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Efficacy and Safety of Alogliptin Combined With Pioglitazone in Treating Subjects With Type 2 Diabetes Mellitus.

A Multicenter, Randomized, Double-Blind, Placebo-Controlled Study to Determine the Efficacy and Safety of the Combination of SYR-322 (SYR110322) and Pioglitazone HCl (ACTOS®), in Subjects With Type 2 Diabetes

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00328627
Enrollment
1554
Registered
2006-05-22
Start date
2006-05-31
Completion date
2008-03-31
Last updated
2013-04-04

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Type 2 Diabetes Mellitus

Keywords

Diabetes Mellitus, Type 2, Drug Therapy, Diabetes Mellitus, Non Insulin Dependent, Glucose Intolerance, Hyperglycemia

Brief summary

The purpose of this study is to evaluate the safety and efficacy of alogliptin, once daily (QD), taken in combination with pioglitazone in adults with type 2 diabetes mellitus.

Detailed description

Over the past 30 years, the prevalence of diabetes has increased dramatically throughout the world due to population growth, aging, urbanization, increasing obesity, and physical inactivity. The total number of people with type 2 diabetes mellitus is projected to rise from 171 million in 2000 to 366 million in 2030. The incidence of type 2 diabetes mellitus in the United States alone is expected to increase from approximately 17 to 30.3 million by the year 2030. Type 2 diabetes mellitus is associated with a number of long-term microvascular and macrovascular complications associated with a reduced quality of life and increased morbidity and mortality. It is anticipated that the increasing incidence of type 2 diabetes mellitus will place an ever-increasing burden on families, increase national expenditures for health care services, and decrease worker productivity. Current pharmacologic interventions for type 2 diabetes mellitus include a diverse range of antidiabetic medications with different mechanisms of action including insulin and insulin analogues, sulfonylureas, metformin, meglitinides, thiazolidinediones, inhibitors of alpha-glucosidase, analogs of glucagon-like peptide-1 and synthetic analogues of human amylin. Despite the variety of medications, many have clinically important or potentially life-threatening side effects, restricted use in many subpopulations, concerns with long-term tolerability, and challenges related to compliance due to side effects and route of administration. All of these reasons contribute to the difficulties patients have achieving the target glycosylated hemoglobin level less than 7%. SYR-322 (alogliptin) is a selective, orally available inhibitor of the dipeptidyl peptidase-4 enzyme. Dipeptidyl peptidase-4 enzyme is thought to be primarily responsible for the in vivo degradation of 2 peptide hormones released in response to nutrient ingestion, namely glucagon-like peptide-1 and glucose-dependent insulinotropic peptide. Both peptides exert important effects on islet beta cells to stimulate glucose-dependent insulin secretion as well as regulating beta cell proliferation and cytoprotection. Glucagon-like peptide-1, but not glucose-dependent insulinotropic peptide, inhibits gastric emptying, glucagon secretion, and food intake. Glucose-dependent insulinotropic peptide has been shown to enhance insulin secretion by direct interaction with a glucose-dependent insulinotropic peptide -specific receptor on islet beta cells. The glucose-lowering actions of glucagon-like peptide-1, but not glucose-dependent insulinotropic peptide, are preserved in patients with type 2 diabetes mellitus. Pioglitazone (ACTOS®) is a thiazolidinedione developed by Takeda Chemical Industries, Ltd. (Osaka, Japan) that is approved for the treatment of type 2 diabetes mellitus. Pioglitazone is a selective peroxisome proliferator-activated receptor-gamma agonist that decreases insulin resistance in the periphery and liver resulting in increased insulin-dependent glucose disposal and decreased hepatic glucose output. Given the complementary mechanisms of action of alogliptin (stimulation of insulin secretion) and pioglitazone (enhancement of insulin sensitivity), the goal of this study is to evaluate the efficacy of the combination of alogliptin with pioglitazone in patients who are inadequately controlled on metformin. Study participation is anticipated to be approximately 7 months.

Interventions

DRUGAlogliptin

Alogliptin tablets.

Alogliptin placebo-matching tablets.

DRUGPioglitazone

Pioglitazone tablets.

Pioglitazone placebo-matching tablets.

Sponsors

Takeda
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)

Eligibility

Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No

Inclusion criteria

* Men or women with a historical diagnosis of type 2 diabetes mellitus who were treated with metformin greater than or equal to 1500 mg alone but were experiencing inadequate glycemic control. * A stable dose of metformin of greater than or equal to 1500 mg or maximum tolerated dose. * No treatment with antidiabetic agents other than metformin within the 2 months prior to Screening. * A body mass index greater than or equal to 23 kg/m\^2 and less than or equal to 45 kg/m\^2. * Fasting C-peptide greater than or equal to 0.8 ng/mL. * Regular use of other, non-excluded medications was allowed if a stable dose had been established for at least 4 weeks prior to Screening. * Systolic blood pressure less than or equal to 160 mmHg and diastolic pressure less than or equal to 100 mmHg. * Hemoglobin greater than or equal to 12 g/dL for men and greater than or equal to 10 g/dL for women. * Alanine aminotransferase less than or equal to 2.5 times the upper limit of normal. * Serum creatinine less than 1.5 mg/dL for men and less than 1.4 mg/dL for women. * Thyroid-stimulating hormone level less than or equal to the upper limit of the normal range and the subject was clinically euthyroid. * Females of childbearing potential who are sexually active must agree to use adequate contraception, and can neither be pregnant nor lactating from Screening throughout the duration of the study. * Able and willing to monitor their own blood glucose concentrations with a home glucose monitor. * No major illness or debility that in the investigator's opinion prohibited the patient from completing the study.

Exclusion criteria

* Urine albumin/creatinine ratio greater than 113 mg/mmol at Screening. * A history of cancer, other than squamous cell or basal cell carcinoma of the skin, that had not been in full remission for at least 5 years prior to Screening. * A history of laser treatment for proliferative diabetic retinopathy within 6 months prior to Screening. * A history of treated diabetic gastroparesis. * New York Heart Association Class III or IV heart failure regardless of therapy. * History of coronary angioplasty, coronary stent placement, coronary bypass surgery, or myocardial infarction within the 6 months prior to Screening. * History of any hemoglobinopathy. * History of infection with hepatitis B, hepatitis C or human immunodeficiency virus. * History of a psychiatric disorder that could have affected the patient's ability to participate in the study. * History of angioedema in association with use of angiotensin-converting enzyme inhibitors or angiotensin-II receptor inhibitors. * A history of alcohol or substance abuse within 2 years prior to Screening. * Receipt of any investigational drug within 30 days prior to Screening or a history of receipt of an investigational antidiabetic drug within 3 months prior to Screening. * Previous participation in an investigational study of alogliptin. * Hypersensitive to pioglitazone, alogliptin, or other excipients.

Design outcomes

Primary

MeasureTime frameDescription
Change From Baseline to Week 26 in Glycosylated Hemoglobin (HbA1c) (Grouped Analysis)Baseline and Week 26The change from Baseline to Week 26 in HbA1c (the concentration of glucose bound to hemoglobin as a percent of the absolute maximum that can be bound). The primary analysis compared the groupings (combinations of individual treatment groups) of participants who received the combination of pioglitazone with each dose of alogliptin with the grouping of participants who received pioglitazone alone (Pioglitazone Alone).
Change From Baseline to Week 26 in HbA1cBaseline and Week 26The change from Baseline to Week 26 in HbA1c (the concentration of glucose bound to hemoglobin as a percent of the absolute maximum that can be bound).

Secondary

MeasureTime frameDescription
Change From Baseline to Week 8 in HbA1cBaseline and Week 8The change from Baseline in HbA1c (the concentration of glucose bound to hemoglobin as a percent of the absolute maximum that can be bound) at week 8. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline HbA1c as continuous covariates.
Change From Baseline to Week 12 in HbA1cBaseline and Week 12The change from Baseline in HbA1c (the concentration of glucose bound to hemoglobin as a percent of the absolute maximum that can be bound) at week 12. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline HbA1c as continuous covariates.
Change From Baseline to Week 16 in HbA1cBaseline and Week 16The change from Baseline in HbA1c (the concentration of glucose bound to hemoglobin as a percent of the absolute maximum that can be bound) at week 16. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline HbA1c as continuous covariates.
Change From Baseline to Week 20 in HbA1cBaseline and Week 20The change from Baseline in HbA1c (the concentration of glucose bound to hemoglobin as a percent of the absolute maximum that can be bound) at week 20. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline HbA1c as continuous covariates.
Change From Baseline in Fasting Plasma Glucose Over Time (Grouped Analysis)Baseline and Weeks 1, 2, 4, 8, 12, 16, 20 and 26.The change from Baseline in fasting plasma glucose was assessed at weeks 1, 2, 4, 8, 12, 16, 20 and 26. This analysis compared the groupings of participants who received the combination of pioglitazone with each dose of alogliptin with the grouping of participants who received pioglitazone alone. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline fasting plasma glucose as covariates.
Change From Baseline to Week 1 in Fasting Plasma GlucoseBaseline and Week 1Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline fasting plasma glucose as covariates.
Change From Baseline to Week 2 in Fasting Plasma GlucoseBaseline and Week 2Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline fasting plasma glucose as covariates.
Change From Baseline to Week 4 in Fasting Plasma GlucoseBaseline and Week 4Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline fasting plasma glucose as covariates.
Change From Baseline to Week 8 in Fasting Plasma GlucoseBaseline and Week 8Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline fasting plasma glucose as covariates.
Change From Baseline to Week 12 in Fasting Plasma GlucoseBaseline and Week 12Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline fasting plasma glucose as covariates.
Change From Baseline to Week 16 in Fasting Plasma GlucoseBaseline and Week 16Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline fasting plasma glucose as covariates.
Change From Baseline to Week 20 in Fasting Plasma GlucoseBaseline and Week 20Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline fasting plasma glucose as covariates.
Change From Baseline to Week 26 in Fasting Plasma GlucoseBaseline and Week 26Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline fasting plasma glucose as covariates.
Percentage of Participants With Marked Hyperglycemia (Grouped Analysis)From Week 1 to Week 26Marked hyperglycemia is defined as fasting plasma glucose greater than or equal to 200 mg/dL (11.10 mmol/L). This analysis compared the groupings of participants who received the combination of pioglitazone with each dose of alogliptin with the grouping of participants who received pioglitazone alone.
Percentage of Participants With Marked HyperglycemiaFrom Week 1 to Week 26Marked hyperglycemia is defined as fasting plasma glucose greater than or equal to 200 mg/dL (11.10 mmol/L).
Percentage of Participants Meeting Rescue Criteria (Grouped Analysis)From Week 1 to Week 26.Rescue was defined as meeting 1 of the following criteria, confirmed by a 2nd sample drawn within 5 days of the first and analyzed by the central laboratory: 1. After the Week 1 Visit but prior to the Week 4 Visit: a single fasting plasma glucose ≥300 mg/dL; 2. From the Week 4 Visit but prior to the Week 8 Visit: a single fasting plasma glucose ≥275 mg/dL; 3. From the Week 8 Visit but prior to the Week 12 Visit: a single fasting plasma glucose ≥250 mg/dL; 4. From the Week 12 Visit through the End-of-Treatment Visit: HbA1c ≥8.5% and ≤0.5% reduction in HbA1c as compared with Baseline HbA1c.
Percentage of Participants Meeting Rescue CriteriaFrom Week 1 to Week 26Rescue was defined as meeting 1 of the following criteria, confirmed by a 2nd sample drawn within 5 days of the first and analyzed by the central laboratory: 1. After the Week 1 Visit but prior to the Week 4 Visit: a single fasting plasma glucose ≥300 mg/dL; 2. From the Week 4 Visit but prior to the Week 8 Visit: a single fasting plasma glucose ≥275 mg/dL; 3. From the Week 8 Visit but prior to the Week 12 Visit: a single fasting plasma glucose ≥250 mg/dL; 4. From the Week 12 Visit through the End-of-Treatment Visit: HbA1c ≥8.5% and ≤0.5% reduction in HbA1c as compared with Baseline HbA1c.
Percentage of Participants With Glycosylated Hemoglobin ≤ 6.5% (Grouped Analysis)Week 26Clinical response at Week 26 was assessed by the percentage of participants with HbA1c less than or equal to 6.5%. This analysis compared the groupings of participants who received the combination of pioglitazone with each dose of alogliptin with the grouping of participants who received pioglitazone alone.
Percentage of Participants With Glycosylated Hemoglobin ≤ 6.5%Week 26Clinical response at Week 26 was assessed by the percentage of participants with HbA1c less than or equal to 6.5%.
Percentage of Participants With Glycosylated Hemoglobin ≤ 7.0% (Grouped Analysis)Week 26Clinical response at Week 26 was assessed by the percentage of participants with HbA1c less than or equal to 7%. This analysis compared the groupings of participants who received the combination of pioglitazone with each dose of alogliptin with the grouping of participants who received pioglitazone alone.
Percentage of Participants With Glycosylated Hemoglobin ≤ 7%Week 26Clinical response at Week 26 was assessed by the percentage of participants with HbA1c less than or equal to 7%.
Percentage of Participants With Glycosylated Hemoglobin ≤ 7.5% (Grouped Analysis)Week 26Clinical response at Week 26 was assessed by the percentage of participants with HbA1c less than or equal to 7.5%. This analysis compared the groupings of participants who received the combination of pioglitazone with each dose of alogliptin with the grouping of participants who received pioglitazone alone.
Percentage of Participants With Glycosylated Hemoglobin ≤ 7.5%Week 26Clinical response at Week 26 was assessed by the percentage of participants with HbA1c less than or equal to 7.5%.
Percentage of Participants With a Decrease in Glycosylated Hemoglobin ≥ 0.5% (Grouped Analysis)Baseline and Week 26Clinical response at Week 26 was assessed by the percentage of participants with a decrease from Baseline in HbA1c of greater than or equal to 0.5%. This analysis compared the groupings of participants who received the combination of pioglitazone with each dose of alogliptin with the grouping of participants who received pioglitazone alone.
Percentage of Participants With a Decrease in Glycosylated Hemoglobin ≥ 0.5%Baseline and Week 26Clinical response at Week 26 was assessed by the percentage of participants with a decrease from Baseline in HbA1c of greater than or equal to 0.5%.
Percentage of Participants With a Decrease in Glycosylated Hemoglobin ≥ 1% (Grouped Analysis)Baseline and Week 26Clinical response at Week 26 was assessed by the percentage of participants with a decrease from Baseline in HbA1c of greater than or equal to 1%. This analysis compared the groupings of participants who received the combination of pioglitazone with each dose of alogliptin with the grouping of participants who received pioglitazone alone.
Percentage of Participants With a Decrease in Glycosylated Hemoglobin ≥ 1%Baseline and Week 26Clinical response at Week 26 was assessed by the percentage of participants with a decrease from Baseline in HbA1c of greater than or equal to 1%.
Percentage of Participants With a Decrease in Glycosylated Hemoglobin ≥ 1.5% (Grouped Analysis)Baseline and Week 26Clinical response at Week 26 was assessed by the percentage of participants with a decrease from Baseline in HbA1c of greater than or equal to 1.5%. This analysis compared the groupings of participants who received the combination of pioglitazone with each dose of alogliptin with the grouping of participants who received pioglitazone alone.
Percentage of Participants With a Decrease in Glycosylated Hemoglobin ≥ 1.5%Baseline and Week 26Clinical response at Week 26 was assessed by the percentage of participants with a decrease from Baseline in HbA1c of greater than or equal to 1.5%.
Percentage of Participants With a Decrease in Glycosylated Hemoglobin ≥ 2.0% (Grouped Analysis)Baseline and Week 26.Clinical response at Week 26 was assessed by the percentage of participants with a decrease from Baseline in HbA1c of greater than or equal to 2.0%. This analysis compared the groupings of participants who received the combination of pioglitazone with each dose of alogliptin with the grouping of participants who received pioglitazone alone.
Percentage of Participants With a Decrease in Glycosylated Hemoglobin ≥ 2%Baseline and Week 26Clinical response at Week 26 was assessed by the percentage of participants with a decrease from Baseline in HbA1c of greater than or equal to 2%.
Change From Baseline in Fasting Proinsulin Over Time (Grouped Analysis)Baseline and Weeks 4, 8, 12, 16, 20 and 26.Proinsulin is a precursor to insulin, and was measured as an indicator of pancreatic function. The change from Baseline in fasting proinsulin was assessed at Weeks 4, 8, 12, 16, 20 and 26. This analysis compared the groupings of participants who received the combination of pioglitazone with each dose of alogliptin with the grouping of participants who received pioglitazone alone. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and proinsulin as continuous covariates.
Change From Baseline to Week 4 in Fasting ProinsulinBaseline and Week 4Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline proinsulin as continuous covariates.
Change From Baseline to Week 20 in Insulin LevelsBaseline and Week 20Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline insulin as continuous covariates.
Change From Baseline to Week 8 in Fasting ProinsulinBaseline and Week 8Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline proinsulin as continuous covariates.
Change From Baseline to Week 12 in Fasting ProinsulinBaseline and Week 12Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline proinsulin as continuous covariates.
Change From Baseline to Week 16 in Fasting ProinsulinBaseline and Week 16Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline proinsulin as continuous covariates.
Change From Baseline to Week 20 in Fasting ProinsulinBaseline and Week 20Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline proinsulin as continuous covariates.
Change From Baseline to Week 26 in Fasting ProinsulinBaseline and Week 26Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline proinsulin as continuous covariates.
Change From Baseline in Insulin Over Time (Grouped Analysis)Baseline and Weeks 4, 8, 12, 16, 20 and 26.The change from Baseline in fasting insulin was assessed at Weeks 4, 8, 12, 16, 20 and 26. This analysis compared the groupings of participants who received the combination of pioglitazone with each dose of alogliptin with the grouping of participants who received pioglitazone alone. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline insulin as continuous covariates.
Change From Baseline to Week 4 in Insulin LevelsBaseline and Week 4Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline insulin as continuous covariates.
Change From Baseline to Week 8 in Insulin LevelsBaseline and Week 8Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline insulin as continuous covariates.
Change From Baseline to Week 12 in Insulin LevelsBaseline and Week 12Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline insulin as continuous covariates.
Change From Baseline to Week 16 in Insulin LevelsBaseline and Week 16Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline insulin as continuous covariates.
Change From Baseline to Week 26 in Insulin LevelsBaseline and Week 26Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline insulin as continuous covariates.
Change From Baseline in Proinsulin/Insulin Ratio Over Time (Grouped Analysis)Baseline and Weeks 4, 8, 12, 16, 20 and 26.The ratio of proinsulin to insulin was calculated as proinsulin (pmol/L) / insulin (μIU/mL) at weeks 4, 8, 12, 16, 20 and 26 relative to the Baseline value. This analysis compared the groupings of participants who received the combination of pioglitazone with each dose of alogliptin with the grouping of participants who received pioglitazone alone. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline proinsulin/insulin ratio as continuous covariates.
Change From Baseline to Week 4 in Proinsulin/Insulin RatioBaseline and Week 4The ratio of proinsulin to insulin was calculated as proinsulin (pmol/L) / insulin (μIU/mL). Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline proinsulin/insulin ratio as continuous covariates.
Change From Baseline to Week 8 in Proinsulin/Insulin RatioBaseline and Week 8The ratio of proinsulin to insulin was calculated as proinsulin (pmol/L) / insulin (μIU/mL). Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline proinsulin/insulin ratio as continuous covariates.
Change From Baseline to Week 12 in Proinsulin/Insulin RatioBaseline and Week 12The ratio of proinsulin to insulin was calculated as proinsulin (pmol/L) / insulin (μIU/mL). Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline proinsulin/insulin ratio as continuous covariates.
Change From Baseline to Week 16 in Proinsulin/Insulin RatioBaseline and Week 16The ratio of proinsulin to insulin was calculated as proinsulin (pmol/L) / insulin (μIU/mL). Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline proinsulin/insulin ratio as continuous covariates.
Change From Baseline to Week 20 in Proinsulin/Insulin RatioBaseline and Week 20The ratio of proinsulin to insulin was calculated as proinsulin (pmol/L) / insulin (μIU/mL). Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline proinsulin/insulin ratio as continuous covariates.
Change From Baseline to Week 26 in Proinsulin/Insulin RatioBaseline and Week 26The ratio of proinsulin to insulin was calculated as proinsulin (pmol/L) / insulin (μIU/mL). Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline proinsulin/insulin ratio as continuous covariates.
Change From Baseline in C-peptide Over Time (Grouped Analysis)Baseline and Weeks 4, 8, 12, 16, 20 and 26.C-peptide is a byproduct created when the hormone insulin is produced and is measured by a blood test. Change from Baseline was assessed at Weeks 4, 8, 12, 16, 20 and 26. This analysis compared the groupings of participants who received the combination of pioglitazone with each dose of alogliptin with the grouping of participants who received pioglitazone alone. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline C-peptide as continuous covariates.
Change From Baseline to Week 4 in C-peptide LevelsBaseline and Week 4Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline C-peptide as continuous covariates.
Change From Baseline to Week 8 in C-peptide LevelsBaseline and Week 8Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline C-peptide as continuous covariates.
Change From Baseline to Week 12 in C-peptide LevelsBaseline and Week 12Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline C-peptide as continuous covariates.
Change From Baseline to Week 16 in C-peptide LevelsBaseline and Week 16Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline C-peptide as continuous covariates.
Change From Baseline to Week 4 in Low-Density Lipoprotein CholesterolBaseline and Week 4Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline LDL cholesterol as continuous covariates.
Change From Baseline to Week 20 in C-peptide LevelsBaseline and Week 20Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline C-peptide as continuous covariates.
Change From Baseline to Week 26 in C-peptide LevelsBaseline and Week 26Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline C-peptide as continuous covariates.
Change From Baseline in Total Cholesterol Over Time (Grouped Analysis)Baseline and Weeks 4, 8, 12, 16, 20 and 26.Change from Baseline in total cholesterol was assessed at Weeks 4, 8, 12, 16, 20 and 26. This analysis compared the groupings of participants who received the combination of pioglitazone with each dose of alogliptin with the grouping of participants who received pioglitazone alone. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline total cholesterol as continuous covariates.
Change From Baseline to Week 4 in Total Cholesterol LevelsBaseline and Week 4Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline total cholesterol as continuous covariates.
Change From Baseline to Week 8 in Total Cholesterol LevelsBaseline and Week 8Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline total cholesterol as continuous covariates.
Change From Baseline to Week 12 in Total Cholesterol LevelsBaseline and Week 12Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline total cholesterol as continuous covariates.
Change From Baseline to Week 16 in Total Cholesterol LevelsBaseline and Week 16Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline total cholesterol as continuous covariates.
Change From Baseline to Week 20 in Total Cholesterol LevelsBaseline and Week 20Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline total cholesterol as continuous covariates.
Change From Baseline to Week 26 in Total Cholesterol LevelsBaseline and Week 26Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline total cholesterol as continuous covariates.
Change From Baseline in Low-Density Lipoprotein Cholesterol Over Time (Grouped Analysis)Baseline and Weeks 4, 8, 12, 16, 20 and 26.Change from Baseline in low-density lipoprotein cholesterol (LDL-C) was assessed at Weeks 4, 8, 12, 16, 20 and 26. This analysis compared the groupings of participants who received the combination of pioglitazone with each dose of alogliptin with the grouping of participants who received pioglitazone alone. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline LDL cholesterol as continuous covariates.
Change From Baseline to Week 8 in Low-Density Lipoprotein CholesterolBaseline and Week 8Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline LDL cholesterol as continuous covariates.
Change From Baseline to Week 12 in Low-Density Lipoprotein CholesterolBaseline and Week 12Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline LDL cholesterol as continuous covariates.
Change From Baseline to Week 16 in Low-Density Lipoprotein CholesterolBaseline and Week 16Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline LDL cholesterol as continuous covariates.
Change From Baseline to Week 20 in Low-Density Lipoprotein CholesterolBaseline and Week 20Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline LDL cholesterol as continuous covariates.
Change From Baseline to Week 26 in Low-Density Lipoprotein CholesterolBaseline and Week 26Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline LDL cholesterol as continuous covariates.
Change From Baseline in High-Density Lipoprotein Cholesterol Over Time (Grouped Analysis)Baseline and Weeks 4, 8, 12, 16, 20 and 26.Change from Baseline in high-density lipoprotein cholesterol (HDL-C) was assessed at Weeks 4, 8, 12, 16, 20 and 26. This analysis compared the groupings of participants who received the combination of pioglitazone with each dose of alogliptin with the grouping of participants who received pioglitazone alone. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline HDL cholesterol as continuous covariates.
Change From Baseline to Week 4 in High-Density Lipoprotein CholesterolBaseline and Week 4Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline HDL cholesterol as continuous covariates.
Change From Baseline to Week 8 in High-Density Lipoprotein CholesterolBaseline and Week 8Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline HDL cholesterol as continuous covariates.
Change From Baseline to Week 12 in High-Density Lipoprotein CholesterolBaseline and Week 12Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline HDL cholesterol as continuous covariates.
Change From Baseline to Week 16 in High-Density Lipoprotein CholesterolBaseline and Week 16Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline HDL cholesterol as continuous covariates.
Change From Baseline to Week 20 in High-Density Lipoprotein CholesterolBaseline and Week 20Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline HDL cholesterol as continuous covariates.
Change From Baseline to Week 26 in High-Density Lipoprotein CholesterolBaseline and Week 26Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline HDL cholesterol as continuous covariates.
Change From Baseline in Triglycerides Over Time (Grouped Analysis)Baseline and Weeks 4, 8, 12, 16, 20 and 26.Change from Baseline in triglycerides was assessed at Weeks 4, 8, 12, 16, 20 and 26. This analysis compared the groupings of participants who received the combination of pioglitazone with each dose of alogliptin with the grouping of participants who received pioglitazone alone. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline triglycerides as continuous covariates.
Change From Baseline to Week 4 in Triglyceride LevelsBaseline and Week 4Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline triglycerides as continuous covariates.
Change From Baseline to Week 8 in Triglyceride LevelsBaseline and Week 8Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline triglycerides as continuous covariates.
Change From Baseline to Week 12 in Triglyceride LevelsBaseline and Week 12Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline triglycerides as continuous covariates.
Change From Baseline to Week 16 in Triglyceride LevelsBaseline and Week 16Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline triglycerides as continuous covariates.
Change From Baseline to Week 20 in Triglyceride LevelsBaseline and Week 20Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline triglycerides as continuous covariates.
Change From Baseline to Week 26 in Triglyceride LevelsBaseline and Week 26Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline triglycerides as continuous covariates.
Change From Baseline in Free Fatty Acids Over Time (Grouped Analysis)Baseline and Weeks 12 and 26.Change from Baseline in free fatty acids (FFA) was assessed at Weeks 12 and 26. This analysis compared the groupings of participants who received the combination of pioglitazone with each dose of alogliptin with the grouping of participants who received pioglitazone alone. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline free fatty acid as continuous covariates.
Change From Baseline to Week 12 in Free Fatty AcidsBaseline and Week 12Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline free fatty acid as continuous covariates.
Change From Baseline to Week 26 in Free Fatty AcidsBaseline and Week 26Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline free fatty acid as continuous covariates.
Change From Baseline in Plasminogen Activator Inhibitor-1 Over Time (Grouped Analysis)Baseline and Weeks 12 and 26.Change from Baseline in plasminogen activator inhibitor-1 (PAI-1) was assessed at Weeks 12 and 26. This analysis compared the groupings of participants who received the combination of pioglitazone with each dose of alogliptin with the grouping of participants who received pioglitazone alone. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline PAI-1 as continuous covariates.
Change From Baseline to Week 12 in Plasminogen Activator Inhibitor-1Baseline and Week 12Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline PAI-1 as continuous covariates.
Change From Baseline to Week 26 in Plasminogen Activator Inhibitor-1Baseline and Week 26Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline PAI-1 as continuous covariates.
Change From Baseline in High-sensitivity C-Reactive Protein Over Time (Grouped Analysis)Baseline and Weeks 12 and 26.Change from Baseline in high-sensitivity C-Reactive Protein (hsCRP) was assessed at Weeks 12 and 26. This analysis compared the groupings of participants who received the combination of pioglitazone with each dose of alogliptin with the grouping of participants who received pioglitazone alone. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline hsCRP as continuous covariates.
Change From Baseline to Week 12 in High-sensitivity C-Reactive ProteinBaseline and Week 12Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline hsCRP as continuous covariates.
Change From Baseline to Week 26 in High-sensitivity C-Reactive ProteinBaseline and Week 26Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline hsCRP as continuous covariates.
Change From Baseline in Adiponectin Over Time (Grouped Analysis)Baseline and Weeks 12 and 26.Change from Baseline in adiponectin was assessed at Weeks 12 and 26. This analysis compared the groupings of participants who received the combination of pioglitazone with each dose of alogliptin with the grouping of participants who received pioglitazone alone. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline adiponectin as continuous covariates.
Change From Baseline to Week 12 in AdiponectinBaseline and Week 12Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline adiponectin as continuous covariates.
Change From Baseline to Week 26 in AdiponectinBaseline and Week 26Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline adiponectin as continuous covariates.
Change From Baseline in Body Weight Over Time (Grouped Analysis)Baseline and Weeks 8, 12, 20 and 26.Change from Baseline in body weight was assessed at Weeks 8, 12, 20 and 26. This analysis compared the groupings of participants who received the combination of pioglitazone with each dose of alogliptin with the grouping of participants who received pioglitazone alone. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline weight as continuous covariates.
Change From Baseline to Week 8 in Body WeightBaseline and Week 8Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline weight as continuous covariates.
Change From Baseline to Week 12 in Body WeightBaseline and Week 12Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline weight as continuous covariates.
Change From Baseline to Week 20 in Body WeightBaseline and Week 20Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline weight as continuous covariates.
Change From Baseline to Week 26 in Body WeightBaseline and Week 26Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline weight as continuous covariates.
Change From Baseline in Calculated Homeostatic Model Assessment Insulin Resistance (HOMA IR) (Grouped Analysis)Baseline and Weeks 12 and 26.HOMA IR measures insulin resistance based on fasting glucose and insulin measurements: HOMA IR = fasting plasma insulin (µIU/mL) \* fasting plasma glucose (mmol/L) / 22.5. A higher number indicates a greater insulin resistance. This analysis compared the groupings of participants who received the combination of pioglitazone with each dose of alogliptin with the grouping of participants who received pioglitazone alone. Least Squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and HOMA-IR as continuous covariates.
Change From Baseline to Week 12 in Calculated HOMA Insulin ResistanceBaseline and Week 12The Homeostasis Model Assessment of insulin resistance (HOMA IR) measures insulin resistance based on fasting glucose and insulin measurements: HOMA IR = fasting plasma insulin (µIU/mL) \* fasting plasma glucose (mmol/L) / 22.5. A higher number indicates a greater degree of insulin resistance. Least Squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and HOMA-IR as continuous covariates.
Change From Baseline to Week 26 in Calculated HOMA Insulin ResistanceBaseline and Week 26The Homeostasis Model Assessment of insulin resistance (HOMA IR) measures insulin resistance based on fasting glucose and insulin measurements: HOMA IR = fasting plasma insulin (µIU/mL) \* fasting plasma glucose (mmol/L) / 22.5. A higher number indicates a greater degree of insulin resistance. Least Squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and HOMA-IR as continuous covariates.
Change From Baseline in Homeostatic Model Assessment Beta Cell Function (Grouped Analysis)Baseline and Weeks 12 and 26The homeostatic model assessment estimates steady state beta cell function as a percentage of a normal reference population (%B). HOMA %B = 20 \* insulin (µIU/mL) / fasting plasma glucose (mmol/L) - 3.5. This analysis compared the groupings of participants who received the combination of pioglitazone with each dose of alogliptin with the grouping of participants who received pioglitazone alone. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline HOMA beta cell function as continuous covariates.
Change From Baseline to Week 12 in Calculated HOMA Beta-cell FunctionBaseline and Week 12The Homeostasis Model Assessment (HOMA) estimates steady state beta cell function (%B) as a percentage of a normal reference population. HOMA %B = 20 \* insulin (µIU/mL) / fasting plasma glucose (mmol/L) - 3.5. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline HOMA beta cell function as continuous covariates.
Change From Baseline to Week 26 in Calculated HOMA Beta-cell FunctionBaseline and Week 26The Homeostasis Model Assessment (HOMA) estimates steady state beta cell function (%B) as a percentage of a normal reference population. HOMA %B = 20 \* insulin (µIU/mL) / fasting plasma glucose (mmol/L) - 3.5. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline HOMA beta cell function as continuous covariates.
Change From Baseline in Apolipoprotein A1 Over Time (Grouped Analysis)Baseline and Weeks 12 and 26.Change from Baseline in Apolipoprotein A1 was assessed at Weeks 12 and 26. This analysis compared the groupings of participants who received the combination of pioglitazone with each dose of alogliptin with the grouping of participants who received pioglitazone alone. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline apolipoprotein A1 as continuous covariates.
Change From Baseline to Week 12 in Apolipoprotein A1Baseline and Week 12Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline apolipoprotein A1 as continuous covariates.
Change From Baseline to Week 26 in Apolipoprotein A1Baseline and Week 26Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline apolipoprotein A1 as continuous covariates.
Change From Baseline in Apolipoprotein A2 Over Time (Grouped Analysis)Baseline and Weeks 12 and 26Change from Baseline in Apolipoprotein A2 was assessed at Weeks 12 and 26. This analysis compared the groupings of participants who received the combination of pioglitazone with each dose of alogliptin with the grouping of participants who received pioglitazone alone. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline apolipoprotein A2 as continuous covariates.
Change From Baseline to Week 12 in Apolipoprotein A2Baseline and Week 12Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline apolipoprotein A2 as continuous covariates.
Change From Baseline to Week 26 in Apolipoprotein A2Baseline and Week 26Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline apolipoprotein A2 as continuous covariates.
Change From Baseline in Apolipoprotein B Over Time (Grouped Analysis)Baseline and Weeks 12 and 26Change from Baseline in Apolipoprotein B was assessed at Weeks 12 and 26. This analysis compared the groupings of participants who received the combination of pioglitazone with each dose of alogliptin with the grouping of participants who received pioglitazone alone. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline apolipoprotein B as continuous covariates.
Change From Baseline to Week 12 in Apolipoprotein BBaseline and Week 12Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline apolipoprotein B as continuous covariates.
Change From Baseline to Week 26 in Apolipoprotein BBaseline and Week 26Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline apolipoprotein B as continuous covariates.
Change From Baseline in Apolipoprotein C-III Over Time (Grouped Analysis)Baseline and Weeks 12 and 26Change from Baseline in apolipoprotein C-III was assessed at Weeks 12 and 26. This analysis compared the groupings of participants who received the combination of pioglitazone with each dose of alogliptin with the grouping of participants who received pioglitazone alone. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline apolipoprotein C-III as continuous covariates.
Change From Baseline to Week 12 in Apolipoprotein C-IIIBaseline and Week 12Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline apolipoprotein C-III as continuous covariates.
Change From Baseline to Week 26 in Apolipoprotein C-IIIBaseline and Week 26Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline apolipoprotein C-III as continuous covariates.
Change From Baseline in Nuclear Magnetic Resonance Lipid Fractionation Total Triglycerides Over Time (Grouped Analysis)Baseline and Weeks 12 and 26.Nuclear Magnetic Resonance (NMR) lipid fractionation was used to assess the change from Baseline in total triglyceride levels at Weeks 12 and 26. This analysis compared the groupings of participants who received the combination of pioglitazone with each dose of alogliptin with the grouping of participants who received pioglitazone alone. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline NMR total triglycerides as continuous covariates.
Change From Baseline to Week 12 in NMR Lipid Fractionation Total TriglyceridesBaseline and Week 12NMR lipid fractionation was used to assess the change from Baseline in total triglyceride levels at Week 12. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline NMR total triglycerides as continuous covariates.
Change From Baseline to Week 26 in NMR Lipid Fractionation Total TriglyceridesBaseline and Week 26NMR lipid fractionation was used to assess the change from Baseline in total triglyceride levels at Week 26. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline NMR total triglycerides as continuous covariates.
Change From Baseline in Very Low Density Lipoprotein (VLDL) / Chylomicron Particles Over Time (Grouped Analysis)Baseline and Weeks 12 and 26The change from Baseline in levels of total VLDL/chylomicron particles and large VLDL/chylomicron particles was assessed by NMR lipid fractionation at Weeks 12 and 26. This analysis compared the groupings of participants who received the combination of pioglitazone with each dose of alogliptin with the grouping of participants who received pioglitazone alone. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline NMR VLDL/chylomicron particles as continuous covariates.
Change From Baseline to Week 12 in VLDL / Chylomicron ParticlesBaseline and Week 12The change from Baseline in levels of total VLDL/chylomicron particles and large VLDL/chylomicron particles was assessed by NMR lipid fractionation. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline NMR VLDL/chylomicron particles as continuous covariates.
Change From Baseline to Week 26 in VLDL / Chylomicron ParticlesBaseline and Week 26The change from Baseline in levels of total VLDL/chylomicron particles and large VLDL/chylomicron particles was assessed by NMR lipid fractionation. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline NMR VLDL/chylomicron particles as continuous covariates.
Change From Baseline in VLDL / Chylomicron Triglycerides Over Time (Grouped Analysis)Baseline and Weeks 12 and 26The change from Baseline in levels of VLDL/chylomicron triglycerides was assessed by NMR lipid fractionation at Weeks 12 and 26. This analysis compared the groupings of participants who received the combination of pioglitazone with each dose of alogliptin with the grouping of participants who received pioglitazone alone. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline NMR VLDL/chylomicron triglycerides as continuous covariates.
Change From Baseline to Week 12 in VLDL / Chylomicron TriglyceridesBaseline and Week 12The change from Baseline in VLDL/chylomicron triglyceride levels was assessed by NMR lipid fractionation. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline NMR VLDL/chylomicron triglycerides as continuous covariates.
Change From Baseline to Week 26 in VLDL / Chylomicron TriglyceridesBaseline and Week 26The change from Baseline in VLDL/chylomicron triglyceride levels was assessed by NMR lipid fractionation. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline NMR VLDL/chylomicron triglycerides as continuous covariates.
Change From Baseline in VLDL Particles Over Time (Grouped Analysis)Baseline and Weeks 12 and 26The change from Baseline in levels of medium VLDL particles and small VLDL particles was assessed by NMR fractionation at Weeks 12 and 26. This analysis compared the groupings of participants who received the combination of pioglitazone with each dose of alogliptin with the grouping of participants who received pioglitazone alone. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline NMR VLDL particles as continuous covariates.
Change From Baseline to Week 12 in VLDL ParticlesBaseline and Week 12The change from Baseline in levels of medium VLDL particles and small VLDL particles was assessed by NMR lipid fractionation. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline NMR VLDL particles as continuous covariates.
Change From Baseline to Week 26 in VLDL ParticlesBaseline and Week 26The change from Baseline in levels of medium VLDL particles and small VLDL particles was assessed by NMR lipid fractionation. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline NMR VLDL particles as continuous covariates
Change From Baseline in HbA1c Over Time (Grouped Analysis)Baseline and Weeks 4, 8, 12, 16 and 20.The change from Baseline to Weeks 4, 8, 12, 16 and 20 in HbA1c (the concentration of glucose bound to hemoglobin as a percent of the absolute maximum that can be bound). This analysis compared the groupings of participants who received the combination of pioglitazone with each dose of alogliptin with the grouping of participants who received pioglitazone alone. Least squares means are from an analysis of covariance (ANCOVA) model with treatment and geographic region as class variables, and baseline metformin dose and HbA1c as continuous covariates.
Change From Baseline to Week 12 in Mean VLDL Particle SizeBaseline and Week 12The change from Baseline in mean VLDL particle size was assessed by NMR lipid fractionation. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline mean VLDL particle size as continuous covariates.
Change From Baseline to Week 26 in Mean VLDL Particle SizeBaseline and Week 26The change from Baseline in mean VLDL particle size was assessed by NMR lipid fractionation. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline mean VLDL particle size as continuous covariates.
Change From Baseline in Intermediate Density Lipoprotein (IDL) Particles Over Time (Grouped Analysis)Baseline and Weeks 12 and 26The change from Baseline in levels of IDL particles was assessed by NMR lipid fractionation at Weeks 12 and 26. This analysis compared the groupings of participants who received the combination of pioglitazone with each dose of alogliptin with the grouping of participants who received pioglitazone alone. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline NMR IDL particles as continuous covariates.
Change From Baseline to Week 12 in IDL ParticlesBaseline and Week 12The change from Baseline in levels of IDL particles was assessed by NMR lipid fractionation. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline NMR IDL particles as continuous covariates.
Change From Baseline to Week 26 in IDL ParticlesBaseline and Week 26The change from Baseline in levels of IDL particles was assessed by NMR lipid fractionation. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline NMR IDL particles as continuous covariates.
Change From Baseline in Low Density Lipoprotein (LDL) Particles Over Time (Grouped Analysis)Baseline and Weeks 12 and 26The change from Baseline in levels of total, large, medium-small, total small and very small LDL particles was assessed by NMR fractionation at Weeks 12 and 26. This analysis compared the groupings of participants who received the combination of pioglitazone with each dose of alogliptin with the grouping of participants who received pioglitazone alone. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline NMR LDL particles as continuous covariates.
Change From Baseline to Week 12 in LDL ParticlesBaseline and Week 12The change from Baseline in levels of total, large, medium-small, total small and very small LDL particles was assessed by NMR lipid fractionation. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline NMR LDL particles as continuous covariates.
Change From Baseline to Week 26 in LDL ParticlesBaseline and Week 26The change from Baseline in levels of total, large, medium-small, total small and very small LDL particles was assessed by NMR lipid fractionation. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline NMR LDL particles as continuous covariates.
Change From Baseline in Mean LDL Particle Size Over Time (Grouped Analysis)Baseline and Weeks 12 and 26The change from Baseline in mean LDL particle size was assessed by NMR lipid fractionation at Weeks 12 and 26. This analysis compared the groupings of participants who received the combination of pioglitazone with each dose of alogliptin with the grouping of participants who received pioglitazone alone. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline mean LDL particle size as continuous covariates.
Change From Baseline to Week 12 in Mean LDL Particle SizeBaseline and Week 12The change from Baseline in mean LDL particle size was assessed by NMR lipid fractionation. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline mean LDL particle size as continuous covariates.
Change From Baseline to Week 26 in Mean LDL Particle SizeBaseline and Week 26The change from Baseline in mean LDL particle size was assessed by NMR lipid fractionation. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline mean LDL particle size as continuous covariates.
Change From Baseline in High Density Lipoprotein (HDL) Particles Over Time (Grouped Analysis)Baseline and Weeks 12 and 26.The change from Baseline in levels of total, large, medium and small HDL particles was assessed by NMR fractionation at Weeks 12 and 26. This analysis compared the groupings of participants who received the combination of pioglitazone with each dose of alogliptin with the grouping of participants who received pioglitazone alone. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline NMR HDL particles as continuous covariates.
Change From Baseline to Week 12 in HDL ParticlesBaseline and Week 12The change from Baseline in levels of total, large, medium and small HDL particles was assessed by NMR lipid fractionation. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline NMR HDL particles as continuous covariates.
Change From Baseline to Week 26 in HDL ParticlesBaseline and Week 26The change from Baseline in levels of total, large, medium and small HDL particles was assessed by NMR lipid fractionation. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline NMR HDL particles as continuous covariates.
Change From Baseline in Mean HDL Particle Size Over Time (Grouped Analysis)Baseline and Weeks 12 and 26The change from Baseline in mean HDL particle size was assessed by NMR lipid fractionation at Weeks 12 and 26. This analysis compared the groupings of participants who received the combination of pioglitazone with each dose of alogliptin with the grouping of participants who received pioglitazone alone. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline mean HDL particle size as continuous covariates.
Change From Baseline to Week 12 in Mean HDL Particle SizeBaseline and Week 12The change from Baseline in mean HDL particle size was assessed by NMR lipid fractionation. Least squares means are from are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline mean HDL particle size as continuous covariates.
Change From Baseline to Week 26 in Mean HDL Particle SizeBaseline and Week 26The change from Baseline in mean HDL particle size was assessed by NMR lipid fractionation. Least squares means are from are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline mean HDL particle size as continuous covariates.
Change From Baseline in Mean VLDL Particle Size Over Time (Grouped Analysis)Baseline and Weeks 12 and 26The change from Baseline in mean VLDL particle size was assessed by NMR lipid fractionation at Weeks 12 and 26. This analysis compared the groupings of participants who received the combination of pioglitazone with each dose of alogliptin with the grouping of participants who received pioglitazone alone. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline mean VLDL particle size as continuous covariates.
Change From Baseline to Week 4 in HbA1cBaseline and Week 4The change from Baseline in HbA1c (the concentration of glucose bound to hemoglobin as a percent of the absolute maximum that can be bound) at week 4. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline HbA1c as continuous covariates.

