MedPath

Action in Diabetes and Vascular Disease Preterax and Diamicron MR Controlled Evaluation Post Trial Observational Study

Completed
Conditions
Diabetes Mellitus, Type 2
Registration Number
NCT00949286
Lead Sponsor
The George Institute
Brief Summary

The study is designed to determine the long term, post trial effects of the two interventions studied in ADVANCE (routine blood pressure lowering with perindopril-indapamide as compared with placebo and intensive gliclazide-MR based glucose control as compared to standard guideline based glucose control) in individuals with type 2 diabetes at high risk of cardiovascular events. The long term, post randomization effects of the two study interventions will be investigated separately as they were for the main trial. This study will clarify and quantify the long-term, post trial (often referred to as legacy) effects of these two interventions in a broader population of patients with type 2 diabetes from high and low to middle income countries, and in the setting of comprehensive cardiovascular risk factor treatment. With the ADVANCE trial infrastructure and surveillance system already in place, the implementation of extended follow-up will be feasible. The conclusions of this follow up study will have profound clinical implications for the care of patients with type 2 diabetes around the world.

Detailed Description

The long term, post randomization effects of the two study interventions will be investigated separately as they were for the main trial. This study will clarify and quantify the long-term, post trial (often referred to as legacy) effects of these two interventions in a broader population of patients with type 2 diabetes from high and low to middle income countries, and in the setting of comprehensive cardiovascular risk factor treatment. With the ADVANCE trial infrastructure and surveillance system already in place, the implementation of extended follow-up will be feasible. The conclusions of this follow up study will have profound clinical implications for the care of patients with type 2 diabetes around the world.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
8494
Inclusion Criteria
  • Participated in ADVANCE
  • Ability to provide informed consent
Exclusion Criteria
  • None

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Major macrovascular events -a composite of non-fatal myocardial infarction, non-fatal stroke and death from any cardiovascular cause (based on investigator diagnosis)2014
Death from any cause2014
Secondary Outcome Measures
NameTimeMethod
Death from renal disease2014
Death from any cardiovascular cause2014
Major clinical microvascular events - a composite of requirement for renal replacement therapy, death from renal disease and development of severe diabetes-related eye disease2014
Composite of major macrovascular events and major clinical microvascular events2014
Stroke (non-fatal and fatal)2014
Requirement for renal replacement therapy (dialysis or transplantation)2014
Development of severe diabetes-related eye disease defined as the requirement for retinal photocoagulation or similar treatment and development of diabetes-related blindness in either eye in a participant known not to have this condition at study entry2014
Major hypoglycaemia - an episode associated with transient central nervous system dysfunction without other apparent cause in which the individual was unable to treat him/herself and had help from another person to administer glucose or glucagon2014
Myocardial infarction (non-fatal and fatal)2014

Trial Locations

Locations (172)

