Non-insulin-dependent Diabetes Mellitus
Conditions
Keywords
diabetes rosiglitazone plaque
Brief summary
This is a phase IIIb, randomised, double blind, placebo controlled, study in patients with type 2 diabetes mellitus and coexisting vascular disease or hypertension. The total duration of the study will be approximately 60 weeks. The aim of this study is to examine the potential beneficial effects of rosiglitazone on carotid atheroma in patients with type 2 diabetes mellitus and coexisting vascular disease or hypertension. It is hypothesised that treatment with rosiglitazone will lead to an decrease in plaque size. In addition, it is hoped that rosiglitazone will have a positive effect on plaque composition and stability.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Type 2 diabetes. * Co-existing vascular disease. * At least 6 months of statin or fibrate therapy. * HbA1c \<10% at screening and with at least one atheromatous plaque causing 10-95% narrowing of the internal carotid artery.
Exclusion criteria
* Patients with \>2 concomitant oral anti-hyperglycaemic agents within 3 months of screening. * Previous exposure to a thiazolidinedione. * History of chronic insulin use. * Use of investigational drug within 30 days. * Systolic blood pressure (bp) \> 170 mmHg or diastolic bp \>100 mmHg. * Severe or unstable angina. * History of: gangrene, TIA, stroke, hepatic disease, alcohol or drug abuse, surgery of the carotid arteries or claustrophobia.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The effect of 52 wks oral treatment with rosiglitazone in comparison to placebo on change from baseline of the plaque total wall volume in the carotid artery, in patients with type 2 dm and vascular disease/hypertension, using cardiac mri. | 52 Weeks |
Secondary
| Measure | Time frame |
|---|---|
| These include magnetic resonance endpoints related to plaque lipid content, volume, plaque size and fibrous cap thickness. Colour duplex measurements, laboratory assays for glycaemia and lipids. | — |
Countries
United Kingdom