Study In Patients With Insulin Resistance
Phase 3
Completed
- Conditions
- Insulin Resistance
- Registration Number
- NCT00197132
- Lead Sponsor
- GlaxoSmithKline
- Brief Summary
Fluid management study in patients with insulin resistance.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 18
Inclusion Criteria
- BMI 27-36 kg/m2 inclusive and at least two additional features of the metabolic syndrome or a first degree relative with a history of type 2 diabetes mellitus. BMI = Weight/height², (where weight is in kg, height in m).
- Male or female aged 30 to 65 years, inclusive, at screening.
- Female subjects must be post-menopausal (i.e. >6 months without menstrual period), surgically sterile, or using effective contraceptive measures (oral contraceptives, Norplant Depo-Provera) or intra-uterine devices (IUD) (a diaphragm with spermicide or a condom with spermicide). Women of childbearing potential must use effective contraceptive measures for at least 1 month prior to visit 1, and should continue to use the same contraceptive method during the study and for 30 days after discontinuing study treatment.
- Willing and able to provide a signed and dated written informed consent.
Exclusion Criteria
- Subjects with type 2 diabetes mellitus defined as an HbA1c level >6.5% or a fasting plasma glucose of > 7.0 mmol/L. If fasting plasma glucose is between 6.1 and 7.0 mmol/L then a 75 g oral glucose test will be performed to exclude diabetes mellitus.
- Subjects who have initiated lipid lowering therapy within the last 6 months and subjects who have increased the dose of these therapies within the last 3 months prior to study start.
- Subjects who are taking Non Steroidal Anti-inflammatory Drugs, fibrates, anticoagulants or cardiovascular medications (β-blockers, nitrates, calcium antagonists, ACE inhibitors, angiotensin II antagonists, alpha blockers, diuretics, centrally acting anti-hypertensives, directly acting antihypertensives e.g., diazoxide, digoxin, anti-arrhythmics) and are unable to stop these medications for the duration of the study.
- Exposure to a thiazolidinedione (TZD) or other PPAR-γ agonist (e.g. rosiglitazone, troglitazone, pioglitazone, G1262570) within the last 4 months or participation in a clinical study involving a TZD or PPAR-γ agonist.
- Subjects who have required the use of any anti-diabetic medication at any time.
- Use of any investigational drug within 30 days preceding the first dose of medication at the start of the study.
- Subjects with a documented history of significant hypersensitivity (e.g. difficulty swallowing, difficulty breathing, tachycardia or skin reaction) to thiazolidinediones or PPAR-γ agonists.
- Systolic blood pressure >160 mmHg or diastolic blood pressure >100 mmHg or receiving antihypertensive therapy.
- Subjects with unstable or severe angina (requiring continual therapy) or congestive heart failure.
- Presence of clinically significant hepatic disease.
- Clinically significant anaemia.
- Subjects with creatinine clearance <40 mL/min.
- Women who are lactating, pregnant or planning to become pregnant during the course of the study.
- Alcohol or drug abuse within the last 6 months.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- CROSSOVER
- Primary Outcome Measures
Name Time Method Forearm blood flow
- Secondary Outcome Measures
Name Time Method Insulin sensitivity, plasma volume, transcapillary escape rate, inhibition to vasodialtory response, changes in cardiac output, plasma catecholamine levels, changes in plasma hormone/markers of vascular permeability, safety and tolerability.
Related Research Topics
Explore scientific publications, clinical data analysis, treatment approaches, and expert-compiled information related to the mechanisms and outcomes of this trial. Click any topic for comprehensive research insights.
What molecular mechanisms underlie rosiglitazone's vasodilator effects in insulin-resistant obese patients?
How does rosiglitazone 4mg bd compare to other PPAR-gamma agonists in improving vascular responses to hyperinsulinaemia?
Which biomarkers predict differential response to rosiglitazone in cross-over trials of insulin resistance?
What are the cardiovascular safety profiles of thiazolidinediones in Phase III insulin resistance studies?
How do combination therapies with rosiglitazone and GLP-1 agonists impact fluid balance in metabolic syndrome patients?
Trial Locations
- Locations (1)
GSK Clinical Trials Call Center
🇳🇱Nijmegen, Netherlands