LCC 80 - Canberra Hospital

🇦🇺

Garran, Australian Capital Territory, Australia

LCC 76 - The Alfred Hospital

🇦🇺

Melbourne, Victoria, Australia

LCC 65 - Dandenong Hospital

🇦🇺

Dandenong, Victoria, Australia

LCC 33 - The Northern Hospital

🇦🇺

Epping, Victoria, Australia

LCC 32 - Austin & Repatriation Hospital

🇦🇺

Heidelburg, Victoria, Australia

LCC 109 - Rural Clinical Trials Research Unit

🇦🇺

Shepparton, Victoria, Australia

LCC 467 - Queen Elizabeth II Health Science Centre

🇨🇦

Halifax, Nova Scotia, Canada

LCC 460 - Centre Hospitalier de L'universitaire de Sherbrooke

🇨🇦

Sherbrooke, Quebec, Canada

LCC 452 - Centre de recherche clinique de Laval

🇨🇦

Laval, Quebec, Canada

LCC 453 - Centre hospitalier de l'Universite de Montreal

🇨🇦

Montreal, Quebec, Canada

LCC 372- Fakultni Nemocnice

🇨🇿

Ostrava-Poruba, Czech Republic

LCC 806 - Adelaide & Meadth Hospital

🇮🇪

Tallaght, Ireland

LCC 741 - Madras Diabetic Research Foundation

🇮🇳

Madras, India

LCC 514 - Beaumont Hospital

🇮🇪

Dublin, Ireland

LCC 810 - Mater Hospital

🇮🇪

Dublin, Ireland

LCC 270 - Institute of Cardiology

🇱🇹

Kaunas, Lithuania

LCC 273 - Institute Psychophysiology and Rehabilitation

🇱🇹

Palanga, Lithuania

LCC 903 - Hospital Ipoh

🇲🇾

Ipoh, Malaysia

LCC 901 - Penang Medical College

🇲🇾

Penang, Malaysia

Universiti Kebangsaan Malaysia & Universiti Teknologi MARA

🇲🇾

Putrajaya, Malaysia

LCC 352 - Justus Medical Research

🇳🇱

Eindhoven, Netherlands

LCC 354 - Stichting Huisartsen Laboratorium

🇳🇱

Etten-Leur, Netherlands

LCC 347 - Martini Ziekenhuis

🇳🇱

Groningen, Netherlands

LCC 850 - Andromed Groningen

🇳🇱

Groningen, Netherlands

LCC 351 - Andromed Rotterdam

🇳🇱

Rotterdam, Netherlands

LCC 852 - Andromed Baarn

🇳🇱

Rotterdam, Netherlands

LCC 851 - Andromed Oost

🇳🇱

Velp, Netherlands

LCC 356 - Huisartsenpraktijk Tollenslaan

🇳🇱

Zeist, Netherlands

LCC 907 - East Avenue Medical Centre

🇵🇭

Quezon City, Philippines

LCC 908 - Diabetes Foundation

🇵🇭

Quezon City, Philippines

LCC 426 - NZOZ Specjalistyczna Poradnia Endokrynologii

🇵🇱

ElblÄ…g, Poland

LCC 382 - Puls Med

🇵🇱

Katowice, Poland

LCC 383 - Klinika Chorob Metabolicznych

🇵🇱

Krakow, Poland

LCC 389 - Zakład Angiologii

🇵🇱

Krakow, Poland

LCC 390 - Klinika Choroby Wiencowej

🇵🇱

Krakow, Poland

LCC 380 - I Oddzial Chorob Wewnetrznych

🇵🇱

Kutno, Poland

LCC 392 - Osrodek Diabetologii

🇵🇱

Olsztyn, Poland

LCC 378 - Klinika Nefrologii

🇵🇱

Poznan, Poland

LCC 394 - II Oddzial Chorob Wewnetrznvch

🇵🇱

Radom, Poland

LCC 421 - St Petersburg State Medical University

🇷🇺

St Petersburg, Russian Federation

LCC 254 - Poliklinikou Vychod

🇸🇰

Kosice, Slovakia

LCC 252 - Nemocnica s poliklinikou

🇸🇰

Levice, Slovakia

LCC 253 - Nemocnica s poliklinikou

🇸🇰

Lucenec, Slovakia

LCC 641 - The 2nd Aff Hospital of Harbin Medical University

