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

Phase 4
Completed
Conditions
Type 2 Diabetes Mellitus
Insulin Resistance
Interventions
Registration Number
NCT00576784
Lead Sponsor
IKFE Institute for Clinical Research and Development
Brief 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.

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).

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
100
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)

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Apioglitazone and glimepiridepioglitazone/glimepiride
Primary Outcome Measures
NameTimeMethod
The proportion of patients with an increase in HbA1c by 0.5 % after 6 months of treatment compared to baseline HbA1c value6 months
Secondary Outcome Measures
NameTimeMethod
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 response6 months

Trial Locations

Locations (1)

IKFE

🇩🇪

Mainz, Germany

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