Countries

Australia, Brazil, Bulgaria, Chile, Croatia, Estonia, Guatemala, India, Israel, Latvia, Mexico, New Zealand, Peru, Romania, Russia, Serbia, South Africa, Ukraine, United States

Participant flow

Recruitment details

Participants took part in the study at 327 investigative sites in 20 countries from 31 May 2006 to 17 March 2008.

Pre-assignment details

Participants with a diagnosis of type 2 diabetes who were inadequately controlled on a regimen of metformin alone were equally randomized to 1 of 12 double-blind treatment groups.

Participants by arm

ArmCount
Placebo
Alogliptin placebo-matching tablets, orally, once daily and pioglitazone placebo-matching tablets, orally, once daily for up to 26 weeks.
129
Alogliptin 12.5 + Placebo
Alogliptin 12.5 mg, tablets, orally, once daily and pioglitazone placebo-matching tablets, orally, once daily for up to 26 weeks.
128
Alogliptin 25 + Placebo
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone placebo-matching tablets, orally, once daily for up to 26 weeks.
129
Placebo + Pioglitazone 15
Alogliptin placebo-matching tablets, orally, once daily and pioglitazone 15 mg, tablets, orally, once daily for up to 26 weeks.
130
Alogliptin 12.5 + Pioglitazone 15
Alogliptin 12.5 mg, tablets, orally, once daily and pioglitazone 15 mg, tablets, orally, once daily for up to 26 weeks.
130
Alogliptin 25 + Pioglitazone 15
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone 15 mg, tablets, orally, once daily for up to 26 weeks.
130
Placebo + Pioglitazone 30
Alogliptin placebo-matching tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
129
Alogliptin 12.5 + Pioglitazone 30
Alogliptin 12.5 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
130
Alogliptin 25 + Pioglitazone 30
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
130
Placebo + Pioglitazone 45
Alogliptin placebo-matching tablets, orally, once daily and pioglitazone 45 mg, tablets, orally, once daily for up to 26 weeks.
129
Alogliptin 12.5 + Pioglitazone 45
Alogliptin 12.5 mg, tablets, orally, once daily and pioglitazone 45 mg, tablets, orally, once daily for up to 26 weeks.
130
Alogliptin 25 + Pioglitazone 45
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone 45 mg, tablets, orally, once daily for up to 26 weeks.
130
Total1,554

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004FG005FG006FG007FG008FG009FG010FG011
Overall StudyAdverse Event312312120754
Overall StudyHyperglycemic Rescue411816136519661132
Overall StudyLost to Follow-up422402303201
Overall StudyOther000100100110
Overall StudyPhysician Decision431211103210
Overall StudyPregnancy010000000000
Overall StudyProtocol Violation222855621462
Overall StudyWithdrawal by Subject545625444527

Baseline characteristics

CharacteristicAlogliptin 12.5 + PlaceboAlogliptin 25 + PlaceboPlacebo + Pioglitazone 15Alogliptin 12.5 + Pioglitazone 15PlaceboAlogliptin 25 + Pioglitazone 15Placebo + Pioglitazone 30Alogliptin 12.5 + Pioglitazone 30Alogliptin 25 + Pioglitazone 30Placebo + Pioglitazone 45Alogliptin 12.5 + Pioglitazone 45Alogliptin 25 + Pioglitazone 45Total
Age Continuous53.1 years
STANDARD_DEVIATION 9.59
53.7 years
STANDARD_DEVIATION 9.31
54.1 years
STANDARD_DEVIATION 9.54
53.6 years
STANDARD_DEVIATION 9.91
55.2 years
STANDARD_DEVIATION 9.89
54.9 years
STANDARD_DEVIATION 9.18
56.1 years
STANDARD_DEVIATION 9.43
55.0 years
STANDARD_DEVIATION 9.07
54.4 years
STANDARD_DEVIATION 9.69
54.5 years
STANDARD_DEVIATION 9.7
54.0 years
STANDARD_DEVIATION 9.82
54.2 years
STANDARD_DEVIATION 8.86
54.4 years
STANDARD_DEVIATION 9.5
Age, Customized
<65 years
116 participants112 participants113 participants109 participants106 participants112 participants101 participants111 participants107 participants112 participants111 participants112 participants1322 participants
Age, Customized
≥65 years
12 participants17 participants17 participants21 participants23 participants18 participants28 participants19 participants23 participants17 participants19 participants18 participants232 participants
Baseline metformin dose1902.0 mg
STANDARD_DEVIATION 450.17
1851.2 mg
STANDARD_DEVIATION 413.85
1892.6 mg
STANDARD_DEVIATION 410.7
1909.6 mg
STANDARD_DEVIATION 418.98
1936.8 mg
STANDARD_DEVIATION 428.41
1880.0 mg
STANDARD_DEVIATION 413.65
1853.5 mg
STANDARD_DEVIATION 435.72
1822.3 mg
STANDARD_DEVIATION 444.22
1867.1 mg
STANDARD_DEVIATION 455.48
1918.6 mg
STANDARD_DEVIATION 417.91
1919.6 mg
STANDARD_DEVIATION 421.22
1884.6 mg
STANDARD_DEVIATION 439.47
1886.5 mg
STANDARD_DEVIATION 429.08
Body Mass Index (BMI)30.96 kg/m^2
STANDARD_DEVIATION 5.133
31.48 kg/m^2
STANDARD_DEVIATION 5.733
31.25 kg/m^2
STANDARD_DEVIATION 5.28
31.53 kg/m^2
STANDARD_DEVIATION 4.979
30.59 kg/m^2
STANDARD_DEVIATION 4.808
30.78 kg/m^2
STANDARD_DEVIATION 4.723
31.41 kg/m^2
STANDARD_DEVIATION 5.391
31.09 kg/m^2
STANDARD_DEVIATION 5.054
31.86 kg/m^2
STANDARD_DEVIATION 5.585
30.69 kg/m^2
STANDARD_DEVIATION 4.721
31.51 kg/m^2
STANDARD_DEVIATION 5.206
30.62 kg/m^2
STANDARD_DEVIATION 4.751
31.15 kg/m^2
STANDARD_DEVIATION 5.122
Diabetes Duration6.17 years
STANDARD_DEVIATION 5.614
5.55 years
STANDARD_DEVIATION 4.879
5.70 years
STANDARD_DEVIATION 4.767
6.08 years
STANDARD_DEVIATION 5.485
6.01 years
STANDARD_DEVIATION 4.958
6.86 years
STANDARD_DEVIATION 5.489
7.63 years
STANDARD_DEVIATION 7.069
5.81 years
STANDARD_DEVIATION 5.054
6.63 years
STANDARD_DEVIATION 6.005
5.68 years
STANDARD_DEVIATION 4.232
6.59 years
STANDARD_DEVIATION 5.273
6.22 years
STANDARD_DEVIATION 5.014
6.24 years
STANDARD_DEVIATION 5.375
Ethnicity (NIH/OMB)
Hispanic or Latino
60 Participants63 Participants63 Participants55 Participants63 Participants57 Participants67 Participants66 Participants62 Participants61 Participants63 Participants65 Participants745 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
68 Participants66 Participants67 Participants75 Participants66 Participants73 Participants62 Participants64 Participants68 Participants68 Participants67 Participants65 Participants809 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Height164.61 cm
STANDARD_DEVIATION 10.614
162.38 cm
STANDARD_DEVIATION 9.79
164.25 cm
STANDARD_DEVIATION 11.007
164.59 cm
STANDARD_DEVIATION 10.841
164.48 cm
STANDARD_DEVIATION 10.157
163.74 cm
STANDARD_DEVIATION 10.456
164.59 cm
STANDARD_DEVIATION 9.724
163.63 cm
STANDARD_DEVIATION 11.036
163.64 cm
STANDARD_DEVIATION 9.548
163.14 cm
STANDARD_DEVIATION 10.961
163.82 cm
STANDARD_DEVIATION 10.708
163.73 cm
STANDARD_DEVIATION 11.432
163.88 cm
STANDARD_DEVIATION 10.522
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants2 Participants0 Participants2 Participants0 Participants1 Participants0 Participants0 Participants0 Participants0 Participants5 Participants
Race (NIH/OMB)
Asian
14 Participants15 Participants11 Participants9 Participants5 Participants7 Participants10 Participants5 Participants12 Participants12 Participants8 Participants12 Participants120 Participants
Race (NIH/OMB)
Black or African American
6 Participants5 Participants8 Participants4 Participants8 Participants3 Participants6 Participants2 Participants5 Participants9 Participants9 Participants3 Participants68 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
19 Participants29 Participants26 Participants20 Participants23 Participants22 Participants17 Participants15 Participants28 Participants23 Participants21 Participants22 Participants265 Participants
Race (NIH/OMB)
White
89 Participants80 Participants85 Participants95 Participants93 Participants96 Participants96 Participants107 Participants85 Participants85 Participants92 Participants93 Participants1096 Participants
Sex: Female, Male
Female
61 Participants79 Participants69 Participants70 Participants68 Participants69 Participants66 Participants76 Participants75 Participants76 Participants70 Participants78 Participants857 Participants
Sex: Female, Male
Male
67 Participants50 Participants61 Participants60 Participants61 Participants61 Participants63 Participants54 Participants55 Participants53 Participants60 Participants52 Participants697 Participants
Weight84.63 kg
STANDARD_DEVIATION 19.378
83.25 kg
STANDARD_DEVIATION 18.326
84.68 kg
STANDARD_DEVIATION 18.634
85.95 kg
STANDARD_DEVIATION 18.498
83.38 kg
STANDARD_DEVIATION 18.378
82.90 kg
STANDARD_DEVIATION 16.57
85.86 kg
STANDARD_DEVIATION 20.347
83.68 kg
STANDARD_DEVIATION 18.34
85.77 kg
STANDARD_DEVIATION 18.844
82.10 kg
STANDARD_DEVIATION 17.019
85.01 kg
STANDARD_DEVIATION 18.536
82.79 kg
STANDARD_DEVIATION 18.768
84.17 kg
STANDARD_DEVIATION 18.47

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
EG006
affected / at risk
EG007
affected / at risk
EG008
affected / at risk
EG009
affected / at risk
EG010
affected / at risk
EG011
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —— / —— / —— / —— / —— / —— / —— / —— / —— / —
other
Total, other adverse events
41 / 12940 / 12846 / 12951 / 12945 / 13044 / 13040 / 12935 / 13051 / 13040 / 12947 / 13041 / 130
serious
Total, serious adverse events
2 / 1295 / 1286 / 1291 / 1292 / 1301 / 1302 / 1293 / 1306 / 13010 / 1292 / 1305 / 130

Outcome results

Primary

Change From Baseline to Week 26 in Glycosylated Hemoglobin (HbA1c) (Grouped Analysis)

The change from Baseline to Week 26 in HbA1c (the concentration of glucose bound to hemoglobin as a percent of the absolute maximum that can be bound). The primary analysis compared the groupings (combinations of individual treatment groups) of participants who received the combination of pioglitazone with each dose of alogliptin with the grouping of participants who received pioglitazone alone (Pioglitazone Alone).

Time frame: Baseline and Week 26

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 26 in Glycosylated Hemoglobin (HbA1c) (Grouped Analysis)-0.89 percentage of glycosylated hemoglobinStandard Error 0.046
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 26 in Glycosylated Hemoglobin (HbA1c) (Grouped Analysis)-1.43 percentage of glycosylated hemoglobinStandard Error 0.046
Alogliptin 25 + PioglitazoneChange From Baseline to Week 26 in Glycosylated Hemoglobin (HbA1c) (Grouped Analysis)-1.42 percentage of glycosylated hemoglobinStandard Error 0.046
Comparison: The null hypothesis was that the doses of alogliptin do not have any additive effect on glycemic control (HbA1c) in addition to the effect produced by pioglitazone alone. The alternative hypothesis was that at least the higher dose of alogliptin would have an additive effect on glycemic control (HbA1c) in addition to the effect produced by pioglitazone alone.p-value: <0.00195% CI: [-0.67, -0.41]ANCOVA
p-value: <0.00195% CI: [-0.66, -0.41]ANCOVA
Primary

Change From Baseline to Week 26 in HbA1c

The change from Baseline to Week 26 in HbA1c (the concentration of glucose bound to hemoglobin as a percent of the absolute maximum that can be bound).

Time frame: Baseline and Week 26

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 26 in HbA1c-0.13 percentage of glycosylated hemoglobinStandard Error 0.08
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 26 in HbA1c-0.64 percentage of glycosylated hemoglobinStandard Error 0.081
Alogliptin 25 + PioglitazoneChange From Baseline to Week 26 in HbA1c-0.90 percentage of glycosylated hemoglobinStandard Error 0.081
Placebo + Pioglitazone 15Change From Baseline to Week 26 in HbA1c-0.75 percentage of glycosylated hemoglobinStandard Error 0.079
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 26 in HbA1c-1.34 percentage of glycosylated hemoglobinStandard Error 0.078
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 26 in HbA1c-1.27 percentage of glycosylated hemoglobinStandard Error 0.079
Placebo + Pioglitazone 30Change From Baseline to Week 26 in HbA1c-0.92 percentage of glycosylated hemoglobinStandard Error 0.081
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 26 in HbA1c-1.39 percentage of glycosylated hemoglobinStandard Error 0.079
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 26 in HbA1c-1.39 percentage of glycosylated hemoglobinStandard Error 0.08
Placebo + Pioglitazone 45Change From Baseline to Week 26 in HbA1c-1.00 percentage of glycosylated hemoglobinStandard Error 0.08
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 26 in HbA1c-1.55 percentage of glycosylated hemoglobinStandard Error 0.079
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 26 in HbA1c-1.60 percentage of glycosylated hemoglobinStandard Error 0.08
p-value: <0.00195% CI: [-0.93, -0.48]ANCOVA
p-value: <0.00195% CI: [-0.81, -0.38]ANCOVA
p-value: 0.00195% CI: [-0.59, -0.15]ANCOVA
p-value: <0.00195% CI: [-0.74, -0.3]ANCOVA
p-value: <0.00195% CI: [-0.98, -0.53]ANCOVA
p-value: <0.00195% CI: [-0.7, -0.25]ANCOVA
p-value: <0.00195% CI: [-0.71, -0.27]ANCOVA
p-value: <0.00195% CI: [-0.7, -0.25]ANCOVA
p-value: <0.00195% CI: [-1.13, -0.68]ANCOVA
p-value: <0.00195% CI: [-0.77, -0.33]ANCOVA
p-value: <0.00195% CI: [-0.92, -0.48]ANCOVA
p-value: <0.00195% CI: [-0.83, -0.39]ANCOVA
Secondary

Change From Baseline in Adiponectin Over Time (Grouped Analysis)

Change from Baseline in adiponectin was assessed at Weeks 12 and 26. This analysis compared the groupings of participants who received the combination of pioglitazone with each dose of alogliptin with the grouping of participants who received pioglitazone alone. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline adiponectin as continuous covariates.

Time frame: Baseline and Weeks 12 and 26.

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline in Adiponectin Over Time (Grouped Analysis)Week 12 (n=339, 357, 348)6.03 μg/mLStandard Error 0.353
Pioglitazone AloneChange From Baseline in Adiponectin Over Time (Grouped Analysis)Week 26 (n=356, 369, 361)5.98 μg/mLStandard Error 0.396
Alogliptin 12.5 + PioglitazoneChange From Baseline in Adiponectin Over Time (Grouped Analysis)Week 12 (n=339, 357, 348)6.51 μg/mLStandard Error 0.344
Alogliptin 12.5 + PioglitazoneChange From Baseline in Adiponectin Over Time (Grouped Analysis)Week 26 (n=356, 369, 361)6.43 μg/mLStandard Error 0.388
Alogliptin 25 + PioglitazoneChange From Baseline in Adiponectin Over Time (Grouped Analysis)Week 12 (n=339, 357, 348)6.51 μg/mLStandard Error 0.348
Alogliptin 25 + PioglitazoneChange From Baseline in Adiponectin Over Time (Grouped Analysis)Week 26 (n=356, 369, 361)6.46 μg/mLStandard Error 0.393
Secondary

Change From Baseline in Apolipoprotein A1 Over Time (Grouped Analysis)

Change from Baseline in Apolipoprotein A1 was assessed at Weeks 12 and 26. This analysis compared the groupings of participants who received the combination of pioglitazone with each dose of alogliptin with the grouping of participants who received pioglitazone alone. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline apolipoprotein A1 as continuous covariates.

Time frame: Baseline and Weeks 12 and 26.

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline in Apolipoprotein A1 Over Time (Grouped Analysis)Week 12 (n=339, 354, 346)1.4 mg/dLStandard Error 1
Pioglitazone AloneChange From Baseline in Apolipoprotein A1 Over Time (Grouped Analysis)Week 26 (n=354, 367, 356)-1.6 mg/dLStandard Error 1.09
Alogliptin 12.5 + PioglitazoneChange From Baseline in Apolipoprotein A1 Over Time (Grouped Analysis)Week 12 (n=339, 354, 346)0.2 mg/dLStandard Error 0.98
Alogliptin 12.5 + PioglitazoneChange From Baseline in Apolipoprotein A1 Over Time (Grouped Analysis)Week 26 (n=354, 367, 356)-1.5 mg/dLStandard Error 1.08
Alogliptin 25 + PioglitazoneChange From Baseline in Apolipoprotein A1 Over Time (Grouped Analysis)Week 12 (n=339, 354, 346)0.3 mg/dLStandard Error 0.99
Alogliptin 25 + PioglitazoneChange From Baseline in Apolipoprotein A1 Over Time (Grouped Analysis)Week 26 (n=354, 367, 356)-2.8 mg/dLStandard Error 1.09
Secondary

Change From Baseline in Apolipoprotein A2 Over Time (Grouped Analysis)

Change from Baseline in Apolipoprotein A2 was assessed at Weeks 12 and 26. This analysis compared the groupings of participants who received the combination of pioglitazone with each dose of alogliptin with the grouping of participants who received pioglitazone alone. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline apolipoprotein A2 as continuous covariates.

Time frame: Baseline and Weeks 12 and 26

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline in Apolipoprotein A2 Over Time (Grouped Analysis)Week 12 (n=339, 354, 345)3.1 mg/dLStandard Error 0.26
Pioglitazone AloneChange From Baseline in Apolipoprotein A2 Over Time (Grouped Analysis)Week 26 (n=354, 367, 355)2.4 mg/dLStandard Error 0.28
Alogliptin 12.5 + PioglitazoneChange From Baseline in Apolipoprotein A2 Over Time (Grouped Analysis)Week 12 (n=339, 354, 345)2.5 mg/dLStandard Error 0.26
Alogliptin 12.5 + PioglitazoneChange From Baseline in Apolipoprotein A2 Over Time (Grouped Analysis)Week 26 (n=354, 367, 355)2.1 mg/dLStandard Error 0.27
Alogliptin 25 + PioglitazoneChange From Baseline in Apolipoprotein A2 Over Time (Grouped Analysis)Week 12 (n=339, 354, 345)2.3 mg/dLStandard Error 0.26
Alogliptin 25 + PioglitazoneChange From Baseline in Apolipoprotein A2 Over Time (Grouped Analysis)Week 26 (n=354, 367, 355)1.8 mg/dLStandard Error 0.28
Secondary

Change From Baseline in Apolipoprotein B Over Time (Grouped Analysis)

Change from Baseline in Apolipoprotein B was assessed at Weeks 12 and 26. This analysis compared the groupings of participants who received the combination of pioglitazone with each dose of alogliptin with the grouping of participants who received pioglitazone alone. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline apolipoprotein B as continuous covariates.

Time frame: Baseline and Weeks 12 and 26

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline in Apolipoprotein B Over Time (Grouped Analysis)Week 12 (n=338, 354, 346)-3.0 mg/dLStandard Error 1.09
Pioglitazone AloneChange From Baseline in Apolipoprotein B Over Time (Grouped Analysis)Week 26 (n=354, 367, 356)-2.8 mg/dLStandard Error 1.16
Alogliptin 12.5 + PioglitazoneChange From Baseline in Apolipoprotein B Over Time (Grouped Analysis)Week 12 (n=338, 354, 346)-7.9 mg/dLStandard Error 1.06
Alogliptin 12.5 + PioglitazoneChange From Baseline in Apolipoprotein B Over Time (Grouped Analysis)Week 26 (n=354, 367, 356)-6.4 mg/dLStandard Error 1.14
Alogliptin 25 + PioglitazoneChange From Baseline in Apolipoprotein B Over Time (Grouped Analysis)Week 12 (n=338, 354, 346)-10.0 mg/dLStandard Error 1.07
Alogliptin 25 + PioglitazoneChange From Baseline in Apolipoprotein B Over Time (Grouped Analysis)Week 26 (n=354, 367, 356)-6.4 mg/dLStandard Error 1.15
Secondary

Change From Baseline in Apolipoprotein C-III Over Time (Grouped Analysis)

Change from Baseline in apolipoprotein C-III was assessed at Weeks 12 and 26. This analysis compared the groupings of participants who received the combination of pioglitazone with each dose of alogliptin with the grouping of participants who received pioglitazone alone. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline apolipoprotein C-III as continuous covariates.

Time frame: Baseline and Weeks 12 and 26

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline in Apolipoprotein C-III Over Time (Grouped Analysis)Week 12 (n=337, 352, 345)-0.6 mg/dLStandard Error 0.17
Pioglitazone AloneChange From Baseline in Apolipoprotein C-III Over Time (Grouped Analysis)Week 26 (n=353, 366, 355)-0.1 mg/dLStandard Error 0.19
Alogliptin 12.5 + PioglitazoneChange From Baseline in Apolipoprotein C-III Over Time (Grouped Analysis)Week 12 (n=337, 352, 345)-1.2 mg/dLStandard Error 0.16
Alogliptin 12.5 + PioglitazoneChange From Baseline in Apolipoprotein C-III Over Time (Grouped Analysis)Week 26 (n=353, 366, 355)-0.6 mg/dLStandard Error 0.19
Alogliptin 25 + PioglitazoneChange From Baseline in Apolipoprotein C-III Over Time (Grouped Analysis)Week 12 (n=337, 352, 345)-1.3 mg/dLStandard Error 0.17
Alogliptin 25 + PioglitazoneChange From Baseline in Apolipoprotein C-III Over Time (Grouped Analysis)Week 26 (n=353, 366, 355)-0.6 mg/dLStandard Error 0.19
Secondary

Change From Baseline in Body Weight Over Time (Grouped Analysis)

Change from Baseline in body weight was assessed at Weeks 8, 12, 20 and 26. This analysis compared the groupings of participants who received the combination of pioglitazone with each dose of alogliptin with the grouping of participants who received pioglitazone alone. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline weight as continuous covariates.

Time frame: Baseline and Weeks 8, 12, 20 and 26.

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline in Body Weight Over Time (Grouped Analysis)Week 8 (n=361, 372, 367)0.45 kgStandard Error 0.103
Pioglitazone AloneChange From Baseline in Body Weight Over Time (Grouped Analysis)Week 12 (n=368, 374, 373)0.56 kgStandard Error 0.125
Pioglitazone AloneChange From Baseline in Body Weight Over Time (Grouped Analysis)Week 20 (n=368, 374, 373)1.21 kgStandard Error 0.152
Pioglitazone AloneChange From Baseline in Body Weight Over Time (Grouped Analysis)Week 26 (n=368, 374, 373)1.49 kgStandard Error 0.168
Alogliptin 12.5 + PioglitazoneChange From Baseline in Body Weight Over Time (Grouped Analysis)Week 26 (n=368, 374, 373)1.81 kgStandard Error 0.167
Alogliptin 12.5 + PioglitazoneChange From Baseline in Body Weight Over Time (Grouped Analysis)Week 8 (n=361, 372, 367)0.34 kgStandard Error 0.101
Alogliptin 12.5 + PioglitazoneChange From Baseline in Body Weight Over Time (Grouped Analysis)Week 20 (n=368, 374, 373)1.45 kgStandard Error 0.151
Alogliptin 12.5 + PioglitazoneChange From Baseline in Body Weight Over Time (Grouped Analysis)Week 12 (n=368, 374, 373)0.57 kgStandard Error 0.124
Alogliptin 25 + PioglitazoneChange From Baseline in Body Weight Over Time (Grouped Analysis)Week 26 (n=368, 374, 373)1.87 kgStandard Error 0.167
Alogliptin 25 + PioglitazoneChange From Baseline in Body Weight Over Time (Grouped Analysis)Week 12 (n=368, 374, 373)0.82 kgStandard Error 0.124
Alogliptin 25 + PioglitazoneChange From Baseline in Body Weight Over Time (Grouped Analysis)Week 20 (n=368, 374, 373)1.46 kgStandard Error 0.151
Alogliptin 25 + PioglitazoneChange From Baseline in Body Weight Over Time (Grouped Analysis)Week 8 (n=361, 372, 367)0.63 kgStandard Error 0.102
Secondary

Change From Baseline in Calculated Homeostatic Model Assessment Insulin Resistance (HOMA IR) (Grouped Analysis)

HOMA IR measures insulin resistance based on fasting glucose and insulin measurements: HOMA IR = fasting plasma insulin (µIU/mL) \* fasting plasma glucose (mmol/L) / 22.5. A higher number indicates a greater insulin resistance. This analysis compared the groupings of participants who received the combination of pioglitazone with each dose of alogliptin with the grouping of participants who received pioglitazone alone. Least Squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and HOMA-IR as continuous covariates.

Time frame: Baseline and Weeks 12 and 26.

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline in Calculated Homeostatic Model Assessment Insulin Resistance (HOMA IR) (Grouped Analysis)Week 12 (n=347, 344, 351)-1.832 insulin resistanceStandard Error 0.3122
Pioglitazone AloneChange From Baseline in Calculated Homeostatic Model Assessment Insulin Resistance (HOMA IR) (Grouped Analysis)Week 26 (n=348, 346, 352)-1.571 insulin resistanceStandard Error 0.3501
Alogliptin 12.5 + PioglitazoneChange From Baseline in Calculated Homeostatic Model Assessment Insulin Resistance (HOMA IR) (Grouped Analysis)Week 12 (n=347, 344, 351)-1.966 insulin resistanceStandard Error 0.3136
Alogliptin 12.5 + PioglitazoneChange From Baseline in Calculated Homeostatic Model Assessment Insulin Resistance (HOMA IR) (Grouped Analysis)Week 26 (n=348, 346, 352)-2.209 insulin resistanceStandard Error 0.3512
Alogliptin 25 + PioglitazoneChange From Baseline in Calculated Homeostatic Model Assessment Insulin Resistance (HOMA IR) (Grouped Analysis)Week 12 (n=347, 344, 351)-2.572 insulin resistanceStandard Error 0.3104
Alogliptin 25 + PioglitazoneChange From Baseline in Calculated Homeostatic Model Assessment Insulin Resistance (HOMA IR) (Grouped Analysis)Week 26 (n=348, 346, 352)-1.711 insulin resistanceStandard Error 0.3481
Secondary

Change From Baseline in C-peptide Over Time (Grouped Analysis)

C-peptide is a byproduct created when the hormone insulin is produced and is measured by a blood test. Change from Baseline was assessed at Weeks 4, 8, 12, 16, 20 and 26. This analysis compared the groupings of participants who received the combination of pioglitazone with each dose of alogliptin with the grouping of participants who received pioglitazone alone. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline C-peptide as continuous covariates.

Time frame: Baseline and Weeks 4, 8, 12, 16, 20 and 26.

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline in C-peptide Over Time (Grouped Analysis)Week 20 (n=369, 375, 375)-0.360 ng/mLStandard Error 0.0465
Pioglitazone AloneChange From Baseline in C-peptide Over Time (Grouped Analysis)Week 12 (n=367, 369, 374)-0.268 ng/mLStandard Error 0.0781
Pioglitazone AloneChange From Baseline in C-peptide Over Time (Grouped Analysis)Week 26 (n=371, 378, 375)-0.341 ng/mLStandard Error 0.046
Pioglitazone AloneChange From Baseline in C-peptide Over Time (Grouped Analysis)Week 4 (n=335, 335, 336)-0.292 ng/mLStandard Error 0.0417
Pioglitazone AloneChange From Baseline in C-peptide Over Time (Grouped Analysis)Week 16 (n=369, 374, 374)-0.352 ng/mLStandard Error 0.0456
Pioglitazone AloneChange From Baseline in C-peptide Over Time (Grouped Analysis)Week 8 (n=367, 366, 371)-0.356 ng/mLStandard Error 0.0464
Alogliptin 12.5 + PioglitazoneChange From Baseline in C-peptide Over Time (Grouped Analysis)Week 16 (n=369, 374, 374)-0.343 ng/mLStandard Error 0.0453
Alogliptin 12.5 + PioglitazoneChange From Baseline in C-peptide Over Time (Grouped Analysis)Week 20 (n=369, 375, 375)-0.350 ng/mLStandard Error 0.0461
Alogliptin 12.5 + PioglitazoneChange From Baseline in C-peptide Over Time (Grouped Analysis)Week 26 (n=371, 378, 375)-0.346 ng/mLStandard Error 0.0456
Alogliptin 12.5 + PioglitazoneChange From Baseline in C-peptide Over Time (Grouped Analysis)Week 8 (n=367, 366, 371)-0.327 ng/mLStandard Error 0.0464
Alogliptin 12.5 + PioglitazoneChange From Baseline in C-peptide Over Time (Grouped Analysis)Week 4 (n=335, 335, 336)-0.255 ng/mLStandard Error 0.0417
Alogliptin 12.5 + PioglitazoneChange From Baseline in C-peptide Over Time (Grouped Analysis)Week 12 (n=367, 369, 374)-0.249 ng/mLStandard Error 0.0779
Alogliptin 25 + PioglitazoneChange From Baseline in C-peptide Over Time (Grouped Analysis)Week 26 (n=371, 378, 375)-0.326 ng/mLStandard Error 0.0457
Alogliptin 25 + PioglitazoneChange From Baseline in C-peptide Over Time (Grouped Analysis)Week 4 (n=335, 335, 336)-0.282 ng/mLStandard Error 0.0416
Alogliptin 25 + PioglitazoneChange From Baseline in C-peptide Over Time (Grouped Analysis)Week 8 (n=367, 366, 371)-0.311 ng/mLStandard Error 0.0461
Alogliptin 25 + PioglitazoneChange From Baseline in C-peptide Over Time (Grouped Analysis)Week 12 (n=367, 369, 374)-0.334 ng/mLStandard Error 0.0774
Alogliptin 25 + PioglitazoneChange From Baseline in C-peptide Over Time (Grouped Analysis)Week 16 (n=369, 374, 374)-0.333 ng/mLStandard Error 0.0453
Alogliptin 25 + PioglitazoneChange From Baseline in C-peptide Over Time (Grouped Analysis)Week 20 (n=369, 375, 375)-0.293 ng/mLStandard Error 0.0461
Secondary

Change From Baseline in Fasting Plasma Glucose Over Time (Grouped Analysis)

The change from Baseline in fasting plasma glucose was assessed at weeks 1, 2, 4, 8, 12, 16, 20 and 26. This analysis compared the groupings of participants who received the combination of pioglitazone with each dose of alogliptin with the grouping of participants who received pioglitazone alone. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline fasting plasma glucose as covariates.

Time frame: Baseline and Weeks 1, 2, 4, 8, 12, 16, 20 and 26.

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline in Fasting Plasma Glucose Over Time (Grouped Analysis)Week 2 (n=379, 383, 381)-11.3 mg/dLStandard Error 1.62
Pioglitazone AloneChange From Baseline in Fasting Plasma Glucose Over Time (Grouped Analysis)Week 4 (n=381, 386, 383)-19.9 mg/dLStandard Error 1.67
Pioglitazone AloneChange From Baseline in Fasting Plasma Glucose Over Time (Grouped Analysis)Week 8 (n=381, 386, 383)-27.3 mg/dLStandard Error 1.77
Pioglitazone AloneChange From Baseline in Fasting Plasma Glucose Over Time (Grouped Analysis)Week 12 (n=381, 386, 383)-30.3 mg/dLStandard Error 1.84
Pioglitazone AloneChange From Baseline in Fasting Plasma Glucose Over Time (Grouped Analysis)Week 16 (n=381, 386, 383)-27.9 mg/dLStandard Error 1.86
Pioglitazone AloneChange From Baseline in Fasting Plasma Glucose Over Time (Grouped Analysis)Week 20 (n=381, 386, 383)-28.1 mg/dLStandard Error 2
Pioglitazone AloneChange From Baseline in Fasting Plasma Glucose Over Time (Grouped Analysis)Week 26 (n=381, 386, 383)-28.3 mg/dLStandard Error 2.03
Pioglitazone AloneChange From Baseline in Fasting Plasma Glucose Over Time (Grouped Analysis)Week 1 (n=358, 355, 354)-4.1 mg/dLStandard Error 1.56
Alogliptin 12.5 + PioglitazoneChange From Baseline in Fasting Plasma Glucose Over Time (Grouped Analysis)Week 8 (n=381, 386, 383)-42.3 mg/dLStandard Error 1.76
Alogliptin 12.5 + PioglitazoneChange From Baseline in Fasting Plasma Glucose Over Time (Grouped Analysis)Week 26 (n=381, 386, 383)-45.2 mg/dLStandard Error 2.02
Alogliptin 12.5 + PioglitazoneChange From Baseline in Fasting Plasma Glucose Over Time (Grouped Analysis)Week 12 (n=381, 386, 383)-45.0 mg/dLStandard Error 1.83
Alogliptin 12.5 + PioglitazoneChange From Baseline in Fasting Plasma Glucose Over Time (Grouped Analysis)Week 16 (n=381, 386, 383)-43.7 mg/dLStandard Error 1.85
Alogliptin 12.5 + PioglitazoneChange From Baseline in Fasting Plasma Glucose Over Time (Grouped Analysis)Week 20 (n=381, 386, 383)-43.6 mg/dLStandard Error 1.99
Alogliptin 12.5 + PioglitazoneChange From Baseline in Fasting Plasma Glucose Over Time (Grouped Analysis)Week 2 (n=379, 383, 381)-30.3 mg/dLStandard Error 1.61
Alogliptin 12.5 + PioglitazoneChange From Baseline in Fasting Plasma Glucose Over Time (Grouped Analysis)Week 4 (n=381, 386, 383)-36.8 mg/dLStandard Error 1.66
Alogliptin 12.5 + PioglitazoneChange From Baseline in Fasting Plasma Glucose Over Time (Grouped Analysis)Week 1 (n=358, 355, 354)-22.6 mg/dLStandard Error 1.57
Alogliptin 25 + PioglitazoneChange From Baseline in Fasting Plasma Glucose Over Time (Grouped Analysis)Week 8 (n=381, 386, 383)-45.2 mg/dLStandard Error 1.77
Alogliptin 25 + PioglitazoneChange From Baseline in Fasting Plasma Glucose Over Time (Grouped Analysis)Week 4 (n=381, 386, 383)-39.8 mg/dLStandard Error 1.67
Alogliptin 25 + PioglitazoneChange From Baseline in Fasting Plasma Glucose Over Time (Grouped Analysis)Week 2 (n=379, 383, 381)-31.6 mg/dLStandard Error 1.62
Alogliptin 25 + PioglitazoneChange From Baseline in Fasting Plasma Glucose Over Time (Grouped Analysis)Week 12 (n=381, 386, 383)-47.6 mg/dLStandard Error 1.83
Alogliptin 25 + PioglitazoneChange From Baseline in Fasting Plasma Glucose Over Time (Grouped Analysis)Week 26 (n=381, 386, 383)-44.2 mg/dLStandard Error 2.03
Alogliptin 25 + PioglitazoneChange From Baseline in Fasting Plasma Glucose Over Time (Grouped Analysis)Week 20 (n=381, 386, 383)-45.0 mg/dLStandard Error 1.99
Alogliptin 25 + PioglitazoneChange From Baseline in Fasting Plasma Glucose Over Time (Grouped Analysis)Week 16 (n=381, 386, 383)-45.4 mg/dLStandard Error 1.86
Alogliptin 25 + PioglitazoneChange From Baseline in Fasting Plasma Glucose Over Time (Grouped Analysis)Week 1 (n=358, 355, 354)-23.1 mg/dLStandard Error 1.57
Secondary

Change From Baseline in Fasting Proinsulin Over Time (Grouped Analysis)

Proinsulin is a precursor to insulin, and was measured as an indicator of pancreatic function. The change from Baseline in fasting proinsulin was assessed at Weeks 4, 8, 12, 16, 20 and 26. This analysis compared the groupings of participants who received the combination of pioglitazone with each dose of alogliptin with the grouping of participants who received pioglitazone alone. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and proinsulin as continuous covariates.

Time frame: Baseline and Weeks 4, 8, 12, 16, 20 and 26.

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline in Fasting Proinsulin Over Time (Grouped Analysis)Week 4 (n=328, 319, 327)-6.2 pmol/LStandard Error 0.81
Pioglitazone AloneChange From Baseline in Fasting Proinsulin Over Time (Grouped Analysis)Week 8 (n=357, 347, 358)-7.2 pmol/LStandard Error 0.87
Pioglitazone AloneChange From Baseline in Fasting Proinsulin Over Time (Grouped Analysis)Week 12 (n=357, 347, 358)-8.2 pmol/LStandard Error 0.91
Pioglitazone AloneChange From Baseline in Fasting Proinsulin Over Time (Grouped Analysis)Week 16 (n=358, 348, 358)-7.2 pmol/LStandard Error 0.92
Pioglitazone AloneChange From Baseline in Fasting Proinsulin Over Time (Grouped Analysis)Week 20 (n=358, 349, 359)-6.6 pmol/LStandard Error 1.08
Pioglitazone AloneChange From Baseline in Fasting Proinsulin Over Time (Grouped Analysis)Week 26 (n=358, 349, 359)-5.3 pmol/LStandard Error 1.09
Alogliptin 12.5 + PioglitazoneChange From Baseline in Fasting Proinsulin Over Time (Grouped Analysis)Week 26 (n=358, 349, 359)-10.6 pmol/LStandard Error 1.11
Alogliptin 12.5 + PioglitazoneChange From Baseline in Fasting Proinsulin Over Time (Grouped Analysis)Week 4 (n=328, 319, 327)-10.3 pmol/LStandard Error 0.82
Alogliptin 12.5 + PioglitazoneChange From Baseline in Fasting Proinsulin Over Time (Grouped Analysis)Week 16 (n=358, 348, 358)-12.2 pmol/LStandard Error 0.94
Alogliptin 12.5 + PioglitazoneChange From Baseline in Fasting Proinsulin Over Time (Grouped Analysis)Week 20 (n=358, 349, 359)-10.4 pmol/LStandard Error 1.09
Alogliptin 12.5 + PioglitazoneChange From Baseline in Fasting Proinsulin Over Time (Grouped Analysis)Week 8 (n=357, 347, 358)-11.3 pmol/LStandard Error 0.88
Alogliptin 12.5 + PioglitazoneChange From Baseline in Fasting Proinsulin Over Time (Grouped Analysis)Week 12 (n=357, 347, 358)-11.6 pmol/LStandard Error 0.93
Alogliptin 25 + PioglitazoneChange From Baseline in Fasting Proinsulin Over Time (Grouped Analysis)Week 8 (n=357, 347, 358)-11.3 pmol/LStandard Error 0.87
Alogliptin 25 + PioglitazoneChange From Baseline in Fasting Proinsulin Over Time (Grouped Analysis)Week 12 (n=357, 347, 358)-11.6 pmol/LStandard Error 0.91
Alogliptin 25 + PioglitazoneChange From Baseline in Fasting Proinsulin Over Time (Grouped Analysis)Week 26 (n=358, 349, 359)-9.5 pmol/LStandard Error 1.09
Alogliptin 25 + PioglitazoneChange From Baseline in Fasting Proinsulin Over Time (Grouped Analysis)Week 16 (n=358, 348, 358)-11.3 pmol/LStandard Error 0.92
Alogliptin 25 + PioglitazoneChange From Baseline in Fasting Proinsulin Over Time (Grouped Analysis)Week 4 (n=328, 319, 327)-10.1 pmol/LStandard Error 0.81
Alogliptin 25 + PioglitazoneChange From Baseline in Fasting Proinsulin Over Time (Grouped Analysis)Week 20 (n=358, 349, 359)-10.7 pmol/LStandard Error 1.08
Secondary

Change From Baseline in Free Fatty Acids Over Time (Grouped Analysis)

Change from Baseline in free fatty acids (FFA) was assessed at Weeks 12 and 26. This analysis compared the groupings of participants who received the combination of pioglitazone with each dose of alogliptin with the grouping of participants who received pioglitazone alone. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline free fatty acid as continuous covariates.

Time frame: Baseline and Weeks 12 and 26.

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline in Free Fatty Acids Over Time (Grouped Analysis)Week 12 (n=339, 356, 352)-0.0707 mmol/LStandard Error 0.01483
Pioglitazone AloneChange From Baseline in Free Fatty Acids Over Time (Grouped Analysis)Week 26 (n=353, 368, 363)-0.0676 mmol/LStandard Error 0.0105
Alogliptin 12.5 + PioglitazoneChange From Baseline in Free Fatty Acids Over Time (Grouped Analysis)Week 12 (n=339, 356, 352)-0.1306 mmol/LStandard Error 0.01447
Alogliptin 12.5 + PioglitazoneChange From Baseline in Free Fatty Acids Over Time (Grouped Analysis)Week 26 (n=353, 368, 363)-0.0945 mmol/LStandard Error 0.01029
Alogliptin 25 + PioglitazoneChange From Baseline in Free Fatty Acids Over Time (Grouped Analysis)Week 12 (n=339, 356, 352)-0.1273 mmol/LStandard Error 0.01455
Alogliptin 25 + PioglitazoneChange From Baseline in Free Fatty Acids Over Time (Grouped Analysis)Week 26 (n=353, 368, 363)-0.1144 mmol/LStandard Error 0.01036
Secondary

Change From Baseline in HbA1c Over Time (Grouped Analysis)

The change from Baseline to Weeks 4, 8, 12, 16 and 20 in HbA1c (the concentration of glucose bound to hemoglobin as a percent of the absolute maximum that can be bound). This analysis compared the groupings of participants who received the combination of pioglitazone with each dose of alogliptin with the grouping of participants who received pioglitazone alone. Least squares means are from an analysis of covariance (ANCOVA) model with treatment and geographic region as class variables, and baseline metformin dose and HbA1c as continuous covariates.

Time frame: Baseline and Weeks 4, 8, 12, 16 and 20.

