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Study Results
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Efficacy and Safety of Pioglitazone and Metformin Combination Therapy in Treating Type 2 Diabetes Mellitus.
This study has been completed.
Study NCT00727857   Information provided by Takeda Global Research & Development Center, Inc.

First Received on July 30, 2008.   Last Updated on July 27, 2011   History of Changes
Results First Received: August 28, 2009  
Study Type: Interventional
Study Design: Allocation: Randomized;   Endpoint Classification: Safety/Efficacy Study;   Intervention Model: Parallel Assignment;   Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor);   Primary Purpose: Treatment
Condition: Diabetes Mellitus
Interventions: Drug: Pioglitazone and metformin
Drug: Pioglitazone
Drug: Metformin

  Participant Flow
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Recruitment Details
Key information relevant to the recruitment process for the overall study, such as dates of the recruitment period and locations
Participants were enrolled at 134 investigative sites in the United States (including Puerto Rico), Argentina, Chile, Guatemala, Mexico and Peru from 13 June 2007 to 29 August 2008.

Pre-Assignment Details
Significant events and approaches for the overall study following participant enrollment, but prior to group assignment
Participants who had not received treatment with antidiabetic medication 12 weeks prior to Screening were enrolled in one of three, twice-daily (BID) treatment groups.

Reporting Groups
  Description
Pioglitazone 15 mg/Metformin 850 mg BID Pioglitazone 15 mg /metformin 850 mg combination tablets, orally, twice daily for up to 24 weeks
Pioglitazone 15 mg BID Pioglitazone 15 mg, tablets, orally, twice daily for up to 24 weeks
Metformin 850 mg BID Metformin 850 mg, tablets, orally, twice daily for up to 24 weeks.

Participant Flow:   Overall Study
    Pioglitazone 15 mg/Metformin 850 mg BID     Pioglitazone 15 mg BID     Metformin 850 mg BID  
STARTED     201     189     210  
COMPLETED     157     125     142  
NOT COMPLETED     44     64     68  



  Baseline Characteristics
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Reporting Groups
  Description
Pioglitazone 15 mg/Metformin 850 mg BID Pioglitazone 15 mg /metformin 850 mg combination tablets, orally, twice daily for up to 24 weeks
Pioglitazone 15 mg BID Pioglitazone 15 mg, tablets, orally, twice daily for up to 24 weeks
Metformin 850 mg BID Metformin 850 mg, tablets, orally, twice daily for up to 24 weeks.

Baseline Measures
    Pioglitazone 15 mg/Metformin 850 mg BID     Pioglitazone 15 mg BID     Metformin 850 mg BID     Total  
Number of Participants  
[units: participants]
  201     189     210     600  
Age  
[units: years]
Mean ± Standard Deviation
  54.7  ± 12.23     54.0  ± 12.08     53.7  ± 12.00     54.1  ± 12.09  
Gender  
[units: participants]
       
Female     111     123     112     346  
Male     90     66     98     254  
Race/Ethnicity, Customized  
[units: participants]
       
American Indian or Alaska Native     2     6     6     14  
Asian     3     5     5     13  
Black or African American     12     13     14     39  
Native Hawaiian or Other Pacific Islander     0     0     0     0  
White     123     109     124     356  
Multiracial     61     56     61     178  
Body Mass Index  
[units: kg/m²]
Mean ± Standard Deviation
  30.84  ± 5.74     31.18  ± 5.50     30.83  ± 5.66     30.94  ± 5.63  



  Outcome Measures
  Show All Outcome Measures

1.  Primary:   Percent Change From Baseline in Glycosylated Hemoglobin   [ Time Frame: Baseline and Week 24 ]

2.  Secondary:   Change From Baseline in Fasting Plasma Glucose   [ Time Frame: Baseline and Week 24 ]

3.  Secondary:   Change From Baseline in Fasting Insulin   [ Time Frame: Baseline and Week 24 ]

4.  Secondary:   Change From Baseline in Homeostasis Model Assessment - Insulin Resistance   [ Time Frame: Baseline and Week 24 ]

5.  Secondary:   Median Percent Change From Baseline in High Sensitivity C-reactive Protein   [ Time Frame: Baseline and Week 24 ]