🇨🇳

Harbin, China

LCC 637 - Chinese Air Force General Hospital

🇨🇳

Beijing, China

LCC 620 - Municipal Hospital of Chengdou

🇨🇳

Chengdu, China

LCC 603 - Rujin Hospital

🇨🇳

Shanghai, China

LCC 638 - Shanghai 6th People's Hospital

🇨🇳

Shanghai, China

LCC 50 - Fremantle Hospital

🇦🇺

Fremantle, Western Australia, Australia

LCC 660 - Shandong Academy of Medical Sciences

🇨🇳

Jin'an, China

LCC 654 - The 3rd Aff Hospital of Jiangxi Medical University

🇨🇳

Nanchang City, China

LCC 640 - 3rd Hospital of Tianjin City

🇨🇳

Tianjin, China

LCC 28 - Royal Prince Alfred Hospital

🇦🇺

Camperdown, New South Wales, Australia

LCC 78 - Wentworth Diabetes Centre

🇦🇺

Penrith, New South Wales, Australia

LCC 42 - Princess Alexandra Hospital

🇦🇺

Brisbane, Queensland, Australia

LCC 74 - Redcliffe Hospital

🇦🇺

Redcliffe, Queensland, Australia

LCC 56 - Prince of Wales Hospital

🇦🇺

Randwick, New South Wales, Australia

LCC 55 - Royal North Shore Hospital

🇦🇺

St Leonards, New South Wales, Australia

LCC 23 - Wollongong Hospital

🇦🇺

Wollongong, New South Wales, Australia

LCC 66 - Lyell McEwin Health

🇦🇺

Elizabeth Vale, South Australia, Australia

LCC 114 - Townsville Mater Hospital

🇦🇺

Townsville, Queensland, Australia

LCC 48 - Gosford

🇦🇺

Gosford, New South Wales, Australia

LCC 59 - Liverpool Hospital

🇦🇺

Liverpool, New South Wales, Australia

LCC 613 - Cardiovascular Institute of Shanxi Province

🇨🇳

Taiyuan, China

LCC 645 - Hospital of Kailuan

🇨🇳

Tangshan, China

LCC 61 - Launceston General Hospital

🇦🇺

Launceston, Tasmania, Australia

LCC 24 - Mater Hospital

🇦🇺

Brisbane, Queensland, Australia

LCC 43 - Gold Coast Hospital

🇦🇺

Southport, Queensland, Australia

LCC 627 - Peking Union Medical College Hospital

🇨🇳

Beijing, China

LCC 470 - Hôpital Laval

🇨🇦

Ste-Foy, Quebec, Canada

LCC 643 - 2nd Aff Hospital of Baotou Medical College

🇨🇳

Baotou, China

LCC 628 - Capital Steel Hospital

🇨🇳

Beijing, China

LCC 459 - University of Toronto

🇨🇦

Toronto, Ontario, Canada

LCC 73 - Repatriation General Hospital

🇦🇺

Daw Park, South Australia, Australia

LCC 626 - First Hospital of Peking University

🇨🇳

Beijing, China

LCC 631 - Beijing Jiuxianqiao Hospital

🇨🇳

Beijing, China

LCC 624 - The First Affiliated Hospital of Fujian Medical University

🇨🇳

Fuzhou City, China

LCC 647 - First Hospital of Yang Quan City

🇨🇳

Yangquan, China

LCC 310 - Hôpital Sud

🇫🇷

Rennes, France

LCC 602 - Chinese PLA General Hospital

🇨🇳

Beijing, China

LCC 644 - Baotou Iron & Steel Corporation's Hospital,

🇨🇳

Baotou, China

LCC 454 University of British Columbia

🇨🇦

Vancouver, British Columbia, Canada

LCC 465 - St. Joseph's Health Centre

🇨🇦

London, Ontario, Canada

LCC 437 - Metabolicke Centrum

🇨🇿

Neratovice, Czech Republic

Lcc 435 - Ikem

🇨🇿

Praha, Czech Republic