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline in HbA1c Over Time (Grouped Analysis)Week 16 (n=376, 385, 377)-0.92 percentage of glycosylated hemoglobinStandard Error 0.041
Pioglitazone AloneChange From Baseline in HbA1c Over Time (Grouped Analysis)Week 12 (n=376, 385, 377)-0.81 percentage of glycosylated hemoglobinStandard Error 0.039
Pioglitazone AloneChange From Baseline in HbA1c Over Time (Grouped Analysis)Week 4 (n=345, 359, 346)-0.32 percentage of glycosylated hemoglobinStandard Error 0.023
Pioglitazone AloneChange From Baseline in HbA1c Over Time (Grouped Analysis)Week 8 (n=376, 385, 377)-0.61 percentage of glycosylated hemoglobinStandard Error 0.034
Pioglitazone AloneChange From Baseline in HbA1c Over Time (Grouped Analysis)Week 20 (n=376, 385, 377)-0.92 percentage of glycosylated hemoglobinStandard Error 0.043
Alogliptin 12.5 + PioglitazoneChange From Baseline in HbA1c Over Time (Grouped Analysis)Week 12 (n=376, 385, 377)-1.29 percentage of glycosylated hemoglobinStandard Error 0.039
Alogliptin 12.5 + PioglitazoneChange From Baseline in HbA1c Over Time (Grouped Analysis)Week 4 (n=345, 359, 346)-0.57 percentage of glycosylated hemoglobinStandard Error 0.023
Alogliptin 12.5 + PioglitazoneChange From Baseline in HbA1c Over Time (Grouped Analysis)Week 8 (n=376, 385, 377)-1.06 percentage of glycosylated hemoglobinStandard Error 0.033
Alogliptin 12.5 + PioglitazoneChange From Baseline in HbA1c Over Time (Grouped Analysis)Week 16 (n=376, 385, 377)-1.44 percentage of glycosylated hemoglobinStandard Error 0.041
Alogliptin 12.5 + PioglitazoneChange From Baseline in HbA1c Over Time (Grouped Analysis)Week 20 (n=376, 385, 377)-1.46 percentage of glycosylated hemoglobinStandard Error 0.042
Alogliptin 25 + PioglitazoneChange From Baseline in HbA1c Over Time (Grouped Analysis)Week 20 (n=376, 385, 377)-1.51 percentage of glycosylated hemoglobinStandard Error 0.043
Alogliptin 25 + PioglitazoneChange From Baseline in HbA1c Over Time (Grouped Analysis)Week 16 (n=376, 385, 377)-1.49 percentage of glycosylated hemoglobinStandard Error 0.041
Alogliptin 25 + PioglitazoneChange From Baseline in HbA1c Over Time (Grouped Analysis)Week 4 (n=345, 359, 346)-0.61 percentage of glycosylated hemoglobinStandard Error 0.023
Alogliptin 25 + PioglitazoneChange From Baseline in HbA1c Over Time (Grouped Analysis)Week 12 (n=376, 385, 377)-1.38 percentage of glycosylated hemoglobinStandard Error 0.039
Alogliptin 25 + PioglitazoneChange From Baseline in HbA1c Over Time (Grouped Analysis)Week 8 (n=376, 385, 377)-1.09 percentage of glycosylated hemoglobinStandard Error 0.034
Secondary

Change From Baseline in High-Density Lipoprotein Cholesterol Over Time (Grouped Analysis)

Change from Baseline in high-density lipoprotein cholesterol (HDL-C) was assessed at Weeks 4, 8, 12, 16, 20 and 26. This analysis compared the groupings of participants who received the combination of pioglitazone with each dose of alogliptin with the grouping of participants who received pioglitazone alone. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline HDL cholesterol as continuous covariates.

Time frame: Baseline and Weeks 4, 8, 12, 16, 20 and 26.

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline in High-Density Lipoprotein Cholesterol Over Time (Grouped Analysis)Week 20 (n=374, 380, 376)5.2 mg/dLStandard Error 0.4
Pioglitazone AloneChange From Baseline in High-Density Lipoprotein Cholesterol Over Time (Grouped Analysis)Week 8 (n=374, 380, 376)4.0 mg/dLStandard Error 0.35
Pioglitazone AloneChange From Baseline in High-Density Lipoprotein Cholesterol Over Time (Grouped Analysis)Week 26 (n=374, 380, 376)5.1 mg/dLStandard Error 0.41
Pioglitazone AloneChange From Baseline in High-Density Lipoprotein Cholesterol Over Time (Grouped Analysis)Week 12 (n=374, 380, 376)5.4 mg/dLStandard Error 0.37
Pioglitazone AloneChange From Baseline in High-Density Lipoprotein Cholesterol Over Time (Grouped Analysis)Week 16 (n=374, 380, 376)5.2 mg/dLStandard Error 0.39
Pioglitazone AloneChange From Baseline in High-Density Lipoprotein Cholesterol Over Time (Grouped Analysis)Week 4 (n=345, 353, 348)3.0 mg/dLStandard Error 0.33
Alogliptin 12.5 + PioglitazoneChange From Baseline in High-Density Lipoprotein Cholesterol Over Time (Grouped Analysis)Week 4 (n=345, 353, 348)2.7 mg/dLStandard Error 0.33
Alogliptin 12.5 + PioglitazoneChange From Baseline in High-Density Lipoprotein Cholesterol Over Time (Grouped Analysis)Week 20 (n=374, 380, 376)5.7 mg/dLStandard Error 0.4
Alogliptin 12.5 + PioglitazoneChange From Baseline in High-Density Lipoprotein Cholesterol Over Time (Grouped Analysis)Week 16 (n=374, 380, 376)5.2 mg/dLStandard Error 0.38
Alogliptin 12.5 + PioglitazoneChange From Baseline in High-Density Lipoprotein Cholesterol Over Time (Grouped Analysis)Week 12 (n=374, 380, 376)5.3 mg/dLStandard Error 0.37
Alogliptin 12.5 + PioglitazoneChange From Baseline in High-Density Lipoprotein Cholesterol Over Time (Grouped Analysis)Week 26 (n=374, 380, 376)5.5 mg/dLStandard Error 0.41
Alogliptin 12.5 + PioglitazoneChange From Baseline in High-Density Lipoprotein Cholesterol Over Time (Grouped Analysis)Week 8 (n=374, 380, 376)4.1 mg/dLStandard Error 0.34
Alogliptin 25 + PioglitazoneChange From Baseline in High-Density Lipoprotein Cholesterol Over Time (Grouped Analysis)Week 26 (n=374, 380, 376)5.0 mg/dLStandard Error 0.41
Alogliptin 25 + PioglitazoneChange From Baseline in High-Density Lipoprotein Cholesterol Over Time (Grouped Analysis)Week 4 (n=345, 353, 348)3.4 mg/dLStandard Error 0.33
Alogliptin 25 + PioglitazoneChange From Baseline in High-Density Lipoprotein Cholesterol Over Time (Grouped Analysis)Week 8 (n=374, 380, 376)4.6 mg/dLStandard Error 0.35
Alogliptin 25 + PioglitazoneChange From Baseline in High-Density Lipoprotein Cholesterol Over Time (Grouped Analysis)Week 16 (n=374, 380, 376)5.0 mg/dLStandard Error 0.38
Alogliptin 25 + PioglitazoneChange From Baseline in High-Density Lipoprotein Cholesterol Over Time (Grouped Analysis)Week 20 (n=374, 380, 376)5.2 mg/dLStandard Error 0.4
Alogliptin 25 + PioglitazoneChange From Baseline in High-Density Lipoprotein Cholesterol Over Time (Grouped Analysis)Week 12 (n=374, 380, 376)5.1 mg/dLStandard Error 0.37
Secondary

Change From Baseline in High Density Lipoprotein (HDL) Particles Over Time (Grouped Analysis)

The change from Baseline in levels of total, large, medium and small HDL particles was assessed by NMR fractionation at Weeks 12 and 26. This analysis compared the groupings of participants who received the combination of pioglitazone with each dose of alogliptin with the grouping of participants who received pioglitazone alone. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline NMR HDL particles as continuous covariates.

Time frame: Baseline and Weeks 12 and 26.

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline in High Density Lipoprotein (HDL) Particles Over Time (Grouped Analysis)Total Particles - Week 12 (n=332, 345, 343)0.86 μMOL/LStandard Error 0.22
Pioglitazone AloneChange From Baseline in High Density Lipoprotein (HDL) Particles Over Time (Grouped Analysis)Total Particles - Week 26 (n=348, 359, 357)0.62 μMOL/LStandard Error 0.235
Pioglitazone AloneChange From Baseline in High Density Lipoprotein (HDL) Particles Over Time (Grouped Analysis)Large Particles - Week 12 (n=332, 345, 343)0.89 μMOL/LStandard Error 0.111
Pioglitazone AloneChange From Baseline in High Density Lipoprotein (HDL) Particles Over Time (Grouped Analysis)Large Particles - Week 26 (n=348, 359, 357)0.81 μMOL/LStandard Error 0.123
Pioglitazone AloneChange From Baseline in High Density Lipoprotein (HDL) Particles Over Time (Grouped Analysis)Medium Particles - Week 12 (n=332, 345, 343)1.38 μMOL/LStandard Error 0.195
Pioglitazone AloneChange From Baseline in High Density Lipoprotein (HDL) Particles Over Time (Grouped Analysis)Medium Particles - Week 26 (n=348, 359, 357)1.34 μMOL/LStandard Error 0.195
Pioglitazone AloneChange From Baseline in High Density Lipoprotein (HDL) Particles Over Time (Grouped Analysis)Small Particles - Week 12 (n=332, 345, 343)-1.35 μMOL/LStandard Error 0.261
Pioglitazone AloneChange From Baseline in High Density Lipoprotein (HDL) Particles Over Time (Grouped Analysis)Small Particles - Week 26 (n=348, 359, 357)-1.45 μMOL/LStandard Error 0.261
Alogliptin 12.5 + PioglitazoneChange From Baseline in High Density Lipoprotein (HDL) Particles Over Time (Grouped Analysis)Large Particles - Week 12 (n=332, 345, 343)0.78 μMOL/LStandard Error 0.109
Alogliptin 12.5 + PioglitazoneChange From Baseline in High Density Lipoprotein (HDL) Particles Over Time (Grouped Analysis)Small Particles - Week 12 (n=332, 345, 343)-1.39 μMOL/LStandard Error 0.256
Alogliptin 12.5 + PioglitazoneChange From Baseline in High Density Lipoprotein (HDL) Particles Over Time (Grouped Analysis)Large Particles - Week 26 (n=348, 359, 357)0.90 μMOL/LStandard Error 0.121
Alogliptin 12.5 + PioglitazoneChange From Baseline in High Density Lipoprotein (HDL) Particles Over Time (Grouped Analysis)Medium Particles - Week 12 (n=332, 345, 343)1.16 μMOL/LStandard Error 0.191
Alogliptin 12.5 + PioglitazoneChange From Baseline in High Density Lipoprotein (HDL) Particles Over Time (Grouped Analysis)Medium Particles - Week 26 (n=348, 359, 357)1.10 μMOL/LStandard Error 0.192
Alogliptin 12.5 + PioglitazoneChange From Baseline in High Density Lipoprotein (HDL) Particles Over Time (Grouped Analysis)Total Particles - Week 12 (n=332, 345, 343)0.58 μMOL/LStandard Error 0.216
Alogliptin 12.5 + PioglitazoneChange From Baseline in High Density Lipoprotein (HDL) Particles Over Time (Grouped Analysis)Total Particles - Week 26 (n=348, 359, 357)1.18 μMOL/LStandard Error 0.231
Alogliptin 12.5 + PioglitazoneChange From Baseline in High Density Lipoprotein (HDL) Particles Over Time (Grouped Analysis)Small Particles - Week 26 (n=348, 359, 357)-0.85 μMOL/LStandard Error 0.257
Alogliptin 25 + PioglitazoneChange From Baseline in High Density Lipoprotein (HDL) Particles Over Time (Grouped Analysis)Large Particles - Week 12 (n=332, 345, 343)0.89 μMOL/LStandard Error 0.109
Alogliptin 25 + PioglitazoneChange From Baseline in High Density Lipoprotein (HDL) Particles Over Time (Grouped Analysis)Total Particles - Week 26 (n=348, 359, 357)0.78 μMOL/LStandard Error 0.232
Alogliptin 25 + PioglitazoneChange From Baseline in High Density Lipoprotein (HDL) Particles Over Time (Grouped Analysis)Total Particles - Week 12 (n=332, 345, 343)0.43 μMOL/LStandard Error 0.216
Alogliptin 25 + PioglitazoneChange From Baseline in High Density Lipoprotein (HDL) Particles Over Time (Grouped Analysis)Large Particles - Week 26 (n=348, 359, 357)1.01 μMOL/LStandard Error 0.122
Alogliptin 25 + PioglitazoneChange From Baseline in High Density Lipoprotein (HDL) Particles Over Time (Grouped Analysis)Small Particles - Week 12 (n=332, 345, 343)-2.12 μMOL/LStandard Error 0.256
Alogliptin 25 + PioglitazoneChange From Baseline in High Density Lipoprotein (HDL) Particles Over Time (Grouped Analysis)Medium Particles - Week 26 (n=348, 359, 357)1.46 μMOL/LStandard Error 0.192
Alogliptin 25 + PioglitazoneChange From Baseline in High Density Lipoprotein (HDL) Particles Over Time (Grouped Analysis)Medium Particles - Week 12 (n=332, 345, 343)1.63 μMOL/LStandard Error 0.191
Alogliptin 25 + PioglitazoneChange From Baseline in High Density Lipoprotein (HDL) Particles Over Time (Grouped Analysis)Small Particles - Week 26 (n=348, 359, 357)-1.73 μMOL/LStandard Error 0.258
Secondary

Change From Baseline in High-sensitivity C-Reactive Protein Over Time (Grouped Analysis)

Change from Baseline in high-sensitivity C-Reactive Protein (hsCRP) was assessed at Weeks 12 and 26. This analysis compared the groupings of participants who received the combination of pioglitazone with each dose of alogliptin with the grouping of participants who received pioglitazone alone. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline hsCRP as continuous covariates.

Time frame: Baseline and Weeks 12 and 26.

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline in High-sensitivity C-Reactive Protein Over Time (Grouped Analysis)Week 12 (n=346, 356, 355)-2.0274 mg/LStandard Error 0.32717
Pioglitazone AloneChange From Baseline in High-sensitivity C-Reactive Protein Over Time (Grouped Analysis)Week 26 (n=359, 369, 363)-0.8889 mg/LStandard Error 0.46384
Alogliptin 12.5 + PioglitazoneChange From Baseline in High-sensitivity C-Reactive Protein Over Time (Grouped Analysis)Week 12 (n=346, 356, 355)-2.4653 mg/LStandard Error 0.32225
Alogliptin 12.5 + PioglitazoneChange From Baseline in High-sensitivity C-Reactive Protein Over Time (Grouped Analysis)Week 26 (n=359, 369, 363)-1.7716 mg/LStandard Error 0.45715
Alogliptin 25 + PioglitazoneChange From Baseline in High-sensitivity C-Reactive Protein Over Time (Grouped Analysis)Week 12 (n=346, 356, 355)-1.9208 mg/LStandard Error 0.32253
Alogliptin 25 + PioglitazoneChange From Baseline in High-sensitivity C-Reactive Protein Over Time (Grouped Analysis)Week 26 (n=359, 369, 363)-0.9977 mg/LStandard Error 0.46059
Secondary

Change From Baseline in Homeostatic Model Assessment Beta Cell Function (Grouped Analysis)

The homeostatic model assessment estimates steady state beta cell function as a percentage of a normal reference population (%B). HOMA %B = 20 \* insulin (µIU/mL) / fasting plasma glucose (mmol/L) - 3.5. This analysis compared the groupings of participants who received the combination of pioglitazone with each dose of alogliptin with the grouping of participants who received pioglitazone alone. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline HOMA beta cell function as continuous covariates.

Time frame: Baseline and Weeks 12 and 26

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline in Homeostatic Model Assessment Beta Cell Function (Grouped Analysis)Week 12 (n=347, 344, 350)2.591 percentage beta cell functionStandard Error 3.7892
Pioglitazone AloneChange From Baseline in Homeostatic Model Assessment Beta Cell Function (Grouped Analysis)Week 26 (n=348, 346, 351)5.060 percentage beta cell functionStandard Error 3.046
Alogliptin 12.5 + PioglitazoneChange From Baseline in Homeostatic Model Assessment Beta Cell Function (Grouped Analysis)Week 12 (n=347, 344, 350)23.799 percentage beta cell functionStandard Error 3.8017
Alogliptin 12.5 + PioglitazoneChange From Baseline in Homeostatic Model Assessment Beta Cell Function (Grouped Analysis)Week 26 (n=348, 346, 351)18.173 percentage beta cell functionStandard Error 3.0522
Alogliptin 25 + PioglitazoneChange From Baseline in Homeostatic Model Assessment Beta Cell Function (Grouped Analysis)Week 12 (n=347, 344, 350)19.477 percentage beta cell functionStandard Error 3.7685
Alogliptin 25 + PioglitazoneChange From Baseline in Homeostatic Model Assessment Beta Cell Function (Grouped Analysis)Week 26 (n=348, 346, 351)22.182 percentage beta cell functionStandard Error 3.0297
Secondary

Change From Baseline in Insulin Over Time (Grouped Analysis)

The change from Baseline in fasting insulin was assessed at Weeks 4, 8, 12, 16, 20 and 26. This analysis compared the groupings of participants who received the combination of pioglitazone with each dose of alogliptin with the grouping of participants who received pioglitazone alone. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline insulin as continuous covariates.

Time frame: Baseline and Weeks 4, 8, 12, 16, 20 and 26.

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline in Insulin Over Time (Grouped Analysis)Week 4 (n=325, 318, 326)-2.29 µIU/mLStandard Error 0.44
Pioglitazone AloneChange From Baseline in Insulin Over Time (Grouped Analysis)Week 8 (n=355, 346, 356)-2.35 µIU/mLStandard Error 0.535
Pioglitazone AloneChange From Baseline in Insulin Over Time (Grouped Analysis)Week 12 (n=355, 347, 356)-2.62 µIU/mLStandard Error 0.498
Pioglitazone AloneChange From Baseline in Insulin Over Time (Grouped Analysis)Week 16 (n=356, 348, 356)-2.19 µIU/mLStandard Error 0.488
Pioglitazone AloneChange From Baseline in Insulin Over Time (Grouped Analysis)Week 20 (n=356, 349, 357)-2.35 µIU/mLStandard Error 0.511
Pioglitazone AloneChange From Baseline in Insulin Over Time (Grouped Analysis)Week 26 (n=356, 349, 357)-1.74 µIU/mLStandard Error 1.212
Alogliptin 12.5 + PioglitazoneChange From Baseline in Insulin Over Time (Grouped Analysis)Week 26 (n=356, 349, 357)-2.05 µIU/mLStandard Error 1.225
Alogliptin 12.5 + PioglitazoneChange From Baseline in Insulin Over Time (Grouped Analysis)Week 4 (n=325, 318, 326)-2.11 µIU/mLStandard Error 0.445
Alogliptin 12.5 + PioglitazoneChange From Baseline in Insulin Over Time (Grouped Analysis)Week 16 (n=356, 348, 356)-2.60 µIU/mLStandard Error 0.494
Alogliptin 12.5 + PioglitazoneChange From Baseline in Insulin Over Time (Grouped Analysis)Week 20 (n=356, 349, 357)-1.91 µIU/mLStandard Error 0.516
Alogliptin 12.5 + PioglitazoneChange From Baseline in Insulin Over Time (Grouped Analysis)Week 8 (n=355, 346, 356)-2.44 µIU/mLStandard Error 0.542
Alogliptin 12.5 + PioglitazoneChange From Baseline in Insulin Over Time (Grouped Analysis)Week 12 (n=355, 347, 356)-1.73 µIU/mLStandard Error 0.503
Alogliptin 25 + PioglitazoneChange From Baseline in Insulin Over Time (Grouped Analysis)Week 8 (n=355, 346, 356)-2.36 µIU/mLStandard Error 0.534
Alogliptin 25 + PioglitazoneChange From Baseline in Insulin Over Time (Grouped Analysis)Week 12 (n=355, 347, 356)-2.62 µIU/mLStandard Error 0.497
Alogliptin 25 + PioglitazoneChange From Baseline in Insulin Over Time (Grouped Analysis)Week 26 (n=356, 349, 357)-1.66 µIU/mLStandard Error 1.21
Alogliptin 25 + PioglitazoneChange From Baseline in Insulin Over Time (Grouped Analysis)Week 16 (n=356, 348, 356)-2.48 µIU/mLStandard Error 0.488
Alogliptin 25 + PioglitazoneChange From Baseline in Insulin Over Time (Grouped Analysis)Week 4 (n=325, 318, 326)-2.19 µIU/mLStandard Error 0.44
Alogliptin 25 + PioglitazoneChange From Baseline in Insulin Over Time (Grouped Analysis)Week 20 (n=356, 349, 357)-2.06 µIU/mLStandard Error 0.51
Secondary

Change From Baseline in Intermediate Density Lipoprotein (IDL) Particles Over Time (Grouped Analysis)

The change from Baseline in levels of IDL particles was assessed by NMR lipid fractionation at Weeks 12 and 26. This analysis compared the groupings of participants who received the combination of pioglitazone with each dose of alogliptin with the grouping of participants who received pioglitazone alone. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline NMR IDL particles as continuous covariates.

Time frame: Baseline and Weeks 12 and 26

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline in Intermediate Density Lipoprotein (IDL) Particles Over Time (Grouped Analysis)Week 12 (n=332, 345, 343)0.4 nmol/LStandard Error 2.16
Pioglitazone AloneChange From Baseline in Intermediate Density Lipoprotein (IDL) Particles Over Time (Grouped Analysis)Week 26 (n=348, 359, 357)2.8 nmol/LStandard Error 2.16
Alogliptin 12.5 + PioglitazoneChange From Baseline in Intermediate Density Lipoprotein (IDL) Particles Over Time (Grouped Analysis)Week 12 (n=332, 345, 343)-3.9 nmol/LStandard Error 2.12
Alogliptin 12.5 + PioglitazoneChange From Baseline in Intermediate Density Lipoprotein (IDL) Particles Over Time (Grouped Analysis)Week 26 (n=348, 359, 357)-4.2 nmol/LStandard Error 2.13
Alogliptin 25 + PioglitazoneChange From Baseline in Intermediate Density Lipoprotein (IDL) Particles Over Time (Grouped Analysis)Week 12 (n=332, 345, 343)-5.7 nmol/LStandard Error 2.12
Alogliptin 25 + PioglitazoneChange From Baseline in Intermediate Density Lipoprotein (IDL) Particles Over Time (Grouped Analysis)Week 26 (n=348, 359, 357)-1.5 nmol/LStandard Error 2.13
Secondary

Change From Baseline in Low-Density Lipoprotein Cholesterol Over Time (Grouped Analysis)

Change from Baseline in low-density lipoprotein cholesterol (LDL-C) was assessed at Weeks 4, 8, 12, 16, 20 and 26. This analysis compared the groupings of participants who received the combination of pioglitazone with each dose of alogliptin with the grouping of participants who received pioglitazone alone. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline LDL cholesterol as continuous covariates.

Time frame: Baseline and Weeks 4, 8, 12, 16, 20 and 26.

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline in Low-Density Lipoprotein Cholesterol Over Time (Grouped Analysis)Week 4 (n=330, 336, 338)3.1 mg/dLStandard Error 1.23
Pioglitazone AloneChange From Baseline in Low-Density Lipoprotein Cholesterol Over Time (Grouped Analysis)Week 8 (n=365, 365, 365)5.9 mg/dLStandard Error 1.28
Pioglitazone AloneChange From Baseline in Low-Density Lipoprotein Cholesterol Over Time (Grouped Analysis)Week 12 (n=365, 367, 366)6.9 mg/dLStandard Error 1.29
Pioglitazone AloneChange From Baseline in Low-Density Lipoprotein Cholesterol Over Time (Grouped Analysis)Week 16 (n=365, 368, 366)6.1 mg/dLStandard Error 1.29
Pioglitazone AloneChange From Baseline in Low-Density Lipoprotein Cholesterol Over Time (Grouped Analysis)Week 20 (n=365, 368, 366)6.9 mg/dLStandard Error 1.37
Pioglitazone AloneChange From Baseline in Low-Density Lipoprotein Cholesterol Over Time (Grouped Analysis)Week 26 (n=365, 368, 366)7.4 mg/dLStandard Error 1.39
Alogliptin 12.5 + PioglitazoneChange From Baseline in Low-Density Lipoprotein Cholesterol Over Time (Grouped Analysis)Week 26 (n=365, 368, 366)5.2 mg/dLStandard Error 1.39
Alogliptin 12.5 + PioglitazoneChange From Baseline in Low-Density Lipoprotein Cholesterol Over Time (Grouped Analysis)Week 4 (n=330, 336, 338)-0.5 mg/dLStandard Error 1.22
Alogliptin 12.5 + PioglitazoneChange From Baseline in Low-Density Lipoprotein Cholesterol Over Time (Grouped Analysis)Week 16 (n=365, 368, 366)3.3 mg/dLStandard Error 1.29
Alogliptin 12.5 + PioglitazoneChange From Baseline in Low-Density Lipoprotein Cholesterol Over Time (Grouped Analysis)Week 20 (n=365, 368, 366)4.2 mg/dLStandard Error 1.36
Alogliptin 12.5 + PioglitazoneChange From Baseline in Low-Density Lipoprotein Cholesterol Over Time (Grouped Analysis)Week 8 (n=365, 365, 365)1.3 mg/dLStandard Error 1.28
Alogliptin 12.5 + PioglitazoneChange From Baseline in Low-Density Lipoprotein Cholesterol Over Time (Grouped Analysis)Week 12 (n=365, 367, 366)3.3 mg/dLStandard Error 1.29
Alogliptin 25 + PioglitazoneChange From Baseline in Low-Density Lipoprotein Cholesterol Over Time (Grouped Analysis)Week 8 (n=365, 365, 365)0.1 mg/dLStandard Error 1.28
Alogliptin 25 + PioglitazoneChange From Baseline in Low-Density Lipoprotein Cholesterol Over Time (Grouped Analysis)Week 12 (n=365, 367, 366)1.5 mg/dLStandard Error 1.29
Alogliptin 25 + PioglitazoneChange From Baseline in Low-Density Lipoprotein Cholesterol Over Time (Grouped Analysis)Week 26 (n=365, 368, 366)5.6 mg/dLStandard Error 1.39
Alogliptin 25 + PioglitazoneChange From Baseline in Low-Density Lipoprotein Cholesterol Over Time (Grouped Analysis)Week 16 (n=365, 368, 366)2.4 mg/dLStandard Error 1.29
Alogliptin 25 + PioglitazoneChange From Baseline in Low-Density Lipoprotein Cholesterol Over Time (Grouped Analysis)Week 4 (n=330, 336, 338)-1.9 mg/dLStandard Error 1.22
Alogliptin 25 + PioglitazoneChange From Baseline in Low-Density Lipoprotein Cholesterol Over Time (Grouped Analysis)Week 20 (n=365, 368, 366)3.0 mg/dLStandard Error 1.37
Secondary

Change From Baseline in Low Density Lipoprotein (LDL) Particles Over Time (Grouped Analysis)

The change from Baseline in levels of total, large, medium-small, total small and very small LDL particles was assessed by NMR fractionation at Weeks 12 and 26. This analysis compared the groupings of participants who received the combination of pioglitazone with each dose of alogliptin with the grouping of participants who received pioglitazone alone. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline NMR LDL particles as continuous covariates.

Time frame: Baseline and Weeks 12 and 26

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline in Low Density Lipoprotein (LDL) Particles Over Time (Grouped Analysis)Total Particles - Week 12 (n=332, 345, 343)-104.1 nmol/LStandard Error 17.46
Pioglitazone AloneChange From Baseline in Low Density Lipoprotein (LDL) Particles Over Time (Grouped Analysis)Total Particles - Week 26 (n=348, 359, 357)-78.2 nmol/LStandard Error 17.83
Pioglitazone AloneChange From Baseline in Low Density Lipoprotein (LDL) Particles Over Time (Grouped Analysis)Large Particles - Week 12 (n=332, 345, 343)85.5 nmol/LStandard Error 10.02
Pioglitazone AloneChange From Baseline in Low Density Lipoprotein (LDL) Particles Over Time (Grouped Analysis)Large Particles - Week 26 (n=348, 359, 357)95.8 nmol/LStandard Error 11.11
Pioglitazone AloneChange From Baseline in Low Density Lipoprotein (LDL) Particles Over Time (Grouped Analysis)Medium-Small Particles - Week 12 (n=332, 345, 343)-36.6 nmol/LStandard Error 4.11
Pioglitazone AloneChange From Baseline in Low Density Lipoprotein (LDL) Particles Over Time (Grouped Analysis)Medium-Small Particles - Week 26 (n=348, 359, 357)-34.3 nmol/LStandard Error 4.22
Pioglitazone AloneChange From Baseline in Low Density Lipoprotein (LDL) Particles Over Time (Grouped Analysis)Total Small Particles - Week 12 (n=332, 345, 343)-191.4 nmol/LStandard Error 20.32
Pioglitazone AloneChange From Baseline in Low Density Lipoprotein (LDL) Particles Over Time (Grouped Analysis)Total Small Particles - Week 26 (n=348, 359, 357)-178.1 nmol/LStandard Error 21.13
Pioglitazone AloneChange From Baseline in Low Density Lipoprotein (LDL) Particles Over Time (Grouped Analysis)Very Small Particles - Week 12 (n=332, 345, 343)-154.6 nmol/LStandard Error 16.53
Pioglitazone AloneChange From Baseline in Low Density Lipoprotein (LDL) Particles Over Time (Grouped Analysis)Very Small Particles - Week 26 (n=348, 359, 357)-143.6 nmol/LStandard Error 17.23
Alogliptin 12.5 + PioglitazoneChange From Baseline in Low Density Lipoprotein (LDL) Particles Over Time (Grouped Analysis)Very Small Particles - Week 12 (n=332, 345, 343)-232.3 nmol/LStandard Error 16.23
Alogliptin 12.5 + PioglitazoneChange From Baseline in Low Density Lipoprotein (LDL) Particles Over Time (Grouped Analysis)Total Particles - Week 12 (n=332, 345, 343)-180.5 nmol/LStandard Error 17.13
Alogliptin 12.5 + PioglitazoneChange From Baseline in Low Density Lipoprotein (LDL) Particles Over Time (Grouped Analysis)Medium-Small Particles - Week 26 (n=348, 359, 357)-44.9 nmol/LStandard Error 4.16
Alogliptin 12.5 + PioglitazoneChange From Baseline in Low Density Lipoprotein (LDL) Particles Over Time (Grouped Analysis)Medium-Small Particles - Week 12 (n=332, 345, 343)-55.3 nmol/LStandard Error 4.03
Alogliptin 12.5 + PioglitazoneChange From Baseline in Low Density Lipoprotein (LDL) Particles Over Time (Grouped Analysis)Total Particles - Week 26 (n=348, 359, 357)-146.2 nmol/LStandard Error 17.55
Alogliptin 12.5 + PioglitazoneChange From Baseline in Low Density Lipoprotein (LDL) Particles Over Time (Grouped Analysis)Very Small Particles - Week 26 (n=348, 359, 357)-190.3 nmol/LStandard Error 16.97
Alogliptin 12.5 + PioglitazoneChange From Baseline in Low Density Lipoprotein (LDL) Particles Over Time (Grouped Analysis)Total Small Particles - Week 26 (n=348, 359, 357)-235.0 nmol/LStandard Error 20.81
Alogliptin 12.5 + PioglitazoneChange From Baseline in Low Density Lipoprotein (LDL) Particles Over Time (Grouped Analysis)Large Particles - Week 12 (n=332, 345, 343)111.6 nmol/LStandard Error 9.83
Alogliptin 12.5 + PioglitazoneChange From Baseline in Low Density Lipoprotein (LDL) Particles Over Time (Grouped Analysis)Total Small Particles - Week 12 (n=332, 345, 343)-287.5 nmol/LStandard Error 19.94
Alogliptin 12.5 + PioglitazoneChange From Baseline in Low Density Lipoprotein (LDL) Particles Over Time (Grouped Analysis)Large Particles - Week 26 (n=348, 359, 357)93.9 nmol/LStandard Error 10.93
Alogliptin 25 + PioglitazoneChange From Baseline in Low Density Lipoprotein (LDL) Particles Over Time (Grouped Analysis)Total Small Particles - Week 26 (n=348, 359, 357)-285.9 nmol/LStandard Error 20.87
Alogliptin 25 + PioglitazoneChange From Baseline in Low Density Lipoprotein (LDL) Particles Over Time (Grouped Analysis)Large Particles - Week 26 (n=348, 359, 357)106.1 nmol/LStandard Error 10.96
Alogliptin 25 + PioglitazoneChange From Baseline in Low Density Lipoprotein (LDL) Particles Over Time (Grouped Analysis)Medium-Small Particles - Week 12 (n=332, 345, 343)-60.1 nmol/LStandard Error 4.04
Alogliptin 25 + PioglitazoneChange From Baseline in Low Density Lipoprotein (LDL) Particles Over Time (Grouped Analysis)Medium-Small Particles - Week 26 (n=348, 359, 357)-49.6 nmol/LStandard Error 4.17
Alogliptin 25 + PioglitazoneChange From Baseline in Low Density Lipoprotein (LDL) Particles Over Time (Grouped Analysis)Very Small Particles - Week 12 (n=332, 345, 343)-271.3 nmol/LStandard Error 16.27
Alogliptin 25 + PioglitazoneChange From Baseline in Low Density Lipoprotein (LDL) Particles Over Time (Grouped Analysis)Total Small Particles - Week 12 (n=332, 345, 343)-331.4 nmol/LStandard Error 20
Alogliptin 25 + PioglitazoneChange From Baseline in Low Density Lipoprotein (LDL) Particles Over Time (Grouped Analysis)Total Particles - Week 12 (n=332, 345, 343)-236.8 nmol/LStandard Error 17.18
Alogliptin 25 + PioglitazoneChange From Baseline in Low Density Lipoprotein (LDL) Particles Over Time (Grouped Analysis)Very Small Particles - Week 26 (n=348, 359, 357)-236.2 nmol/LStandard Error 17.02
Alogliptin 25 + PioglitazoneChange From Baseline in Low Density Lipoprotein (LDL) Particles Over Time (Grouped Analysis)Total Particles - Week 26 (n=348, 359, 357)-182.9 nmol/LStandard Error 17.6
Alogliptin 25 + PioglitazoneChange From Baseline in Low Density Lipoprotein (LDL) Particles Over Time (Grouped Analysis)Large Particles - Week 12 (n=332, 345, 343)102.3 nmol/LStandard Error 9.85
Secondary

Change From Baseline in Mean HDL Particle Size Over Time (Grouped Analysis)

The change from Baseline in mean HDL particle size was assessed by NMR lipid fractionation at Weeks 12 and 26. This analysis compared the groupings of participants who received the combination of pioglitazone with each dose of alogliptin with the grouping of participants who received pioglitazone alone. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline mean HDL particle size as continuous covariates.

Time frame: Baseline and Weeks 12 and 26

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline in Mean HDL Particle Size Over Time (Grouped Analysis)Week 12 (n=332, 345, 343)0.11 nmStandard Error 0.013
Pioglitazone AloneChange From Baseline in Mean HDL Particle Size Over Time (Grouped Analysis)Week 26 (n=348, 359, 357)0.11 nmStandard Error 0.015
Alogliptin 12.5 + PioglitazoneChange From Baseline in Mean HDL Particle Size Over Time (Grouped Analysis)Week 12 (n=332, 345, 343)0.13 nmStandard Error 0.013
Alogliptin 12.5 + PioglitazoneChange From Baseline in Mean HDL Particle Size Over Time (Grouped Analysis)Week 26 (n=348, 359, 357)0.12 nmStandard Error 0.014
Alogliptin 25 + PioglitazoneChange From Baseline in Mean HDL Particle Size Over Time (Grouped Analysis)Week 12 (n=332, 345, 343)0.16 nmStandard Error 0.013
Alogliptin 25 + PioglitazoneChange From Baseline in Mean HDL Particle Size Over Time (Grouped Analysis)Week 26 (n=348, 359, 357)0.17 nmStandard Error 0.014
Secondary

Change From Baseline in Mean LDL Particle Size Over Time (Grouped Analysis)

The change from Baseline in mean LDL particle size was assessed by NMR lipid fractionation at Weeks 12 and 26. This analysis compared the groupings of participants who received the combination of pioglitazone with each dose of alogliptin with the grouping of participants who received pioglitazone alone. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline mean LDL particle size as continuous covariates.

Time frame: Baseline and Weeks 12 and 26

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline in Mean LDL Particle Size Over Time (Grouped Analysis)Week 12 (n=332, 345, 343)0.43 nmStandard Error 0.034
Pioglitazone AloneChange From Baseline in Mean LDL Particle Size Over Time (Grouped Analysis)Week 26 (n=348, 359, 357)0.41 nmStandard Error 0.036
Alogliptin 12.5 + PioglitazoneChange From Baseline in Mean LDL Particle Size Over Time (Grouped Analysis)Week 12 (n=332, 345, 343)0.58 nmStandard Error 0.034
Alogliptin 12.5 + PioglitazoneChange From Baseline in Mean LDL Particle Size Over Time (Grouped Analysis)Week 26 (n=348, 359, 357)0.47 nmStandard Error 0.035
Alogliptin 25 + PioglitazoneChange From Baseline in Mean LDL Particle Size Over Time (Grouped Analysis)Week 12 (n=332, 345, 343)0.61 nmStandard Error 0.034
Alogliptin 25 + PioglitazoneChange From Baseline in Mean LDL Particle Size Over Time (Grouped Analysis)Week 26 (n=348, 359, 357)0.54 nmStandard Error 0.036
Secondary

Change From Baseline in Mean VLDL Particle Size Over Time (Grouped Analysis)

The change from Baseline in mean VLDL particle size was assessed by NMR lipid fractionation at Weeks 12 and 26. This analysis compared the groupings of participants who received the combination of pioglitazone with each dose of alogliptin with the grouping of participants who received pioglitazone alone. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline mean VLDL particle size as continuous covariates.

Time frame: Baseline and Weeks 12 and 26

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline in Mean VLDL Particle Size Over Time (Grouped Analysis)Week 12 (n=332, 344, 343)-2.77 nmStandard Error 0.398
Pioglitazone AloneChange From Baseline in Mean VLDL Particle Size Over Time (Grouped Analysis)Week 26 (n=348, 358, 357)-2.49 nmStandard Error 0.406
Alogliptin 12.5 + PioglitazoneChange From Baseline in Mean VLDL Particle Size Over Time (Grouped Analysis)Week 12 (n=332, 344, 343)-2.98 nmStandard Error 0.39
Alogliptin 12.5 + PioglitazoneChange From Baseline in Mean VLDL Particle Size Over Time (Grouped Analysis)Week 26 (n=348, 358, 357)-3.67 nmStandard Error 0.4
Alogliptin 25 + PioglitazoneChange From Baseline in Mean VLDL Particle Size Over Time (Grouped Analysis)Week 12 (n=332, 344, 343)-3.02 nmStandard Error 0.391
Alogliptin 25 + PioglitazoneChange From Baseline in Mean VLDL Particle Size Over Time (Grouped Analysis)Week 26 (n=348, 358, 357)-3.26 nmStandard Error 0.4
Secondary

Change From Baseline in Nuclear Magnetic Resonance Lipid Fractionation Total Triglycerides Over Time (Grouped Analysis)

Nuclear Magnetic Resonance (NMR) lipid fractionation was used to assess the change from Baseline in total triglyceride levels at Weeks 12 and 26. This analysis compared the groupings of participants who received the combination of pioglitazone with each dose of alogliptin with the grouping of participants who received pioglitazone alone. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline NMR total triglycerides as continuous covariates.

Time frame: Baseline and Weeks 12 and 26.

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline in Nuclear Magnetic Resonance Lipid Fractionation Total Triglycerides Over Time (Grouped Analysis)Week 12 (n=332, 345, 343)-19.6 mg/dLStandard Error 3.92
Pioglitazone AloneChange From Baseline in Nuclear Magnetic Resonance Lipid Fractionation Total Triglycerides Over Time (Grouped Analysis)Week 26 (n=348, 359, 357)-11.5 mg/dLStandard Error 4.3
Alogliptin 12.5 + PioglitazoneChange From Baseline in Nuclear Magnetic Resonance Lipid Fractionation Total Triglycerides Over Time (Grouped Analysis)Week 12 (n=332, 345, 343)-28.8 mg/dLStandard Error 3.85
Alogliptin 12.5 + PioglitazoneChange From Baseline in Nuclear Magnetic Resonance Lipid Fractionation Total Triglycerides Over Time (Grouped Analysis)Week 26 (n=348, 359, 357)-25.4 mg/dLStandard Error 4.23
Alogliptin 25 + PioglitazoneChange From Baseline in Nuclear Magnetic Resonance Lipid Fractionation Total Triglycerides Over Time (Grouped Analysis)Week 12 (n=332, 345, 343)-31.5 mg/dLStandard Error 3.86
Alogliptin 25 + PioglitazoneChange From Baseline in Nuclear Magnetic Resonance Lipid Fractionation Total Triglycerides Over Time (Grouped Analysis)Week 26 (n=348, 359, 357)-22.9 mg/dLStandard Error 4.24
Secondary

Change From Baseline in Plasminogen Activator Inhibitor-1 Over Time (Grouped Analysis)

Change from Baseline in plasminogen activator inhibitor-1 (PAI-1) was assessed at Weeks 12 and 26. This analysis compared the groupings of participants who received the combination of pioglitazone with each dose of alogliptin with the grouping of participants who received pioglitazone alone. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline PAI-1 as continuous covariates.

Time frame: Baseline and Weeks 12 and 26.

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline in Plasminogen Activator Inhibitor-1 Over Time (Grouped Analysis)Week 12 (n=311, 333, 328)-4.14 ng/mLStandard Error 1.97
Pioglitazone AloneChange From Baseline in Plasminogen Activator Inhibitor-1 Over Time (Grouped Analysis)Week 26 (n=341, 354, 348)-4.56 ng/mLStandard Error 2.049
Alogliptin 12.5 + PioglitazoneChange From Baseline in Plasminogen Activator Inhibitor-1 Over Time (Grouped Analysis)Week 12 (n=311, 333, 328)-8.76 ng/mLStandard Error 1.9
Alogliptin 12.5 + PioglitazoneChange From Baseline in Plasminogen Activator Inhibitor-1 Over Time (Grouped Analysis)Week 26 (n=341, 354, 348)-2.69 ng/mLStandard Error 2.01
Alogliptin 25 + PioglitazoneChange From Baseline in Plasminogen Activator Inhibitor-1 Over Time (Grouped Analysis)Week 12 (n=311, 333, 328)-8.57 ng/mLStandard Error 1.914
Alogliptin 25 + PioglitazoneChange From Baseline in Plasminogen Activator Inhibitor-1 Over Time (Grouped Analysis)Week 26 (n=341, 354, 348)-9.25 ng/mLStandard Error 2.027
Secondary

Change From Baseline in Proinsulin/Insulin Ratio Over Time (Grouped Analysis)

The ratio of proinsulin to insulin was calculated as proinsulin (pmol/L) / insulin (μIU/mL) at weeks 4, 8, 12, 16, 20 and 26 relative to the Baseline value. This analysis compared the groupings of participants who received the combination of pioglitazone with each dose of alogliptin with the grouping of participants who received pioglitazone alone. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline proinsulin/insulin ratio as continuous covariates.

Time frame: Baseline and Weeks 4, 8, 12, 16, 20 and 26.

