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Metabolic Effects of Pioglitazone in Type II Diabetic Patients Previously Treated With Insulin

Information source: IKFE Institute for Clinical Research and Development
Information obtained from ClinicalTrials.gov on June 20, 2008
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: Type 2 Diabetes Mellitus; Insulin Resistance

Intervention: pioglitazone and glimepiride (Drug)

Phase: Phase 4

Status: Completed

Sponsored by: IKFE Institute for Clinical Research and Development

Summary

The goal of the study is to demonstrate whether a switch from insulin therapy to an oral therapy with pioglitazone/glimepiride will lead to a deterioration of glycemic control (increase in HbA1c by more than 0. 5 %) within a 6 month observation period.

Clinical Details

Official title: Multi Center, Open Label Study to Evaluate the Influence of Pioglitazone Treatment Over 6 Months on Metabolic Control in Type II Diabetic Patients Previously Treated With Insulin

Study design: Treatment, Open Label, Single Group Assignment, Safety/Efficacy Study

Primary outcome: The proportion of patients with an increase in HbA1c by 0.5 % after 6 months of treatment compared to baseline HbA1c value

Secondary outcome: Absolute change of HbA1c Insulin resistance according to minimal model and HOMA-S analysis change of insulin resistance according to minimal model and HOMA-S analysis to baseline first phase insulin response

Detailed description: To demonstrate that reconverting type 2 diabetic patients from insulin treatment to oral treatment using pioglitazone in combination with or without glimepiride is possible without deterioration of blood glucose control.

Primary aim is to maintain glycaemic control (HbA1c) defined as an increase in HbA1c of not more than 0. 5 % after 6 months of treatment (visit 7) compared to baseline HbA1c value (screening visit V1).

Eligibility

Minimum age: 18 Years. Maximum age: 75 Years. Gender(s): Both.

Criteria:

Inclusion Criteria:

- type 2 diabetes mellitus

- insulin therapy > 1 year

- residual ß-cell function (C-peptide increase in iv glucagon test)

- written informed consent

Exclusion Criteria:

- type 1 diabetes

- oral therapy

- life-threatening disease

- heart failure (NYHA I-IV)

Locations and Contacts

IKFE, Mainz 55116, Germany
Additional Information

Starting date: April 2005
Ending date: April 2007
Last updated: December 17, 2007

Page last updated: June 20, 2008

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