Male or female non-diabetic patients with coronary heart disease with AP or NSTEMI with indication for stent implantation and one additional coronary artery plaque (stenosis < 50%)
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Instable Angina pectoris or non-ST-elevation myocardial infarction; hemodynamic relevant stenosis >75% of the left coronary artery system; additional stenosis =65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: Acute ST-elevation myocardial infarction; diabetes mellitus type I or II; systemic infection; acue or chronic inflammatory disease; sensitivity to Pioglitazone or thiazolidinediones (TZD); severe or multiple allergies; reduction of life expectancy below 12 month; myopathy; heart failure NYHA I to IV; severe organic diseases, cancer, glaucoma, historyof macula oedema, alcohol or drug abuse; pregnancy or brest feeding; blood donor witin last 30 days; previous treatment with TZDs.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To investigate the effect of pioglitazone in comparison to placebo on the percental composition of a non-stenosing plaque of a coronary vessel in patients wit coronary artery disease.;Secondary Objective: To investigate the effect of pioglitazone on the - laboratory parameters associated with vessel inflammation and function, - lipd metabolism, and glucose metabolism - intima/media thickness of the arteria carotis communis - neurovascular dialtation reserve and arterio venous ratio of the retinal vessels - safety;Primary end point(s): The primary efficacy variable will be the change of the percentage of the fatty and necrotic parts of the plaque. The change will be calculated as the percentage of the fatty and necrotic parts of the plaque at the baseline visit (Visit 2, day 0) minus procentage of the fatty and necrotic parts of the plaque at the end of the study (Visit 5, week 36 +/- 2). | — |
Countries
Germany