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline in Proinsulin/Insulin Ratio Over Time (Grouped Analysis)Week 12 (n=355, 345, 356)-0.042 ratioStandard Error 0.0083
Pioglitazone AloneChange From Baseline in Proinsulin/Insulin Ratio Over Time (Grouped Analysis)Week 4 (n=325, 315, 326)-0.021 ratioStandard Error 0.0088
Pioglitazone AloneChange From Baseline in Proinsulin/Insulin Ratio Over Time (Grouped Analysis)Week 8 (n=355, 344, 356)-0.019 ratioStandard Error 0.0084
Pioglitazone AloneChange From Baseline in Proinsulin/Insulin Ratio Over Time (Grouped Analysis)Week 16 (n=356, 346, 356)-0.033 ratioStandard Error 0.0077
Pioglitazone AloneChange From Baseline in Proinsulin/Insulin Ratio Over Time (Grouped Analysis)Week 20 (n=356, 347, 357)-0.034 ratioStandard Error 0.0076
Pioglitazone AloneChange From Baseline in Proinsulin/Insulin Ratio Over Time (Grouped Analysis)Week 26 (n=356, 347, 357)-0.027 ratioStandard Error 0.0088
Alogliptin 12.5 + PioglitazoneChange From Baseline in Proinsulin/Insulin Ratio Over Time (Grouped Analysis)Week 8 (n=355, 344, 356)-0.079 ratioStandard Error 0.0086
Alogliptin 12.5 + PioglitazoneChange From Baseline in Proinsulin/Insulin Ratio Over Time (Grouped Analysis)Week 12 (n=355, 345, 356)-0.086 ratioStandard Error 0.0084
Alogliptin 12.5 + PioglitazoneChange From Baseline in Proinsulin/Insulin Ratio Over Time (Grouped Analysis)Week 16 (n=356, 346, 356)-0.091 ratioStandard Error 0.0078
Alogliptin 12.5 + PioglitazoneChange From Baseline in Proinsulin/Insulin Ratio Over Time (Grouped Analysis)Week 26 (n=356, 347, 357)-0.087 ratioStandard Error 0.009
Alogliptin 12.5 + PioglitazoneChange From Baseline in Proinsulin/Insulin Ratio Over Time (Grouped Analysis)Week 20 (n=356, 347, 357)-0.088 ratioStandard Error 0.0077
Alogliptin 12.5 + PioglitazoneChange From Baseline in Proinsulin/Insulin Ratio Over Time (Grouped Analysis)Week 4 (n=325, 315, 326)-0.078 ratioStandard Error 0.0089
Alogliptin 25 + PioglitazoneChange From Baseline in Proinsulin/Insulin Ratio Over Time (Grouped Analysis)Week 4 (n=325, 315, 326)-0.057 ratioStandard Error 0.0088
Alogliptin 25 + PioglitazoneChange From Baseline in Proinsulin/Insulin Ratio Over Time (Grouped Analysis)Week 20 (n=356, 347, 357)-0.078 ratioStandard Error 0.0076
Alogliptin 25 + PioglitazoneChange From Baseline in Proinsulin/Insulin Ratio Over Time (Grouped Analysis)Week 12 (n=355, 345, 356)-0.082 ratioStandard Error 0.0083
Alogliptin 25 + PioglitazoneChange From Baseline in Proinsulin/Insulin Ratio Over Time (Grouped Analysis)Week 26 (n=356, 347, 357)-0.076 ratioStandard Error 0.0088
Alogliptin 25 + PioglitazoneChange From Baseline in Proinsulin/Insulin Ratio Over Time (Grouped Analysis)Week 8 (n=355, 344, 356)-0.081 ratioStandard Error 0.0084
Alogliptin 25 + PioglitazoneChange From Baseline in Proinsulin/Insulin Ratio Over Time (Grouped Analysis)Week 16 (n=356, 346, 356)-0.077 ratioStandard Error 0.0077
Secondary

Change From Baseline in Total Cholesterol Over Time (Grouped Analysis)

Change from Baseline in total cholesterol was assessed at Weeks 4, 8, 12, 16, 20 and 26. This analysis compared the groupings of participants who received the combination of pioglitazone with each dose of alogliptin with the grouping of participants who received pioglitazone alone. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline total cholesterol as continuous covariates.

Time frame: Baseline and Weeks 4, 8, 12, 16, 20 and 26.

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline in Total Cholesterol Over Time (Grouped Analysis)Week 4 (n=345, 354, 348)1.6 mg/dLStandard Error 1.41
Pioglitazone AloneChange From Baseline in Total Cholesterol Over Time (Grouped Analysis)Week 8 (n=374, 380, 376)4.8 mg/dLStandard Error 1.42
Pioglitazone AloneChange From Baseline in Total Cholesterol Over Time (Grouped Analysis)Week 12 (n=374, 380, 376)6.6 mg/dLStandard Error 1.47
Pioglitazone AloneChange From Baseline in Total Cholesterol Over Time (Grouped Analysis)Week 16 (n=374, 380, 376)6.5 mg/dLStandard Error 1.52
Pioglitazone AloneChange From Baseline in Total Cholesterol Over Time (Grouped Analysis)Week 20 (n=374, 380, 376)5.9 mg/dLStandard Error 1.56
Pioglitazone AloneChange From Baseline in Total Cholesterol Over Time (Grouped Analysis)Week 26 (n=374, 380, 376)8.0 mg/dLStandard Error 1.63
Alogliptin 12.5 + PioglitazoneChange From Baseline in Total Cholesterol Over Time (Grouped Analysis)Week 26 (n=374, 380, 376)4.4 mg/dLStandard Error 1.61
Alogliptin 12.5 + PioglitazoneChange From Baseline in Total Cholesterol Over Time (Grouped Analysis)Week 4 (n=345, 354, 348)-4.3 mg/dLStandard Error 1.39
Alogliptin 12.5 + PioglitazoneChange From Baseline in Total Cholesterol Over Time (Grouped Analysis)Week 16 (n=374, 380, 376)1.2 mg/dLStandard Error 1.51
Alogliptin 12.5 + PioglitazoneChange From Baseline in Total Cholesterol Over Time (Grouped Analysis)Week 20 (n=374, 380, 376)3.0 mg/dLStandard Error 1.55
Alogliptin 12.5 + PioglitazoneChange From Baseline in Total Cholesterol Over Time (Grouped Analysis)Week 8 (n=374, 380, 376)-1.8 mg/dLStandard Error 1.41
Alogliptin 12.5 + PioglitazoneChange From Baseline in Total Cholesterol Over Time (Grouped Analysis)Week 12 (n=374, 380, 376)1.3 mg/dLStandard Error 1.46
Alogliptin 25 + PioglitazoneChange From Baseline in Total Cholesterol Over Time (Grouped Analysis)Week 8 (n=374, 380, 376)-3.3 mg/dLStandard Error 1.42
Alogliptin 25 + PioglitazoneChange From Baseline in Total Cholesterol Over Time (Grouped Analysis)Week 12 (n=374, 380, 376)-1.7 mg/dLStandard Error 1.46
Alogliptin 25 + PioglitazoneChange From Baseline in Total Cholesterol Over Time (Grouped Analysis)Week 26 (n=374, 380, 376)3.9 mg/dLStandard Error 1.62
Alogliptin 25 + PioglitazoneChange From Baseline in Total Cholesterol Over Time (Grouped Analysis)Week 16 (n=374, 380, 376)0.1 mg/dLStandard Error 1.51
Alogliptin 25 + PioglitazoneChange From Baseline in Total Cholesterol Over Time (Grouped Analysis)Week 4 (n=345, 354, 348)-6.5 mg/dLStandard Error 1.4
Alogliptin 25 + PioglitazoneChange From Baseline in Total Cholesterol Over Time (Grouped Analysis)Week 20 (n=374, 380, 376)1.5 mg/dLStandard Error 1.56
Secondary

Change From Baseline in Triglycerides Over Time (Grouped Analysis)

Change from Baseline in triglycerides was assessed at Weeks 4, 8, 12, 16, 20 and 26. This analysis compared the groupings of participants who received the combination of pioglitazone with each dose of alogliptin with the grouping of participants who received pioglitazone alone. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline triglycerides as continuous covariates.

Time frame: Baseline and Weeks 4, 8, 12, 16, 20 and 26.

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline in Triglycerides Over Time (Grouped Analysis)Week 4 (n=345, 354, 348)-31.5 mg/dLStandard Error 4.07
Pioglitazone AloneChange From Baseline in Triglycerides Over Time (Grouped Analysis)Week 20 (n=374, 380, 376)-34.9 mg/dLStandard Error 4.3
Pioglitazone AloneChange From Baseline in Triglycerides Over Time (Grouped Analysis)Week 12 (n=374, 380, 376)-34.5 mg/dLStandard Error 4.25
Pioglitazone AloneChange From Baseline in Triglycerides Over Time (Grouped Analysis)Week 16 (n=374, 380, 376)-29.4 mg/dLStandard Error 4.43
Pioglitazone AloneChange From Baseline in Triglycerides Over Time (Grouped Analysis)Week 26 (n=374, 380, 376)-29.6 mg/dLStandard Error 4.42
Pioglitazone AloneChange From Baseline in Triglycerides Over Time (Grouped Analysis)Week 8 (n=374, 380, 376)-34.7 mg/dLStandard Error 4.37
Alogliptin 12.5 + PioglitazoneChange From Baseline in Triglycerides Over Time (Grouped Analysis)Week 20 (n=374, 380, 376)-43.6 mg/dLStandard Error 4.27
Alogliptin 12.5 + PioglitazoneChange From Baseline in Triglycerides Over Time (Grouped Analysis)Week 4 (n=345, 354, 348)-38.9 mg/dLStandard Error 4.02
Alogliptin 12.5 + PioglitazoneChange From Baseline in Triglycerides Over Time (Grouped Analysis)Week 8 (n=374, 380, 376)-44.4 mg/dLStandard Error 4.34
Alogliptin 12.5 + PioglitazoneChange From Baseline in Triglycerides Over Time (Grouped Analysis)Week 12 (n=374, 380, 376)-47.5 mg/dLStandard Error 4.21
Alogliptin 12.5 + PioglitazoneChange From Baseline in Triglycerides Over Time (Grouped Analysis)Week 16 (n=374, 380, 376)-49.3 mg/dLStandard Error 4.39
Alogliptin 12.5 + PioglitazoneChange From Baseline in Triglycerides Over Time (Grouped Analysis)Week 26 (n=374, 380, 376)-41.4 mg/dLStandard Error 4.39
Alogliptin 25 + PioglitazoneChange From Baseline in Triglycerides Over Time (Grouped Analysis)Week 16 (n=374, 380, 376)-46.3 mg/dLStandard Error 4.42
Alogliptin 25 + PioglitazoneChange From Baseline in Triglycerides Over Time (Grouped Analysis)Week 8 (n=374, 380, 376)-47.9 mg/dLStandard Error 4.36
Alogliptin 25 + PioglitazoneChange From Baseline in Triglycerides Over Time (Grouped Analysis)Week 20 (n=374, 380, 376)-42.7 mg/dLStandard Error 4.29
Alogliptin 25 + PioglitazoneChange From Baseline in Triglycerides Over Time (Grouped Analysis)Week 4 (n=345, 354, 348)-48.0 mg/dLStandard Error 4.06
Alogliptin 25 + PioglitazoneChange From Baseline in Triglycerides Over Time (Grouped Analysis)Week 12 (n=374, 380, 376)-49.4 mg/dLStandard Error 4.24
Alogliptin 25 + PioglitazoneChange From Baseline in Triglycerides Over Time (Grouped Analysis)Week 26 (n=374, 380, 376)-40.7 mg/dLStandard Error 4.41
Secondary

Change From Baseline in Very Low Density Lipoprotein (VLDL) / Chylomicron Particles Over Time (Grouped Analysis)

The change from Baseline in levels of total VLDL/chylomicron particles and large VLDL/chylomicron particles was assessed by NMR lipid fractionation at Weeks 12 and 26. This analysis compared the groupings of participants who received the combination of pioglitazone with each dose of alogliptin with the grouping of participants who received pioglitazone alone. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline NMR VLDL/chylomicron particles as continuous covariates.

Time frame: Baseline and Weeks 12 and 26

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline in Very Low Density Lipoprotein (VLDL) / Chylomicron Particles Over Time (Grouped Analysis)Total Particles - Week 12 (n=332, 345, 343)-1.85 nmol/LStandard Error 1.803
Pioglitazone AloneChange From Baseline in Very Low Density Lipoprotein (VLDL) / Chylomicron Particles Over Time (Grouped Analysis)Total Particles - Week 26 (n=348, 359, 357)-1.05 nmol/LStandard Error 1.999
Pioglitazone AloneChange From Baseline in Very Low Density Lipoprotein (VLDL) / Chylomicron Particles Over Time (Grouped Analysis)Large Particles - Week 12 (n=332, 345, 343)-1.61 nmol/LStandard Error 0.289
Pioglitazone AloneChange From Baseline in Very Low Density Lipoprotein (VLDL) / Chylomicron Particles Over Time (Grouped Analysis)Large Particles - Week 26 (n=348, 359, 357)-1.05 nmol/LStandard Error 0.342
Alogliptin 12.5 + PioglitazoneChange From Baseline in Very Low Density Lipoprotein (VLDL) / Chylomicron Particles Over Time (Grouped Analysis)Large Particles - Week 26 (n=348, 359, 357)-2.25 nmol/LStandard Error 0.337
Alogliptin 12.5 + PioglitazoneChange From Baseline in Very Low Density Lipoprotein (VLDL) / Chylomicron Particles Over Time (Grouped Analysis)Total Particles - Week 12 (n=332, 345, 343)-6.40 nmol/LStandard Error 1.77
Alogliptin 12.5 + PioglitazoneChange From Baseline in Very Low Density Lipoprotein (VLDL) / Chylomicron Particles Over Time (Grouped Analysis)Large Particles - Week 12 (n=332, 345, 343)-2.20 nmol/LStandard Error 0.283
Alogliptin 12.5 + PioglitazoneChange From Baseline in Very Low Density Lipoprotein (VLDL) / Chylomicron Particles Over Time (Grouped Analysis)Total Particles - Week 26 (n=348, 359, 357)-1.87 nmol/LStandard Error 1.97
Alogliptin 25 + PioglitazoneChange From Baseline in Very Low Density Lipoprotein (VLDL) / Chylomicron Particles Over Time (Grouped Analysis)Large Particles - Week 26 (n=348, 359, 357)-1.98 nmol/LStandard Error 0.337
Alogliptin 25 + PioglitazoneChange From Baseline in Very Low Density Lipoprotein (VLDL) / Chylomicron Particles Over Time (Grouped Analysis)Total Particles - Week 26 (n=348, 359, 357)-1.31 nmol/LStandard Error 1.975
Alogliptin 25 + PioglitazoneChange From Baseline in Very Low Density Lipoprotein (VLDL) / Chylomicron Particles Over Time (Grouped Analysis)Large Particles - Week 12 (n=332, 345, 343)-2.17 nmol/LStandard Error 0.284
Alogliptin 25 + PioglitazoneChange From Baseline in Very Low Density Lipoprotein (VLDL) / Chylomicron Particles Over Time (Grouped Analysis)Total Particles - Week 12 (n=332, 345, 343)-7.26 nmol/LStandard Error 1.775
Secondary

Change From Baseline in VLDL / Chylomicron Triglycerides Over Time (Grouped Analysis)

The change from Baseline in levels of VLDL/chylomicron triglycerides was assessed by NMR lipid fractionation at Weeks 12 and 26. This analysis compared the groupings of participants who received the combination of pioglitazone with each dose of alogliptin with the grouping of participants who received pioglitazone alone. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline NMR VLDL/chylomicron triglycerides as continuous covariates.

Time frame: Baseline and Weeks 12 and 26

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline in VLDL / Chylomicron Triglycerides Over Time (Grouped Analysis)Week 12 (n=332, 345, 343)-20.4 mg/dLStandard Error 3.9
Pioglitazone AloneChange From Baseline in VLDL / Chylomicron Triglycerides Over Time (Grouped Analysis)Week 26 (n=348, 359, 357)-13.0 mg/dLStandard Error 4.28
Alogliptin 12.5 + PioglitazoneChange From Baseline in VLDL / Chylomicron Triglycerides Over Time (Grouped Analysis)Week 12 (n=332, 345, 343)-28.5 mg/dLStandard Error 3.83
Alogliptin 12.5 + PioglitazoneChange From Baseline in VLDL / Chylomicron Triglycerides Over Time (Grouped Analysis)Week 26 (n=348, 359, 357)-25.4 mg/dLStandard Error 4.22
Alogliptin 25 + PioglitazoneChange From Baseline in VLDL / Chylomicron Triglycerides Over Time (Grouped Analysis)Week 12 (n=332, 345, 343)-30.3 mg/dLStandard Error 3.84
Alogliptin 25 + PioglitazoneChange From Baseline in VLDL / Chylomicron Triglycerides Over Time (Grouped Analysis)Week 26 (n=348, 359, 357)-23.0 mg/dLStandard Error 4.23
Secondary

Change From Baseline in VLDL Particles Over Time (Grouped Analysis)

The change from Baseline in levels of medium VLDL particles and small VLDL particles was assessed by NMR fractionation at Weeks 12 and 26. This analysis compared the groupings of participants who received the combination of pioglitazone with each dose of alogliptin with the grouping of participants who received pioglitazone alone. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline NMR VLDL particles as continuous covariates.

Time frame: Baseline and Weeks 12 and 26

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline in VLDL Particles Over Time (Grouped Analysis)Small Particles - Week 12 (n=332, 345, 343)4.16 nmol/LStandard Error 1.053
Pioglitazone AloneChange From Baseline in VLDL Particles Over Time (Grouped Analysis)Medium Particles - Week 12 (n=332, 345, 343)-4.44 nmol/LStandard Error 1.174
Pioglitazone AloneChange From Baseline in VLDL Particles Over Time (Grouped Analysis)Small Particles - Week 26 (n=348, 359, 357)2.30 nmol/LStandard Error 1.084
Pioglitazone AloneChange From Baseline in VLDL Particles Over Time (Grouped Analysis)Medium Particles - Week 26 (n=348, 359, 357)-2.28 nmol/LStandard Error 1.346
Alogliptin 12.5 + PioglitazoneChange From Baseline in VLDL Particles Over Time (Grouped Analysis)Small Particles - Week 12 (n=332, 345, 343)1.33 nmol/LStandard Error 1.033
Alogliptin 12.5 + PioglitazoneChange From Baseline in VLDL Particles Over Time (Grouped Analysis)Medium Particles - Week 26 (n=348, 359, 357)-3.02 nmol/LStandard Error 1.326
Alogliptin 12.5 + PioglitazoneChange From Baseline in VLDL Particles Over Time (Grouped Analysis)Small Particles - Week 26 (n=348, 359, 357)3.55 nmol/LStandard Error 1.067
Alogliptin 12.5 + PioglitazoneChange From Baseline in VLDL Particles Over Time (Grouped Analysis)Medium Particles - Week 12 (n=332, 345, 343)-5.36 nmol/LStandard Error 1.152
Alogliptin 25 + PioglitazoneChange From Baseline in VLDL Particles Over Time (Grouped Analysis)Small Particles - Week 26 (n=348, 359, 357)5.22 nmol/LStandard Error 1.07
Alogliptin 25 + PioglitazoneChange From Baseline in VLDL Particles Over Time (Grouped Analysis)Medium Particles - Week 12 (n=332, 345, 343)-7.30 nmol/LStandard Error 1.155
Alogliptin 25 + PioglitazoneChange From Baseline in VLDL Particles Over Time (Grouped Analysis)Medium Particles - Week 26 (n=348, 359, 357)-4.88 nmol/LStandard Error 1.329
Alogliptin 25 + PioglitazoneChange From Baseline in VLDL Particles Over Time (Grouped Analysis)Small Particles - Week 12 (n=332, 345, 343)1.91 nmol/LStandard Error 1.035
Secondary

Change From Baseline to Week 12 in Adiponectin

Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline adiponectin as continuous covariates.

Time frame: Baseline and Week 12

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 12 in Adiponectin0.02 μg/mLStandard Error 0.593
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 12 in Adiponectin0.44 μg/mLStandard Error 0.609
Alogliptin 25 + PioglitazoneChange From Baseline to Week 12 in Adiponectin0.22 μg/mLStandard Error 0.606
Placebo + Pioglitazone 15Change From Baseline to Week 12 in Adiponectin3.54 μg/mLStandard Error 0.604
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 12 in Adiponectin3.78 μg/mLStandard Error 0.591
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 12 in Adiponectin2.91 μg/mLStandard Error 0.601
Placebo + Pioglitazone 30Change From Baseline to Week 12 in Adiponectin6.07 μg/mLStandard Error 0.617
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 12 in Adiponectin6.31 μg/mLStandard Error 0.599
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 12 in Adiponectin7.13 μg/mLStandard Error 0.609
Placebo + Pioglitazone 45Change From Baseline to Week 12 in Adiponectin8.47 μg/mLStandard Error 0.614
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 12 in Adiponectin9.42 μg/mLStandard Error 0.598
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 12 in Adiponectin9.46 μg/mLStandard Error 0.601
Secondary

Change From Baseline to Week 12 in Apolipoprotein A1

Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline apolipoprotein A1 as continuous covariates.

Time frame: Baseline and Week 12

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 12 in Apolipoprotein A1-1.9 mg/dLStandard Error 1.7
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 12 in Apolipoprotein A1-4.4 mg/dLStandard Error 1.73
Alogliptin 25 + PioglitazoneChange From Baseline to Week 12 in Apolipoprotein A1-3.0 mg/dLStandard Error 1.74
Placebo + Pioglitazone 15Change From Baseline to Week 12 in Apolipoprotein A10.8 mg/dLStandard Error 1.73
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 12 in Apolipoprotein A1-1.3 mg/dLStandard Error 1.69
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 12 in Apolipoprotein A11.7 mg/dLStandard Error 1.72
Placebo + Pioglitazone 30Change From Baseline to Week 12 in Apolipoprotein A13.5 mg/dLStandard Error 1.72
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 12 in Apolipoprotein A10.7 mg/dLStandard Error 1.69
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 12 in Apolipoprotein A10.4 mg/dLStandard Error 1.69
Placebo + Pioglitazone 45Change From Baseline to Week 12 in Apolipoprotein A1-0.1 mg/dLStandard Error 1.74
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 12 in Apolipoprotein A11.1 mg/dLStandard Error 1.71
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 12 in Apolipoprotein A1-1.2 mg/dLStandard Error 1.72
Secondary

Change From Baseline to Week 12 in Apolipoprotein A2

Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline apolipoprotein A2 as continuous covariates.

Time frame: Baseline and Week 12

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 12 in Apolipoprotein A20.4 mg/dLStandard Error 0.44
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 12 in Apolipoprotein A20.1 mg/dLStandard Error 0.45
Alogliptin 25 + PioglitazoneChange From Baseline to Week 12 in Apolipoprotein A20.4 mg/dLStandard Error 0.45
Placebo + Pioglitazone 15Change From Baseline to Week 12 in Apolipoprotein A22.4 mg/dLStandard Error 0.45
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 12 in Apolipoprotein A21.4 mg/dLStandard Error 0.44
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 12 in Apolipoprotein A21.9 mg/dLStandard Error 0.45
Placebo + Pioglitazone 30Change From Baseline to Week 12 in Apolipoprotein A23.7 mg/dLStandard Error 0.45
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 12 in Apolipoprotein A22.5 mg/dLStandard Error 0.44
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 12 in Apolipoprotein A21.8 mg/dLStandard Error 0.44
Placebo + Pioglitazone 45Change From Baseline to Week 12 in Apolipoprotein A23.0 mg/dLStandard Error 0.45
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 12 in Apolipoprotein A23.7 mg/dLStandard Error 0.45
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 12 in Apolipoprotein A23.2 mg/dLStandard Error 0.45
Secondary

Change From Baseline to Week 12 in Apolipoprotein B

Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline apolipoprotein B as continuous covariates.

Time frame: Baseline and Week 12

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 12 in Apolipoprotein B5.0 mg/dLStandard Error 1.85
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 12 in Apolipoprotein B-2.3 mg/dLStandard Error 1.87
Alogliptin 25 + PioglitazoneChange From Baseline to Week 12 in Apolipoprotein B-3.6 mg/dLStandard Error 1.89
Placebo + Pioglitazone 15Change From Baseline to Week 12 in Apolipoprotein B-0.3 mg/dLStandard Error 1.88
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 12 in Apolipoprotein B-7.2 mg/dLStandard Error 1.83
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 12 in Apolipoprotein B-6.1 mg/dLStandard Error 1.87
Placebo + Pioglitazone 30Change From Baseline to Week 12 in Apolipoprotein B-2.1 mg/dLStandard Error 1.88
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 12 in Apolipoprotein B-8.4 mg/dLStandard Error 1.83
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 12 in Apolipoprotein B-12.2 mg/dLStandard Error 1.84
Placebo + Pioglitazone 45Change From Baseline to Week 12 in Apolipoprotein B-6.6 mg/dLStandard Error 1.9
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 12 in Apolipoprotein B-8.0 mg/dLStandard Error 1.86
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 12 in Apolipoprotein B-11.7 mg/dLStandard Error 1.87
Secondary

Change From Baseline to Week 12 in Apolipoprotein C-III

Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline apolipoprotein C-III as continuous covariates.

Time frame: Baseline and Week 12

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 12 in Apolipoprotein C-III0.7 mg/dLStandard Error 0.28
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 12 in Apolipoprotein C-III-0.4 mg/dLStandard Error 0.29
Alogliptin 25 + PioglitazoneChange From Baseline to Week 12 in Apolipoprotein C-III-0.7 mg/dLStandard Error 0.29
Placebo + Pioglitazone 15Change From Baseline to Week 12 in Apolipoprotein C-III-0.3 mg/dLStandard Error 0.29
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 12 in Apolipoprotein C-III-1.0 mg/dLStandard Error 0.28
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 12 in Apolipoprotein C-III-1.4 mg/dLStandard Error 0.29
Placebo + Pioglitazone 30Change From Baseline to Week 12 in Apolipoprotein C-III-0.3 mg/dLStandard Error 0.29
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 12 in Apolipoprotein C-III-1.0 mg/dLStandard Error 0.28
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 12 in Apolipoprotein C-III-1.3 mg/dLStandard Error 0.28
Placebo + Pioglitazone 45Change From Baseline to Week 12 in Apolipoprotein C-III-1.1 mg/dLStandard Error 0.29
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 12 in Apolipoprotein C-III-1.4 mg/dLStandard Error 0.29
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 12 in Apolipoprotein C-III-1.2 mg/dLStandard Error 0.29
Secondary

Change From Baseline to Week 12 in Body Weight

Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline weight as continuous covariates.

Time frame: Baseline and Week 12

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 12 in Body Weight-0.46 kgStandard Error 0.216
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 12 in Body Weight-0.14 kgStandard Error 0.217
Alogliptin 25 + PioglitazoneChange From Baseline to Week 12 in Body Weight-0.56 kgStandard Error 0.216
Placebo + Pioglitazone 15Change From Baseline to Week 12 in Body Weight0.39 kgStandard Error 0.217
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 12 in Body Weight0.22 kgStandard Error 0.213
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 12 in Body Weight0.39 kgStandard Error 0.215
Placebo + Pioglitazone 30Change From Baseline to Week 12 in Body Weight0.75 kgStandard Error 0.217
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 12 in Body Weight0.60 kgStandard Error 0.215
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 12 in Body Weight0.98 kgStandard Error 0.216
Placebo + Pioglitazone 45Change From Baseline to Week 12 in Body Weight0.55 kgStandard Error 0.216
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 12 in Body Weight0.88 kgStandard Error 0.217
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 12 in Body Weight1.08 kgStandard Error 0.214
Secondary

Change From Baseline to Week 12 in Calculated HOMA Beta-cell Function

The Homeostasis Model Assessment (HOMA) estimates steady state beta cell function (%B) as a percentage of a normal reference population. HOMA %B = 20 \* insulin (µIU/mL) / fasting plasma glucose (mmol/L) - 3.5. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline HOMA beta cell function as continuous covariates.

Time frame: Baseline and Week 12

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 12 in Calculated HOMA Beta-cell Function-3.027 percentage beta cell functionStandard Error 6.4915
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 12 in Calculated HOMA Beta-cell Function16.304 percentage beta cell functionStandard Error 6.5165
Alogliptin 25 + PioglitazoneChange From Baseline to Week 12 in Calculated HOMA Beta-cell Function22.996 percentage beta cell functionStandard Error 6.3854
Placebo + Pioglitazone 15Change From Baseline to Week 12 in Calculated HOMA Beta-cell Function2.565 percentage beta cell functionStandard Error 6.4614
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 12 in Calculated HOMA Beta-cell Function30.346 percentage beta cell functionStandard Error 6.5157
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 12 in Calculated HOMA Beta-cell Function19.887 percentage beta cell functionStandard Error 6.4916
Placebo + Pioglitazone 30Change From Baseline to Week 12 in Calculated HOMA Beta-cell Function1.118 percentage beta cell functionStandard Error 6.603
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 12 in Calculated HOMA Beta-cell Function21.045 percentage beta cell functionStandard Error 6.6358
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 12 in Calculated HOMA Beta-cell Function19.935 percentage beta cell functionStandard Error 6.5444
Placebo + Pioglitazone 45Change From Baseline to Week 12 in Calculated HOMA Beta-cell Function4.023 percentage beta cell functionStandard Error 6.624
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 12 in Calculated HOMA Beta-cell Function19.938 percentage beta cell functionStandard Error 6.6025
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 12 in Calculated HOMA Beta-cell Function18.541 percentage beta cell functionStandard Error 6.5456
Secondary

Change From Baseline to Week 12 in Calculated HOMA Insulin Resistance

The Homeostasis Model Assessment of insulin resistance (HOMA IR) measures insulin resistance based on fasting glucose and insulin measurements: HOMA IR = fasting plasma insulin (µIU/mL) \* fasting plasma glucose (mmol/L) / 22.5. A higher number indicates a greater degree of insulin resistance. Least Squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and HOMA-IR as continuous covariates.

Time frame: Baseline and Week 12

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 12 in Calculated HOMA Insulin Resistance0.337 insulin resistanceStandard Error 0.5333
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 12 in Calculated HOMA Insulin Resistance0.063 insulin resistanceStandard Error 0.5375
Alogliptin 25 + PioglitazoneChange From Baseline to Week 12 in Calculated HOMA Insulin Resistance0.041 insulin resistanceStandard Error 0.527
Placebo + Pioglitazone 15Change From Baseline to Week 12 in Calculated HOMA Insulin Resistance-1.012 insulin resistanceStandard Error 0.533
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 12 in Calculated HOMA Insulin Resistance-1.819 insulin resistanceStandard Error 0.5376
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 12 in Calculated HOMA Insulin Resistance-2.305 insulin resistanceStandard Error 0.5352
Placebo + Pioglitazone 30Change From Baseline to Week 12 in Calculated HOMA Insulin Resistance-2.278 insulin resistanceStandard Error 0.5446
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 12 in Calculated HOMA Insulin Resistance-1.457 insulin resistanceStandard Error 0.5473
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 12 in Calculated HOMA Insulin Resistance-2.665 insulin resistanceStandard Error 0.54
Placebo + Pioglitazone 45Change From Baseline to Week 12 in Calculated HOMA Insulin Resistance-2.202 insulin resistanceStandard Error 0.5447
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 12 in Calculated HOMA Insulin Resistance-2.615 insulin resistanceStandard Error 0.5446
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 12 in Calculated HOMA Insulin Resistance-2.742 insulin resistanceStandard Error 0.5377
Secondary

Change From Baseline to Week 12 in C-peptide Levels

Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline C-peptide as continuous covariates.

Time frame: Baseline and Week 12

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 12 in C-peptide Levels-0.055 ng/mLStandard Error 0.1338
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 12 in C-peptide Levels0.083 ng/mLStandard Error 0.136
Alogliptin 25 + PioglitazoneChange From Baseline to Week 12 in C-peptide Levels0.140 ng/mLStandard Error 0.1349
Placebo + Pioglitazone 15Change From Baseline to Week 12 in C-peptide Levels0.116 ng/mLStandard Error 0.1344
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 12 in C-peptide Levels-0.155 ng/mLStandard Error 0.1344
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 12 in C-peptide Levels-0.215 ng/mLStandard Error 0.1338
Placebo + Pioglitazone 30Change From Baseline to Week 12 in C-peptide Levels-0.439 ng/mLStandard Error 0.1372
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 12 in C-peptide Levels-0.212 ng/mLStandard Error 0.1345
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 12 in C-peptide Levels-0.326 ng/mLStandard Error 0.1343
Placebo + Pioglitazone 45Change From Baseline to Week 12 in C-peptide Levels-0.483 ng/mLStandard Error 0.1344
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 12 in C-peptide Levels-0.381 ng/mLStandard Error 0.136
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 12 in C-peptide Levels-0.464 ng/mLStandard Error 0.1339
Secondary

Change From Baseline to Week 12 in Fasting Plasma Glucose

Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline fasting plasma glucose as covariates.

Time frame: Baseline and Week 12

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 12 in Fasting Plasma Glucose3.4 mg/dLStandard Error 3.16
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 12 in Fasting Plasma Glucose-19.3 mg/dLStandard Error 3.25
Alogliptin 25 + PioglitazoneChange From Baseline to Week 12 in Fasting Plasma Glucose-23.3 mg/dLStandard Error 3.19
Placebo + Pioglitazone 15Change From Baseline to Week 12 in Fasting Plasma Glucose-23.0 mg/dLStandard Error 3.18
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 12 in Fasting Plasma Glucose-42.9 mg/dLStandard Error 3.16
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 12 in Fasting Plasma Glucose-42.5 mg/dLStandard Error 3.14
Placebo + Pioglitazone 30Change From Baseline to Week 12 in Fasting Plasma Glucose-26.6 mg/dLStandard Error 3.21
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 12 in Fasting Plasma Glucose-42.8 mg/dLStandard Error 3.16
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 12 in Fasting Plasma Glucose-49.0 mg/dLStandard Error 3.19
Placebo + Pioglitazone 45Change From Baseline to Week 12 in Fasting Plasma Glucose-41.3 mg/dLStandard Error 3.16
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 12 in Fasting Plasma Glucose-49.2 mg/dLStandard Error 3.17
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 12 in Fasting Plasma Glucose-51.4 mg/dLStandard Error 3.18
Secondary

Change From Baseline to Week 12 in Fasting Proinsulin

Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline proinsulin as continuous covariates.

Time frame: Baseline and Week 12

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 12 in Fasting Proinsulin-1.0 pmol/LStandard Error 1.56
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 12 in Fasting Proinsulin-0.7 pmol/LStandard Error 1.57
Alogliptin 25 + PioglitazoneChange From Baseline to Week 12 in Fasting Proinsulin-2.3 pmol/LStandard Error 1.56
Placebo + Pioglitazone 15Change From Baseline to Week 12 in Fasting Proinsulin-5.3 pmol/LStandard Error 1.57
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 12 in Fasting Proinsulin-10.1 pmol/LStandard Error 1.58
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 12 in Fasting Proinsulin-8.8 pmol/LStandard Error 1.58
Placebo + Pioglitazone 30Change From Baseline to Week 12 in Fasting Proinsulin-11.2 pmol/LStandard Error 1.6
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 12 in Fasting Proinsulin-12.1 pmol/LStandard Error 1.63
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 12 in Fasting Proinsulin-12.7 pmol/LStandard Error 1.58
Placebo + Pioglitazone 45Change From Baseline to Week 12 in Fasting Proinsulin-8.1 pmol/LStandard Error 1.58
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 12 in Fasting Proinsulin-12.7 pmol/LStandard Error 1.61
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 12 in Fasting Proinsulin-13.2 pmol/LStandard Error 1.58
Secondary

Change From Baseline to Week 12 in Free Fatty Acids

Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline free fatty acid as continuous covariates.

Time frame: Baseline and Week 12

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 12 in Free Fatty Acids0.0067 mmol/LStandard Error 0.02493
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 12 in Free Fatty Acids-0.0149 mmol/LStandard Error 0.02535
Alogliptin 25 + PioglitazoneChange From Baseline to Week 12 in Free Fatty Acids-0.0769 mmol/LStandard Error 0.02535
Placebo + Pioglitazone 15Change From Baseline to Week 12 in Free Fatty Acids-0.0879 mmol/LStandard Error 0.02547
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 12 in Free Fatty Acids-0.1305 mmol/LStandard Error 0.02502
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 12 in Free Fatty Acids-0.1291 mmol/LStandard Error 0.02512
Placebo + Pioglitazone 30Change From Baseline to Week 12 in Free Fatty Acids-0.0395 mmol/LStandard Error 0.02592
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 12 in Free Fatty Acids-0.1167 mmol/LStandard Error 0.02515
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 12 in Free Fatty Acids-0.1126 mmol/LStandard Error 0.02534
Placebo + Pioglitazone 45Change From Baseline to Week 12 in Free Fatty Acids-0.0848 mmol/LStandard Error 0.02567
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 12 in Free Fatty Acids-0.1447 mmol/LStandard Error 0.02503
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 12 in Free Fatty Acids-0.1401 mmol/LStandard Error 0.02514
Secondary

Change From Baseline to Week 12 in HbA1c

The change from Baseline in HbA1c (the concentration of glucose bound to hemoglobin as a percent of the absolute maximum that can be bound) at week 12. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline HbA1c as continuous covariates.

Time frame: Baseline and Week 12

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 12 in HbA1c-0.28 percentage of glycosylated hemoglobinStandard Error 0.067
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 12 in HbA1c-0.84 percentage of glycosylated hemoglobinStandard Error 0.069
Alogliptin 25 + PioglitazoneChange From Baseline to Week 12 in HbA1c-0.92 percentage of glycosylated hemoglobinStandard Error 0.068
Placebo + Pioglitazone 15Change From Baseline to Week 12 in HbA1c-0.65 percentage of glycosylated hemoglobinStandard Error 0.067
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 12 in HbA1c-1.24 percentage of glycosylated hemoglobinStandard Error 0.066
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 12 in HbA1c-1.26 percentage of glycosylated hemoglobinStandard Error 0.067
Placebo + Pioglitazone 30Change From Baseline to Week 12 in HbA1c-0.77 percentage of glycosylated hemoglobinStandard Error 0.068
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 12 in HbA1c-1.29 percentage of glycosylated hemoglobinStandard Error 0.067
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 12 in HbA1c-1.33 percentage of glycosylated hemoglobinStandard Error 0.068
Placebo + Pioglitazone 45Change From Baseline to Week 12 in HbA1c-1.02 percentage of glycosylated hemoglobinStandard Error 0.067
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 12 in HbA1c-1.34 percentage of glycosylated hemoglobinStandard Error 0.067
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 12 in HbA1c-1.53 percentage of glycosylated hemoglobinStandard Error 0.067
Secondary

Change From Baseline to Week 12 in HDL Particles

The change from Baseline in levels of total, large, medium and small HDL particles was assessed by NMR lipid fractionation. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline NMR HDL particles as continuous covariates.

Time frame: Baseline and Week 12

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 12 in HDL ParticlesMedium Particles0.17 μmol/LStandard Error 0.325
Pioglitazone AloneChange From Baseline to Week 12 in HDL ParticlesLarge Particles-0.21 μmol/LStandard Error 0.185
Pioglitazone AloneChange From Baseline to Week 12 in HDL ParticlesSmall Particles-0.07 μmol/LStandard Error 0.435
Pioglitazone AloneChange From Baseline to Week 12 in HDL ParticlesTotal Particles-0.08 μmol/LStandard Error 0.368
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 12 in HDL ParticlesLarge Particles-0.29 μmol/LStandard Error 0.19
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 12 in HDL ParticlesTotal Particles-0.06 μmol/LStandard Error 0.377
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 12 in HDL ParticlesMedium Particles-0.24 μmol/LStandard Error 0.333
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 12 in HDL ParticlesSmall Particles0.43 μmol/LStandard Error 0.447
Alogliptin 25 + PioglitazoneChange From Baseline to Week 12 in HDL ParticlesTotal Particles0.16 μmol/LStandard Error 0.375
Alogliptin 25 + PioglitazoneChange From Baseline to Week 12 in HDL ParticlesLarge Particles-0.10 μmol/LStandard Error 0.189
Alogliptin 25 + PioglitazoneChange From Baseline to Week 12 in HDL ParticlesMedium Particles-0.01 μmol/LStandard Error 0.332
Alogliptin 25 + PioglitazoneChange From Baseline to Week 12 in HDL ParticlesSmall Particles0.27 μmol/LStandard Error 0.445
Placebo + Pioglitazone 15Change From Baseline to Week 12 in HDL ParticlesTotal Particles0.90 μmol/LStandard Error 0.377
Placebo + Pioglitazone 15Change From Baseline to Week 12 in HDL ParticlesSmall Particles-0.25 μmol/LStandard Error 0.446
Placebo + Pioglitazone 15Change From Baseline to Week 12 in HDL ParticlesLarge Particles0.53 μmol/LStandard Error 0.19
Placebo + Pioglitazone 15Change From Baseline to Week 12 in HDL ParticlesMedium Particles0.81 μmol/LStandard Error 0.334
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 12 in HDL ParticlesLarge Particles0.24 μmol/LStandard Error 0.189
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 12 in HDL ParticlesSmall Particles-1.09 μmol/LStandard Error 0.445
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 12 in HDL ParticlesMedium Particles1.15 μmol/LStandard Error 0.332
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 12 in HDL ParticlesTotal Particles0.37 μmol/LStandard Error 0.375
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 12 in HDL ParticlesTotal Particles0.55 μmol/LStandard Error 0.37
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 12 in HDL ParticlesLarge Particles0.50 μmol/LStandard Error 0.186
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 12 in HDL ParticlesSmall Particles-0.63 μmol/LStandard Error 0.439
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 12 in HDL ParticlesMedium Particles0.65 μmol/LStandard Error 0.328
Placebo + Pioglitazone 30Change From Baseline to Week 12 in HDL ParticlesMedium Particles1.21 μmol/LStandard Error 0.338
Placebo + Pioglitazone 30Change From Baseline to Week 12 in HDL ParticlesTotal Particles1.29 μmol/LStandard Error 0.382
Placebo + Pioglitazone 30Change From Baseline to Week 12 in HDL ParticlesLarge Particles1.09 μmol/LStandard Error 0.192
Placebo + Pioglitazone 30Change From Baseline to Week 12 in HDL ParticlesSmall Particles-0.92 μmol/LStandard Error 0.453
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 12 in HDL ParticlesLarge Particles0.95 μmol/LStandard Error 0.19
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 12 in HDL ParticlesTotal Particles0.75 μmol/LStandard Error 0.377
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 12 in HDL ParticlesSmall Particles-1.18 μmol/LStandard Error 0.447
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 12 in HDL ParticlesMedium Particles0.97 μmol/LStandard Error 0.334
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 12 in HDL ParticlesMedium Particles1.89 μmol/LStandard Error 0.338
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 12 in HDL ParticlesSmall Particles-2.82 μmol/LStandard Error 0.452
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 12 in HDL ParticlesLarge Particles1.12 μmol/LStandard Error 0.192
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 12 in HDL ParticlesTotal Particles0.15 μmol/LStandard Error 0.382
Placebo + Pioglitazone 45Change From Baseline to Week 12 in HDL ParticlesTotal Particles0.40 μmol/LStandard Error 0.384
Placebo + Pioglitazone 45Change From Baseline to Week 12 in HDL ParticlesMedium Particles2.06 μmol/LStandard Error 0.339
Placebo + Pioglitazone 45Change From Baseline to Week 12 in HDL ParticlesLarge Particles1.06 μmol/LStandard Error 0.193
Placebo + Pioglitazone 45Change From Baseline to Week 12 in HDL ParticlesSmall Particles-2.82 μmol/LStandard Error 0.455
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 12 in HDL ParticlesLarge Particles1.17 μmol/LStandard Error 0.186
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 12 in HDL ParticlesMedium Particles1.30 μmol/LStandard Error 0.326
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 12 in HDL ParticlesTotal Particles0.63 μmol/LStandard Error 0.369
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 12 in HDL ParticlesSmall Particles-1.84 μmol/LStandard Error 0.437
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 12 in HDL ParticlesTotal Particles0.60 μmol/LStandard Error 0.372
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 12 in HDL ParticlesMedium Particles2.31 μmol/LStandard Error 0.329
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 12 in HDL ParticlesLarge Particles1.06 μmol/LStandard Error 0.187
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 12 in HDL ParticlesSmall Particles-2.84 μmol/LStandard Error 0.441
Secondary

Change From Baseline to Week 12 in High-Density Lipoprotein Cholesterol

Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline HDL cholesterol as continuous covariates.

Time frame: Baseline and Week 12

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 12 in High-Density Lipoprotein Cholesterol-0.2 mg/dLStandard Error 0.64
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 12 in High-Density Lipoprotein Cholesterol0.0 mg/dLStandard Error 0.65
Alogliptin 25 + PioglitazoneChange From Baseline to Week 12 in High-Density Lipoprotein Cholesterol0.3 mg/dLStandard Error 0.64
Placebo + Pioglitazone 15Change From Baseline to Week 12 in High-Density Lipoprotein Cholesterol3.8 mg/dLStandard Error 0.64
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 12 in High-Density Lipoprotein Cholesterol3.7 mg/dLStandard Error 0.63
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 12 in High-Density Lipoprotein Cholesterol3.7 mg/dLStandard Error 0.63
Placebo + Pioglitazone 30Change From Baseline to Week 12 in High-Density Lipoprotein Cholesterol6.3 mg/dLStandard Error 0.64
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 12 in High-Density Lipoprotein Cholesterol5.8 mg/dLStandard Error 0.63
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 12 in High-Density Lipoprotein Cholesterol5.3 mg/dLStandard Error 0.64
Placebo + Pioglitazone 45Change From Baseline to Week 12 in High-Density Lipoprotein Cholesterol6.1 mg/dLStandard Error 0.63
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 12 in High-Density Lipoprotein Cholesterol6.3 mg/dLStandard Error 0.64
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 12 in High-Density Lipoprotein Cholesterol6.4 mg/dLStandard Error 0.64
Secondary

Change From Baseline to Week 12 in High-sensitivity C-Reactive Protein

Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline hsCRP as continuous covariates.