LCC 369- Masarykova Nemocnice

🇨🇿

Usti nad Labem, Czech Republic

LCC 280 - Tallinn Central

🇪🇪

Tallinn, Estonia

LCC 614 -The First Affiliated Hospital of Henan Medical University

🇨🇳

Zhengzhou, China

LCC 616 - Center Hospital of Zhumadian City

🇨🇳

Zhumadian, China

LCC 320 - CHU Angers

🇫🇷

Angers, France

LCC 376 - CH Avignon - Hôpital Henri Duffaut

🇫🇷

Avignon, France

LCC 375 - CH Nevers

🇫🇷

Nevers, France

LCC 304 - CHU Hôpital Civil

🇫🇷

Strasbourg, France

LCC 329 - CHU Bichat

🇫🇷

Paris, France

LCC 902 - University of Malaya Medical Centre

🇲🇾

Kuala Lumpur, Malaysia

LCC 618 - Hebei Academy of Medical Sciences

🇨🇳

Shijiazhuang, China

LCC 646 - The 2nd Aff Hospital of Hebei Medical University

🇨🇳

Shijiazhuang, China

LCC 639 - Metabolic Disease Hospital of Tianjin Medical University

🇨🇳

Tianjin, China

LCC 374 - CHU Hôpital Jeanne d' Arc

🇫🇷

Toul, France

LCC 831 - Warwick General Hospital

🇬🇧

Warwick, United Kingdom

LCC 330 - Klinikyum der Universitat Munchen

🇩🇪

Munich, Germany

LCC 12 - Christchurch Hospital

🇳🇿

Christchurch, New Zealand

LCC 281 - Dept of Medicine

🇪🇪

Tartu, Estonia

LCC 813 - Monklands Hospital

🇬🇧

Airdrie, United Kingdom

LCC 1 - Wellington Hospital

🇳🇿

Wellington, New Zealand

LCC 817 - St James Hospital

🇮🇪

Dublin, Ireland

LCC 373 - CHU Hopital Caremeau

🇫🇷

Nimes, France

LCC 829 - Northampton General Hospital

🇬🇧

Northampton, United Kingdom

LCC 14 - North Shore Hospital

🇳🇿

Auckland, New Zealand

LCC 517 - Aberdeen Royal Infirmary

🇬🇧

Aberdeen, United Kingdom

LCC 2 - Palmerston North Hospital

🇳🇿

Palmerston North, New Zealand

LCC 5 - Hawkes Bay Hospital

🇳🇿

Hastings, New Zealand

LCC 381 - I Klinika Kardiologii

🇵🇱

Krakow, Poland

LCC 594 - Glasgow Royal Infirmary

🇬🇧

Glasgow, United Kingdom

LCC 418 - Ospedale San Gerado

🇮🇹

Milan, Italy

LCC 315 - Hôpital Jean Bernard la Miletrie

🇫🇷

Poitiers, France

LCC 815 - City Hospital

🇬🇧

Birmingham, United Kingdom

LCC 821 - West Byfleet Health Centre

🇬🇧

Byfleet, United Kingdom

LCC 826 - St Mary's Hospital

🇬🇧

Isle of Wight, United Kingdom

LCC 809 - Royal Liverpool University Hospital

🇬🇧

Liverpool, United Kingdom

LCC 543 - St Mary's

🇬🇧

London, United Kingdom

LCC 511 - Manchester Royal Infirmary

🇬🇧

Manchester, United Kingdom

LCC 830 - George Eliot Hospital

🇬🇧

Nuneaton, United Kingdom

LCC 812 - Royal Alexandra Hospital

🇬🇧

Paisley, United Kingdom

LCC 827 - Northern General Hospital

🇬🇧

Sheffield, United Kingdom

LCC 466 - Centre de recherche d'endocrinologie

🇨🇦

Sherbrooke, Quebec, Canada

LCC 600 - Center Hospital of Aviation

🇨🇳

Beijing, China

LCC 601 - 305 Hospital of Chinese PLA

🇨🇳

Beijing, China

LCC 623 - Beijing 306 Hospital

🇨🇳

Beijing, China

LCC 632 - Dept Endocrinology Beijing 306 Hospital

🇨🇳

Beijing, China

