Type 2 Diabetes Mellitus MedDRA version: 8.1 Level: LLT Classification code 10012601 Term: Diabetes mellitus
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Type 2 diabetes treated with insulin +/- metformin +/- sulphonylurea Insulin resistant (requiring >0.8U/kg/day insulin) and/or acanthosis nigricans present BMI >28kg m-2 HbA1c >7.0% Aged 16 and over Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: Consent withheld or withdrawn Unable to comply with the treatment schedule (as judged by investigator) Current active heart failure (NYHA grade III– IV; see appendix 2 for definition) History of hospital admission with heart failure in the last 12 months (from medical records) Anaemia at baseline (Hb 100IU/l (approx. 2.5x upper limit of normal) Previous adverse reaction to TZD (any previous exposure with reported adverse effect) Women of childbearing potential planning pregnancy or not using contraception
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: Can pioglitazone and insulin be used safely in combination, is the combination effective, and how can we best measure the safety of this treatment? ;Secondary Objective: Are there any beneficial effects of the combination treatment in areas other than blood glucose control, eg. weight, lipids.; Primary end point(s): 1. Change in nt-pro-BNP concentration from baseline 2. Admission to hospital or change in treatment for a confirmed diagnosis of heart failure | — |
Countries
United Kingdom