Time frame: Baseline and Week 12

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 12 in High-sensitivity C-Reactive Protein-1.1053 mg/LStandard Error 0.55528
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 12 in High-sensitivity C-Reactive Protein-1.0730 mg/LStandard Error 0.56942
Alogliptin 25 + PioglitazoneChange From Baseline to Week 12 in High-sensitivity C-Reactive Protein0.3516 mg/LStandard Error 0.55954
Placebo + Pioglitazone 15Change From Baseline to Week 12 in High-sensitivity C-Reactive Protein-0.9166 mg/LStandard Error 0.56902
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 12 in High-sensitivity C-Reactive Protein-2.2362 mg/LStandard Error 0.55706
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 12 in High-sensitivity C-Reactive Protein-2.4217 mg/LStandard Error 0.55929
Placebo + Pioglitazone 30Change From Baseline to Week 12 in High-sensitivity C-Reactive Protein-2.7023 mg/LStandard Error 0.55971
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 12 in High-sensitivity C-Reactive Protein-2.2143 mg/LStandard Error 0.55757
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 12 in High-sensitivity C-Reactive Protein-1.0006 mg/LStandard Error 0.56412
Placebo + Pioglitazone 45Change From Baseline to Week 12 in High-sensitivity C-Reactive Protein-2.4212 mg/LStandard Error 0.57137
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 12 in High-sensitivity C-Reactive Protein-2.9032 mg/LStandard Error 0.55979
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 12 in High-sensitivity C-Reactive Protein-2.2978 mg/LStandard Error 0.55243
Secondary

Change From Baseline to Week 12 in IDL Particles

The change from Baseline in levels of IDL particles was assessed by NMR lipid fractionation. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline NMR IDL particles as continuous covariates.

Time frame: Baseline and Week 12

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 12 in IDL Particles1.6 nmol/LStandard Error 3.6
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 12 in IDL Particles-11.1 nmol/LStandard Error 3.7
Alogliptin 25 + PioglitazoneChange From Baseline to Week 12 in IDL Particles-6.0 nmol/LStandard Error 3.68
Placebo + Pioglitazone 15Change From Baseline to Week 12 in IDL Particles5.1 nmol/LStandard Error 3.7
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 12 in IDL Particles-6.0 nmol/LStandard Error 3.68
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 12 in IDL Particles-2.3 nmol/LStandard Error 3.64
Placebo + Pioglitazone 30Change From Baseline to Week 12 in IDL Particles-2.2 nmol/LStandard Error 3.75
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 12 in IDL Particles-6.3 nmol/LStandard Error 3.7
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 12 in IDL Particles-8.1 nmol/LStandard Error 3.75
Placebo + Pioglitazone 45Change From Baseline to Week 12 in IDL Particles-1.5 nmol/LStandard Error 3.76
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 12 in IDL Particles0.7 nmol/LStandard Error 3.62
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 12 in IDL Particles-6.5 nmol/LStandard Error 3.65
Secondary

Change From Baseline to Week 12 in Insulin Levels

Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline insulin as continuous covariates.

Time frame: Baseline and Week 12

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 12 in Insulin Levels0.06 µIU/mLStandard Error 0.849
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 12 in Insulin Levels1.79 µIU/mLStandard Error 0.859
Alogliptin 25 + PioglitazoneChange From Baseline to Week 12 in Insulin Levels1.93 µIU/mLStandard Error 0.846
Placebo + Pioglitazone 15Change From Baseline to Week 12 in Insulin Levels-1.29 µIU/mLStandard Error 0.852
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 12 in Insulin Levels-1.47 µIU/mLStandard Error 0.859
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 12 in Insulin Levels-2.01 µIU/mLStandard Error 0.859
Placebo + Pioglitazone 30Change From Baseline to Week 12 in Insulin Levels-3.61 µIU/mLStandard Error 0.87
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 12 in Insulin Levels-1.36 µIU/mLStandard Error 0.882
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 12 in Insulin Levels-2.83 µIU/mLStandard Error 0.863
Placebo + Pioglitazone 45Change From Baseline to Week 12 in Insulin Levels-2.95 µIU/mLStandard Error 0.863
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 12 in Insulin Levels-2.35 µIU/mLStandard Error 0.874
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 12 in Insulin Levels-3.01 µIU/mLStandard Error 0.859
Secondary

Change From Baseline to Week 12 in LDL Particles

The change from Baseline in levels of total, large, medium-small, total small and very small LDL particles was assessed by NMR lipid fractionation. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline NMR LDL particles as continuous covariates.

Time frame: Baseline and Week 12

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 12 in LDL ParticlesLarge Particles4.7 nmol/LStandard Error 16.74
Pioglitazone AloneChange From Baseline to Week 12 in LDL ParticlesVery Small Particles36.4 nmol/LStandard Error 27.65
Pioglitazone AloneChange From Baseline to Week 12 in LDL ParticlesMedium-Small Particles9.4 nmol/LStandard Error 6.87
Pioglitazone AloneChange From Baseline to Week 12 in LDL ParticlesTotal Particles52.0 nmol/LStandard Error 29.17
Pioglitazone AloneChange From Baseline to Week 12 in LDL ParticlesTotal Small Particles45.1 nmol/LStandard Error 33.98
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 12 in LDL ParticlesTotal Particles-39.1 nmol/LStandard Error 29.92
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 12 in LDL ParticlesVery Small Particles-44.1 nmol/LStandard Error 28.34
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 12 in LDL ParticlesLarge Particles21.1 nmol/LStandard Error 17.16
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 12 in LDL ParticlesTotal Small Particles-52.0 nmol/LStandard Error 34.83
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 12 in LDL ParticlesMedium-Small Particles-7.7 nmol/LStandard Error 7.04
Alogliptin 25 + PioglitazoneChange From Baseline to Week 12 in LDL ParticlesLarge Particles-8.0 nmol/LStandard Error 17.09
Alogliptin 25 + PioglitazoneChange From Baseline to Week 12 in LDL ParticlesTotal Particles-69.9 nmol/LStandard Error 29.8
Alogliptin 25 + PioglitazoneChange From Baseline to Week 12 in LDL ParticlesVery Small Particles-51.9 nmol/LStandard Error 28.23
Alogliptin 25 + PioglitazoneChange From Baseline to Week 12 in LDL ParticlesTotal Small Particles-56.5 nmol/LStandard Error 34.7
Alogliptin 25 + PioglitazoneChange From Baseline to Week 12 in LDL ParticlesMedium-Small Particles-5.1 nmol/LStandard Error 7.02
Placebo + Pioglitazone 15Change From Baseline to Week 12 in LDL ParticlesTotal Particles-48.8 nmol/LStandard Error 29.91
Placebo + Pioglitazone 15Change From Baseline to Week 12 in LDL ParticlesLarge Particles56.2 nmol/LStandard Error 17.15
Placebo + Pioglitazone 15Change From Baseline to Week 12 in LDL ParticlesTotal Small Particles-109.9 nmol/LStandard Error 34.83
Placebo + Pioglitazone 15Change From Baseline to Week 12 in LDL ParticlesVery Small Particles-89.2 nmol/LStandard Error 28.33
Placebo + Pioglitazone 15Change From Baseline to Week 12 in LDL ParticlesMedium-Small Particles-20.3 nmol/LStandard Error 7.04
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 12 in LDL ParticlesVery Small Particles-170.3 nmol/LStandard Error 28.22
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 12 in LDL ParticlesLarge Particles73.8 nmol/LStandard Error 17.08
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 12 in LDL ParticlesTotal Small Particles-211.0 nmol/LStandard Error 34.69
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 12 in LDL ParticlesMedium-Small Particles-41.1 nmol/LStandard Error 7.01
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 12 in LDL ParticlesTotal Particles-143.5 nmol/LStandard Error 29.79
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 12 in LDL ParticlesTotal Small Particles-256.3 nmol/LStandard Error 34.26
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 12 in LDL ParticlesMedium-Small Particles-48.0 nmol/LStandard Error 6.93
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 12 in LDL ParticlesTotal Particles-175.6 nmol/LStandard Error 29.43
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 12 in LDL ParticlesLarge Particles85.7 nmol/LStandard Error 16.86
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 12 in LDL ParticlesVery Small Particles-207.6 nmol/LStandard Error 27.87
Placebo + Pioglitazone 30Change From Baseline to Week 12 in LDL ParticlesTotal Particles-96.2 nmol/LStandard Error 30.37
Placebo + Pioglitazone 30Change From Baseline to Week 12 in LDL ParticlesLarge Particles83.9 nmol/LStandard Error 17.43
Placebo + Pioglitazone 30Change From Baseline to Week 12 in LDL ParticlesMedium-Small Particles-34.4 nmol/LStandard Error 7.14
Placebo + Pioglitazone 30Change From Baseline to Week 12 in LDL ParticlesTotal Small Particles-184.1 nmol/LStandard Error 35.32
Placebo + Pioglitazone 30Change From Baseline to Week 12 in LDL ParticlesVery Small Particles-149.8 nmol/LStandard Error 28.74
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 12 in LDL ParticlesMedium-Small Particles-58.2 nmol/LStandard Error 7.05
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 12 in LDL ParticlesLarge Particles126.2 nmol/LStandard Error 17.18
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 12 in LDL ParticlesTotal Particles-195.8 nmol/LStandard Error 29.93
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 12 in LDL ParticlesTotal Small Particles-313.7 nmol/LStandard Error 34.85
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 12 in LDL ParticlesVery Small Particles-255.7 nmol/LStandard Error 28.36
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 12 in LDL ParticlesTotal Small Particles-345.4 nmol/LStandard Error 35.29
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 12 in LDL ParticlesTotal Particles-248.8 nmol/LStandard Error 30.31
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 12 in LDL ParticlesMedium-Small Particles-64.1 nmol/LStandard Error 7.14
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 12 in LDL ParticlesLarge Particles105.7 nmol/LStandard Error 17.39
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 12 in LDL ParticlesVery Small Particles-281.5 nmol/LStandard Error 28.72
Placebo + Pioglitazone 45Change From Baseline to Week 12 in LDL ParticlesTotal Small Particles-280.4 nmol/LStandard Error 35.46
Placebo + Pioglitazone 45Change From Baseline to Week 12 in LDL ParticlesVery Small Particles-225.0 nmol/LStandard Error 28.85
Placebo + Pioglitazone 45Change From Baseline to Week 12 in LDL ParticlesMedium-Small Particles-55.4 nmol/LStandard Error 7.17
Placebo + Pioglitazone 45Change From Baseline to Week 12 in LDL ParticlesLarge Particles116.9 nmol/LStandard Error 17.48
Placebo + Pioglitazone 45Change From Baseline to Week 12 in LDL ParticlesTotal Particles-167.0 nmol/LStandard Error 30.46
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 12 in LDL ParticlesLarge Particles135.2 nmol/LStandard Error 16.79
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 12 in LDL ParticlesTotal Small Particles-337.9 nmol/LStandard Error 34.08
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 12 in LDL ParticlesVery Small Particles-271.0 nmol/LStandard Error 27.73
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 12 in LDL ParticlesMedium-Small Particles-66.8 nmol/LStandard Error 6.89
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 12 in LDL ParticlesTotal Particles-202.2 nmol/LStandard Error 29.27
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 12 in LDL ParticlesTotal Small Particles-392.7 nmol/LStandard Error 34.38
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 12 in LDL ParticlesLarge Particles116.1 nmol/LStandard Error 16.95
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 12 in LDL ParticlesMedium-Small Particles-68.2 nmol/LStandard Error 6.96
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 12 in LDL ParticlesTotal Particles-285.8 nmol/LStandard Error 29.52
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 12 in LDL ParticlesVery Small Particles-325.0 nmol/LStandard Error 27.97
Secondary

Change From Baseline to Week 12 in Low-Density Lipoprotein Cholesterol

Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline LDL cholesterol as continuous covariates.

Time frame: Baseline and Week 12

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 12 in Low-Density Lipoprotein Cholesterol6.5 mg/dLStandard Error 2.26
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 12 in Low-Density Lipoprotein Cholesterol1.9 mg/dLStandard Error 2.3
Alogliptin 25 + PioglitazoneChange From Baseline to Week 12 in Low-Density Lipoprotein Cholesterol3.7 mg/dLStandard Error 2.26
Placebo + Pioglitazone 15Change From Baseline to Week 12 in Low-Density Lipoprotein Cholesterol8.9 mg/dLStandard Error 2.24
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 12 in Low-Density Lipoprotein Cholesterol3.3 mg/dLStandard Error 2.21
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 12 in Low-Density Lipoprotein Cholesterol3.8 mg/dLStandard Error 2.24
Placebo + Pioglitazone 30Change From Baseline to Week 12 in Low-Density Lipoprotein Cholesterol6.1 mg/dLStandard Error 2.26
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 12 in Low-Density Lipoprotein Cholesterol1.9 mg/dLStandard Error 2.23
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 12 in Low-Density Lipoprotein Cholesterol0.9 mg/dLStandard Error 2.25
Placebo + Pioglitazone 45Change From Baseline to Week 12 in Low-Density Lipoprotein Cholesterol5.7 mg/dLStandard Error 2.23
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 12 in Low-Density Lipoprotein Cholesterol4.9 mg/dLStandard Error 2.26
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 12 in Low-Density Lipoprotein Cholesterol-0.3 mg/dLStandard Error 2.22
Secondary

Change From Baseline to Week 12 in Mean HDL Particle Size

The change from Baseline in mean HDL particle size was assessed by NMR lipid fractionation. Least squares means are from are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline mean HDL particle size as continuous covariates.

Time frame: Baseline and Week 12

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 12 in Mean HDL Particle Size0.00 nmStandard Error 0.023
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 12 in Mean HDL Particle Size0.00 nmStandard Error 0.023
Alogliptin 25 + PioglitazoneChange From Baseline to Week 12 in Mean HDL Particle Size0.00 nmStandard Error 0.023
Placebo + Pioglitazone 15Change From Baseline to Week 12 in Mean HDL Particle Size0.06 nmStandard Error 0.023
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 12 in Mean HDL Particle Size0.07 nmStandard Error 0.023
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 12 in Mean HDL Particle Size0.09 nmStandard Error 0.023
Placebo + Pioglitazone 30Change From Baseline to Week 12 in Mean HDL Particle Size0.10 nmStandard Error 0.023
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 12 in Mean HDL Particle Size0.15 nmStandard Error 0.023
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 12 in Mean HDL Particle Size0.17 nmStandard Error 0.023
Placebo + Pioglitazone 45Change From Baseline to Week 12 in Mean HDL Particle Size0.18 nmStandard Error 0.024
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 12 in Mean HDL Particle Size0.17 nmStandard Error 0.023
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 12 in Mean HDL Particle Size0.21 nmStandard Error 0.023
Secondary

Change From Baseline to Week 12 in Mean LDL Particle Size

The change from Baseline in mean LDL particle size was assessed by NMR lipid fractionation. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline mean LDL particle size as continuous covariates.

Time frame: Baseline and Week 12

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 12 in Mean LDL Particle Size-0.05 nmStandard Error 0.057
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 12 in Mean LDL Particle Size0.13 nmStandard Error 0.059
Alogliptin 25 + PioglitazoneChange From Baseline to Week 12 in Mean LDL Particle Size0.06 nmStandard Error 0.059
Placebo + Pioglitazone 15Change From Baseline to Week 12 in Mean LDL Particle Size0.25 nmStandard Error 0.059
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 12 in Mean LDL Particle Size0.43 nmStandard Error 0.059
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 12 in Mean LDL Particle Size0.49 nmStandard Error 0.058
Placebo + Pioglitazone 30Change From Baseline to Week 12 in Mean LDL Particle Size0.44 nmStandard Error 0.06
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 12 in Mean LDL Particle Size0.61 nmStandard Error 0.059
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 12 in Mean LDL Particle Size0.61 nmStandard Error 0.06
Placebo + Pioglitazone 45Change From Baseline to Week 12 in Mean LDL Particle Size0.58 nmStandard Error 0.06
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 12 in Mean LDL Particle Size0.68 nmStandard Error 0.058
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 12 in Mean LDL Particle Size0.73 nmStandard Error 0.058
Secondary

Change From Baseline to Week 12 in Mean VLDL Particle Size

The change from Baseline in mean VLDL particle size was assessed by NMR lipid fractionation. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline mean VLDL particle size as continuous covariates.

Time frame: Baseline and Week 12

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 12 in Mean VLDL Particle Size0.65 nmStandard Error 0.664
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 12 in Mean VLDL Particle Size0.12 nmStandard Error 0.681
Alogliptin 25 + PioglitazoneChange From Baseline to Week 12 in Mean VLDL Particle Size-0.18 nmStandard Error 0.678
Placebo + Pioglitazone 15Change From Baseline to Week 12 in Mean VLDL Particle Size-2.81 nmStandard Error 0.681
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 12 in Mean VLDL Particle Size-2.10 nmStandard Error 0.681
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 12 in Mean VLDL Particle Size-2.56 nmStandard Error 0.669
Placebo + Pioglitazone 30Change From Baseline to Week 12 in Mean VLDL Particle Size-3.16 nmStandard Error 0.69
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 12 in Mean VLDL Particle Size-2.88 nmStandard Error 0.681
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 12 in Mean VLDL Particle Size-2.49 nmStandard Error 0.69
Placebo + Pioglitazone 45Change From Baseline to Week 12 in Mean VLDL Particle Size-2.37 nmStandard Error 0.694
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 12 in Mean VLDL Particle Size-4.00 nmStandard Error 0.666
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 12 in Mean VLDL Particle Size-4.03 nmStandard Error 0.672
Secondary

Change From Baseline to Week 12 in NMR Lipid Fractionation Total Triglycerides

NMR lipid fractionation was used to assess the change from Baseline in total triglyceride levels at Week 12. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline NMR total triglycerides as continuous covariates.

Time frame: Baseline and Week 12

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 12 in NMR Lipid Fractionation Total Triglycerides20.6 mg/dLStandard Error 6.56
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 12 in NMR Lipid Fractionation Total Triglycerides-4.9 mg/dLStandard Error 6.73
Alogliptin 25 + PioglitazoneChange From Baseline to Week 12 in NMR Lipid Fractionation Total Triglycerides-7.8 mg/dLStandard Error 6.7
Placebo + Pioglitazone 15Change From Baseline to Week 12 in NMR Lipid Fractionation Total Triglycerides-12.9 mg/dLStandard Error 6.72
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 12 in NMR Lipid Fractionation Total Triglycerides-21.8 mg/dLStandard Error 6.7
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 12 in NMR Lipid Fractionation Total Triglycerides-27.2 mg/dLStandard Error 6.61
Placebo + Pioglitazone 30Change From Baseline to Week 12 in NMR Lipid Fractionation Total Triglycerides-18.3 mg/dLStandard Error 6.82
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 12 in NMR Lipid Fractionation Total Triglycerides-29.8 mg/dLStandard Error 6.73
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 12 in NMR Lipid Fractionation Total Triglycerides-31.6 mg/dLStandard Error 6.82
Placebo + Pioglitazone 45Change From Baseline to Week 12 in NMR Lipid Fractionation Total Triglycerides-27.9 mg/dLStandard Error 6.85
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 12 in NMR Lipid Fractionation Total Triglycerides-35.1 mg/dLStandard Error 6.59
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 12 in NMR Lipid Fractionation Total Triglycerides-36.0 mg/dLStandard Error 6.64
Secondary

Change From Baseline to Week 12 in Plasminogen Activator Inhibitor-1

Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline PAI-1 as continuous covariates.

Time frame: Baseline and Week 12

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 12 in Plasminogen Activator Inhibitor-1-4.55 ng/mLStandard Error 3.367
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 12 in Plasminogen Activator Inhibitor-13.54 ng/mLStandard Error 3.35
Alogliptin 25 + PioglitazoneChange From Baseline to Week 12 in Plasminogen Activator Inhibitor-1-1.80 ng/mLStandard Error 3.353
Placebo + Pioglitazone 15Change From Baseline to Week 12 in Plasminogen Activator Inhibitor-1-5.32 ng/mLStandard Error 3.34
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 12 in Plasminogen Activator Inhibitor-1-6.28 ng/mLStandard Error 3.26
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 12 in Plasminogen Activator Inhibitor-1-10.94 ng/mLStandard Error 3.32
Placebo + Pioglitazone 30Change From Baseline to Week 12 in Plasminogen Activator Inhibitor-1-8.53 ng/mLStandard Error 3.353
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 12 in Plasminogen Activator Inhibitor-1-10.47 ng/mLStandard Error 3.336
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 12 in Plasminogen Activator Inhibitor-1-1.71 ng/mLStandard Error 3.321
Placebo + Pioglitazone 45Change From Baseline to Week 12 in Plasminogen Activator Inhibitor-11.85 ng/mLStandard Error 3.539
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 12 in Plasminogen Activator Inhibitor-1-9.13 ng/mLStandard Error 3.277
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 12 in Plasminogen Activator Inhibitor-1-12.63 ng/mLStandard Error 3.306
Secondary

Change From Baseline to Week 12 in Proinsulin/Insulin Ratio

The ratio of proinsulin to insulin was calculated as proinsulin (pmol/L) / insulin (μIU/mL). Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline proinsulin/insulin ratio as continuous covariates.

Time frame: Baseline and Week 12

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 12 in Proinsulin/Insulin Ratio-0.006 ratioStandard Error 0.0142
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 12 in Proinsulin/Insulin Ratio-0.024 ratioStandard Error 0.0144
Alogliptin 25 + PioglitazoneChange From Baseline to Week 12 in Proinsulin/Insulin Ratio-0.041 ratioStandard Error 0.0141
Placebo + Pioglitazone 15Change From Baseline to Week 12 in Proinsulin/Insulin Ratio-0.041 ratioStandard Error 0.0142
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 12 in Proinsulin/Insulin Ratio-0.073 ratioStandard Error 0.0144
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 12 in Proinsulin/Insulin Ratio-0.056 ratioStandard Error 0.0144
Placebo + Pioglitazone 30Change From Baseline to Week 12 in Proinsulin/Insulin Ratio-0.063 ratioStandard Error 0.0146
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 12 in Proinsulin/Insulin Ratio-0.072 ratioStandard Error 0.0149
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 12 in Proinsulin/Insulin Ratio-0.088 ratioStandard Error 0.0144
Placebo + Pioglitazone 45Change From Baseline to Week 12 in Proinsulin/Insulin Ratio-0.021 ratioStandard Error 0.0144
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 12 in Proinsulin/Insulin Ratio-0.112 ratioStandard Error 0.0146
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 12 in Proinsulin/Insulin Ratio-0.101 ratioStandard Error 0.0144
Secondary

Change From Baseline to Week 12 in Total Cholesterol Levels

Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline total cholesterol as continuous covariates.

Time frame: Baseline and Week 12

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 12 in Total Cholesterol Levels7.8 mg/dLStandard Error 2.54
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 12 in Total Cholesterol Levels0.4 mg/dLStandard Error 2.57
Alogliptin 25 + PioglitazoneChange From Baseline to Week 12 in Total Cholesterol Levels0.1 mg/dLStandard Error 2.56
Placebo + Pioglitazone 15Change From Baseline to Week 12 in Total Cholesterol Levels8.7 mg/dLStandard Error 2.54
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 12 in Total Cholesterol Levels1.9 mg/dLStandard Error 2.51
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 12 in Total Cholesterol Levels-0.2 mg/dLStandard Error 2.52
Placebo + Pioglitazone 30Change From Baseline to Week 12 in Total Cholesterol Levels7.3 mg/dLStandard Error 2.56
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 12 in Total Cholesterol Levels0.3 mg/dLStandard Error 2.52
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 12 in Total Cholesterol Levels-1.0 mg/dLStandard Error 2.55
Placebo + Pioglitazone 45Change From Baseline to Week 12 in Total Cholesterol Levels3.7 mg/dLStandard Error 2.53
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 12 in Total Cholesterol Levels1.7 mg/dLStandard Error 2.54
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 12 in Total Cholesterol Levels-3.9 mg/dLStandard Error 2.54
Secondary

Change From Baseline to Week 12 in Triglyceride Levels

Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline triglycerides as continuous covariates.

Time frame: Baseline and Week 12

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 12 in Triglyceride Levels18.9 mg/dLStandard Error 7.35
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 12 in Triglyceride Levels-4.3 mg/dLStandard Error 7.44
Alogliptin 25 + PioglitazoneChange From Baseline to Week 12 in Triglyceride Levels-18.1 mg/dLStandard Error 7.41
Placebo + Pioglitazone 15Change From Baseline to Week 12 in Triglyceride Levels-24.1 mg/dLStandard Error 7.34
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 12 in Triglyceride Levels-37.4 mg/dLStandard Error 7.26
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 12 in Triglyceride Levels-44.0 mg/dLStandard Error 7.29
Placebo + Pioglitazone 30Change From Baseline to Week 12 in Triglyceride Levels-37.4 mg/dLStandard Error 7.4
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 12 in Triglyceride Levels-47.9 mg/dLStandard Error 7.29
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 12 in Triglyceride Levels-46.8 mg/dLStandard Error 7.38
Placebo + Pioglitazone 45Change From Baseline to Week 12 in Triglyceride Levels-42.1 mg/dLStandard Error 7.31
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 12 in Triglyceride Levels-57.1 mg/dLStandard Error 7.35
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 12 in Triglyceride Levels-57.4 mg/dLStandard Error 7.35
Secondary

Change From Baseline to Week 12 in VLDL / Chylomicron Particles

The change from Baseline in levels of total VLDL/chylomicron particles and large VLDL/chylomicron particles was assessed by NMR lipid fractionation. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline NMR VLDL/chylomicron particles as continuous covariates.

Time frame: Baseline and Week 12

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 12 in VLDL / Chylomicron ParticlesTotal Particles5.82 nmol/LStandard Error 3.013
Pioglitazone AloneChange From Baseline to Week 12 in VLDL / Chylomicron ParticlesLarge Particles1.12 nmol/LStandard Error 0.482
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 12 in VLDL / Chylomicron ParticlesTotal Particles-1.59 nmol/LStandard Error 3.092
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 12 in VLDL / Chylomicron ParticlesLarge Particles-0.42 nmol/LStandard Error 0.495
Alogliptin 25 + PioglitazoneChange From Baseline to Week 12 in VLDL / Chylomicron ParticlesTotal Particles-5.32 nmol/LStandard Error 3.077
Alogliptin 25 + PioglitazoneChange From Baseline to Week 12 in VLDL / Chylomicron ParticlesLarge Particles-0.27 nmol/LStandard Error 0.493
Placebo + Pioglitazone 15Change From Baseline to Week 12 in VLDL / Chylomicron ParticlesTotal Particles2.52 nmol/LStandard Error 3.089
Placebo + Pioglitazone 15Change From Baseline to Week 12 in VLDL / Chylomicron ParticlesLarge Particles-1.20 nmol/LStandard Error 0.495
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 12 in VLDL / Chylomicron ParticlesLarge Particles-1.63 nmol/LStandard Error 0.493
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 12 in VLDL / Chylomicron ParticlesTotal Particles-3.46 nmol/LStandard Error 3.077
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 12 in VLDL / Chylomicron ParticlesTotal Particles-5.57 nmol/LStandard Error 3.037
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 12 in VLDL / Chylomicron ParticlesLarge Particles-1.81 nmol/LStandard Error 0.486
Placebo + Pioglitazone 30Change From Baseline to Week 12 in VLDL / Chylomicron ParticlesLarge Particles-1.69 nmol/LStandard Error 0.502
Placebo + Pioglitazone 30Change From Baseline to Week 12 in VLDL / Chylomicron ParticlesTotal Particles0.45 nmol/LStandard Error 3.135
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 12 in VLDL / Chylomicron ParticlesTotal Particles-7.82 nmol/LStandard Error 3.092
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 12 in VLDL / Chylomicron ParticlesLarge Particles-2.19 nmol/LStandard Error 0.495
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 12 in VLDL / Chylomicron ParticlesTotal Particles-6.54 nmol/LStandard Error 3.132
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 12 in VLDL / Chylomicron ParticlesLarge Particles-2.29 nmol/LStandard Error 0.501
Placebo + Pioglitazone 45Change From Baseline to Week 12 in VLDL / Chylomicron ParticlesTotal Particles-8.58 nmol/LStandard Error 3.147
Placebo + Pioglitazone 45Change From Baseline to Week 12 in VLDL / Chylomicron ParticlesLarge Particles-1.97 nmol/LStandard Error 0.504
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 12 in VLDL / Chylomicron ParticlesLarge Particles-2.81 nmol/LStandard Error 0.484
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 12 in VLDL / Chylomicron ParticlesTotal Particles-7.99 nmol/LStandard Error 3.027
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 12 in VLDL / Chylomicron ParticlesLarge Particles-2.45 nmol/LStandard Error 0.489
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 12 in VLDL / Chylomicron ParticlesTotal Particles-9.76 nmol/LStandard Error 3.051
Secondary

Change From Baseline to Week 12 in VLDL / Chylomicron Triglycerides

The change from Baseline in VLDL/chylomicron triglyceride levels was assessed by NMR lipid fractionation. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline NMR VLDL/chylomicron triglycerides as continuous covariates.

Time frame: Baseline and Week 12

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 12 in VLDL / Chylomicron Triglycerides19.9 mg/dLStandard Error 6.51
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 12 in VLDL / Chylomicron Triglycerides-3.5 mg/dLStandard Error 6.69
Alogliptin 25 + PioglitazoneChange From Baseline to Week 12 in VLDL / Chylomicron Triglycerides-6.4 mg/dLStandard Error 6.65
Placebo + Pioglitazone 15Change From Baseline to Week 12 in VLDL / Chylomicron Triglycerides-14.2 mg/dLStandard Error 6.68
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 12 in VLDL / Chylomicron Triglycerides-21.1 mg/dLStandard Error 6.65
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 12 in VLDL / Chylomicron Triglycerides-26.5 mg/dLStandard Error 6.56
Placebo + Pioglitazone 30Change From Baseline to Week 12 in VLDL / Chylomicron Triglycerides-19.1 mg/dLStandard Error 6.78
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 12 in VLDL / Chylomicron Triglycerides-29.5 mg/dLStandard Error 6.69
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 12 in VLDL / Chylomicron Triglycerides-30.1 mg/dLStandard Error 6.77
Placebo + Pioglitazone 45Change From Baseline to Week 12 in VLDL / Chylomicron Triglycerides-28.4 mg/dLStandard Error 6.8
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 12 in VLDL / Chylomicron Triglycerides-35.5 mg/dLStandard Error 6.55
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 12 in VLDL / Chylomicron Triglycerides-34.8 mg/dLStandard Error 6.6
Secondary

Change From Baseline to Week 12 in VLDL Particles

The change from Baseline in levels of medium VLDL particles and small VLDL particles was assessed by NMR lipid fractionation. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline NMR VLDL particles as continuous covariates.

Time frame: Baseline and Week 12

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 12 in VLDL ParticlesMedium Particles2.13 nmol/LStandard Error 1.962
Pioglitazone AloneChange From Baseline to Week 12 in VLDL ParticlesSmall Particles2.76 nmol/LStandard Error 1.758
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 12 in VLDL ParticlesMedium Particles-1.13 nmol/LStandard Error 2.014
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 12 in VLDL ParticlesSmall Particles0.39 nmol/LStandard Error 1.804
Alogliptin 25 + PioglitazoneChange From Baseline to Week 12 in VLDL ParticlesMedium Particles-2.88 nmol/LStandard Error 2.003
Alogliptin 25 + PioglitazoneChange From Baseline to Week 12 in VLDL ParticlesSmall Particles-2.30 nmol/LStandard Error 1.797
Placebo + Pioglitazone 15Change From Baseline to Week 12 in VLDL ParticlesMedium Particles-2.25 nmol/LStandard Error 2.011
Placebo + Pioglitazone 15Change From Baseline to Week 12 in VLDL ParticlesSmall Particles5.99 nmol/LStandard Error 1.803
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 12 in VLDL ParticlesSmall Particles1.16 nmol/LStandard Error 1.796
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 12 in VLDL ParticlesMedium Particles-3.16 nmol/LStandard Error 2.004
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 12 in VLDL ParticlesMedium Particles-6.51 nmol/LStandard Error 1.977
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 12 in VLDL ParticlesSmall Particles2.60 nmol/LStandard Error 1.772
Placebo + Pioglitazone 30Change From Baseline to Week 12 in VLDL ParticlesSmall Particles4.39 nmol/LStandard Error 1.829
Placebo + Pioglitazone 30Change From Baseline to Week 12 in VLDL ParticlesMedium Particles-2.59 nmol/LStandard Error 2.041
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 12 in VLDL ParticlesMedium Particles-6.70 nmol/LStandard Error 2.013
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 12 in VLDL ParticlesSmall Particles1.15 nmol/LStandard Error 1.806
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 12 in VLDL ParticlesMedium Particles-7.05 nmol/LStandard Error 2.039
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 12 in VLDL ParticlesSmall Particles2.51 nmol/LStandard Error 1.828
Placebo + Pioglitazone 45Change From Baseline to Week 12 in VLDL ParticlesMedium Particles-8.64 nmol/LStandard Error 2.048
Placebo + Pioglitazone 45Change From Baseline to Week 12 in VLDL ParticlesSmall Particles2.22 nmol/LStandard Error 1.839
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 12 in VLDL ParticlesSmall Particles1.80 nmol/LStandard Error 1.765
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 12 in VLDL ParticlesMedium Particles-6.38 nmol/LStandard Error 1.971
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 12 in VLDL ParticlesSmall Particles0.73 nmol/LStandard Error 1.78
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 12 in VLDL ParticlesMedium Particles-8.50 nmol/LStandard Error 1.987
Secondary

Change From Baseline to Week 16 in C-peptide Levels

Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline C-peptide as continuous covariates.

Time frame: Baseline and Week 16

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 16 in C-peptide Levels-0.076 ng/mLStandard Error 0.0783
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 16 in C-peptide Levels0.032 ng/mLStandard Error 0.0796
Alogliptin 25 + PioglitazoneChange From Baseline to Week 16 in C-peptide Levels0.101 ng/mLStandard Error 0.0789
Placebo + Pioglitazone 15Change From Baseline to Week 16 in C-peptide Levels-0.242 ng/mLStandard Error 0.0786
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 16 in C-peptide Levels-0.282 ng/mLStandard Error 0.078
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 16 in C-peptide Levels-0.184 ng/mLStandard Error 0.0783
Placebo + Pioglitazone 30Change From Baseline to Week 16 in C-peptide Levels-0.410 ng/mLStandard Error 0.0796
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 16 in C-peptide Levels-0.318 ng/mLStandard Error 0.0783
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 16 in C-peptide Levels-0.306 ng/mLStandard Error 0.0786
Placebo + Pioglitazone 45Change From Baseline to Week 16 in C-peptide Levels-0.404 ng/mLStandard Error 0.0786
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 16 in C-peptide Levels-0.431 ng/mLStandard Error 0.0789
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 16 in C-peptide Levels-0.510 ng/mLStandard Error 0.0783
Secondary

Change From Baseline to Week 16 in Fasting Plasma Glucose

Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline fasting plasma glucose as covariates.

Time frame: Baseline and Week 16

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 16 in Fasting Plasma Glucose1.4 mg/dLStandard Error 3.2
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 16 in Fasting Plasma Glucose-16.2 mg/dLStandard Error 3.29
Alogliptin 25 + PioglitazoneChange From Baseline to Week 16 in Fasting Plasma Glucose-22.6 mg/dLStandard Error 3.24
Placebo + Pioglitazone 15Change From Baseline to Week 16 in Fasting Plasma Glucose-21.2 mg/dLStandard Error 3.22
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 16 in Fasting Plasma Glucose-41.6 mg/dLStandard Error 3.2
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 16 in Fasting Plasma Glucose-39.1 mg/dLStandard Error 3.19
Placebo + Pioglitazone 30Change From Baseline to Week 16 in Fasting Plasma Glucose-26.3 mg/dLStandard Error 3.25
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 16 in Fasting Plasma Glucose-41.5 mg/dLStandard Error 3.2
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 16 in Fasting Plasma Glucose-43.4 mg/dLStandard Error 3.24
Placebo + Pioglitazone 45Change From Baseline to Week 16 in Fasting Plasma Glucose-36.3 mg/dLStandard Error 3.2
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 16 in Fasting Plasma Glucose-47.9 mg/dLStandard Error 3.21
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 16 in Fasting Plasma Glucose-53.8 mg/dLStandard Error 3.22
Secondary

Change From Baseline to Week 16 in Fasting Proinsulin

Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline proinsulin as continuous covariates.

Time frame: Baseline and Week 16

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 16 in Fasting Proinsulin-3.0 pmol/LStandard Error 1.58
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 16 in Fasting Proinsulin0.0 pmol/LStandard Error 1.6
Alogliptin 25 + PioglitazoneChange From Baseline to Week 16 in Fasting Proinsulin-2.3 pmol/LStandard Error 1.58
Placebo + Pioglitazone 15Change From Baseline to Week 16 in Fasting Proinsulin-3.7 pmol/LStandard Error 1.59
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 16 in Fasting Proinsulin-11.0 pmol/LStandard Error 1.6
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 16 in Fasting Proinsulin-8.4 pmol/LStandard Error 1.6
Placebo + Pioglitazone 30Change From Baseline to Week 16 in Fasting Proinsulin-10.0 pmol/LStandard Error 1.62
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 16 in Fasting Proinsulin-12.6 pmol/LStandard Error 1.65
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 16 in Fasting Proinsulin-11.2 pmol/LStandard Error 1.6
Placebo + Pioglitazone 45Change From Baseline to Week 16 in Fasting Proinsulin-8.0 pmol/LStandard Error 1.6
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 16 in Fasting Proinsulin-13.0 pmol/LStandard Error 1.63
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 16 in Fasting Proinsulin-14.4 pmol/LStandard Error 1.6
Secondary

Change From Baseline to Week 16 in HbA1c

The change from Baseline in HbA1c (the concentration of glucose bound to hemoglobin as a percent of the absolute maximum that can be bound) at week 16. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline HbA1c as continuous covariates.

Time frame: Baseline and Week 16

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward (LOCF) imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 16 in HbA1c-0.27 percentage of glycosylated hemoglobinStandard Error 0.071
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 16 in HbA1c-0.82 percentage of glycosylated hemoglobinStandard Error 0.072
Alogliptin 25 + PioglitazoneChange From Baseline to Week 16 in HbA1c-1.03 percentage of glycosylated hemoglobinStandard Error 0.072
Placebo + Pioglitazone 15Change From Baseline to Week 16 in HbA1c-0.74 percentage of glycosylated hemoglobinStandard Error 0.071
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 16 in HbA1c-1.36 percentage of glycosylated hemoglobinStandard Error 0.07
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 16 in HbA1c-1.36 percentage of glycosylated hemoglobinStandard Error 0.071
Placebo + Pioglitazone 30Change From Baseline to Week 16 in HbA1c-0.91 percentage of glycosylated hemoglobinStandard Error 0.072
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 16 in HbA1c-1.42 percentage of glycosylated hemoglobinStandard Error 0.071
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 16 in HbA1c-1.45 percentage of glycosylated hemoglobinStandard Error 0.072
Placebo + Pioglitazone 45Change From Baseline to Week 16 in HbA1c-1.12 percentage of glycosylated hemoglobinStandard Error 0.071
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 16 in HbA1c-1.53 percentage of glycosylated hemoglobinStandard Error 0.071
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 16 in HbA1c-1.66 percentage of glycosylated hemoglobinStandard Error 0.071
Secondary

Change From Baseline to Week 16 in High-Density Lipoprotein Cholesterol

Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline HDL cholesterol as continuous covariates.

Time frame: Baseline and Week 16

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 16 in High-Density Lipoprotein Cholesterol-0.3 mg/dLStandard Error 0.67
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 16 in High-Density Lipoprotein Cholesterol0.4 mg/dLStandard Error 0.68
Alogliptin 25 + PioglitazoneChange From Baseline to Week 16 in High-Density Lipoprotein Cholesterol0.7 mg/dLStandard Error 0.67
Placebo + Pioglitazone 15Change From Baseline to Week 16 in High-Density Lipoprotein Cholesterol3.9 mg/dLStandard Error 0.67
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 16 in High-Density Lipoprotein Cholesterol4.2 mg/dLStandard Error 0.66
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 16 in High-Density Lipoprotein Cholesterol4.0 mg/dLStandard Error 0.66
Placebo + Pioglitazone 30Change From Baseline to Week 16 in High-Density Lipoprotein Cholesterol5.7 mg/dLStandard Error 0.67
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 16 in High-Density Lipoprotein Cholesterol5.5 mg/dLStandard Error 0.66
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 16 in High-Density Lipoprotein Cholesterol4.3 mg/dLStandard Error 0.67
Placebo + Pioglitazone 45Change From Baseline to Week 16 in High-Density Lipoprotein Cholesterol5.9 mg/dLStandard Error 0.66
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 16 in High-Density Lipoprotein Cholesterol6.1 mg/dLStandard Error 0.67
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 16 in High-Density Lipoprotein Cholesterol6.7 mg/dLStandard Error 0.67
Secondary

Change From Baseline to Week 16 in Insulin Levels

Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline insulin as continuous covariates.

Time frame: Baseline and Week 16

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 16 in Insulin Levels0.34 µIU/mLStandard Error 0.833
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 16 in Insulin Levels1.22 µIU/mLStandard Error 0.843
Alogliptin 25 + PioglitazoneChange From Baseline to Week 16 in Insulin Levels1.83 µIU/mLStandard Error 0.83
Placebo + Pioglitazone 15Change From Baseline to Week 16 in Insulin Levels-0.63 µIU/mLStandard Error 0.836
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 16 in Insulin Levels-2.28 µIU/mLStandard Error 0.84
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 16 in Insulin Levels-1.11 µIU/mLStandard Error 0.843
Placebo + Pioglitazone 30Change From Baseline to Week 16 in Insulin Levels-3.46 µIU/mLStandard Error 0.851
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 16 in Insulin Levels-2.50 µIU/mLStandard Error 0.866
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 16 in Insulin Levels-2.82 µIU/mLStandard Error 0.847
Placebo + Pioglitazone 45Change From Baseline to Week 16 in Insulin Levels-2.48 µIU/mLStandard Error 0.847
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 16 in Insulin Levels-3.00 µIU/mLStandard Error 0.858
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 16 in Insulin Levels-3.52 µIU/mLStandard Error 0.844
Secondary

Change From Baseline to Week 16 in Low-Density Lipoprotein Cholesterol

Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline LDL cholesterol as continuous covariates.

Time frame: Baseline and Week 16

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 16 in Low-Density Lipoprotein Cholesterol4.2 mg/dLStandard Error 2.25
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 16 in Low-Density Lipoprotein Cholesterol1.3 mg/dLStandard Error 2.29
Alogliptin 25 + PioglitazoneChange From Baseline to Week 16 in Low-Density Lipoprotein Cholesterol0.9 mg/dLStandard Error 2.26
Placebo + Pioglitazone 15Change From Baseline to Week 16 in Low-Density Lipoprotein Cholesterol7.1 mg/dLStandard Error 2.23
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 16 in Low-Density Lipoprotein Cholesterol2.9 mg/dLStandard Error 2.21
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 16 in Low-Density Lipoprotein Cholesterol4.6 mg/dLStandard Error 2.23
Placebo + Pioglitazone 30Change From Baseline to Week 16 in Low-Density Lipoprotein Cholesterol7.1 mg/dLStandard Error 2.25
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 16 in Low-Density Lipoprotein Cholesterol2.1 mg/dLStandard Error 2.23
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 16 in Low-Density Lipoprotein Cholesterol0.8 mg/dLStandard Error 2.25
Placebo + Pioglitazone 45Change From Baseline to Week 16 in Low-Density Lipoprotein Cholesterol4.1 mg/dLStandard Error 2.22
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 16 in Low-Density Lipoprotein Cholesterol4.9 mg/dLStandard Error 2.25
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 16 in Low-Density Lipoprotein Cholesterol1.8 mg/dLStandard Error 2.21
Secondary

Change From Baseline to Week 16 in Proinsulin/Insulin Ratio

The ratio of proinsulin to insulin was calculated as proinsulin (pmol/L) / insulin (μIU/mL). Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline proinsulin/insulin ratio as continuous covariates.

