of Participants With the Indicated Unexpected Adverse Events
Gastritis
42 participants
Number of Participants With the Indicated Unexpected Adverse Events
Dysaesthesia
5 participants
Number of Participants With the Indicated Unexpected Adverse Events
Impotence
3 participants
Number of Participants With the Indicated Unexpected Adverse Events
Paralysis
2 participants
Number of Participants With the Indicated Unexpected Adverse Events
Insomnia
2 participants
Number of Participants With the Indicated Unexpected Adverse Events
Depression
2 participants
Number of Participants With the Indicated Unexpected Adverse Events
Dermatitis
2 participants
Number of Participants With the Indicated Unexpected Adverse Events
Peptic ulcer
1 participants
Number of Participants With the Indicated Unexpected Adverse Events
Gastric ulcer
1 participants
Number of Participants With the Indicated Unexpected Adverse Events
Temperature changed sensation
1 participants
Number of Participants With the Indicated Unexpected Adverse Events
Dermatitis fungal
1 participants
Number of Participants With the Indicated Unexpected Adverse Events
Pneumonia
1 participants
Number of Participants With the Indicated Unexpected Adverse Events
Skeletal pain
1 participants
Number of Participants With the Indicated Unexpected Adverse Events
Osteoporosis
1 participants
Number of Participants With the Indicated Unexpected Adverse Events
Myalgia
1 participants
Number of Participants With the Indicated Unexpected Adverse Events
Anxiety
1 participants
Number of Participants With the Indicated Unexpected Adverse Events
Cystitis
1 participants
Number of Participants With the Indicated Unexpected Adverse Events
Renal calculus
1 participants
Number of Participants With the Indicated Unexpected Adverse Events
Urinary incontinence
1 participants
Number of Participants With the Indicated Unexpected Adverse Events
Vaginal haemorrhage
1 participants
Number of Participants With the Indicated Unexpected Adverse Events
Menopausal symptoms
1 participants
Number of Participants With the Indicated Unexpected Adverse Events
Glaucoma
1 participants
Number of Participants With the Indicated Unexpected Adverse Events
Coughing
1 participants
Number of Participants With the Indicated Unexpected Adverse Events
Exophthalmus
1 participants
Number of Participants With the Indicated Unexpected Adverse Events
Teratoma benign
1 participants
Number of Participants With the Indicated Unexpected Adverse Events
Cardiomyopathy
1 participants
Number of Participants With the Indicated Unexpected Adverse Events
Arteriosclerosis
1 participants

Adverse Events

Avandamet 1/500, 2/500, 4/500, 2/1000, or 4/1000 mg

Serious events: 2 serious events
Other events: 77 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Avandamet 1/500, 2/500, 4/500, 2/1000, or 4/1000 mg
n=713 participants at risk
Participants were assigned to appropriate dose of Avandamet tablet (fixed dose combination of rosiglitazone and metformin, 1/500 milligrams \[mg\], 2/500 mg, 4/500 mg, 2/1000 mg, or 4/1000 mg) per physician's decision based on participant's condition
Metabolism and nutrition disorders
Hyperglycaemia
0.14%
1/713
Adverse events were coded by using World Health Organization Adverse Reactions Terminology (WHOART, preferred term level) according to the local regulation.
General disorders
Chest pain
0.14%
1/713
Adverse events were coded by using World Health Organization Adverse Reactions Terminology (WHOART, preferred term level) according to the local regulation.
Immune system disorders
Pneumonia
0.14%
1/713
Adverse events were coded by using World Health Organization Adverse Reactions Terminology (WHOART, preferred term level) according to the local regulation.

Other adverse events

Other adverse events
Measure
Avandamet 1/500, 2/500, 4/500, 2/1000, or 4/1000 mg
n=713 participants at risk
Participants were assigned to appropriate dose of Avandamet tablet (fixed dose combination of rosiglitazone and metformin, 1/500 milligrams \[mg\], 2/500 mg, 4/500 mg, 2/1000 mg, or 4/1000 mg) per physician's decision based on participant's condition
Immune system disorders
Upper respiratory tract infection
2.4%
17/713
Adverse events were coded by using World Health Organization Adverse Reactions Terminology (WHOART, preferred term level) according to the local regulation.
Metabolism and nutrition disorders
Oedema
2.2%
16/713
Adverse events were coded by using World Health Organization Adverse Reactions Terminology (WHOART, preferred term level) according to the local regulation.
Gastrointestinal disorders
Gastritis
1.3%
9/713
Adverse events were coded by using World Health Organization Adverse Reactions Terminology (WHOART, preferred term level) according to the local regulation.
General disorders
Weight increase
1.1%
8/713
Adverse events were coded by using World Health Organization Adverse Reactions Terminology (WHOART, preferred term level) according to the local regulation.
Gastrointestinal disorders
Dyspepsia
0.84%
6/713
Adverse events were coded by using World Health Organization Adverse Reactions Terminology (WHOART, preferred term level) according to the local regulation.
General disorders
Headache
0.84%
6/713
Adverse events were coded by using World Health Organization Adverse Reactions Terminology (WHOART, preferred term level) according to the local regulation.
Nervous system disorders
Dysaesthesia
0.70%
5/713
Adverse events were coded by using World Health Organization Adverse Reactions Terminology (WHOART, preferred term level) according to the local regulation.
General disorders
Chest pain
0.56%
4/713
Adverse events were coded by using World Health Organization Adverse Reactions Terminology (WHOART, preferred term level) according to the local regulation.
Gastrointestinal disorders
Constipation
0.42%
3/713
Adverse events were coded by using World Health Organization Adverse Reactions Terminology (WHOART, preferred term level) according to the local regulation.
General disorders
Fatigue
0.42%
3/713
Adverse events were coded by using World Health Organization Adverse Reactions Terminology (WHOART, preferred term level) according to the local regulation.
Musculoskeletal and connective tissue disorders
Back Pain
0.42%
3/713
Adverse events were coded by using World Health Organization Adverse Reactions Terminology (WHOART, preferred term level) according to the local regulation.
Reproductive system and breast disorders
Impotence
0.42%
3/713
Adverse events were coded by using World Health Organization Adverse Reactions Terminology (WHOART, preferred term level) according to the local regulation.

Additional Information

GSK Response Center

GlaxoSmithKline

Phone: 866-435-7343

Results disclosure agreements

  • Principal investigator is a sponsor employee GSK agreements may vary with individual investigators, but will not prohibit any investigator from publishing. GSK supports the publication of results from all centers of a multi-center trial but requests that reports based on single-site data not precede the primary publication of the entire clinical trial.
  • Publication restrictions are in place

Restriction type: OTHER