6.  Secondary:   Change From Baseline in Adiponectin   [ Time Frame: Baseline and Week 24 ]

7.  Secondary:   Change From Baseline in Total Cholesterol   [ Time Frame: Baseline and Week 24 ]

8.  Secondary:   Change From Baseline in Low-Density Lipoprotein Cholesterol   [ Time Frame: Baseline and Week 24 ]

9.  Secondary:   Change From Baseline in High-Density Lipoprotein Cholesterol   [ Time Frame: Baseline and Week 24 ]

10.  Secondary:   Change From Baseline in Triglycerides   [ Time Frame: Baseline and Week 24 ]

11.  Secondary:   Change From Baseline in Mean Low Density Lipoprotein Particle Concentration   [ Time Frame: Baseline and Week 24 ]

12.  Secondary:   Change From Baseline in Mean Low Density Lipoprotein Particle Size   [ Time Frame: Baseline and Week 24 ]

13.  Secondary:   Change From Baseline in Large Low Density Lipoprotein (L3) Concentration   [ Time Frame: Baseline and Week 24 ]

14.  Secondary:   Change From Baseline in Intermediate-Density Low Density Lipoprotein Concentration   [ Time Frame: Baseline and Week 24 ]

15.  Secondary:   Change From Baseline in Medium-Small Low Density Lipoprotein Concentration   [ Time Frame: Baseline and Week 24 ]

16.  Secondary:   Change From Baseline in Small Low Density Lipoprotein Concentration   [ Time Frame: Baseline and Week 24 ]

17.  Secondary:   Change From Baseline in Very Small Low Density Lipoprotein Concentration   [ Time Frame: Baseline and Week 24 ]

18.  Secondary:   Change From Baseline in Mean High Density Lipoprotein Particle Concentration   [ Time Frame: Baseline and Week 24 ]

19.  Secondary:   Change From Baseline in Mean High Density Lipoprotein Particle Size   [ Time Frame: Baseline and Week 24 ]

20.  Secondary:   Change From Baseline in Large High Density Lipoprotein (H4+H5) Concentration   [ Time Frame: Baseline and Week 24 ]

21.  Secondary:   Change From Baseline in Intermediate-Medium High Density Lipoprotein (H3) Concentration   [ Time Frame: Baseline and Week 24 ]

22.  Secondary:   Change From Baseline in Small High Density Lipoprotein (H1+H2) Concentration   [ Time Frame: Baseline and Week 24 ]

23.  Secondary:   Change From Baseline in Mean Very Low Density Lipoprotein Particle Concentration   [ Time Frame: Baseline and Week 24 ]

24.  Secondary:   Change From Baseline in Mean Very Low Density Lipoprotein Particle Size   [ Time Frame: Baseline and Week 24 ]

25.  Secondary:   Change From Baseline in Large-Chylomicrons Very Low Density Lipoprotein Concentration   [ Time Frame: Baseline and Week 24 ]

26.  Secondary:   Change From Baseline in Medium-Intermediate Very Low Density Lipoprotein (V3+V4) Concentration   [ Time Frame: Baseline and Week 24 ]

27.  Secondary:   Change From Baseline in Small Very Low Density Lipoprotein (V1+V2) Concentration   [ Time Frame: Baseline and Week 24 ]


  Serious Adverse Events
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  Other Adverse Events
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  More Information
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Certain Agreements:  
Principal Investigators are NOT employed by the organization sponsoring the study.
There IS an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.
The agreement is:
unchecked The only disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is less than or equal to 60 days. The sponsor cannot require changes to the communication and cannot extend the embargo.
unchecked The only disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is more than 60 days but less than or equal to 180 days. The sponsor cannot require changes to the communication and cannot extend the embargo.


Limitations and Caveats
Limitations of the study, such as early termination leading to small numbers of participants analyzed and technical problems with measurement leading to unreliable or uninterpretable data
No text entered.  


Results Point of Contact:  
Name/Title: Sr. VP Clinical Science
Organization: Takeda Global Research and Development Center, Inc.
phone: 800-778-2860
e-mail: clinicaltrialregistry@tpna.com


Publications of Results:
Other Publications:

Responsible Party: Sr. VP, Clinical Science, Takeda Global Research & Development Center, Inc.
ClinicalTrials.gov Identifier: NCT00727857     History of Changes
Other Study ID Numbers: 01-06-TL-OPIMET-008, U1111-1114-0371
Study First Received: July 30, 2008
Results First Received: August 28, 2009
Last Updated: July 27, 2011
Health Authority: United States: Food and Drug Administration