Time frame: Baseline and Week 16

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 16 in Proinsulin/Insulin Ratio-0.026 ratioStandard Error 0.0132
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 16 in Proinsulin/Insulin Ratio-0.036 ratioStandard Error 0.0133
Alogliptin 25 + PioglitazoneChange From Baseline to Week 16 in Proinsulin/Insulin Ratio-0.046 ratioStandard Error 0.0131
Placebo + Pioglitazone 15Change From Baseline to Week 16 in Proinsulin/Insulin Ratio-0.035 ratioStandard Error 0.0132
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 16 in Proinsulin/Insulin Ratio-0.078 ratioStandard Error 0.0133
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 16 in Proinsulin/Insulin Ratio-0.066 ratioStandard Error 0.0134
Placebo + Pioglitazone 30Change From Baseline to Week 16 in Proinsulin/Insulin Ratio-0.035 ratioStandard Error 0.0135
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 16 in Proinsulin/Insulin Ratio-0.094 ratioStandard Error 0.0138
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 16 in Proinsulin/Insulin Ratio-0.061 ratioStandard Error 0.0134
Placebo + Pioglitazone 45Change From Baseline to Week 16 in Proinsulin/Insulin Ratio-0.030 ratioStandard Error 0.0134
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 16 in Proinsulin/Insulin Ratio-0.102 ratioStandard Error 0.0136
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 16 in Proinsulin/Insulin Ratio-0.104 ratioStandard Error 0.0133
Secondary

Change From Baseline to Week 16 in Total Cholesterol Levels

Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline total cholesterol as continuous covariates.

Time frame: Baseline and Week 16

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 16 in Total Cholesterol Levels5.0 mg/dLStandard Error 2.62
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 16 in Total Cholesterol Levels-0.5 mg/dLStandard Error 2.66
Alogliptin 25 + PioglitazoneChange From Baseline to Week 16 in Total Cholesterol Levels-2.9 mg/dLStandard Error 2.65
Placebo + Pioglitazone 15Change From Baseline to Week 16 in Total Cholesterol Levels7.2 mg/dLStandard Error 2.62
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 16 in Total Cholesterol Levels-0.4 mg/dLStandard Error 2.59
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 16 in Total Cholesterol Levels3.2 mg/dLStandard Error 2.6
Placebo + Pioglitazone 30Change From Baseline to Week 16 in Total Cholesterol Levels10.0 mg/dLStandard Error 2.65
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 16 in Total Cholesterol Levels0.9 mg/dLStandard Error 2.61
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 16 in Total Cholesterol Levels-1.2 mg/dLStandard Error 2.63
Placebo + Pioglitazone 45Change From Baseline to Week 16 in Total Cholesterol Levels2.3 mg/dLStandard Error 2.61
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 16 in Total Cholesterol Levels2.9 mg/dLStandard Error 2.62
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 16 in Total Cholesterol Levels-1.8 mg/dLStandard Error 2.62
Secondary

Change From Baseline to Week 16 in Triglyceride Levels

Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline triglycerides as continuous covariates.

Time frame: Baseline and Week 16

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 16 in Triglyceride Levels10.6 mg/dLStandard Error 7.66
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 16 in Triglyceride Levels-7.5 mg/dLStandard Error 7.75
Alogliptin 25 + PioglitazoneChange From Baseline to Week 16 in Triglyceride Levels-26.8 mg/dLStandard Error 7.72
Placebo + Pioglitazone 15Change From Baseline to Week 16 in Triglyceride Levels-10.5 mg/dLStandard Error 7.66
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 16 in Triglyceride Levels-53.0 mg/dLStandard Error 7.57
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 16 in Triglyceride Levels-33.8 mg/dLStandard Error 7.6
Placebo + Pioglitazone 30Change From Baseline to Week 16 in Triglyceride Levels-28.2 mg/dLStandard Error 7.72
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 16 in Triglyceride Levels-44.2 mg/dLStandard Error 7.6
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 16 in Triglyceride Levels-45.9 mg/dLStandard Error 7.69
Placebo + Pioglitazone 45Change From Baseline to Week 16 in Triglyceride Levels-49.4 mg/dLStandard Error 7.63
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 16 in Triglyceride Levels-50.7 mg/dLStandard Error 7.66
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 16 in Triglyceride Levels-59.1 mg/dLStandard Error 7.66
Secondary

Change From Baseline to Week 1 in Fasting Plasma Glucose

Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline fasting plasma glucose as covariates.

Time frame: Baseline and Week 1

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 1 in Fasting Plasma Glucose1.8 mg/dLStandard Error 2.67
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 1 in Fasting Plasma Glucose-14.5 mg/dLStandard Error 2.77
Alogliptin 25 + PioglitazoneChange From Baseline to Week 1 in Fasting Plasma Glucose-18.6 mg/dLStandard Error 2.73
Placebo + Pioglitazone 15Change From Baseline to Week 1 in Fasting Plasma Glucose-6.1 mg/dLStandard Error 2.7
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 1 in Fasting Plasma Glucose-21.3 mg/dLStandard Error 2.69
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 1 in Fasting Plasma Glucose-20.9 mg/dLStandard Error 2.66
Placebo + Pioglitazone 30Change From Baseline to Week 1 in Fasting Plasma Glucose0.4 mg/dLStandard Error 2.73
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 1 in Fasting Plasma Glucose-23.2 mg/dLStandard Error 2.71
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 1 in Fasting Plasma Glucose-23.2 mg/dLStandard Error 2.72
Placebo + Pioglitazone 45Change From Baseline to Week 1 in Fasting Plasma Glucose-6.7 mg/dLStandard Error 2.69
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 1 in Fasting Plasma Glucose-23.2 mg/dLStandard Error 2.76
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 1 in Fasting Plasma Glucose-25.0 mg/dLStandard Error 2.78
Secondary

Change From Baseline to Week 20 in Body Weight

Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline weight as continuous covariates.

Time frame: Baseline and Week 20

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 20 in Body Weight-0.55 kgStandard Error 0.263
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 20 in Body Weight-0.08 kgStandard Error 0.264
Alogliptin 25 + PioglitazoneChange From Baseline to Week 20 in Body Weight-0.48 kgStandard Error 0.263
Placebo + Pioglitazone 15Change From Baseline to Week 20 in Body Weight0.76 kgStandard Error 0.264
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 20 in Body Weight0.96 kgStandard Error 0.259
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 20 in Body Weight0.85 kgStandard Error 0.262
Placebo + Pioglitazone 30Change From Baseline to Week 20 in Body Weight1.51 kgStandard Error 0.264
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 20 in Body Weight1.45 kgStandard Error 0.261
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 20 in Body Weight1.76 kgStandard Error 0.263
Placebo + Pioglitazone 45Change From Baseline to Week 20 in Body Weight1.35 kgStandard Error 0.262
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 20 in Body Weight1.93 kgStandard Error 0.264
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 20 in Body Weight1.76 kgStandard Error 0.26
Secondary

Change From Baseline to Week 20 in C-peptide Levels

Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline C-peptide as continuous covariates.

Time frame: Baseline and Week 20

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 20 in C-peptide Levels-0.046 ng/mLStandard Error 0.0799
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 20 in C-peptide Levels0.114 ng/mLStandard Error 0.0812
Alogliptin 25 + PioglitazoneChange From Baseline to Week 20 in C-peptide Levels0.019 ng/mLStandard Error 0.0805
Placebo + Pioglitazone 15Change From Baseline to Week 20 in C-peptide Levels-0.193 ng/mLStandard Error 0.0802
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 20 in C-peptide Levels-0.377 ng/mLStandard Error 0.0792
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 20 in C-peptide Levels-0.184 ng/mLStandard Error 0.0795
Placebo + Pioglitazone 30Change From Baseline to Week 20 in C-peptide Levels-0.380 ng/mLStandard Error 0.0812
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 20 in C-peptide Levels-0.343 ng/mLStandard Error 0.0799
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 20 in C-peptide Levels-0.266 ng/mLStandard Error 0.0802
Placebo + Pioglitazone 45Change From Baseline to Week 20 in C-peptide Levels-0.506 ng/mLStandard Error 0.0802
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 20 in C-peptide Levels-0.329 ng/mLStandard Error 0.0805
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 20 in C-peptide Levels-0.430 ng/mLStandard Error 0.0799
Secondary

Change From Baseline to Week 20 in Fasting Plasma Glucose

Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline fasting plasma glucose as covariates.

Time frame: Baseline and Week 20

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 20 in Fasting Plasma Glucose6.7 mg/dLStandard Error 3.43
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 20 in Fasting Plasma Glucose-8.7 mg/dLStandard Error 3.53
Alogliptin 25 + PioglitazoneChange From Baseline to Week 20 in Fasting Plasma Glucose-23.5 mg/dLStandard Error 3.48
Placebo + Pioglitazone 15Change From Baseline to Week 20 in Fasting Plasma Glucose-22.4 mg/dLStandard Error 3.46
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 20 in Fasting Plasma Glucose-43.0 mg/dLStandard Error 3.43
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 20 in Fasting Plasma Glucose-39.3 mg/dLStandard Error 3.42
Placebo + Pioglitazone 30Change From Baseline to Week 20 in Fasting Plasma Glucose-26.3 mg/dLStandard Error 3.49
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 20 in Fasting Plasma Glucose-41.1 mg/dLStandard Error 3.44
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 20 in Fasting Plasma Glucose-43.1 mg/dLStandard Error 3.47
Placebo + Pioglitazone 45Change From Baseline to Week 20 in Fasting Plasma Glucose-35.7 mg/dLStandard Error 3.43
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 20 in Fasting Plasma Glucose-46.8 mg/dLStandard Error 3.45
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 20 in Fasting Plasma Glucose-52.4 mg/dLStandard Error 3.46
Secondary

Change From Baseline to Week 20 in Fasting Proinsulin

Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline proinsulin as continuous covariates.

Time frame: Baseline and Week 20

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 20 in Fasting Proinsulin-0.9 pmol/LStandard Error 1.85
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 20 in Fasting Proinsulin1.5 pmol/LStandard Error 1.86
Alogliptin 25 + PioglitazoneChange From Baseline to Week 20 in Fasting Proinsulin-3.0 pmol/LStandard Error 1.84
Placebo + Pioglitazone 15Change From Baseline to Week 20 in Fasting Proinsulin-3.4 pmol/LStandard Error 1.86
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 20 in Fasting Proinsulin-11.2 pmol/LStandard Error 1.86
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 20 in Fasting Proinsulin-8.7 pmol/LStandard Error 1.86
Placebo + Pioglitazone 30Change From Baseline to Week 20 in Fasting Proinsulin-9.3 pmol/LStandard Error 1.89
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 20 in Fasting Proinsulin-10.0 pmol/LStandard Error 1.92
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 20 in Fasting Proinsulin-10.7 pmol/LStandard Error 1.87
Placebo + Pioglitazone 45Change From Baseline to Week 20 in Fasting Proinsulin-7.1 pmol/LStandard Error 1.86
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 20 in Fasting Proinsulin-10.2 pmol/LStandard Error 1.9
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 20 in Fasting Proinsulin-12.5 pmol/LStandard Error 1.87
Secondary

Change From Baseline to Week 20 in HbA1c

The change from Baseline in HbA1c (the concentration of glucose bound to hemoglobin as a percent of the absolute maximum that can be bound) at week 20. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline HbA1c as continuous covariates.

Time frame: Baseline and Week 20

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 20 in HbA1c-0.24 percentage of glycosylated hemoglobinStandard Error 0.074
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 20 in HbA1c-0.75 percentage of glycosylated hemoglobinStandard Error 0.075
Alogliptin 25 + PioglitazoneChange From Baseline to Week 20 in HbA1c-0.99 percentage of glycosylated hemoglobinStandard Error 0.075
Placebo + Pioglitazone 15Change From Baseline to Week 20 in HbA1c-0.75 percentage of glycosylated hemoglobinStandard Error 0.074
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 20 in HbA1c-1.39 percentage of glycosylated hemoglobinStandard Error 0.073
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 20 in HbA1c-1.37 percentage of glycosylated hemoglobinStandard Error 0.074
Placebo + Pioglitazone 30Change From Baseline to Week 20 in HbA1c-0.90 percentage of glycosylated hemoglobinStandard Error 0.075
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 20 in HbA1c-1.43 percentage of glycosylated hemoglobinStandard Error 0.074
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 20 in HbA1c-1.49 percentage of glycosylated hemoglobinStandard Error 0.075
Placebo + Pioglitazone 45Change From Baseline to Week 20 in HbA1c-1.10 percentage of glycosylated hemoglobinStandard Error 0.074
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 20 in HbA1c-1.57 percentage of glycosylated hemoglobinStandard Error 0.074
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 20 in HbA1c-1.66 percentage of glycosylated hemoglobinStandard Error 0.074
Secondary

Change From Baseline to Week 20 in High-Density Lipoprotein Cholesterol

Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline HDL cholesterol as continuous covariates.

Time frame: Baseline and Week 20

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 20 in High-Density Lipoprotein Cholesterol0.6 mg/dLStandard Error 0.7
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 20 in High-Density Lipoprotein Cholesterol0.9 mg/dLStandard Error 0.71
Alogliptin 25 + PioglitazoneChange From Baseline to Week 20 in High-Density Lipoprotein Cholesterol0.5 mg/dLStandard Error 0.7
Placebo + Pioglitazone 15Change From Baseline to Week 20 in High-Density Lipoprotein Cholesterol3.8 mg/dLStandard Error 0.7
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 20 in High-Density Lipoprotein Cholesterol4.3 mg/dLStandard Error 0.69
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 20 in High-Density Lipoprotein Cholesterol3.9 mg/dLStandard Error 0.69
Placebo + Pioglitazone 30Change From Baseline to Week 20 in High-Density Lipoprotein Cholesterol5.9 mg/dLStandard Error 0.7
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 20 in High-Density Lipoprotein Cholesterol5.7 mg/dLStandard Error 0.69
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 20 in High-Density Lipoprotein Cholesterol5.3 mg/dLStandard Error 0.7
Placebo + Pioglitazone 45Change From Baseline to Week 20 in High-Density Lipoprotein Cholesterol5.9 mg/dLStandard Error 0.7
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 20 in High-Density Lipoprotein Cholesterol7.1 mg/dLStandard Error 0.7
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 20 in High-Density Lipoprotein Cholesterol6.5 mg/dLStandard Error 0.7
Secondary

Change From Baseline to Week 20 in Insulin Levels

Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline insulin as continuous covariates.

Time frame: Baseline and Week 20

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 20 in Insulin Levels0.18 µIU/mLStandard Error 0.873
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 20 in Insulin Levels2.03 µIU/mLStandard Error 0.883
Alogliptin 25 + PioglitazoneChange From Baseline to Week 20 in Insulin Levels0.76 µIU/mLStandard Error 0.869
Placebo + Pioglitazone 15Change From Baseline to Week 20 in Insulin Levels-0.66 µIU/mLStandard Error 0.876
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 20 in Insulin Levels-2.35 µIU/mLStandard Error 0.876
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 20 in Insulin Levels-0.90 µIU/mLStandard Error 0.88
Placebo + Pioglitazone 30Change From Baseline to Week 20 in Insulin Levels-3.29 µIU/mLStandard Error 0.891
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 20 in Insulin Levels-2.20 µIU/mLStandard Error 0.907
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 20 in Insulin Levels-2.29 µIU/mLStandard Error 0.887
Placebo + Pioglitazone 45Change From Baseline to Week 20 in Insulin Levels-3.12 µIU/mLStandard Error 0.887
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 20 in Insulin Levels-1.16 µIU/mLStandard Error 0.899
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 20 in Insulin Levels-3.01 µIU/mLStandard Error 0.884
Secondary

Change From Baseline to Week 20 in Low-Density Lipoprotein Cholesterol

Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline LDL cholesterol as continuous covariates.

Time frame: Baseline and Week 20

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 20 in Low-Density Lipoprotein Cholesterol6.9 mg/dLStandard Error 2.39
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 20 in Low-Density Lipoprotein Cholesterol2.9 mg/dLStandard Error 2.43
Alogliptin 25 + PioglitazoneChange From Baseline to Week 20 in Low-Density Lipoprotein Cholesterol1.9 mg/dLStandard Error 2.4
Placebo + Pioglitazone 15Change From Baseline to Week 20 in Low-Density Lipoprotein Cholesterol7.7 mg/dLStandard Error 2.37
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 20 in Low-Density Lipoprotein Cholesterol4.3 mg/dLStandard Error 2.34
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 20 in Low-Density Lipoprotein Cholesterol3.0 mg/dLStandard Error 2.37
Placebo + Pioglitazone 30Change From Baseline to Week 20 in Low-Density Lipoprotein Cholesterol6.6 mg/dLStandard Error 2.39
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 20 in Low-Density Lipoprotein Cholesterol2.3 mg/dLStandard Error 2.36
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 20 in Low-Density Lipoprotein Cholesterol4.1 mg/dLStandard Error 2.39
Placebo + Pioglitazone 45Change From Baseline to Week 20 in Low-Density Lipoprotein Cholesterol6.3 mg/dLStandard Error 2.36
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 20 in Low-Density Lipoprotein Cholesterol6.1 mg/dLStandard Error 2.39
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 20 in Low-Density Lipoprotein Cholesterol1.9 mg/dLStandard Error 2.35
Secondary

Change From Baseline to Week 20 in Proinsulin/Insulin Ratio

The ratio of proinsulin to insulin was calculated as proinsulin (pmol/L) / insulin (μIU/mL). Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline proinsulin/insulin ratio as continuous covariates.

Time frame: Baseline and Week 20

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 20 in Proinsulin/Insulin Ratio-0.007 ratioStandard Error 0.0131
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 20 in Proinsulin/Insulin Ratio-0.014 ratioStandard Error 0.0132
Alogliptin 25 + PioglitazoneChange From Baseline to Week 20 in Proinsulin/Insulin Ratio-0.046 ratioStandard Error 0.013
Placebo + Pioglitazone 15Change From Baseline to Week 20 in Proinsulin/Insulin Ratio-0.039 ratioStandard Error 0.0131
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 20 in Proinsulin/Insulin Ratio-0.081 ratioStandard Error 0.0131
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 20 in Proinsulin/Insulin Ratio-0.065 ratioStandard Error 0.0132
Placebo + Pioglitazone 30Change From Baseline to Week 20 in Proinsulin/Insulin Ratio-0.042 ratioStandard Error 0.0133
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 20 in Proinsulin/Insulin Ratio-0.085 ratioStandard Error 0.0137
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 20 in Proinsulin/Insulin Ratio-0.077 ratioStandard Error 0.0133
Placebo + Pioglitazone 45Change From Baseline to Week 20 in Proinsulin/Insulin Ratio-0.020 ratioStandard Error 0.0133
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 20 in Proinsulin/Insulin Ratio-0.099 ratioStandard Error 0.0134
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 20 in Proinsulin/Insulin Ratio-0.092 ratioStandard Error 0.0132
Secondary

Change From Baseline to Week 20 in Total Cholesterol Levels

Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline total cholesterol as continuous covariates.

Time frame: Baseline and Week 20

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 20 in Total Cholesterol Levels6.7 mg/dLStandard Error 2.7
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 20 in Total Cholesterol Levels1.8 mg/dLStandard Error 2.74
Alogliptin 25 + PioglitazoneChange From Baseline to Week 20 in Total Cholesterol Levels-1.9 mg/dLStandard Error 2.73
Placebo + Pioglitazone 15Change From Baseline to Week 20 in Total Cholesterol Levels6.3 mg/dLStandard Error 2.7
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 20 in Total Cholesterol Levels4.0 mg/dLStandard Error 2.67
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 20 in Total Cholesterol Levels1.4 mg/dLStandard Error 2.68
Placebo + Pioglitazone 30Change From Baseline to Week 20 in Total Cholesterol Levels7.0 mg/dLStandard Error 2.73
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 20 in Total Cholesterol Levels1.1 mg/dLStandard Error 2.68
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 20 in Total Cholesterol Levels3.4 mg/dLStandard Error 2.71
Placebo + Pioglitazone 45Change From Baseline to Week 20 in Total Cholesterol Levels4.6 mg/dLStandard Error 2.69
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 20 in Total Cholesterol Levels4.0 mg/dLStandard Error 2.7
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 20 in Total Cholesterol Levels-0.3 mg/dLStandard Error 2.7
Secondary

Change From Baseline to Week 20 in Triglyceride Levels

Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline triglycerides as continuous covariates.

Time frame: Baseline and Week 20

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 20 in Triglyceride Levels5.7 mg/dLStandard Error 7.44
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 20 in Triglyceride Levels-7.0 mg/dLStandard Error 7.53
Alogliptin 25 + PioglitazoneChange From Baseline to Week 20 in Triglyceride Levels-23.7 mg/dLStandard Error 7.5
Placebo + Pioglitazone 15Change From Baseline to Week 20 in Triglyceride Levels-18.0 mg/dLStandard Error 7.44
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 20 in Triglyceride Levels-41.2 mg/dLStandard Error 7.35
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 20 in Triglyceride Levels-34.6 mg/dLStandard Error 7.38
Placebo + Pioglitazone 30Change From Baseline to Week 20 in Triglyceride Levels-37.5 mg/dLStandard Error 7.5
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 20 in Triglyceride Levels-43.1 mg/dLStandard Error 7.39
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 20 in Triglyceride Levels-42.4 mg/dLStandard Error 7.47
Placebo + Pioglitazone 45Change From Baseline to Week 20 in Triglyceride Levels-49.3 mg/dLStandard Error 7.41
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 20 in Triglyceride Levels-46.4 mg/dLStandard Error 7.44
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 20 in Triglyceride Levels-51.2 mg/dLStandard Error 7.44
Secondary

Change From Baseline to Week 26 in Adiponectin

Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline adiponectin as continuous covariates.

Time frame: Baseline and Week 26

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 26 in Adiponectin0.43 μg/mLStandard Error 0.676
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 26 in Adiponectin0.48 μg/mLStandard Error 0.681
Alogliptin 25 + PioglitazoneChange From Baseline to Week 26 in Adiponectin0.26 μg/mLStandard Error 0.678
Placebo + Pioglitazone 15Change From Baseline to Week 26 in Adiponectin3.30 μg/mLStandard Error 0.685
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 26 in Adiponectin4.80 μg/mLStandard Error 0.664
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 26 in Adiponectin2.93 μg/mLStandard Error 0.678
Placebo + Pioglitazone 30Change From Baseline to Week 26 in Adiponectin5.90 μg/mLStandard Error 0.687
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 26 in Adiponectin6.30 μg/mLStandard Error 0.676
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 26 in Adiponectin6.87 μg/mLStandard Error 0.684
Placebo + Pioglitazone 45Change From Baseline to Week 26 in Adiponectin8.75 μg/mLStandard Error 0.684
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 26 in Adiponectin8.18 μg/mLStandard Error 0.678
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 26 in Adiponectin9.59 μg/mLStandard Error 0.678
Secondary

Change From Baseline to Week 26 in Apolipoprotein A1

Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline apolipoprotein A1 as continuous covariates.

Time frame: Baseline and Week 26

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 26 in Apolipoprotein A1-4.9 mg/dLStandard Error 1.88
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 26 in Apolipoprotein A1-3.0 mg/dLStandard Error 1.9
Alogliptin 25 + PioglitazoneChange From Baseline to Week 26 in Apolipoprotein A1-4.2 mg/dLStandard Error 1.89
Placebo + Pioglitazone 15Change From Baseline to Week 26 in Apolipoprotein A1-3.3 mg/dLStandard Error 1.9
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 26 in Apolipoprotein A1-3.5 mg/dLStandard Error 1.84
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 26 in Apolipoprotein A1-2.9 mg/dLStandard Error 1.91
Placebo + Pioglitazone 30Change From Baseline to Week 26 in Apolipoprotein A1-0.2 mg/dLStandard Error 1.89
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 26 in Apolipoprotein A1-0.1 mg/dLStandard Error 1.86
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 26 in Apolipoprotein A1-3.2 mg/dLStandard Error 1.87
Placebo + Pioglitazone 45Change From Baseline to Week 26 in Apolipoprotein A1-1.4 mg/dLStandard Error 1.89
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 26 in Apolipoprotein A1-1.0 mg/dLStandard Error 1.88
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 26 in Apolipoprotein A1-2.2 mg/dLStandard Error 1.89
Secondary

Change From Baseline to Week 26 in Apolipoprotein A2

Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline apolipoprotein A2 as continuous covariates.

Time frame: Baseline and Week 26

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 26 in Apolipoprotein A20.1 mg/dLStandard Error 0.47
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 26 in Apolipoprotein A20.2 mg/dLStandard Error 0.48
Alogliptin 25 + PioglitazoneChange From Baseline to Week 26 in Apolipoprotein A20.4 mg/dLStandard Error 0.48
Placebo + Pioglitazone 15Change From Baseline to Week 26 in Apolipoprotein A21.9 mg/dLStandard Error 0.48
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 26 in Apolipoprotein A21.2 mg/dLStandard Error 0.47
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 26 in Apolipoprotein A21.0 mg/dLStandard Error 0.48
Placebo + Pioglitazone 30Change From Baseline to Week 26 in Apolipoprotein A22.7 mg/dLStandard Error 0.48
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 26 in Apolipoprotein A22.1 mg/dLStandard Error 0.47
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 26 in Apolipoprotein A21.6 mg/dLStandard Error 0.47
Placebo + Pioglitazone 45Change From Baseline to Week 26 in Apolipoprotein A22.8 mg/dLStandard Error 0.48
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 26 in Apolipoprotein A23.1 mg/dLStandard Error 0.47
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 26 in Apolipoprotein A22.7 mg/dLStandard Error 0.48
Secondary

Change From Baseline to Week 26 in Apolipoprotein B

Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline apolipoprotein B as continuous covariates.

Time frame: Baseline and Week 26

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 26 in Apolipoprotein B0.6 mg/dLStandard Error 1.99
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 26 in Apolipoprotein B-0.6 mg/dLStandard Error 2
Alogliptin 25 + PioglitazoneChange From Baseline to Week 26 in Apolipoprotein B-3.7 mg/dLStandard Error 2
Placebo + Pioglitazone 15Change From Baseline to Week 26 in Apolipoprotein B-1.5 mg/dLStandard Error 2.01
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 26 in Apolipoprotein B-6.0 mg/dLStandard Error 1.95
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 26 in Apolipoprotein B-4.8 mg/dLStandard Error 2.02
Placebo + Pioglitazone 30Change From Baseline to Week 26 in Apolipoprotein B-3.2 mg/dLStandard Error 2
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 26 in Apolipoprotein B-7.2 mg/dLStandard Error 1.97
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 26 in Apolipoprotein B-8.8 mg/dLStandard Error 1.98
Placebo + Pioglitazone 45Change From Baseline to Week 26 in Apolipoprotein B-3.6 mg/dLStandard Error 2
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 26 in Apolipoprotein B-6.1 mg/dLStandard Error 1.99
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 26 in Apolipoprotein B-5.5 mg/dLStandard Error 2
Secondary

Change From Baseline to Week 26 in Apolipoprotein C-III

Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline apolipoprotein C-III as continuous covariates.

Time frame: Baseline and Week 26

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 26 in Apolipoprotein C-III0.4 mg/dLStandard Error 0.33
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 26 in Apolipoprotein C-III0.5 mg/dLStandard Error 0.33
Alogliptin 25 + PioglitazoneChange From Baseline to Week 26 in Apolipoprotein C-III-0.7 mg/dLStandard Error 0.33
Placebo + Pioglitazone 15Change From Baseline to Week 26 in Apolipoprotein C-III-0.4 mg/dLStandard Error 0.33
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 26 in Apolipoprotein C-III-0.6 mg/dLStandard Error 0.32
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 26 in Apolipoprotein C-III-0.7 mg/dLStandard Error 0.33
Placebo + Pioglitazone 30Change From Baseline to Week 26 in Apolipoprotein C-III0.2 mg/dLStandard Error 0.33
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 26 in Apolipoprotein C-III-0.4 mg/dLStandard Error 0.32
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 26 in Apolipoprotein C-III-0.6 mg/dLStandard Error 0.32
Placebo + Pioglitazone 45Change From Baseline to Week 26 in Apolipoprotein C-III0.0 mg/dLStandard Error 0.33
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 26 in Apolipoprotein C-III-0.7 mg/dLStandard Error 0.33
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 26 in Apolipoprotein C-III-0.5 mg/dLStandard Error 0.33
Secondary

Change From Baseline to Week 26 in Body Weight

Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline weight as continuous covariates.

Time frame: Baseline and Week 26

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 26 in Body Weight-0.66 kgStandard Error 0.291
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 26 in Body Weight-0.02 kgStandard Error 0.292
Alogliptin 25 + PioglitazoneChange From Baseline to Week 26 in Body Weight-0.67 kgStandard Error 0.291
Placebo + Pioglitazone 15Change From Baseline to Week 26 in Body Weight0.94 kgStandard Error 0.292
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 26 in Body Weight1.25 kgStandard Error 0.287
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 26 in Body Weight1.27 kgStandard Error 0.29
Placebo + Pioglitazone 30Change From Baseline to Week 26 in Body Weight1.88 kgStandard Error 0.292
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 26 in Body Weight1.89 kgStandard Error 0.289
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 26 in Body Weight2.10 kgStandard Error 0.291
Placebo + Pioglitazone 45Change From Baseline to Week 26 in Body Weight1.65 kgStandard Error 0.29
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 26 in Body Weight2.30 kgStandard Error 0.292
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 26 in Body Weight2.25 kgStandard Error 0.288
Secondary

Change From Baseline to Week 26 in Calculated HOMA Beta-cell Function

The Homeostasis Model Assessment (HOMA) estimates steady state beta cell function (%B) as a percentage of a normal reference population. HOMA %B = 20 \* insulin (µIU/mL) / fasting plasma glucose (mmol/L) - 3.5. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline HOMA beta cell function as continuous covariates.

Time frame: Baseline and Week 26

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 26 in Calculated HOMA Beta-cell Function-0.924 percentage beta cell functionStandard Error 5.226
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 26 in Calculated HOMA Beta-cell Function11.812 percentage beta cell functionStandard Error 5.2462
Alogliptin 25 + PioglitazoneChange From Baseline to Week 26 in Calculated HOMA Beta-cell Function17.814 percentage beta cell functionStandard Error 5.1407
Placebo + Pioglitazone 15Change From Baseline to Week 26 in Calculated HOMA Beta-cell Function2.770 percentage beta cell functionStandard Error 5.2018
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 26 in Calculated HOMA Beta-cell Function10.977 percentage beta cell functionStandard Error 5.201
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 26 in Calculated HOMA Beta-cell Function19.320 percentage beta cell functionStandard Error 5.2044
Placebo + Pioglitazone 30Change From Baseline to Week 26 in Calculated HOMA Beta-cell Function8.983 percentage beta cell functionStandard Error 5.2921
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 26 in Calculated HOMA Beta-cell Function22.474 percentage beta cell functionStandard Error 5.3423
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 26 in Calculated HOMA Beta-cell Function23.475 percentage beta cell functionStandard Error 5.2687
Placebo + Pioglitazone 45Change From Baseline to Week 26 in Calculated HOMA Beta-cell Function3.427 percentage beta cell functionStandard Error 5.3327
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 26 in Calculated HOMA Beta-cell Function21.068 percentage beta cell functionStandard Error 5.3154
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 26 in Calculated HOMA Beta-cell Function23.752 percentage beta cell functionStandard Error 5.2696
Secondary

Change From Baseline to Week 26 in Calculated HOMA Insulin Resistance

The Homeostasis Model Assessment of insulin resistance (HOMA IR) measures insulin resistance based on fasting glucose and insulin measurements: HOMA IR = fasting plasma insulin (µIU/mL) \* fasting plasma glucose (mmol/L) / 22.5. A higher number indicates a greater degree of insulin resistance. Least Squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and HOMA-IR as continuous covariates.

Time frame: Baseline and Week 26

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 26 in Calculated HOMA Insulin Resistance0.464 insulin resistanceStandard Error 0.5988
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 26 in Calculated HOMA Insulin Resistance0.311 insulin resistanceStandard Error 0.6036
Alogliptin 25 + PioglitazoneChange From Baseline to Week 26 in Calculated HOMA Insulin Resistance-0.179 insulin resistanceStandard Error 0.5918
Placebo + Pioglitazone 15Change From Baseline to Week 26 in Calculated HOMA Insulin Resistance-0.864 insulin resistanceStandard Error 0.5985
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 26 in Calculated HOMA Insulin Resistance-2.300 insulin resistanceStandard Error 0.5986
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 26 in Calculated HOMA Insulin Resistance-0.223 insulin resistanceStandard Error 0.5985
Placebo + Pioglitazone 30Change From Baseline to Week 26 in Calculated HOMA Insulin Resistance-2.061 insulin resistanceStandard Error 0.6089
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 26 in Calculated HOMA Insulin Resistance-1.871 insulin resistanceStandard Error 0.6147
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 26 in Calculated HOMA Insulin Resistance-2.056 insulin resistanceStandard Error 0.6064
Placebo + Pioglitazone 45Change From Baseline to Week 26 in Calculated HOMA Insulin Resistance-1.789 insulin resistanceStandard Error 0.6117
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 26 in Calculated HOMA Insulin Resistance-2.456 insulin resistanceStandard Error 0.6116
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 26 in Calculated HOMA Insulin Resistance-2.854 insulin resistanceStandard Error 0.6038
Secondary

Change From Baseline to Week 26 in C-peptide Levels

Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline C-peptide as continuous covariates.

Time frame: Baseline and Week 26

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 26 in C-peptide Levels-0.011 ng/mLStandard Error 0.0793
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 26 in C-peptide Levels0.000 ng/mLStandard Error 0.0802
Alogliptin 25 + PioglitazoneChange From Baseline to Week 26 in C-peptide Levels0.059 ng/mLStandard Error 0.0799
Placebo + Pioglitazone 15Change From Baseline to Week 26 in C-peptide Levels-0.239 ng/mLStandard Error 0.0792
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 26 in C-peptide Levels-0.380 ng/mLStandard Error 0.0783
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 26 in C-peptide Levels-0.204 ng/mLStandard Error 0.0789
Placebo + Pioglitazone 30Change From Baseline to Week 26 in C-peptide Levels-0.353 ng/mLStandard Error 0.0805
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 26 in C-peptide Levels-0.235 ng/mLStandard Error 0.079
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 26 in C-peptide Levels-0.300 ng/mLStandard Error 0.0795
Placebo + Pioglitazone 45Change From Baseline to Week 26 in C-peptide Levels-0.429 ng/mLStandard Error 0.0793
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 26 in C-peptide Levels-0.421 ng/mLStandard Error 0.0796
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 26 in C-peptide Levels-0.474 ng/mLStandard Error 0.0793
Secondary

Change From Baseline to Week 26 in Fasting Plasma Glucose

Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline fasting plasma glucose as covariates.

Time frame: Baseline and Week 26

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 26 in Fasting Plasma Glucose6.5 mg/dLStandard Error 3.5
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 26 in Fasting Plasma Glucose-13.2 mg/dLStandard Error 3.59
Alogliptin 25 + PioglitazoneChange From Baseline to Week 26 in Fasting Plasma Glucose-18.6 mg/dLStandard Error 3.54
Placebo + Pioglitazone 15Change From Baseline to Week 26 in Fasting Plasma Glucose-23.6 mg/dLStandard Error 3.52
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 26 in Fasting Plasma Glucose-42.0 mg/dLStandard Error 3.5
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 26 in Fasting Plasma Glucose-38.0 mg/dLStandard Error 3.48
Placebo + Pioglitazone 30Change From Baseline to Week 26 in Fasting Plasma Glucose-28.8 mg/dLStandard Error 3.55
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 26 in Fasting Plasma Glucose-42.2 mg/dLStandard Error 3.5
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 26 in Fasting Plasma Glucose-41.7 mg/dLStandard Error 3.54
Placebo + Pioglitazone 45Change From Baseline to Week 26 in Fasting Plasma Glucose-32.4 mg/dLStandard Error 3.49
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 26 in Fasting Plasma Glucose-51.3 mg/dLStandard Error 3.51
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 26 in Fasting Plasma Glucose-52.7 mg/dLStandard Error 3.52
Secondary

Change From Baseline to Week 26 in Fasting Proinsulin

Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline proinsulin as continuous covariates.

Time frame: Baseline and Week 26

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 26 in Fasting Proinsulin1.2 pmol/LStandard Error 1.87
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 26 in Fasting Proinsulin0.7 pmol/LStandard Error 1.88
Alogliptin 25 + PioglitazoneChange From Baseline to Week 26 in Fasting Proinsulin-3.3 pmol/LStandard Error 1.86
Placebo + Pioglitazone 15Change From Baseline to Week 26 in Fasting Proinsulin-3.5 pmol/LStandard Error 1.88
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 26 in Fasting Proinsulin-10.9 pmol/LStandard Error 1.88
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 26 in Fasting Proinsulin-7.2 pmol/LStandard Error 1.88
Placebo + Pioglitazone 30Change From Baseline to Week 26 in Fasting Proinsulin-8.4 pmol/LStandard Error 1.91
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 26 in Fasting Proinsulin-8.9 pmol/LStandard Error 1.95
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 26 in Fasting Proinsulin-8.8 pmol/LStandard Error 1.89
Placebo + Pioglitazone 45Change From Baseline to Week 26 in Fasting Proinsulin-4.1 pmol/LStandard Error 1.89
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 26 in Fasting Proinsulin-12.1 pmol/LStandard Error 1.93
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 26 in Fasting Proinsulin-12.6 pmol/LStandard Error 1.89
Secondary

Change From Baseline to Week 26 in Free Fatty Acids

Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline free fatty acid as continuous covariates.

Time frame: Baseline and Week 26

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 26 in Free Fatty Acids-0.0387 mmol/LStandard Error 0.01788
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 26 in Free Fatty Acids-0.0427 mmol/LStandard Error 0.01802
Alogliptin 25 + PioglitazoneChange From Baseline to Week 26 in Free Fatty Acids-0.0386 mmol/LStandard Error 0.01787
Placebo + Pioglitazone 15Change From Baseline to Week 26 in Free Fatty Acids-0.0561 mmol/LStandard Error 0.01825
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 26 in Free Fatty Acids-0.0752 mmol/LStandard Error 0.01772
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 26 in Free Fatty Acids-0.0972 mmol/LStandard Error 0.01793
Placebo + Pioglitazone 30Change From Baseline to Week 26 in Free Fatty Acids-0.0737 mmol/LStandard Error 0.01817
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 26 in Free Fatty Acids-0.0956 mmol/LStandard Error 0.01788
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 26 in Free Fatty Acids-0.1232 mmol/LStandard Error 0.01801
Placebo + Pioglitazone 45Change From Baseline to Week 26 in Free Fatty Acids-0.0730 mmol/LStandard Error 0.01816
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 26 in Free Fatty Acids-0.1125 mmol/LStandard Error 0.01787
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 26 in Free Fatty Acids-0.1228 mmol/LStandard Error 0.01787
Secondary

Change From Baseline to Week 26 in HDL Particles

The change from Baseline in levels of total, large, medium and small HDL particles was assessed by NMR lipid fractionation. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline NMR HDL particles as continuous covariates.

Time frame: Baseline and Week 26

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 26 in HDL ParticlesLarge Particles0.02 μmol/LStandard Error 0.208
Pioglitazone AloneChange From Baseline to Week 26 in HDL ParticlesSmall Particles0.00 μmol/LStandard Error 0.441
Pioglitazone AloneChange From Baseline to Week 26 in HDL ParticlesMedium Particles0.13 μmol/LStandard Error 0.33
Pioglitazone AloneChange From Baseline to Week 26 in HDL ParticlesTotal Particles0.18 μmol/LStandard Error 0.397
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 26 in HDL ParticlesMedium Particles0.16 μmol/LStandard Error 0.336
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 26 in HDL ParticlesTotal Particles0.43 μmol/LStandard Error 0.405
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 26 in HDL ParticlesSmall Particles0.41 μmol/LStandard Error 0.45
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 26 in HDL ParticlesLarge Particles-0.16 μmol/LStandard Error 0.212
Alogliptin 25 + PioglitazoneChange From Baseline to Week 26 in HDL ParticlesSmall Particles0.10 μmol/LStandard Error 0.444
Alogliptin 25 + PioglitazoneChange From Baseline to Week 26 in HDL ParticlesTotal Particles1.03 μmol/LStandard Error 0.4
Alogliptin 25 + PioglitazoneChange From Baseline to Week 26 in HDL ParticlesMedium Particles0.54 μmol/LStandard Error 0.332
Alogliptin 25 + PioglitazoneChange From Baseline to Week 26 in HDL ParticlesLarge Particles0.39 μmol/LStandard Error 0.21
Placebo + Pioglitazone 15Change From Baseline to Week 26 in HDL ParticlesMedium Particles0.81 μmol/LStandard Error 0.338
Placebo + Pioglitazone 15Change From Baseline to Week 26 in HDL ParticlesTotal Particles0.37 μmol/LStandard Error 0.407
Placebo + Pioglitazone 15Change From Baseline to Week 26 in HDL ParticlesSmall Particles-0.78 μmol/LStandard Error 0.452
Placebo + Pioglitazone 15Change From Baseline to Week 26 in HDL ParticlesLarge Particles0.53 μmol/LStandard Error 0.213
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 26 in HDL ParticlesMedium Particles0.86 μmol/LStandard Error 0.332
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 26 in HDL ParticlesLarge Particles0.55 μmol/LStandard Error 0.21
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 26 in HDL ParticlesTotal Particles0.77 μmol/LStandard Error 0.4
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 26 in HDL ParticlesSmall Particles-0.68 μmol/LStandard Error 0.444
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 26 in HDL ParticlesTotal Particles1.31 μmol/LStandard Error 0.4
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 26 in HDL ParticlesLarge Particles0.75 μmol/LStandard Error 0.21
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 26 in HDL ParticlesMedium Particles0.67 μmol/LStandard Error 0.332
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 26 in HDL ParticlesSmall Particles-0.17 μmol/LStandard Error 0.444
Placebo + Pioglitazone 30Change From Baseline to Week 26 in HDL ParticlesSmall Particles-1.35 μmol/LStandard Error 0.452
Placebo + Pioglitazone 30Change From Baseline to Week 26 in HDL ParticlesTotal Particles0.67 μmol/LStandard Error 0.407
Placebo + Pioglitazone 30Change From Baseline to Week 26 in HDL ParticlesLarge Particles0.64 μmol/LStandard Error 0.213
Placebo + Pioglitazone 30Change From Baseline to Week 26 in HDL ParticlesMedium Particles1.48 μmol/LStandard Error 0.338
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 26 in HDL ParticlesSmall Particles-1.47 μmol/LStandard Error 0.448
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 26 in HDL ParticlesLarge Particles1.13 μmol/LStandard Error 0.212
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 26 in HDL ParticlesMedium Particles1.47 μmol/LStandard Error 0.335
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 26 in HDL ParticlesTotal Particles1.15 μmol/LStandard Error 0.403
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 26 in HDL ParticlesSmall Particles-2.77 μmol/LStandard Error 0.452
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 26 in HDL ParticlesLarge Particles1.34 μmol/LStandard Error 0.213
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 26 in HDL ParticlesMedium Particles1.69 μmol/LStandard Error 0.337
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 26 in HDL ParticlesTotal Particles0.26 μmol/LStandard Error 0.406
Placebo + Pioglitazone 45Change From Baseline to Week 26 in HDL ParticlesSmall Particles-2.21 μmol/LStandard Error 0.452
Placebo + Pioglitazone 45Change From Baseline to Week 26 in HDL ParticlesTotal Particles0.83 μmol/LStandard Error 0.407
Placebo + Pioglitazone 45Change From Baseline to Week 26 in HDL ParticlesLarge Particles1.26 μmol/LStandard Error 0.213
Placebo + Pioglitazone 45Change From Baseline to Week 26 in HDL ParticlesMedium Particles1.71 μmol/LStandard Error 0.337
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 26 in HDL ParticlesMedium Particles0.96 μmol/LStandard Error 0.331
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 26 in HDL ParticlesSmall Particles-0.40 μmol/LStandard Error 0.443
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 26 in HDL ParticlesTotal Particles1.61 μmol/LStandard Error 0.398
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 26 in HDL ParticlesLarge Particles1.02 μmol/LStandard Error 0.209
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 26 in HDL ParticlesMedium Particles2.01 μmol/LStandard Error 0.33
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 26 in HDL ParticlesTotal Particles0.77 μmol/LStandard Error 0.398
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 26 in HDL ParticlesLarge Particles0.95 μmol/LStandard Error 0.209
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 26 in HDL ParticlesSmall Particles-2.24 μmol/LStandard Error 0.442
Secondary

Change From Baseline to Week 26 in High-Density Lipoprotein Cholesterol

Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline HDL cholesterol as continuous covariates.