LCC 629 - Aff Beijing Tongren Hospital

🇨🇳

Beijing, China

LCC 630 - Beijing Hypertension League Institute

🇨🇳

Beijing, China

LCC 634 - Beijing Anzhen Hospital

🇨🇳

Beijing, China

LCC 633 - Cardiovascular Institute & Fu Wai Hospital

🇨🇳

Beijing, China

LCC 661 - Institute of Gerontology of Benxi City

🇨🇳

Benxi, China

LCC 607 - People's Hospital of Binzhou City

🇨🇳

Binzhou, China

LCC 609 - Xiang-ya Hospital,

🇨🇳

Changsha, China

LCC 657 - The 1st Aff Hospital

🇨🇳

Chengdu, China

LCC 610 - Second Affiliated Hospital of Dalian Medical University

🇨🇳

Dalian, China

LCC 653 - Aff Hospital of Anhui Medical University

🇨🇳

Hefei, China

LCC 642 - The Institute of Aged Gerontology of Inner Mongolia

🇨🇳

Huhehot, China

LCC 606 - Shandong Academy of Medical Sciences,

🇨🇳

Jin'an, China

LCC 655 - The 1st Aff Hospital of Jiangxi Medical College

🇨🇳

Nanchang City, China

LCC 651 - Jiangsu Institute of Geriatrics,

🇨🇳

Nanjing City, China

LCC 619 - The First Hospital of Ning Bo City Municipal

🇨🇳

Ning, China

LCC 608 - Qingdao City Hospital

🇨🇳

Qingdao, China

LCC 635 -Aff Ruijin Hospital of Shanghai Second Medical University

🇨🇳

Shanghai, China

LCC 636 - Chang Zheng Hospital of Shanghai

🇨🇳

Shanghai, China

LCC 611 - Hua Tai Hospital

🇨🇳

Shenyang, China

LCC 438 - Diabetologicka ambulance

🇨🇿

Pisek, Czech Republic

LCC 377 - Zentrum fur Klinische Studien

🇩🇪

Dresden, Germany

Lcc 740 - Aiims

🇮🇳

Delhi, India

LCC 832 - Portincula Hospital

🇮🇪

Ballinasloe, Ireland

LCC 336 - Heart Center Foundation-DRC Ltd

🇭🇺

Balatonfured, Hungary

LCC 335 - Bajcsy Zsilinszky Kórház

🇭🇺

Budapest, Hungary

LCC 744 - Care Hospital

🇮🇳

Hyderabad, India

LCC 904 - Universiti Sains Malaysia

🇲🇾

Kota Bharu, Malaysia

LCC 11 - Middlemore Hospital

🇳🇿

Auckland, New Zealand

LCC 909 - Makati Medical Center

🇵🇭

Makati City, Manila, Philippines

LCC 6 Waikato Hospital

🇳🇿

Waikato, New Zealand

LCC 91 - Timaru Hospital

🇳🇿

Timaru, New Zealand

LCC 906 - Philippine General Hospital

🇵🇭

Manila, Philippines

LCC 424 - Research Institute of Cardiology

🇷🇺

St Petersburg, Russian Federation

LCC 420 - Russian Peoples Friendship University

🇷🇺

Moscow, Russian Federation

LCC 819 - Royal United Hospital

🇬🇧

Bath, United Kingdom

LCC 533 - Leicester Royal Infirmary

🇬🇧

Leicester, United Kingdom

LCC 820 - The Diabetes Centre

🇬🇧

Reading, United Kingdom

LCC 816 - Peninsula Medical School Headquarters

🇬🇧

Plymouth, United Kingdom

Sheffield Hallamshire

🇬🇧

Sheffield, United Kingdom

LCC 658 - The 1st Aff Hospital of Guiyang Medical College

🇨🇳

Guiyang, China

LCC 622 - The First People's Hospital of Lianyungang City

🇨🇳

Lianyungang, China

LCC 468 - Calgary Metabolic Education and Research Centre

🇨🇦

Calgary, Alberta, Canada

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