Type 2 Diabetes
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients diagnosed as having type 2 diabetes and whosatisfy one of the following criteria 1 Asymptomatic cerebral infarction evident on MRI. 2 Mean IMT=>1mm (far wall, either right or left) 3 Albuminuria>=100&micro;g/mg creatinine (spot urine sample) HbA1C<=10% Concomitant hypertension or hyperlipidemia
Exclusion criteria
Exclusion criteria: 1 Current or past history of heart failure 2 History of treatment with a thiazolidine derivative within 8 weeks 3 Severe liver dysfunction:ALT>= 100 or viral hepatitis 4 Severe renal dysfunction:Cr>=2.5 5 Concerns about safety of a thiazolidine derivative 6 Concerns about safety of drugs to be studied 7 Cerebral hemorrhage 8 Manifest dementia 9 History of documented myocardial infarction or angina prior to registration 10 Those whom the principle investigators or other investigators consider unsuitable
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Composite endpoints: overall death + stroke + myocardial infarction (Kaplan Meier method). | — |
Secondary
| Measure | Time frame |
|---|---|
| Incidence of cerebral infarction (Kaplan Meier method) Incidence of cerebral infarction + TIA Incidence of cardiovascular events (myocardial infarction + angina + PCI/CABG) Incidence of acute coronary syndromes Albuminuria (absolute value and progression determined according to the stage of nephropathy) Cerebrovascular events categorized as ischemic or vascular and specific disease: secondary endpoint Index related to blood glucose: HbA1c Blood pressure: SBP and DBP Serum lipids: LDL, HDL, TG Cognitive function and depression: MMSE, Hasegawa Dementia Scale Revised (HDSR) Japan Stroke Scale - Depression Scale (JSS-D) only in institutes that can give this test Safety: hypoglycemia, edema, heart failure, liver function | — |
Countries
Japan
Contacts
Osaka University Graduate School of Medicine, Faculty of Medicine Department of Endocrine and Metabolic Internal Mmedicine