Time frame: Baseline and Week 26

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 26 in High-Density Lipoprotein Cholesterol0.5 mg/dLStandard Error 0.71
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 26 in High-Density Lipoprotein Cholesterol0.6 mg/dLStandard Error 0.72
Alogliptin 25 + PioglitazoneChange From Baseline to Week 26 in High-Density Lipoprotein Cholesterol1.3 mg/dLStandard Error 0.71
Placebo + Pioglitazone 15Change From Baseline to Week 26 in High-Density Lipoprotein Cholesterol3.8 mg/dLStandard Error 0.71
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 26 in High-Density Lipoprotein Cholesterol4.2 mg/dLStandard Error 0.7
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 26 in High-Density Lipoprotein Cholesterol4.1 mg/dLStandard Error 0.7
Placebo + Pioglitazone 30Change From Baseline to Week 26 in High-Density Lipoprotein Cholesterol5.5 mg/dLStandard Error 0.71
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 26 in High-Density Lipoprotein Cholesterol6.0 mg/dLStandard Error 0.7
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 26 in High-Density Lipoprotein Cholesterol5.0 mg/dLStandard Error 0.71
Placebo + Pioglitazone 45Change From Baseline to Week 26 in High-Density Lipoprotein Cholesterol6.1 mg/dLStandard Error 0.7
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 26 in High-Density Lipoprotein Cholesterol6.2 mg/dLStandard Error 0.71
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 26 in High-Density Lipoprotein Cholesterol6.0 mg/dLStandard Error 0.71
Secondary

Change From Baseline to Week 26 in High-sensitivity C-Reactive Protein

Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline hsCRP as continuous covariates.

Time frame: Baseline and Week 26

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 26 in High-sensitivity C-Reactive Protein-0.0550 mg/LStandard Error 0.79868
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 26 in High-sensitivity C-Reactive Protein-0.6606 mg/LStandard Error 0.80145
Alogliptin 25 + PioglitazoneChange From Baseline to Week 26 in High-sensitivity C-Reactive Protein0.2618 mg/LStandard Error 0.79488
Placebo + Pioglitazone 15Change From Baseline to Week 26 in High-sensitivity C-Reactive Protein0.2375 mg/LStandard Error 0.80439
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 26 in High-sensitivity C-Reactive Protein-1.2490 mg/LStandard Error 0.78817
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 26 in High-sensitivity C-Reactive Protein-0.9438 mg/LStandard Error 0.79442
Placebo + Pioglitazone 30Change From Baseline to Week 26 in High-sensitivity C-Reactive Protein-1.0480 mg/LStandard Error 0.79805
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 26 in High-sensitivity C-Reactive Protein-1.1725 mg/LStandard Error 0.79206
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 26 in High-sensitivity C-Reactive Protein0.1697 mg/LStandard Error 0.80434
Placebo + Pioglitazone 45Change From Baseline to Week 26 in High-sensitivity C-Reactive Protein-1.8562 mg/LStandard Error 0.80771
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 26 in High-sensitivity C-Reactive Protein-2.8933 mg/LStandard Error 0.79515
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 26 in High-sensitivity C-Reactive Protein-2.2191 mg/LStandard Error 0.7945
Secondary

Change From Baseline to Week 26 in IDL Particles

The change from Baseline in levels of IDL particles was assessed by NMR lipid fractionation. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline NMR IDL particles as continuous covariates.

Time frame: Baseline and Week 26

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 26 in IDL Particles5.1 nmol/LStandard Error 3.65
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 26 in IDL Particles-7.3 nmol/LStandard Error 3.73
Alogliptin 25 + PioglitazoneChange From Baseline to Week 26 in IDL Particles-3.2 nmol/LStandard Error 3.68
Placebo + Pioglitazone 15Change From Baseline to Week 26 in IDL Particles5.2 nmol/LStandard Error 3.74
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 26 in IDL Particles-2.4 nmol/LStandard Error 3.67
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 26 in IDL Particles0.0 nmol/LStandard Error 3.68
Placebo + Pioglitazone 30Change From Baseline to Week 26 in IDL Particles3.0 nmol/LStandard Error 3.74
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 26 in IDL Particles-5.0 nmol/LStandard Error 3.71
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 26 in IDL Particles-5.5 nmol/LStandard Error 3.74
Placebo + Pioglitazone 45Change From Baseline to Week 26 in IDL Particles0.1 nmol/LStandard Error 3.74
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 26 in IDL Particles-5.0 nmol/LStandard Error 3.66
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 26 in IDL Particles1.0 nmol/LStandard Error 3.66
Secondary

Change From Baseline to Week 26 in Insulin Levels

Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline insulin as continuous covariates.

Time frame: Baseline and Week 26

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 26 in Insulin Levels6.78 µIU/mLStandard Error 2.071
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 26 in Insulin Levels1.33 µIU/mLStandard Error 2.096
Alogliptin 25 + PioglitazoneChange From Baseline to Week 26 in Insulin Levels1.43 µIU/mLStandard Error 2.063
Placebo + Pioglitazone 15Change From Baseline to Week 26 in Insulin Levels-0.78 µIU/mLStandard Error 2.078
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 26 in Insulin Levels-3.05 µIU/mLStandard Error 2.078
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 26 in Insulin Levels-0.76 µIU/mLStandard Error 2.087
Placebo + Pioglitazone 30Change From Baseline to Week 26 in Insulin Levels-2.56 µIU/mLStandard Error 2.114
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 26 in Insulin Levels-0.76 µIU/mLStandard Error 2.152
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 26 in Insulin Levels-1.42 µIU/mLStandard Error 2.105
Placebo + Pioglitazone 45Change From Baseline to Week 26 in Insulin Levels-1.88 µIU/mLStandard Error 2.105
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 26 in Insulin Levels-2.33 µIU/mLStandard Error 2.132
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 26 in Insulin Levels-2.79 µIU/mLStandard Error 2.096
Secondary

Change From Baseline to Week 26 in LDL Particles

The change from Baseline in levels of total, large, medium-small, total small and very small LDL particles was assessed by NMR lipid fractionation. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline NMR LDL particles as continuous covariates.

Time frame: Baseline and Week 26

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 26 in LDL ParticlesTotal Particles15.0 nmol/LStandard Error 30.11
Pioglitazone AloneChange From Baseline to Week 26 in LDL ParticlesVery Small Particles24.0 nmol/LStandard Error 29.13
Pioglitazone AloneChange From Baseline to Week 26 in LDL ParticlesLarge Particles-23.8 nmol/LStandard Error 18.77
Pioglitazone AloneChange From Baseline to Week 26 in LDL ParticlesMedium-Small Particles9.1 nmol/LStandard Error 7.14
Pioglitazone AloneChange From Baseline to Week 26 in LDL ParticlesTotal Small Particles32.4 nmol/LStandard Error 35.72
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 26 in LDL ParticlesVery Small Particles2.5 nmol/LStandard Error 29.71
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 26 in LDL ParticlesTotal Particles-14.5 nmol/LStandard Error 30.73
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 26 in LDL ParticlesTotal Small Particles2.2 nmol/LStandard Error 36.44
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 26 in LDL ParticlesLarge Particles-12.3 nmol/LStandard Error 19.14
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 26 in LDL ParticlesMedium-Small Particles0.0 nmol/LStandard Error 7.28
Alogliptin 25 + PioglitazoneChange From Baseline to Week 26 in LDL ParticlesVery Small Particles-36.6 nmol/LStandard Error 29.36
Alogliptin 25 + PioglitazoneChange From Baseline to Week 26 in LDL ParticlesTotal Small Particles-42.9 nmol/LStandard Error 36
Alogliptin 25 + PioglitazoneChange From Baseline to Week 26 in LDL ParticlesLarge Particles15.3 nmol/LStandard Error 18.91
Alogliptin 25 + PioglitazoneChange From Baseline to Week 26 in LDL ParticlesTotal Particles-30.8 nmol/LStandard Error 30.36
Alogliptin 25 + PioglitazoneChange From Baseline to Week 26 in LDL ParticlesMedium-Small Particles-6.9 nmol/LStandard Error 7.2
Placebo + Pioglitazone 15Change From Baseline to Week 26 in LDL ParticlesTotal Small Particles-122.5 nmol/LStandard Error 36.59
Placebo + Pioglitazone 15Change From Baseline to Week 26 in LDL ParticlesVery Small Particles-96.3 nmol/LStandard Error 29.84
Placebo + Pioglitazone 15Change From Baseline to Week 26 in LDL ParticlesLarge Particles70.5 nmol/LStandard Error 19.22
Placebo + Pioglitazone 15Change From Baseline to Week 26 in LDL ParticlesMedium-Small Particles-25.8 nmol/LStandard Error 7.31
Placebo + Pioglitazone 15Change From Baseline to Week 26 in LDL ParticlesTotal Particles-46.3 nmol/LStandard Error 30.86
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 26 in LDL ParticlesTotal Particles-115.1 nmol/LStandard Error 30.35
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 26 in LDL ParticlesLarge Particles63.2 nmol/LStandard Error 18.9
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 26 in LDL ParticlesTotal Small Particles-175.1 nmol/LStandard Error 35.99
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 26 in LDL ParticlesMedium-Small Particles-29.9 nmol/LStandard Error 7.19
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 26 in LDL ParticlesVery Small Particles-145.7 nmol/LStandard Error 29.35
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 26 in LDL ParticlesTotal Particles-119.4 nmol/LStandard Error 30.37
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 26 in LDL ParticlesLarge Particles93.1 nmol/LStandard Error 18.9
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 26 in LDL ParticlesMedium-Small Particles-36.2 nmol/LStandard Error 7.2
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 26 in LDL ParticlesVery Small Particles-174.5 nmol/LStandard Error 29.37
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 26 in LDL ParticlesTotal Small Particles-211.5 nmol/LStandard Error 36.01
Placebo + Pioglitazone 30Change From Baseline to Week 26 in LDL ParticlesMedium-Small Particles-30.0 nmol/LStandard Error 7.32
Placebo + Pioglitazone 30Change From Baseline to Week 26 in LDL ParticlesTotal Particles-68.6 nmol/LStandard Error 30.9
Placebo + Pioglitazone 30Change From Baseline to Week 26 in LDL ParticlesLarge Particles79.3 nmol/LStandard Error 19.27
Placebo + Pioglitazone 30Change From Baseline to Week 26 in LDL ParticlesTotal Small Particles-154.9 nmol/LStandard Error 36.6
Placebo + Pioglitazone 30Change From Baseline to Week 26 in LDL ParticlesVery Small Particles-124.9 nmol/LStandard Error 29.85
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 26 in LDL ParticlesMedium-Small Particles-47.4 nmol/LStandard Error 7.26
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 26 in LDL ParticlesLarge Particles96.6 nmol/LStandard Error 19.09
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 26 in LDL ParticlesTotal Small Particles-248.7 nmol/LStandard Error 36.31
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 26 in LDL ParticlesVery Small Particles-201.6 nmol/LStandard Error 29.61
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 26 in LDL ParticlesTotal Particles-158.9 nmol/LStandard Error 30.62
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 26 in LDL ParticlesMedium-Small Particles-55.0 nmol/LStandard Error 7.31
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 26 in LDL ParticlesTotal Particles-209.4 nmol/LStandard Error 30.85
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 26 in LDL ParticlesTotal Small Particles-304.9 nmol/LStandard Error 36.58
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 26 in LDL ParticlesVery Small Particles-250.0 nmol/LStandard Error 29.83
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 26 in LDL ParticlesLarge Particles102.7 nmol/LStandard Error 19.22
Placebo + Pioglitazone 45Change From Baseline to Week 26 in LDL ParticlesVery Small Particles-209.6 nmol/LStandard Error 29.83
Placebo + Pioglitazone 45Change From Baseline to Week 26 in LDL ParticlesLarge Particles137.7 nmol/LStandard Error 19.23
Placebo + Pioglitazone 45Change From Baseline to Week 26 in LDL ParticlesMedium-Small Particles-47.1 nmol/LStandard Error 7.31
Placebo + Pioglitazone 45Change From Baseline to Week 26 in LDL ParticlesTotal Particles-119.7 nmol/LStandard Error 30.87
Placebo + Pioglitazone 45Change From Baseline to Week 26 in LDL ParticlesTotal Small Particles-256.9 nmol/LStandard Error 36.58
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 26 in LDL ParticlesVery Small Particles-223.6 nmol/LStandard Error 29.22
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 26 in LDL ParticlesMedium-Small Particles-57.6 nmol/LStandard Error 7.16
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 26 in LDL ParticlesLarge Particles121.9 nmol/LStandard Error 18.83
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 26 in LDL ParticlesTotal Particles-164.6 nmol/LStandard Error 30.22
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 26 in LDL ParticlesTotal Small Particles-281.1 nmol/LStandard Error 35.82
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 26 in LDL ParticlesMedium-Small Particles-57.8 nmol/LStandard Error 7.17
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 26 in LDL ParticlesTotal Particles-219.9 nmol/LStandard Error 30.21
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 26 in LDL ParticlesLarge Particles122.7 nmol/LStandard Error 18.83
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 26 in LDL ParticlesTotal Small Particles-341.3 nmol/LStandard Error 35.82
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 26 in LDL ParticlesVery Small Particles-283.9 nmol/LStandard Error 29.21
Secondary

Change From Baseline to Week 26 in Low-Density Lipoprotein Cholesterol

Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline LDL cholesterol as continuous covariates.

Time frame: Baseline and Week 26

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 26 in Low-Density Lipoprotein Cholesterol3.6 mg/dLStandard Error 2.43
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 26 in Low-Density Lipoprotein Cholesterol2.8 mg/dLStandard Error 2.47
Alogliptin 25 + PioglitazoneChange From Baseline to Week 26 in Low-Density Lipoprotein Cholesterol3.6 mg/dLStandard Error 2.44
Placebo + Pioglitazone 15Change From Baseline to Week 26 in Low-Density Lipoprotein Cholesterol7.9 mg/dLStandard Error 2.41
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 26 in Low-Density Lipoprotein Cholesterol3.7 mg/dLStandard Error 2.38
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 26 in Low-Density Lipoprotein Cholesterol6.1 mg/dLStandard Error 2.41
Placebo + Pioglitazone 30Change From Baseline to Week 26 in Low-Density Lipoprotein Cholesterol6.2 mg/dLStandard Error 2.43
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 26 in Low-Density Lipoprotein Cholesterol2.9 mg/dLStandard Error 2.4
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 26 in Low-Density Lipoprotein Cholesterol3.0 mg/dLStandard Error 2.43
Placebo + Pioglitazone 45Change From Baseline to Week 26 in Low-Density Lipoprotein Cholesterol8.1 mg/dLStandard Error 2.4
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 26 in Low-Density Lipoprotein Cholesterol9.1 mg/dLStandard Error 2.43
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 26 in Low-Density Lipoprotein Cholesterol7.7 mg/dLStandard Error 2.39
Secondary

Change From Baseline to Week 26 in Mean HDL Particle Size

The change from Baseline in mean HDL particle size was assessed by NMR lipid fractionation. Least squares means are from are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline mean HDL particle size as continuous covariates.

Time frame: Baseline and Week 26

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 26 in Mean HDL Particle Size0.03 nmStandard Error 0.025
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 26 in Mean HDL Particle Size0.00 nmStandard Error 0.025
Alogliptin 25 + PioglitazoneChange From Baseline to Week 26 in Mean HDL Particle Size0.07 nmStandard Error 0.025
Placebo + Pioglitazone 15Change From Baseline to Week 26 in Mean HDL Particle Size0.06 nmStandard Error 0.025
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 26 in Mean HDL Particle Size0.06 nmStandard Error 0.025
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 26 in Mean HDL Particle Size0.11 nmStandard Error 0.025
Placebo + Pioglitazone 30Change From Baseline to Week 26 in Mean HDL Particle Size0.10 nmStandard Error 0.025
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 26 in Mean HDL Particle Size0.15 nmStandard Error 0.025
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 26 in Mean HDL Particle Size0.20 nmStandard Error 0.025
Placebo + Pioglitazone 45Change From Baseline to Week 26 in Mean HDL Particle Size0.19 nmStandard Error 0.025
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 26 in Mean HDL Particle Size0.16 nmStandard Error 0.025
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 26 in Mean HDL Particle Size0.19 nmStandard Error 0.025
Secondary

Change From Baseline to Week 26 in Mean LDL Particle Size

The change from Baseline in mean LDL particle size was assessed by NMR lipid fractionation. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline mean LDL particle size as continuous covariates.

Time frame: Baseline and Week 26

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 26 in Mean LDL Particle Size-0.06 nmStandard Error 0.061
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 26 in Mean LDL Particle Size-0.01 nmStandard Error 0.062
Alogliptin 25 + PioglitazoneChange From Baseline to Week 26 in Mean LDL Particle Size0.07 nmStandard Error 0.061
Placebo + Pioglitazone 15Change From Baseline to Week 26 in Mean LDL Particle Size0.26 nmStandard Error 0.062
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 26 in Mean LDL Particle Size0.38 nmStandard Error 0.061
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 26 in Mean LDL Particle Size0.41 nmStandard Error 0.061
Placebo + Pioglitazone 30Change From Baseline to Week 26 in Mean LDL Particle Size0.38 nmStandard Error 0.062
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 26 in Mean LDL Particle Size0.48 nmStandard Error 0.062
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 26 in Mean LDL Particle Size0.57 nmStandard Error 0.062
Placebo + Pioglitazone 45Change From Baseline to Week 26 in Mean LDL Particle Size0.59 nmStandard Error 0.062
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 26 in Mean LDL Particle Size0.55 nmStandard Error 0.061
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 26 in Mean LDL Particle Size0.63 nmStandard Error 0.061
Secondary

Change From Baseline to Week 26 in Mean VLDL Particle Size

The change from Baseline in mean VLDL particle size was assessed by NMR lipid fractionation. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline mean VLDL particle size as continuous covariates.

Time frame: Baseline and Week 26

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 26 in Mean VLDL Particle Size0.26 nmStandard Error 0.685
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 26 in Mean VLDL Particle Size0.52 nmStandard Error 0.7
Alogliptin 25 + PioglitazoneChange From Baseline to Week 26 in Mean VLDL Particle Size0.35 nmStandard Error 0.691
Placebo + Pioglitazone 15Change From Baseline to Week 26 in Mean VLDL Particle Size-2.99 nmStandard Error 0.703
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 26 in Mean VLDL Particle Size-2.66 nmStandard Error 0.694
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 26 in Mean VLDL Particle Size-2.36 nmStandard Error 0.691
Placebo + Pioglitazone 30Change From Baseline to Week 26 in Mean VLDL Particle Size-2.88 nmStandard Error 0.703
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 26 in Mean VLDL Particle Size-3.69 nmStandard Error 0.697
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 26 in Mean VLDL Particle Size-3.30 nmStandard Error 0.702
Placebo + Pioglitazone 45Change From Baseline to Week 26 in Mean VLDL Particle Size-1.60 nmStandard Error 0.703
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 26 in Mean VLDL Particle Size-4.65 nmStandard Error 0.688
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 26 in Mean VLDL Particle Size-4.12 nmStandard Error 0.688
Secondary

Change From Baseline to Week 26 in NMR Lipid Fractionation Total Triglycerides

NMR lipid fractionation was used to assess the change from Baseline in total triglyceride levels at Week 26. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline NMR total triglycerides as continuous covariates.

Time frame: Baseline and Week 26

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 26 in NMR Lipid Fractionation Total Triglycerides12.4 mg/dLStandard Error 7.26
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 26 in NMR Lipid Fractionation Total Triglycerides7.3 mg/dLStandard Error 7.42
Alogliptin 25 + PioglitazoneChange From Baseline to Week 26 in NMR Lipid Fractionation Total Triglycerides-6.8 mg/dLStandard Error 7.32
Placebo + Pioglitazone 15Change From Baseline to Week 26 in NMR Lipid Fractionation Total Triglycerides-18.9 mg/dLStandard Error 7.44
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 26 in NMR Lipid Fractionation Total Triglycerides-20.4 mg/dLStandard Error 7.32
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 26 in NMR Lipid Fractionation Total Triglycerides-23.1 mg/dLStandard Error 7.32
Placebo + Pioglitazone 30Change From Baseline to Week 26 in NMR Lipid Fractionation Total Triglycerides-6.9 mg/dLStandard Error 7.44
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 26 in NMR Lipid Fractionation Total Triglycerides-23.5 mg/dLStandard Error 7.38
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 26 in NMR Lipid Fractionation Total Triglycerides-19.7 mg/dLStandard Error 7.44
Placebo + Pioglitazone 45Change From Baseline to Week 26 in NMR Lipid Fractionation Total Triglycerides-8.6 mg/dLStandard Error 7.44
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 26 in NMR Lipid Fractionation Total Triglycerides-32.1 mg/dLStandard Error 7.29
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 26 in NMR Lipid Fractionation Total Triglycerides-25.8 mg/dLStandard Error 7.29
Secondary

Change From Baseline to Week 26 in Plasminogen Activator Inhibitor-1

Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline PAI-1 as continuous covariates.

Time frame: Baseline and Week 26

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 26 in Plasminogen Activator Inhibitor-1-3.00 ng/mLStandard Error 3.526
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 26 in Plasminogen Activator Inhibitor-10.57 ng/mLStandard Error 3.54
Alogliptin 25 + PioglitazoneChange From Baseline to Week 26 in Plasminogen Activator Inhibitor-1-3.29 ng/mLStandard Error 3.481
Placebo + Pioglitazone 15Change From Baseline to Week 26 in Plasminogen Activator Inhibitor-1-5.43 ng/mLStandard Error 3.529
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 26 in Plasminogen Activator Inhibitor-1-4.75 ng/mLStandard Error 3.465
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 26 in Plasminogen Activator Inhibitor-1-9.62 ng/mLStandard Error 3.51
Placebo + Pioglitazone 30Change From Baseline to Week 26 in Plasminogen Activator Inhibitor-1-5.24 ng/mLStandard Error 3.495
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 26 in Plasminogen Activator Inhibitor-11.89 ng/mLStandard Error 3.511
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 26 in Plasminogen Activator Inhibitor-1-6.66 ng/mLStandard Error 3.525
Placebo + Pioglitazone 45Change From Baseline to Week 26 in Plasminogen Activator Inhibitor-1-3.02 ng/mLStandard Error 3.622
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 26 in Plasminogen Activator Inhibitor-1-5.22 ng/mLStandard Error 3.466
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 26 in Plasminogen Activator Inhibitor-1-11.48 ng/mLStandard Error 3.496
Secondary

Change From Baseline to Week 26 in Proinsulin/Insulin Ratio

The ratio of proinsulin to insulin was calculated as proinsulin (pmol/L) / insulin (μIU/mL). Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline proinsulin/insulin ratio as continuous covariates.

Time frame: Baseline and Week 26

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 26 in Proinsulin/Insulin Ratio-0.007 ratioStandard Error 0.0151
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 26 in Proinsulin/Insulin Ratio-0.001 ratioStandard Error 0.0153
Alogliptin 25 + PioglitazoneChange From Baseline to Week 26 in Proinsulin/Insulin Ratio-0.064 ratioStandard Error 0.0151
Placebo + Pioglitazone 15Change From Baseline to Week 26 in Proinsulin/Insulin Ratio-0.038 ratioStandard Error 0.0152
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 26 in Proinsulin/Insulin Ratio-0.071 ratioStandard Error 0.0152
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 26 in Proinsulin/Insulin Ratio-0.063 ratioStandard Error 0.0152
Placebo + Pioglitazone 30Change From Baseline to Week 26 in Proinsulin/Insulin Ratio-0.030 ratioStandard Error 0.0154
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 26 in Proinsulin/Insulin Ratio-0.081 ratioStandard Error 0.0159
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 26 in Proinsulin/Insulin Ratio-0.072 ratioStandard Error 0.0154
Placebo + Pioglitazone 45Change From Baseline to Week 26 in Proinsulin/Insulin Ratio-0.014 ratioStandard Error 0.0154
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 26 in Proinsulin/Insulin Ratio-0.109 ratioStandard Error 0.0156
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 26 in Proinsulin/Insulin Ratio-0.092 ratioStandard Error 0.0153
Secondary

Change From Baseline to Week 26 in Total Cholesterol Levels

Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline total cholesterol as continuous covariates.

Time frame: Baseline and Week 26

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 26 in Total Cholesterol Levels4.4 mg/dLStandard Error 2.82
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 26 in Total Cholesterol Levels2.2 mg/dLStandard Error 2.85
Alogliptin 25 + PioglitazoneChange From Baseline to Week 26 in Total Cholesterol Levels0.9 mg/dLStandard Error 2.84
Placebo + Pioglitazone 15Change From Baseline to Week 26 in Total Cholesterol Levels5.8 mg/dLStandard Error 2.81
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 26 in Total Cholesterol Levels4.3 mg/dLStandard Error 2.78
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 26 in Total Cholesterol Levels3.5 mg/dLStandard Error 2.79
Placebo + Pioglitazone 30Change From Baseline to Week 26 in Total Cholesterol Levels8.8 mg/dLStandard Error 2.84
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 26 in Total Cholesterol Levels2.8 mg/dLStandard Error 2.8
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 26 in Total Cholesterol Levels3.2 mg/dLStandard Error 2.83
Placebo + Pioglitazone 45Change From Baseline to Week 26 in Total Cholesterol Levels9.5 mg/dLStandard Error 2.8
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 26 in Total Cholesterol Levels6.0 mg/dLStandard Error 2.81
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 26 in Total Cholesterol Levels5.1 mg/dLStandard Error 2.81
Secondary

Change From Baseline to Week 26 in Triglyceride Levels

Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline triglycerides as continuous covariates.

Time frame: Baseline and Week 26

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 26 in Triglyceride Levels3.7 mg/dLStandard Error 7.65
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 26 in Triglyceride Levels-1.1 mg/dLStandard Error 7.74
Alogliptin 25 + PioglitazoneChange From Baseline to Week 26 in Triglyceride Levels-15.2 mg/dLStandard Error 7.71
Placebo + Pioglitazone 15Change From Baseline to Week 26 in Triglyceride Levels-29.5 mg/dLStandard Error 7.65
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 26 in Triglyceride Levels-37.7 mg/dLStandard Error 7.56
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 26 in Triglyceride Levels-38.5 mg/dLStandard Error 7.59
Placebo + Pioglitazone 30Change From Baseline to Week 26 in Triglyceride Levels-27.0 mg/dLStandard Error 7.71
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 26 in Triglyceride Levels-37.3 mg/dLStandard Error 7.59
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 26 in Triglyceride Levels-33.5 mg/dLStandard Error 7.68
Placebo + Pioglitazone 45Change From Baseline to Week 26 in Triglyceride Levels-32.4 mg/dLStandard Error 7.62
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 26 in Triglyceride Levels-49.3 mg/dLStandard Error 7.65
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 26 in Triglyceride Levels-50.1 mg/dLStandard Error 7.65
Secondary

Change From Baseline to Week 26 in VLDL / Chylomicron Particles

The change from Baseline in levels of total VLDL/chylomicron particles and large VLDL/chylomicron particles was assessed by NMR lipid fractionation. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline NMR VLDL/chylomicron particles as continuous covariates.

Time frame: Baseline and Week 26

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 26 in VLDL / Chylomicron ParticlesTotal Particles2.80 nmol/LStandard Error 3.379
Pioglitazone AloneChange From Baseline to Week 26 in VLDL / Chylomicron ParticlesLarge Particles1.31 nmol/LStandard Error 0.577
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 26 in VLDL / Chylomicron ParticlesTotal Particles0.59 nmol/LStandard Error 3.45
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 26 in VLDL / Chylomicron ParticlesLarge Particles0.94 nmol/LStandard Error 0.589
Alogliptin 25 + PioglitazoneChange From Baseline to Week 26 in VLDL / Chylomicron ParticlesTotal Particles-5.79 nmol/LStandard Error 3.405
Alogliptin 25 + PioglitazoneChange From Baseline to Week 26 in VLDL / Chylomicron ParticlesLarge Particles-0.14 nmol/LStandard Error 0.582
Placebo + Pioglitazone 15Change From Baseline to Week 26 in VLDL / Chylomicron ParticlesTotal Particles-2.99 nmol/LStandard Error 3.462
Placebo + Pioglitazone 15Change From Baseline to Week 26 in VLDL / Chylomicron ParticlesLarge Particles-1.56 nmol/LStandard Error 0.592
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 26 in VLDL / Chylomicron ParticlesLarge Particles-1.71 nmol/LStandard Error 0.582
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 26 in VLDL / Chylomicron ParticlesTotal Particles-3.31 nmol/LStandard Error 3.405
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 26 in VLDL / Chylomicron ParticlesTotal Particles-5.15 nmol/LStandard Error 3.405
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 26 in VLDL / Chylomicron ParticlesLarge Particles-1.80 nmol/LStandard Error 0.582
Placebo + Pioglitazone 30Change From Baseline to Week 26 in VLDL / Chylomicron ParticlesLarge Particles-0.90 nmol/LStandard Error 0.592
Placebo + Pioglitazone 30Change From Baseline to Week 26 in VLDL / Chylomicron ParticlesTotal Particles3.68 nmol/LStandard Error 3.464
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 26 in VLDL / Chylomicron ParticlesTotal Particles-0.59 nmol/LStandard Error 3.436
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 26 in VLDL / Chylomicron ParticlesLarge Particles-2.24 nmol/LStandard Error 0.587
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 26 in VLDL / Chylomicron ParticlesTotal Particles-0.35 nmol/LStandard Error 3.463
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 26 in VLDL / Chylomicron ParticlesLarge Particles-1.79 nmol/LStandard Error 0.592
Placebo + Pioglitazone 45Change From Baseline to Week 26 in VLDL / Chylomicron ParticlesTotal Particles-3.83 nmol/LStandard Error 3.463
Placebo + Pioglitazone 45Change From Baseline to Week 26 in VLDL / Chylomicron ParticlesLarge Particles-0.67 nmol/LStandard Error 0.592
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 26 in VLDL / Chylomicron ParticlesLarge Particles-2.80 nmol/LStandard Error 0.58
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 26 in VLDL / Chylomicron ParticlesTotal Particles-1.70 nmol/LStandard Error 3.394
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 26 in VLDL / Chylomicron ParticlesLarge Particles-2.36 nmol/LStandard Error 0.58
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 26 in VLDL / Chylomicron ParticlesTotal Particles1.56 nmol/LStandard Error 3.392
Secondary

Change From Baseline to Week 26 in VLDL / Chylomicron Triglycerides

The change from Baseline in VLDL/chylomicron triglyceride levels was assessed by NMR lipid fractionation. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline NMR VLDL/chylomicron triglycerides as continuous covariates.

Time frame: Baseline and Week 26

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 26 in VLDL / Chylomicron Triglycerides11.9 mg/dLStandard Error 7.23
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 26 in VLDL / Chylomicron Triglycerides8.3 mg/dLStandard Error 7.39
Alogliptin 25 + PioglitazoneChange From Baseline to Week 26 in VLDL / Chylomicron Triglycerides-7.0 mg/dLStandard Error 7.29
Placebo + Pioglitazone 15Change From Baseline to Week 26 in VLDL / Chylomicron Triglycerides-20.4 mg/dLStandard Error 7.41
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 26 in VLDL / Chylomicron Triglycerides-20.4 mg/dLStandard Error 7.29
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 26 in VLDL / Chylomicron Triglycerides-23.8 mg/dLStandard Error 7.29
Placebo + Pioglitazone 30Change From Baseline to Week 26 in VLDL / Chylomicron Triglycerides-8.2 mg/dLStandard Error 7.41
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 26 in VLDL / Chylomicron Triglycerides-23.5 mg/dLStandard Error 7.35
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 26 in VLDL / Chylomicron Triglycerides-18.9 mg/dLStandard Error 7.41
Placebo + Pioglitazone 45Change From Baseline to Week 26 in VLDL / Chylomicron Triglycerides-10.4 mg/dLStandard Error 7.41
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 26 in VLDL / Chylomicron Triglycerides-32.3 mg/dLStandard Error 7.26
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 26 in VLDL / Chylomicron Triglycerides-26.2 mg/dLStandard Error 7.26
Secondary

Change From Baseline to Week 26 in VLDL Particles

The change from Baseline in levels of medium VLDL particles and small VLDL particles was assessed by NMR lipid fractionation. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline NMR VLDL particles as continuous covariates

Time frame: Baseline and Week 26

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 26 in VLDL ParticlesMedium Particles1.54 nmol/LStandard Error 2.275
Pioglitazone AloneChange From Baseline to Week 26 in VLDL ParticlesSmall Particles0.26 nmol/LStandard Error 1.831
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 26 in VLDL ParticlesMedium Particles0.85 nmol/LStandard Error 2.324
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 26 in VLDL ParticlesSmall Particles-0.87 nmol/LStandard Error 1.868
Alogliptin 25 + PioglitazoneChange From Baseline to Week 26 in VLDL ParticlesMedium Particles-2.94 nmol/LStandard Error 2.292
Alogliptin 25 + PioglitazoneChange From Baseline to Week 26 in VLDL ParticlesSmall Particles-2.91 nmol/LStandard Error 1.846
Placebo + Pioglitazone 15Change From Baseline to Week 26 in VLDL ParticlesMedium Particles-4.43 nmol/LStandard Error 2.331
Placebo + Pioglitazone 15Change From Baseline to Week 26 in VLDL ParticlesSmall Particles2.83 nmol/LStandard Error 1.876
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 26 in VLDL ParticlesSmall Particles-0.19 nmol/LStandard Error 1.845
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 26 in VLDL ParticlesMedium Particles-1.78 nmol/LStandard Error 2.293
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 26 in VLDL ParticlesMedium Particles-5.42 nmol/LStandard Error 2.292
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 26 in VLDL ParticlesSmall Particles1.90 nmol/LStandard Error 1.845
Placebo + Pioglitazone 30Change From Baseline to Week 26 in VLDL ParticlesSmall Particles4.16 nmol/LStandard Error 1.877
Placebo + Pioglitazone 30Change From Baseline to Week 26 in VLDL ParticlesMedium Particles0.28 nmol/LStandard Error 2.332
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 26 in VLDL ParticlesMedium Particles-2.17 nmol/LStandard Error 2.313
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 26 in VLDL ParticlesSmall Particles4.07 nmol/LStandard Error 1.863
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 26 in VLDL ParticlesMedium Particles-4.38 nmol/LStandard Error 2.331
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 26 in VLDL ParticlesSmall Particles5.45 nmol/LStandard Error 1.876
Placebo + Pioglitazone 45Change From Baseline to Week 26 in VLDL ParticlesMedium Particles-2.70 nmol/LStandard Error 2.331
Placebo + Pioglitazone 45Change From Baseline to Week 26 in VLDL ParticlesSmall Particles-0.08 nmol/LStandard Error 1.878
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 26 in VLDL ParticlesSmall Particles6.77 nmol/LStandard Error 1.837
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 26 in VLDL ParticlesMedium Particles-5.09 nmol/LStandard Error 2.285
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 26 in VLDL ParticlesSmall Particles8.33 nmol/LStandard Error 1.837
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 26 in VLDL ParticlesMedium Particles-4.83 nmol/LStandard Error 2.284
Secondary

Change From Baseline to Week 2 in Fasting Plasma Glucose

Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline fasting plasma glucose as covariates.

Time frame: Baseline and Week 2

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 2 in Fasting Plasma Glucose4.8 mg/dLStandard Error 2.78
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 2 in Fasting Plasma Glucose-21.9 mg/dLStandard Error 2.88
Alogliptin 25 + PioglitazoneChange From Baseline to Week 2 in Fasting Plasma Glucose-18.9 mg/dLStandard Error 2.82
Placebo + Pioglitazone 15Change From Baseline to Week 2 in Fasting Plasma Glucose-10.4 mg/dLStandard Error 2.8
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 2 in Fasting Plasma Glucose-30.1 mg/dLStandard Error 2.8
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 2 in Fasting Plasma Glucose-31.7 mg/dLStandard Error 2.78
Placebo + Pioglitazone 30Change From Baseline to Week 2 in Fasting Plasma Glucose-4.3 mg/dLStandard Error 2.83
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 2 in Fasting Plasma Glucose-30.0 mg/dLStandard Error 2.79
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 2 in Fasting Plasma Glucose-31.3 mg/dLStandard Error 2.81
Placebo + Pioglitazone 45Change From Baseline to Week 2 in Fasting Plasma Glucose-19.3 mg/dLStandard Error 2.79
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 2 in Fasting Plasma Glucose-30.8 mg/dLStandard Error 2.79
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 2 in Fasting Plasma Glucose-31.7 mg/dLStandard Error 2.81
Secondary

Change From Baseline to Week 4 in C-peptide Levels

Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline C-peptide as continuous covariates.

Time frame: Baseline and Week 4

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 4 in C-peptide Levels0.002 ng/mLStandard Error 0.0705
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 4 in C-peptide Levels-0.032 ng/mLStandard Error 0.0727
Alogliptin 25 + PioglitazoneChange From Baseline to Week 4 in C-peptide Levels0.076 ng/mLStandard Error 0.0734
Placebo + Pioglitazone 15Change From Baseline to Week 4 in C-peptide Levels-0.246 ng/mLStandard Error 0.073
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 4 in C-peptide Levels-0.248 ng/mLStandard Error 0.0714
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 4 in C-peptide Levels-0.238 ng/mLStandard Error 0.072
Placebo + Pioglitazone 30Change From Baseline to Week 4 in C-peptide Levels-0.232 ng/mLStandard Error 0.0721
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 4 in C-peptide Levels-0.259 ng/mLStandard Error 0.0718
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 4 in C-peptide Levels-0.268 ng/mLStandard Error 0.0705
Placebo + Pioglitazone 45Change From Baseline to Week 4 in C-peptide Levels-0.393 ng/mLStandard Error 0.0714
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 4 in C-peptide Levels-0.252 ng/mLStandard Error 0.0734
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 4 in C-peptide Levels-0.337 ng/mLStandard Error 0.0738
Secondary

Change From Baseline to Week 4 in Fasting Plasma Glucose

Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline fasting plasma glucose as covariates.

Time frame: Baseline and Week 4

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 4 in Fasting Plasma Glucose3.8 mg/dLStandard Error 2.87
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 4 in Fasting Plasma Glucose-20.4 mg/dLStandard Error 2.95
Alogliptin 25 + PioglitazoneChange From Baseline to Week 4 in Fasting Plasma Glucose-22.8 mg/dLStandard Error 2.92
Placebo + Pioglitazone 15Change From Baseline to Week 4 in Fasting Plasma Glucose-20.2 mg/dLStandard Error 2.9
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 4 in Fasting Plasma Glucose-35.3 mg/dLStandard Error 2.87
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 4 in Fasting Plasma Glucose-37.3 mg/dLStandard Error 2.86
Placebo + Pioglitazone 30Change From Baseline to Week 4 in Fasting Plasma Glucose-13.4 mg/dLStandard Error 2.92
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 4 in Fasting Plasma Glucose-37.4 mg/dLStandard Error 2.88
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 4 in Fasting Plasma Glucose-36.0 mg/dLStandard Error 2.91
Placebo + Pioglitazone 45Change From Baseline to Week 4 in Fasting Plasma Glucose-26.1 mg/dLStandard Error 2.87
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 4 in Fasting Plasma Glucose-37.8 mg/dLStandard Error 2.89
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 4 in Fasting Plasma Glucose-46.2 mg/dLStandard Error 2.89
Secondary

Change From Baseline to Week 4 in Fasting Proinsulin

Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline proinsulin as continuous covariates.

Time frame: Baseline and Week 4

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 4 in Fasting Proinsulin-0.1 pmol/LStandard Error 1.36
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 4 in Fasting Proinsulin-4.7 pmol/LStandard Error 1.39
Alogliptin 25 + PioglitazoneChange From Baseline to Week 4 in Fasting Proinsulin-2.3 pmol/LStandard Error 1.41
Placebo + Pioglitazone 15Change From Baseline to Week 4 in Fasting Proinsulin-4.8 pmol/LStandard Error 1.42
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 4 in Fasting Proinsulin-9.9 pmol/LStandard Error 1.41
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 4 in Fasting Proinsulin-8.9 pmol/LStandard Error 1.41
Placebo + Pioglitazone 30Change From Baseline to Week 4 in Fasting Proinsulin-6.7 pmol/LStandard Error 1.4
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 4 in Fasting Proinsulin-9.6 pmol/LStandard Error 1.43
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 4 in Fasting Proinsulin-9.5 pmol/LStandard Error 1.37
Placebo + Pioglitazone 45Change From Baseline to Week 4 in Fasting Proinsulin-7.2 pmol/LStandard Error 1.39
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 4 in Fasting Proinsulin-11.3 pmol/LStandard Error 1.43
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 4 in Fasting Proinsulin-11.7 pmol/LStandard Error 1.44
Secondary

Change From Baseline to Week 4 in HbA1c

The change from Baseline in HbA1c (the concentration of glucose bound to hemoglobin as a percent of the absolute maximum that can be bound) at week 4. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline HbA1c as continuous covariates.

Time frame: Baseline and Week 4

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 4 in HbA1c-0.22 percentage of glycosylated hemoglobinStandard Error 0.039
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 4 in HbA1c-0.46 percentage of glycosylated hemoglobinStandard Error 0.04
Alogliptin 25 + PioglitazoneChange From Baseline to Week 4 in HbA1c-0.51 percentage of glycosylated hemoglobinStandard Error 0.041
Placebo + Pioglitazone 15Change From Baseline to Week 4 in HbA1c-0.32 percentage of glycosylated hemoglobinStandard Error 0.04
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 4 in HbA1c-0.53 percentage of glycosylated hemoglobinStandard Error 0.039
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 4 in HbA1c-0.61 percentage of glycosylated hemoglobinStandard Error 0.04
Placebo + Pioglitazone 30Change From Baseline to Week 4 in HbA1c-0.24 percentage of glycosylated hemoglobinStandard Error 0.04
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 4 in HbA1c-0.60 percentage of glycosylated hemoglobinStandard Error 0.039
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 4 in HbA1c-0.60 percentage of glycosylated hemoglobinStandard Error 0.039
Placebo + Pioglitazone 45Change From Baseline to Week 4 in HbA1c-0.40 percentage of glycosylated hemoglobinStandard Error 0.04
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 4 in HbA1c-0.58 percentage of glycosylated hemoglobinStandard Error 0.04
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 4 in HbA1c-0.63 percentage of glycosylated hemoglobinStandard Error 0.04
Secondary

Change From Baseline to Week 4 in High-Density Lipoprotein Cholesterol

Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline HDL cholesterol as continuous covariates.

