Vascular Effects of Rosiglitazone Versus Glyburide in Type 2 Diabetic Patients
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Purpose
The purpose of this study is to compare the vascular effects of two commonly used diabetes medications, rosiglitazone and glyburide in type 2 diabetic patients.
| Condition | Intervention | Phase |
|---|---|---|
|
Type 2 Diabetes Mellitus |
Drug: rosiglitazone Drug: glyburide |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor) Primary Purpose: Prevention |
| Official Title: | Comparison of Rosiglitazone Versus Glyburide on Vascular Structure and Function in Type 2 Diabetic Patients |
- Flow Mediated Dilation [ Time Frame: 6-months ] [ Designated as safety issue: No ]Measure of endothelial function
| Enrollment: | 36 |
| Study Start Date: | May 2003 |
| Study Completion Date: | December 2005 |
| Primary Completion Date: | December 2005 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: Rosiglitazone | Drug: rosiglitazone |
| Active Comparator: Glyburide | Drug: glyburide |
Detailed Description:
Rosiglitazone and glyburide are two commonly used diabetic medications that have both been shown to be effective in controlling blood glucose levels. Since they work in different ways, they may have different effects on the health of the blood vessels. This study will assess which medication is better at improving the health of the arteries separate from the blood glucose lowering effects. Artery health will be assessed non-invasively by ultrasound. Certain markers of atherosclerosis found in the blood will also be measured.
Eligibility| Ages Eligible for Study: | 25 Years to 75 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Age 25-75 years
- Type 2 diabetes mellitus for less than or equal to 10 years
- Pre-screening HbA1c > 6.5 %
- Screening 110 mg/dl < fasting plasma glucose < 240 mg/dl after 2 weeks of metformin 500 mg twice daily (b.i.d.)
Exclusion Criteria:
- Thiazolidinedione or sulfonylurea use in previous 30 days (may undergo washout period of 30 days)
- Known contraindications to use of thiazolidinedione or sulfonylurea
- Female patients must be postmenopausal, surgically sterile, or using adequate contraception
- Uncontrolled hyperlipidemia according to American Heart Association (AHA) guidelines
- Subcutaneous insulin use
- Elevated liver enzymes (2.5 times the upper limit of the reference range)
- Serum creatinine >160 mmol/l
- Anemia (Hb <11 g/dl for men or <10 g/dl for women)
- Body mass index (BMI) <22 or >42 kg/m2
- History of ketoacidosis
- Angina/New York Health Academy class III/IV cardiac insufficiency
- Electrocardiographic evidence of marked left ventricular hypertrophy
- Uncontrolled hypertension according to AHA guidelines
- Hemoglobinopathy
Contacts and Locations| United States, Minnesota | |
| St. Paul Heart Clinic | |
| St. Paul, Minnesota, United States, 55102 | |
| Principal Investigator: | Alan J Bank, M.D. | St. Paul Heart Clinic |
More Information
No publications provided
| Responsible Party: | Aaron S. Kelly, Ph.D., Assistant Professor, University of Minnesota - Clinical and Translational Science Institute |
| ClinicalTrials.gov Identifier: | NCT00123643 History of Changes |
| Other Study ID Numbers: | GSK2002-2 |
| Study First Received: | July 21, 2005 |
| Results First Received: | July 2, 2012 |
| Last Updated: | July 2, 2012 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by St. Paul Heart Clinic:
|
thiazolidinedione sulfonylurea endothelial function |
Additional relevant MeSH terms:
|
Diabetes Mellitus Diabetes Mellitus, Type 2 Glucose Metabolism Disorders Metabolic Diseases Endocrine System Diseases |
Rosiglitazone Glyburide Hypoglycemic Agents Physiological Effects of Drugs Pharmacologic Actions |
ClinicalTrials.gov processed this record on May 19, 2013