UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000002772
Receipt number R000003371
Scientific Title The effects of pioglitazone on postprandial glucose and lipid metabolism and vascular function
Date of disclosure of the study information 2009/11/17
Last modified on 2009/11/17 16:29:57

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Basic information

Public title

The effects of pioglitazone on postprandial glucose and lipid metabolism and vascular function

Acronym

The effects of pioglitazone on postprandial metabolism and vascular function

Scientific Title

The effects of pioglitazone on postprandial glucose and lipid metabolism and vascular function

Scientific Title:Acronym

The effects of pioglitazone on postprandial metabolism and vascular function

Region

Japan


Condition

Condition

Diabetes mellitus

Classification by specialty

Medicine in general Cardiology Endocrinology and Metabolism
Chest surgery

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To evaluate chronic pioglitazone administration on postprandial vascular function and changes in central blood pressure as well as postprandial gulcose and lipid metabolism.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Improvement of postprandial glucose and lipid parameters.
Postprandial changes in arterial stiffness (augmentation index of radial artery) and central blood pressure.

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Oral administration of Pioglitazone (30mg) for about six months or more.

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

30 years-old <=

Age-upper limit

75 years-old >=

Gender

Male and Female

Key inclusion criteria

Patients with type 2 diabetes mellitus

Key exclusion criteria

Patients with poorly controled type 2 diabetes mellitus
Patients under insulin therapy
Patients with frequent arrythmia
Patients with renal or liver dysfunction
Patients with malignant or collagen disease

Target sample size

25


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Jun-ichi Funada

Organization

NHO Ehime National Hospital

Division name

The department of cardiology

Zip code


Address

366 Yokogawara, Toon, Ehime 791-0281

TEL

089-964-2411

Email



Public contact

Name of contact person

1st name
Middle name
Last name Jun-ichi Funada

Organization

NHO Ehime National Hospital

Division name

The department of cardiology

Zip code


Address

366 Yokogawara, Toon, Ehime 791-0281

TEL

089-964-2411

Homepage URL


Email



Sponsor or person

Institute

NHO Ehime National Hospital, The department of cardiology

Institute

Department

Personal name



Funding Source

Organization

Omron Healthcare Co., Ltd.

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2009 Year 11 Month 17 Day


Related information

URL releasing protocol


Publication of results

Partially published


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results

The part of results were presented at the 73rd annual meeting of Japanese circulation society.
Title
The Effects of Pioglitazone on Postprandial Central Blood Pressure Regulation in Patients with Type 2 Diabetes Mellitus

Abstract
Background: We demonstrated blunted central blood pressure (CBP) response in
postprandial state, possibly relevant to decreased nitric oxide (NO) bioavailability and activated oxidative stress due to insulin resistance, in patients with metabolic syndrome. On the other hand, little is known about the effects of improving insulin sensitivity in vivo on postprandial state.
Methods: 18 consecutive patients with type 2 diabetes mellitus (T2DM) were enrolled this investigation. CBPs were assessed by augmentation index of radial artery using HEM-9000 AI (Omron Healthcare, Kyoto, Japan) during fasting
state, 60 and 120 min after meal intake (Calorie mate 500kcal), and same protocol was repeated 6 months after pioglitazone treatment.
Results: Both HOMA index and total insulin secretion during meal loading were significantly lowered by pioglitazone treatment. The sum of CBPs reduction 60 and 120 min after meal loading was also enlarged from 19 to 33 (P<0.05) by pioglitazone treatment despite no significant change in fasting CBP. The degree of CBP reduction and serum insulin level 120 min after meal loading showed a positive significant relationship (r=0.504, P<0.05) after treatment. Conclusion: Chronic treatment with pioglitazone shows a decline in postprandial CBP levels in T2DM. This indicate the possibility of administrating pioglitazone to suppress atherosclerotic progression by increasing NO bioavailability and diminishing oxidative stress especially in postprandial state.

Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Enrolling by invitation

Date of protocol fixation

2007 Year 08 Month 01 Day

Date of IRB


Anticipated trial start date

2007 Year 08 Month 01 Day

Last follow-up date

2010 Year 12 Month 01 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2009 Year 11 Month 17 Day

Last modified on

2009 Year 11 Month 17 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000003371