Medication in Early Diabetes (MED) Study
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Purpose
This study compares metformin (current first-line medication) to pioglitazone (a newer diabetic medication currently approved for combination use). Whilst there is good evidence for the benefits of pioglitazone use in other populations, in light of the known weight gain effects of pioglitazone we believe further assessment is required in Indigenous Australians (in whom there is a strong predisposition for central fat deposition). This study will provide evidence regarding the medication appropriate for first line medication in Type 2 diabetes in this high risk population. This study will assist clinicians to make evidenced-based decisions regarding initial medical management of those with Type 2 diabetes (where there is currently a gap in evidence).
| Condition | Intervention | Phase |
|---|---|---|
|
Diabetes Mellitus, Type 2 |
Drug: Pioglitazone Drug: Metformin |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Drug naïve Indigenous Australians With Type 2 Diabetes, Enrolled in a Randomised Controlled Trial of Rosiglitazone Versus Metformin Monotherapy to Assess the Effects on Metabolic and Cardiovascular Parameters |
- HbA1c values [ Time Frame: second monthly ] [ Designated as safety issue: No ]
- Weight gain [ Time Frame: monthly ] [ Designated as safety issue: Yes ]
- Weight distribution [ Time Frame: six monthly ] [ Designated as safety issue: No ]
- Medication side effects [ Time Frame: monthly ] [ Designated as safety issue: Yes ]
- Medication compliance [ Time Frame: monthly ] [ Designated as safety issue: No ]
- Side effects [ Time Frame: monthly ] [ Designated as safety issue: Yes ]
- Lipids [ Time Frame: second monthly ] [ Designated as safety issue: No ]
- Endothelial dysfunction. [ Time Frame: second monthly ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 60 |
| Study Start Date: | April 2008 |
| Estimated Study Completion Date: | February 2009 |
| Primary Completion Date: | January 2009 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: A
Arm A- Metformin
|
Drug: Metformin
500 mg of Metformin taken orally twice a day
|
|
Active Comparator: B
Arm B- Pioglitazone
|
Drug: Pioglitazone
15mg of Pioglitazone taken orally twice a day
|
Eligibility| Ages Eligible for Study: | 18 Years to 80 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Drug naïve Indigenous Australians with Type 2 Diabetes
- Permanent resident of Darwin for at least 1 year immediately before and expected to be for at least 1 year after study commences
- Participants must be able to give informed voluntary consent
- Both males and females (females of child bearing potential excluded if not on reliable means of contraception)
Contacts and Locations| Australia, Northern Territory | |
| Menzies School of Health Research | |
| Darwin, Northern Territory, Australia, 0810 | |
| Principal Investigator: | Louise Maple Brown, MBBS PhD FRACP | Menzies School of Health Research |
More Information
Additional Information:
No publications provided
| Responsible Party: | The Director, Menzies School of Health Research |
| ClinicalTrials.gov Identifier: | NCT00437970 History of Changes |
| Other Study ID Numbers: | DART-MSHR-06-29 |
| Study First Received: | February 18, 2007 |
| Last Updated: | April 26, 2009 |
| Health Authority: | Australia: Department of Health and Ageing Therapeutic Goods Administration Australia: Human Research Ethics Committee Australia: National Health and Medical Research Council |
Additional relevant MeSH terms:
|
Diabetes Mellitus Diabetes Mellitus, Type 2 Glucose Metabolism Disorders Metabolic Diseases Endocrine System Diseases |
Pioglitazone Metformin Hypoglycemic Agents Physiological Effects of Drugs Pharmacologic Actions |
ClinicalTrials.gov processed this record on May 21, 2013