Time frame: Baseline and Week 4

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 4 in High-Density Lipoprotein Cholesterol-0.4 mg/dLStandard Error 0.57
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 4 in High-Density Lipoprotein Cholesterol-0.6 mg/dLStandard Error 0.59
Alogliptin 25 + PioglitazoneChange From Baseline to Week 4 in High-Density Lipoprotein Cholesterol-0.5 mg/dLStandard Error 0.59
Placebo + Pioglitazone 15Change From Baseline to Week 4 in High-Density Lipoprotein Cholesterol2.5 mg/dLStandard Error 0.59
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 4 in High-Density Lipoprotein Cholesterol1.6 mg/dLStandard Error 0.58
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 4 in High-Density Lipoprotein Cholesterol1.6 mg/dLStandard Error 0.57
Placebo + Pioglitazone 30Change From Baseline to Week 4 in High-Density Lipoprotein Cholesterol3.2 mg/dLStandard Error 0.57
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 4 in High-Density Lipoprotein Cholesterol2.3 mg/dLStandard Error 0.56
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 4 in High-Density Lipoprotein Cholesterol3.5 mg/dLStandard Error 0.57
Placebo + Pioglitazone 45Change From Baseline to Week 4 in High-Density Lipoprotein Cholesterol3.3 mg/dLStandard Error 0.58
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 4 in High-Density Lipoprotein Cholesterol4.2 mg/dLStandard Error 0.58
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 4 in High-Density Lipoprotein Cholesterol5.1 mg/dLStandard Error 0.59
Secondary

Change From Baseline to Week 4 in Insulin Levels

Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline insulin as continuous covariates.

Time frame: Baseline and Week 4

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 4 in Insulin Levels1.06 µIU/mLStandard Error 0.737
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 4 in Insulin Levels-0.33 µIU/mLStandard Error 0.756
Alogliptin 25 + PioglitazoneChange From Baseline to Week 4 in Insulin Levels2.31 µIU/mLStandard Error 0.771
Placebo + Pioglitazone 15Change From Baseline to Week 4 in Insulin Levels-1.68 µIU/mLStandard Error 0.767
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 4 in Insulin Levels-3.03 µIU/mLStandard Error 0.76
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 4 in Insulin Levels-1.86 µIU/mLStandard Error 0.763
Placebo + Pioglitazone 30Change From Baseline to Week 4 in Insulin Levels-2.43 µIU/mLStandard Error 0.76
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 4 in Insulin Levels-1.45 µIU/mLStandard Error 0.779
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 4 in Insulin Levels-2.05 µIU/mLStandard Error 0.743
Placebo + Pioglitazone 45Change From Baseline to Week 4 in Insulin Levels-2.76 µIU/mLStandard Error 0.76
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 4 in Insulin Levels-1.85 µIU/mLStandard Error 0.774
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 4 in Insulin Levels-2.65 µIU/mLStandard Error 0.778
Secondary

Change From Baseline to Week 4 in Low-Density Lipoprotein Cholesterol

Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline LDL cholesterol as continuous covariates.

Time frame: Baseline and Week 4

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 4 in Low-Density Lipoprotein Cholesterol2.1 mg/dLStandard Error 2.11
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 4 in Low-Density Lipoprotein Cholesterol-2.4 mg/dLStandard Error 2.22
Alogliptin 25 + PioglitazoneChange From Baseline to Week 4 in Low-Density Lipoprotein Cholesterol1.4 mg/dLStandard Error 2.19
Placebo + Pioglitazone 15Change From Baseline to Week 4 in Low-Density Lipoprotein Cholesterol2.6 mg/dLStandard Error 2.16
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 4 in Low-Density Lipoprotein Cholesterol1.6 mg/dLStandard Error 2.12
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 4 in Low-Density Lipoprotein Cholesterol-2.7 mg/dLStandard Error 2.11
Placebo + Pioglitazone 30Change From Baseline to Week 4 in Low-Density Lipoprotein Cholesterol3.2 mg/dLStandard Error 2.12
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 4 in Low-Density Lipoprotein Cholesterol-2.8 mg/dLStandard Error 2.09
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 4 in Low-Density Lipoprotein Cholesterol0.4 mg/dLStandard Error 2.1
Placebo + Pioglitazone 45Change From Baseline to Week 4 in Low-Density Lipoprotein Cholesterol3.4 mg/dLStandard Error 2.13
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 4 in Low-Density Lipoprotein Cholesterol-0.3 mg/dLStandard Error 2.15
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 4 in Low-Density Lipoprotein Cholesterol-3.4 mg/dLStandard Error 2.13
Secondary

Change From Baseline to Week 4 in Proinsulin/Insulin Ratio

The ratio of proinsulin to insulin was calculated as proinsulin (pmol/L) / insulin (μIU/mL). Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline proinsulin/insulin ratio as continuous covariates.

Time frame: Baseline and Week 4

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 4 in Proinsulin/Insulin Ratio-0.015 ratioStandard Error 0.0147
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 4 in Proinsulin/Insulin Ratio-0.039 ratioStandard Error 0.0151
Alogliptin 25 + PioglitazoneChange From Baseline to Week 4 in Proinsulin/Insulin Ratio-0.058 ratioStandard Error 0.0154
Placebo + Pioglitazone 15Change From Baseline to Week 4 in Proinsulin/Insulin Ratio-0.029 ratioStandard Error 0.0153
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 4 in Proinsulin/Insulin Ratio-0.054 ratioStandard Error 0.0153
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 4 in Proinsulin/Insulin Ratio-0.054 ratioStandard Error 0.0153
Placebo + Pioglitazone 30Change From Baseline to Week 4 in Proinsulin/Insulin Ratio-0.023 ratioStandard Error 0.0152
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 4 in Proinsulin/Insulin Ratio-0.068 ratioStandard Error 0.0157
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 4 in Proinsulin/Insulin Ratio-0.045 ratioStandard Error 0.0149
Placebo + Pioglitazone 45Change From Baseline to Week 4 in Proinsulin/Insulin Ratio-0.009 ratioStandard Error 0.0152
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 4 in Proinsulin/Insulin Ratio-0.111 ratioStandard Error 0.0155
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 4 in Proinsulin/Insulin Ratio-0.072 ratioStandard Error 0.0156
Secondary

Change From Baseline to Week 4 in Total Cholesterol Levels

Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline total cholesterol as continuous covariates.

Time frame: Baseline and Week 4

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 4 in Total Cholesterol Levels1.3 mg/dLStandard Error 2.4
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 4 in Total Cholesterol Levels-3.8 mg/dLStandard Error 2.47
Alogliptin 25 + PioglitazoneChange From Baseline to Week 4 in Total Cholesterol Levels-3.7 mg/dLStandard Error 2.48
Placebo + Pioglitazone 15Change From Baseline to Week 4 in Total Cholesterol Levels2.1 mg/dLStandard Error 2.47
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 4 in Total Cholesterol Levels-2.3 mg/dLStandard Error 2.42
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 4 in Total Cholesterol Levels-10.2 mg/dLStandard Error 2.41
Placebo + Pioglitazone 30Change From Baseline to Week 4 in Total Cholesterol Levels3.7 mg/dLStandard Error 2.42
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 4 in Total Cholesterol Levels-7.2 mg/dLStandard Error 2.38
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 4 in Total Cholesterol Levels-2.7 mg/dLStandard Error 2.41
Placebo + Pioglitazone 45Change From Baseline to Week 4 in Total Cholesterol Levels-1.2 mg/dLStandard Error 2.43
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 4 in Total Cholesterol Levels-3.6 mg/dLStandard Error 2.43
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 4 in Total Cholesterol Levels-6.7 mg/dLStandard Error 2.47
Secondary

Change From Baseline to Week 4 in Triglyceride Levels

Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline triglycerides as continuous covariates.

Time frame: Baseline and Week 4

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 4 in Triglyceride Levels-2.4 mg/dLStandard Error 6.93
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 4 in Triglyceride Levels-2.2 mg/dLStandard Error 7.15
Alogliptin 25 + PioglitazoneChange From Baseline to Week 4 in Triglyceride Levels-25.0 mg/dLStandard Error 7.18
Placebo + Pioglitazone 15Change From Baseline to Week 4 in Triglyceride Levels-21.5 mg/dLStandard Error 7.14
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 4 in Triglyceride Levels-35.8 mg/dLStandard Error 6.99
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 4 in Triglyceride Levels-51.1 mg/dLStandard Error 6.96
Placebo + Pioglitazone 30Change From Baseline to Week 4 in Triglyceride Levels-26.7 mg/dLStandard Error 6.99
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 4 in Triglyceride Levels-42.2 mg/dLStandard Error 6.88
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 4 in Triglyceride Levels-44.4 mg/dLStandard Error 6.96
Placebo + Pioglitazone 45Change From Baseline to Week 4 in Triglyceride Levels-47.1 mg/dLStandard Error 7.02
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 4 in Triglyceride Levels-39.2 mg/dLStandard Error 7.03
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 4 in Triglyceride Levels-49.1 mg/dLStandard Error 7.15
Secondary

Change From Baseline to Week 8 in Body Weight

Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline weight as continuous covariates.

Time frame: Baseline and Week 8

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 8 in Body Weight-0.13 kgStandard Error 0.176
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 8 in Body Weight-0.05 kgStandard Error 0.179
Alogliptin 25 + PioglitazoneChange From Baseline to Week 8 in Body Weight-0.45 kgStandard Error 0.178
Placebo + Pioglitazone 15Change From Baseline to Week 8 in Body Weight0.32 kgStandard Error 0.177
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 8 in Body Weight0.09 kgStandard Error 0.174
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 8 in Body Weight0.22 kgStandard Error 0.176
Placebo + Pioglitazone 30Change From Baseline to Week 8 in Body Weight0.57 kgStandard Error 0.177
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 8 in Body Weight0.49 kgStandard Error 0.174
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 8 in Body Weight0.74 kgStandard Error 0.177
Placebo + Pioglitazone 45Change From Baseline to Week 8 in Body Weight0.46 kgStandard Error 0.179
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 8 in Body Weight0.43 kgStandard Error 0.177
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 8 in Body Weight0.93 kgStandard Error 0.175
Secondary

Change From Baseline to Week 8 in C-peptide Levels

Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline C-peptide as continuous covariates.

Time frame: Baseline and Week 8

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 8 in C-peptide Levels-0.044 ng/mLStandard Error 0.0798
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 8 in C-peptide Levels0.114 ng/mLStandard Error 0.0807
Alogliptin 25 + PioglitazoneChange From Baseline to Week 8 in C-peptide Levels0.108 ng/mLStandard Error 0.0801
Placebo + Pioglitazone 15Change From Baseline to Week 8 in C-peptide Levels-0.221 ng/mLStandard Error 0.0798
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 8 in C-peptide Levels-0.315 ng/mLStandard Error 0.0798
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 8 in C-peptide Levels-0.261 ng/mLStandard Error 0.0801
Placebo + Pioglitazone 30Change From Baseline to Week 8 in C-peptide Levels-0.380 ng/mLStandard Error 0.0814
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 8 in C-peptide Levels-0.365 ng/mLStandard Error 0.0802
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 8 in C-peptide Levels-0.207 ng/mLStandard Error 0.0797
Placebo + Pioglitazone 45Change From Baseline to Week 8 in C-peptide Levels-0.467 ng/mLStandard Error 0.0798
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 8 in C-peptide Levels-0.300 ng/mLStandard Error 0.0814
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 8 in C-peptide Levels-0.464 ng/mLStandard Error 0.0798
Secondary

Change From Baseline to Week 8 in Fasting Plasma Glucose

Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline fasting plasma glucose as covariates.

Time frame: Baseline and Week 8

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 8 in Fasting Plasma Glucose5.7 mg/dLStandard Error 3.05
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 8 in Fasting Plasma Glucose-19.5 mg/dLStandard Error 3.14
Alogliptin 25 + PioglitazoneChange From Baseline to Week 8 in Fasting Plasma Glucose-19.3 mg/dLStandard Error 3.09
Placebo + Pioglitazone 15Change From Baseline to Week 8 in Fasting Plasma Glucose-22.2 mg/dLStandard Error 3.07
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 8 in Fasting Plasma Glucose-42.3 mg/dLStandard Error 3.05
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 8 in Fasting Plasma Glucose-39.3 mg/dLStandard Error 3.04
Placebo + Pioglitazone 30Change From Baseline to Week 8 in Fasting Plasma Glucose-24.0 mg/dLStandard Error 3.1
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 8 in Fasting Plasma Glucose-40.5 mg/dLStandard Error 3.05
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 8 in Fasting Plasma Glucose-44.1 mg/dLStandard Error 3.08
Placebo + Pioglitazone 45Change From Baseline to Week 8 in Fasting Plasma Glucose-35.6 mg/dLStandard Error 3.05
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 8 in Fasting Plasma Glucose-44.0 mg/dLStandard Error 3.06
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 8 in Fasting Plasma Glucose-52.3 mg/dLStandard Error 3.07
Secondary

Change From Baseline to Week 8 in Fasting Proinsulin

Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline proinsulin as continuous covariates.

Time frame: Baseline and Week 8

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 8 in Fasting Proinsulin0.7 pmol/LStandard Error 1.48
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 8 in Fasting Proinsulin0.2 pmol/LStandard Error 1.5
Alogliptin 25 + PioglitazoneChange From Baseline to Week 8 in Fasting Proinsulin-2.6 pmol/LStandard Error 1.48
Placebo + Pioglitazone 15Change From Baseline to Week 8 in Fasting Proinsulin-3.8 pmol/LStandard Error 1.49
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 8 in Fasting Proinsulin-11.1 pmol/LStandard Error 1.5
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 8 in Fasting Proinsulin-10.7 pmol/LStandard Error 1.5
Placebo + Pioglitazone 30Change From Baseline to Week 8 in Fasting Proinsulin-8.8 pmol/LStandard Error 1.52
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 8 in Fasting Proinsulin-11.8 pmol/LStandard Error 1.54
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 8 in Fasting Proinsulin-9.4 pmol/LStandard Error 1.5
Placebo + Pioglitazone 45Change From Baseline to Week 8 in Fasting Proinsulin-9.0 pmol/LStandard Error 1.5
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 8 in Fasting Proinsulin-11.0 pmol/LStandard Error 1.53
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 8 in Fasting Proinsulin-13.8 pmol/LStandard Error 1.5
Secondary

Change From Baseline to Week 8 in HbA1c

The change from Baseline in HbA1c (the concentration of glucose bound to hemoglobin as a percent of the absolute maximum that can be bound) at week 8. Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline HbA1c as continuous covariates.

Time frame: Baseline and Week 8

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 8 in HbA1c-0.30 percentage of glycosylated hemoglobinStandard Error 0.058
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 8 in HbA1c-0.75 percentage of glycosylated hemoglobinStandard Error 0.059
Alogliptin 25 + PioglitazoneChange From Baseline to Week 8 in HbA1c-0.80 percentage of glycosylated hemoglobinStandard Error 0.059
Placebo + Pioglitazone 15Change From Baseline to Week 8 in HbA1c-0.50 percentage of glycosylated hemoglobinStandard Error 0.058
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 8 in HbA1c-1.01 percentage of glycosylated hemoglobinStandard Error 0.058
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 8 in HbA1c-1.04 percentage of glycosylated hemoglobinStandard Error 0.058
Placebo + Pioglitazone 30Change From Baseline to Week 8 in HbA1c-0.57 percentage of glycosylated hemoglobinStandard Error 0.059
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 8 in HbA1c-1.05 percentage of glycosylated hemoglobinStandard Error 0.058
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 8 in HbA1c-1.02 percentage of glycosylated hemoglobinStandard Error 0.059
Placebo + Pioglitazone 45Change From Baseline to Week 8 in HbA1c-0.76 percentage of glycosylated hemoglobinStandard Error 0.058
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 8 in HbA1c-1.11 percentage of glycosylated hemoglobinStandard Error 0.058
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 8 in HbA1c-1.20 percentage of glycosylated hemoglobinStandard Error 0.058
Secondary

Change From Baseline to Week 8 in High-Density Lipoprotein Cholesterol

Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline HDL cholesterol as continuous covariates.

Time frame: Baseline and Week 8

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 8 in High-Density Lipoprotein Cholesterol-0.5 mg/dLStandard Error 0.6
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 8 in High-Density Lipoprotein Cholesterol-0.1 mg/dLStandard Error 0.61
Alogliptin 25 + PioglitazoneChange From Baseline to Week 8 in High-Density Lipoprotein Cholesterol0.6 mg/dLStandard Error 0.61
Placebo + Pioglitazone 15Change From Baseline to Week 8 in High-Density Lipoprotein Cholesterol2.8 mg/dLStandard Error 0.6
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 8 in High-Density Lipoprotein Cholesterol2.3 mg/dLStandard Error 0.59
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 8 in High-Density Lipoprotein Cholesterol2.9 mg/dLStandard Error 0.6
Placebo + Pioglitazone 30Change From Baseline to Week 8 in High-Density Lipoprotein Cholesterol4.8 mg/dLStandard Error 0.61
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 8 in High-Density Lipoprotein Cholesterol4.2 mg/dLStandard Error 0.6
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 8 in High-Density Lipoprotein Cholesterol4.6 mg/dLStandard Error 0.6
Placebo + Pioglitazone 45Change From Baseline to Week 8 in High-Density Lipoprotein Cholesterol4.5 mg/dLStandard Error 0.6
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 8 in High-Density Lipoprotein Cholesterol5.7 mg/dLStandard Error 0.6
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 8 in High-Density Lipoprotein Cholesterol6.3 mg/dLStandard Error 0.6
Secondary

Change From Baseline to Week 8 in Insulin Levels

Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline insulin as continuous covariates.

Time frame: Baseline and Week 8

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 8 in Insulin Levels-0.46 µIU/mLStandard Error 0.912
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 8 in Insulin Levels1.80 µIU/mLStandard Error 0.923
Alogliptin 25 + PioglitazoneChange From Baseline to Week 8 in Insulin Levels1.69 µIU/mLStandard Error 0.909
Placebo + Pioglitazone 15Change From Baseline to Week 8 in Insulin Levels-1.47 µIU/mLStandard Error 0.916
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 8 in Insulin Levels-2.21 µIU/mLStandard Error 0.923
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 8 in Insulin Levels-2.78 µIU/mLStandard Error 0.923
Placebo + Pioglitazone 30Change From Baseline to Week 8 in Insulin Levels-2.74 µIU/mLStandard Error 0.935
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 8 in Insulin Levels-3.15 µIU/mLStandard Error 0.953
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 8 in Insulin Levels-1.20 µIU/mLStandard Error 0.927
Placebo + Pioglitazone 45Change From Baseline to Week 8 in Insulin Levels-2.83 µIU/mLStandard Error 0.927
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 8 in Insulin Levels-1.96 µIU/mLStandard Error 0.939
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 8 in Insulin Levels-3.09 µIU/mLStandard Error 0.924
Secondary

Change From Baseline to Week 8 in Low-Density Lipoprotein Cholesterol

Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline LDL cholesterol as continuous covariates.

Time frame: Baseline and Week 8

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 8 in Low-Density Lipoprotein Cholesterol9.4 mg/dLStandard Error 2.24
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 8 in Low-Density Lipoprotein Cholesterol2.1 mg/dLStandard Error 2.3
Alogliptin 25 + PioglitazoneChange From Baseline to Week 8 in Low-Density Lipoprotein Cholesterol3.4 mg/dLStandard Error 2.24
Placebo + Pioglitazone 15Change From Baseline to Week 8 in Low-Density Lipoprotein Cholesterol7.3 mg/dLStandard Error 2.21
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 8 in Low-Density Lipoprotein Cholesterol-0.4 mg/dLStandard Error 2.21
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 8 in Low-Density Lipoprotein Cholesterol1.0 mg/dLStandard Error 2.21
Placebo + Pioglitazone 30Change From Baseline to Week 8 in Low-Density Lipoprotein Cholesterol5.4 mg/dLStandard Error 2.24
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 8 in Low-Density Lipoprotein Cholesterol2.4 mg/dLStandard Error 2.21
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 8 in Low-Density Lipoprotein Cholesterol2.7 mg/dLStandard Error 2.24
Placebo + Pioglitazone 45Change From Baseline to Week 8 in Low-Density Lipoprotein Cholesterol4.8 mg/dLStandard Error 2.21
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 8 in Low-Density Lipoprotein Cholesterol2.0 mg/dLStandard Error 2.24
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 8 in Low-Density Lipoprotein Cholesterol-3.2 mg/dLStandard Error 2.2
Secondary

Change From Baseline to Week 8 in Proinsulin/Insulin Ratio

The ratio of proinsulin to insulin was calculated as proinsulin (pmol/L) / insulin (μIU/mL). Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline proinsulin/insulin ratio as continuous covariates.

Time frame: Baseline and Week 8

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 8 in Proinsulin/Insulin Ratio0.005 ratioStandard Error 0.0144
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 8 in Proinsulin/Insulin Ratio-0.025 ratioStandard Error 0.0146
Alogliptin 25 + PioglitazoneChange From Baseline to Week 8 in Proinsulin/Insulin Ratio-0.045 ratioStandard Error 0.0143
Placebo + Pioglitazone 15Change From Baseline to Week 8 in Proinsulin/Insulin Ratio-0.007 ratioStandard Error 0.0144
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 8 in Proinsulin/Insulin Ratio-0.086 ratioStandard Error 0.0146
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 8 in Proinsulin/Insulin Ratio-0.077 ratioStandard Error 0.0146
Placebo + Pioglitazone 30Change From Baseline to Week 8 in Proinsulin/Insulin Ratio-0.036 ratioStandard Error 0.0148
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 8 in Proinsulin/Insulin Ratio-0.054 ratioStandard Error 0.0152
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 8 in Proinsulin/Insulin Ratio-0.072 ratioStandard Error 0.0146
Placebo + Pioglitazone 45Change From Baseline to Week 8 in Proinsulin/Insulin Ratio-0.013 ratioStandard Error 0.0146
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 8 in Proinsulin/Insulin Ratio-0.098 ratioStandard Error 0.0148
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 8 in Proinsulin/Insulin Ratio-0.093 ratioStandard Error 0.0146
Secondary

Change From Baseline to Week 8 in Total Cholesterol Levels

Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline total cholesterol as continuous covariates.

Time frame: Baseline and Week 8

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 8 in Total Cholesterol Levels10.9 mg/dLStandard Error 2.46
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 8 in Total Cholesterol Levels-1.4 mg/dLStandard Error 2.5
Alogliptin 25 + PioglitazoneChange From Baseline to Week 8 in Total Cholesterol Levels-0.3 mg/dLStandard Error 2.48
Placebo + Pioglitazone 15Change From Baseline to Week 8 in Total Cholesterol Levels7.3 mg/dLStandard Error 2.46
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 8 in Total Cholesterol Levels-2.3 mg/dLStandard Error 2.43
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 8 in Total Cholesterol Levels-4.1 mg/dLStandard Error 2.44
Placebo + Pioglitazone 30Change From Baseline to Week 8 in Total Cholesterol Levels6.6 mg/dLStandard Error 2.48
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 8 in Total Cholesterol Levels0.1 mg/dLStandard Error 2.45
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 8 in Total Cholesterol Levels0.3 mg/dLStandard Error 2.47
Placebo + Pioglitazone 45Change From Baseline to Week 8 in Total Cholesterol Levels0.3 mg/dLStandard Error 2.45
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 8 in Total Cholesterol Levels-3.1 mg/dLStandard Error 2.46
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 8 in Total Cholesterol Levels-6.2 mg/dLStandard Error 2.46
Secondary

Change From Baseline to Week 8 in Triglyceride Levels

Least squares means are from an ANCOVA model with treatment and geographic region as class variables, and baseline metformin dose and baseline triglycerides as continuous covariates.

Time frame: Baseline and Week 8

Population: Full analysis set where Baseline and at least 1 postbaseline assessment were available. Last observation carried forward imputation was utilized.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone AloneChange From Baseline to Week 8 in Triglyceride Levels26.3 mg/dLStandard Error 7.56
Alogliptin 12.5 + PioglitazoneChange From Baseline to Week 8 in Triglyceride Levels-16.4 mg/dLStandard Error 7.69
Alogliptin 25 + PioglitazoneChange From Baseline to Week 8 in Triglyceride Levels-23.0 mg/dLStandard Error 7.62
Placebo + Pioglitazone 15Change From Baseline to Week 8 in Triglyceride Levels-20.5 mg/dLStandard Error 7.56
Alogliptin 12.5 + Pioglitazone 15Change From Baseline to Week 8 in Triglyceride Levels-30.1 mg/dLStandard Error 7.47
Alogliptin 25 + Pioglitazone 15Change From Baseline to Week 8 in Triglyceride Levels-46.4 mg/dLStandard Error 7.5
Placebo + Pioglitazone 30Change From Baseline to Week 8 in Triglyceride Levels-30.3 mg/dLStandard Error 7.62
Alogliptin 12.5 + Pioglitazone 30Change From Baseline to Week 8 in Triglyceride Levels-43.1 mg/dLStandard Error 7.51
Alogliptin 25 + Pioglitazone 30Change From Baseline to Week 8 in Triglyceride Levels-44.5 mg/dLStandard Error 7.6
Placebo + Pioglitazone 45Change From Baseline to Week 8 in Triglyceride Levels-53.1 mg/dLStandard Error 7.53
Alogliptin 12.5 + Pioglitazone 45Change From Baseline to Week 8 in Triglyceride Levels-60.1 mg/dLStandard Error 7.57
Alogliptin 25 + Pioglitazone 45Change From Baseline to Week 8 in Triglyceride Levels-52.7 mg/dLStandard Error 7.56
Secondary

Percentage of Participants Meeting Rescue Criteria

Rescue was defined as meeting 1 of the following criteria, confirmed by a 2nd sample drawn within 5 days of the first and analyzed by the central laboratory: 1. After the Week 1 Visit but prior to the Week 4 Visit: a single fasting plasma glucose ≥300 mg/dL; 2. From the Week 4 Visit but prior to the Week 8 Visit: a single fasting plasma glucose ≥275 mg/dL; 3. From the Week 8 Visit but prior to the Week 12 Visit: a single fasting plasma glucose ≥250 mg/dL; 4. From the Week 12 Visit through the End-of-Treatment Visit: HbA1c ≥8.5% and ≤0.5% reduction in HbA1c as compared with Baseline HbA1c.

Time frame: From Week 1 to Week 26

Population: Full analysis set including patients with at least 1 postbaseline visit.

ArmMeasureValue (NUMBER)
Pioglitazone AlonePercentage of Participants Meeting Rescue Criteria32.8 percentage of participants
Alogliptin 12.5 + PioglitazonePercentage of Participants Meeting Rescue Criteria14.5 percentage of participants
Alogliptin 25 + PioglitazonePercentage of Participants Meeting Rescue Criteria12.8 percentage of participants
Placebo + Pioglitazone 15Percentage of Participants Meeting Rescue Criteria10.2 percentage of participants
Alogliptin 12.5 + Pioglitazone 15Percentage of Participants Meeting Rescue Criteria4.7 percentage of participants
Alogliptin 25 + Pioglitazone 15Percentage of Participants Meeting Rescue Criteria3.9 percentage of participants
Placebo + Pioglitazone 30Percentage of Participants Meeting Rescue Criteria15.4 percentage of participants
Alogliptin 12.5 + Pioglitazone 30Percentage of Participants Meeting Rescue Criteria4.8 percentage of participants
Alogliptin 25 + Pioglitazone 30Percentage of Participants Meeting Rescue Criteria4.9 percentage of participants
Placebo + Pioglitazone 45Percentage of Participants Meeting Rescue Criteria8.7 percentage of participants
Alogliptin 12.5 + Pioglitazone 45Percentage of Participants Meeting Rescue Criteria2.4 percentage of participants
Alogliptin 25 + Pioglitazone 45Percentage of Participants Meeting Rescue Criteria1.6 percentage of participants
Secondary

Percentage of Participants Meeting Rescue Criteria (Grouped Analysis)

Rescue was defined as meeting 1 of the following criteria, confirmed by a 2nd sample drawn within 5 days of the first and analyzed by the central laboratory: 1. After the Week 1 Visit but prior to the Week 4 Visit: a single fasting plasma glucose ≥300 mg/dL; 2. From the Week 4 Visit but prior to the Week 8 Visit: a single fasting plasma glucose ≥275 mg/dL; 3. From the Week 8 Visit but prior to the Week 12 Visit: a single fasting plasma glucose ≥250 mg/dL; 4. From the Week 12 Visit through the End-of-Treatment Visit: HbA1c ≥8.5% and ≤0.5% reduction in HbA1c as compared with Baseline HbA1c.

Time frame: From Week 1 to Week 26.

Population: Full analysis set including patients with at least 1 postbaseline visit. This analysis compared the groupings of participants who received the combination of pioglitazone with each dose of alogliptin with the grouping of participants who received pioglitazone alone.

ArmMeasureValue (NUMBER)
Pioglitazone AlonePercentage of Participants Meeting Rescue Criteria (Grouped Analysis)11.4 percentage of participants
Alogliptin 12.5 + PioglitazonePercentage of Participants Meeting Rescue Criteria (Grouped Analysis)3.9 percentage of participants
Alogliptin 25 + PioglitazonePercentage of Participants Meeting Rescue Criteria (Grouped Analysis)3.4 percentage of participants
Secondary

Percentage of Participants With a Decrease in Glycosylated Hemoglobin ≥ 0.5%

Clinical response at Week 26 was assessed by the percentage of participants with a decrease from Baseline in HbA1c of greater than or equal to 0.5%.

Time frame: Baseline and Week 26

Population: The full analysis set. Patients who did not complete the scheduled Week 26 visit were assessed based on their response at the time of discontinuation.

ArmMeasureValue (NUMBER)
Pioglitazone AlonePercentage of Participants With a Decrease in Glycosylated Hemoglobin ≥ 0.5%31.8 percentage of participants
Alogliptin 12.5 + PioglitazonePercentage of Participants With a Decrease in Glycosylated Hemoglobin ≥ 0.5%57.8 percentage of participants
Alogliptin 25 + PioglitazonePercentage of Participants With a Decrease in Glycosylated Hemoglobin ≥ 0.5%66.7 percentage of participants
Placebo + Pioglitazone 15Percentage of Participants With a Decrease in Glycosylated Hemoglobin ≥ 0.5%61.2 percentage of participants
Alogliptin 12.5 + Pioglitazone 15Percentage of Participants With a Decrease in Glycosylated Hemoglobin ≥ 0.5%86.2 percentage of participants
Alogliptin 25 + Pioglitazone 15Percentage of Participants With a Decrease in Glycosylated Hemoglobin ≥ 0.5%79.2 percentage of participants
Placebo + Pioglitazone 30Percentage of Participants With a Decrease in Glycosylated Hemoglobin ≥ 0.5%68.2 percentage of participants
Alogliptin 12.5 + Pioglitazone 30Percentage of Participants With a Decrease in Glycosylated Hemoglobin ≥ 0.5%86.9 percentage of participants
Alogliptin 25 + Pioglitazone 30Percentage of Participants With a Decrease in Glycosylated Hemoglobin ≥ 0.5%83.8 percentage of participants
Placebo + Pioglitazone 45Percentage of Participants With a Decrease in Glycosylated Hemoglobin ≥ 0.5%72.1 percentage of participants
Alogliptin 12.5 + Pioglitazone 45Percentage of Participants With a Decrease in Glycosylated Hemoglobin ≥ 0.5%83.8 percentage of participants
Alogliptin 25 + Pioglitazone 45Percentage of Participants With a Decrease in Glycosylated Hemoglobin ≥ 0.5%86.9 percentage of participants
Secondary

Percentage of Participants With a Decrease in Glycosylated Hemoglobin ≥ 0.5% (Grouped Analysis)

Clinical response at Week 26 was assessed by the percentage of participants with a decrease from Baseline in HbA1c of greater than or equal to 0.5%. This analysis compared the groupings of participants who received the combination of pioglitazone with each dose of alogliptin with the grouping of participants who received pioglitazone alone.

Time frame: Baseline and Week 26

Population: The full analysis set. Patients who did not complete the scheduled Week 26 visit were assessed based on their response at the time of discontinuation.

ArmMeasureValue (NUMBER)
Pioglitazone AlonePercentage of Participants With a Decrease in Glycosylated Hemoglobin ≥ 0.5% (Grouped Analysis)67.2 percentage of participants
Alogliptin 12.5 + PioglitazonePercentage of Participants With a Decrease in Glycosylated Hemoglobin ≥ 0.5% (Grouped Analysis)85.6 percentage of participants
Alogliptin 25 + PioglitazonePercentage of Participants With a Decrease in Glycosylated Hemoglobin ≥ 0.5% (Grouped Analysis)83.3 percentage of participants
Secondary

Percentage of Participants With a Decrease in Glycosylated Hemoglobin ≥ 1%

Clinical response at Week 26 was assessed by the percentage of participants with a decrease from Baseline in HbA1c of greater than or equal to 1%.

Time frame: Baseline and Week 26

Population: The full analysis set. Patients who did not complete the scheduled Week 26 visit were assessed based on their response at the time of discontinuation.

ArmMeasureValue (NUMBER)
Pioglitazone AlonePercentage of Participants With a Decrease in Glycosylated Hemoglobin ≥ 1%16.3 percentage of participants
Alogliptin 12.5 + PioglitazonePercentage of Participants With a Decrease in Glycosylated Hemoglobin ≥ 1%33.6 percentage of participants
Alogliptin 25 + PioglitazonePercentage of Participants With a Decrease in Glycosylated Hemoglobin ≥ 1%47.3 percentage of participants
Placebo + Pioglitazone 15Percentage of Participants With a Decrease in Glycosylated Hemoglobin ≥ 1%36.4 percentage of participants
Alogliptin 12.5 + Pioglitazone 15Percentage of Participants With a Decrease in Glycosylated Hemoglobin ≥ 1%69.2 percentage of participants
Alogliptin 25 + Pioglitazone 15Percentage of Participants With a Decrease in Glycosylated Hemoglobin ≥ 1%66.9 percentage of participants
Placebo + Pioglitazone 30Percentage of Participants With a Decrease in Glycosylated Hemoglobin ≥ 1%46.5 percentage of participants
Alogliptin 12.5 + Pioglitazone 30Percentage of Participants With a Decrease in Glycosylated Hemoglobin ≥ 1%73.1 percentage of participants
Alogliptin 25 + Pioglitazone 30Percentage of Participants With a Decrease in Glycosylated Hemoglobin ≥ 1%69.2 percentage of participants
Placebo + Pioglitazone 45Percentage of Participants With a Decrease in Glycosylated Hemoglobin ≥ 1%54.3 percentage of participants
Alogliptin 12.5 + Pioglitazone 45Percentage of Participants With a Decrease in Glycosylated Hemoglobin ≥ 1%73.1 percentage of participants
Alogliptin 25 + Pioglitazone 45Percentage of Participants With a Decrease in Glycosylated Hemoglobin ≥ 1%72.3 percentage of participants
Secondary

Percentage of Participants With a Decrease in Glycosylated Hemoglobin ≥ 1.5%

Clinical response at Week 26 was assessed by the percentage of participants with a decrease from Baseline in HbA1c of greater than or equal to 1.5%.

Time frame: Baseline and Week 26

Population: The full analysis set. Patients who did not complete the scheduled Week 26 visit were assessed based on their response at the time of discontinuation.

ArmMeasureValue (NUMBER)
Pioglitazone AlonePercentage of Participants With a Decrease in Glycosylated Hemoglobin ≥ 1.5%5.4 percentage of participants
Alogliptin 12.5 + PioglitazonePercentage of Participants With a Decrease in Glycosylated Hemoglobin ≥ 1.5%15.6 percentage of participants
Alogliptin 25 + PioglitazonePercentage of Participants With a Decrease in Glycosylated Hemoglobin ≥ 1.5%28.7 percentage of participants
Placebo + Pioglitazone 15Percentage of Participants With a Decrease in Glycosylated Hemoglobin ≥ 1.5%21.7 percentage of participants
Alogliptin 12.5 + Pioglitazone 15Percentage of Participants With a Decrease in Glycosylated Hemoglobin ≥ 1.5%41.5 percentage of participants
Alogliptin 25 + Pioglitazone 15Percentage of Participants With a Decrease in Glycosylated Hemoglobin ≥ 1.5%46.2 percentage of participants
Placebo + Pioglitazone 30Percentage of Participants With a Decrease in Glycosylated Hemoglobin ≥ 1.5%27.1 percentage of participants
Alogliptin 12.5 + Pioglitazone 30Percentage of Participants With a Decrease in Glycosylated Hemoglobin ≥ 1.5%45.4 percentage of participants
Alogliptin 25 + Pioglitazone 30Percentage of Participants With a Decrease in Glycosylated Hemoglobin ≥ 1.5%46.2 percentage of participants
Placebo + Pioglitazone 45Percentage of Participants With a Decrease in Glycosylated Hemoglobin ≥ 1.5%34.1 percentage of participants
Alogliptin 12.5 + Pioglitazone 45Percentage of Participants With a Decrease in Glycosylated Hemoglobin ≥ 1.5%50.8 percentage of participants
Alogliptin 25 + Pioglitazone 45Percentage of Participants With a Decrease in Glycosylated Hemoglobin ≥ 1.5%58.5 percentage of participants
Secondary

Percentage of Participants With a Decrease in Glycosylated Hemoglobin ≥ 1.5% (Grouped Analysis)

Clinical response at Week 26 was assessed by the percentage of participants with a decrease from Baseline in HbA1c of greater than or equal to 1.5%. This analysis compared the groupings of participants who received the combination of pioglitazone with each dose of alogliptin with the grouping of participants who received pioglitazone alone.

Time frame: Baseline and Week 26

Population: The full analysis set. Patients who did not complete the scheduled Week 26 visit were assessed based on their response at the time of discontinuation.

ArmMeasureValue (NUMBER)
Pioglitazone AlonePercentage of Participants With a Decrease in Glycosylated Hemoglobin ≥ 1.5% (Grouped Analysis)27.6 percentage of participants
Alogliptin 12.5 + PioglitazonePercentage of Participants With a Decrease in Glycosylated Hemoglobin ≥ 1.5% (Grouped Analysis)45.9 percentage of participants
Alogliptin 25 + PioglitazonePercentage of Participants With a Decrease in Glycosylated Hemoglobin ≥ 1.5% (Grouped Analysis)50.3 percentage of participants
Secondary

Percentage of Participants With a Decrease in Glycosylated Hemoglobin ≥ 1% (Grouped Analysis)

Clinical response at Week 26 was assessed by the percentage of participants with a decrease from Baseline in HbA1c of greater than or equal to 1%. This analysis compared the groupings of participants who received the combination of pioglitazone with each dose of alogliptin with the grouping of participants who received pioglitazone alone.

Time frame: Baseline and Week 26

Population: The full analysis set. Patients who did not complete the scheduled Week 26 visit were assessed based on their response at the time of discontinuation.

ArmMeasureValue (NUMBER)
Pioglitazone AlonePercentage of Participants With a Decrease in Glycosylated Hemoglobin ≥ 1% (Grouped Analysis)45.7 percentage of participants
Alogliptin 12.5 + PioglitazonePercentage of Participants With a Decrease in Glycosylated Hemoglobin ≥ 1% (Grouped Analysis)71.8 percentage of participants
Alogliptin 25 + PioglitazonePercentage of Participants With a Decrease in Glycosylated Hemoglobin ≥ 1% (Grouped Analysis)69.5 percentage of participants
Secondary

Percentage of Participants With a Decrease in Glycosylated Hemoglobin ≥ 2%

Clinical response at Week 26 was assessed by the percentage of participants with a decrease from Baseline in HbA1c of greater than or equal to 2%.

Time frame: Baseline and Week 26

Population: The full analysis set. Patients who did not complete the scheduled Week 26 visit were assessed based on their response at the time of discontinuation.

ArmMeasureValue (NUMBER)
Pioglitazone AlonePercentage of Participants With a Decrease in Glycosylated Hemoglobin ≥ 2%1.6 percentage of participants
Alogliptin 12.5 + PioglitazonePercentage of Participants With a Decrease in Glycosylated Hemoglobin ≥ 2%7.8 percentage of participants
Alogliptin 25 + PioglitazonePercentage of Participants With a Decrease in Glycosylated Hemoglobin ≥ 2%11.6 percentage of participants
Placebo + Pioglitazone 15Percentage of Participants With a Decrease in Glycosylated Hemoglobin ≥ 2%7.0 percentage of participants
Alogliptin 12.5 + Pioglitazone 15Percentage of Participants With a Decrease in Glycosylated Hemoglobin ≥ 2%23.1 percentage of participants
Alogliptin 25 + Pioglitazone 15Percentage of Participants With a Decrease in Glycosylated Hemoglobin ≥ 2%21.5 percentage of participants
Placebo + Pioglitazone 30Percentage of Participants With a Decrease in Glycosylated Hemoglobin ≥ 2%9.3 percentage of participants
Alogliptin 12.5 + Pioglitazone 30Percentage of Participants With a Decrease in Glycosylated Hemoglobin ≥ 2%22.3 percentage of participants
Alogliptin 25 + Pioglitazone 30Percentage of Participants With a Decrease in Glycosylated Hemoglobin ≥ 2%26.2 percentage of participants
Placebo + Pioglitazone 45Percentage of Participants With a Decrease in Glycosylated Hemoglobin ≥ 2%17.1 percentage of participants
Alogliptin 12.5 + Pioglitazone 45Percentage of Participants With a Decrease in Glycosylated Hemoglobin ≥ 2%30.8 percentage of participants
Alogliptin 25 + Pioglitazone 45Percentage of Participants With a Decrease in Glycosylated Hemoglobin ≥ 2%35.4 percentage of participants
Secondary

Percentage of Participants With a Decrease in Glycosylated Hemoglobin ≥ 2.0% (Grouped Analysis)

Clinical response at Week 26 was assessed by the percentage of participants with a decrease from Baseline in HbA1c of greater than or equal to 2.0%. This analysis compared the groupings of participants who received the combination of pioglitazone with each dose of alogliptin with the grouping of participants who received pioglitazone alone.

Time frame: Baseline and Week 26.

Population: The full analysis set. Patients who did not complete the scheduled Week 26 visit were assessed based on their response at the time of discontinuation.

ArmMeasureValue (NUMBER)
Pioglitazone AlonePercentage of Participants With a Decrease in Glycosylated Hemoglobin ≥ 2.0% (Grouped Analysis)11.1 percentage of participants
Alogliptin 12.5 + PioglitazonePercentage of Participants With a Decrease in Glycosylated Hemoglobin ≥ 2.0% (Grouped Analysis)25.4 percentage of participants
Alogliptin 25 + PioglitazonePercentage of Participants With a Decrease in Glycosylated Hemoglobin ≥ 2.0% (Grouped Analysis)27.7 percentage of participants
Secondary

Percentage of Participants With Glycosylated Hemoglobin ≤ 6.5%

Clinical response at Week 26 was assessed by the percentage of participants with HbA1c less than or equal to 6.5%.

Time frame: Week 26

Population: The full analysis set. Patients who did not complete the scheduled Week 26 visit were assessed based on their response at the time of discontinuation.

ArmMeasureValue (NUMBER)
Pioglitazone AlonePercentage of Participants With Glycosylated Hemoglobin ≤ 6.5%0.8 percentage of participants
Alogliptin 12.5 + PioglitazonePercentage of Participants With Glycosylated Hemoglobin ≤ 6.5%8.6 percentage of participants
Alogliptin 25 + PioglitazonePercentage of Participants With Glycosylated Hemoglobin ≤ 6.5%12.4 percentage of participants
Placebo + Pioglitazone 15Percentage of Participants With Glycosylated Hemoglobin ≤ 6.5%6.2 percentage of participants
Alogliptin 12.5 + Pioglitazone 15Percentage of Participants With Glycosylated Hemoglobin ≤ 6.5%21.5 percentage of participants
Alogliptin 25 + Pioglitazone 15Percentage of Participants With Glycosylated Hemoglobin ≤ 6.5%24.6 percentage of participants
Placebo + Pioglitazone 30Percentage of Participants With Glycosylated Hemoglobin ≤ 6.5%11.6 percentage of participants
Alogliptin 12.5 + Pioglitazone 30Percentage of Participants With Glycosylated Hemoglobin ≤ 6.5%30.0 percentage of participants
Alogliptin 25 + Pioglitazone 30Percentage of Participants With Glycosylated Hemoglobin ≤ 6.5%30.0 percentage of participants
Placebo + Pioglitazone 45Percentage of Participants With Glycosylated Hemoglobin ≤ 6.5%19.4 percentage of participants
Alogliptin 12.5 + Pioglitazone 45Percentage of Participants With Glycosylated Hemoglobin ≤ 6.5%32.3 percentage of participants
Alogliptin 25 + Pioglitazone 45Percentage of Participants With Glycosylated Hemoglobin ≤ 6.5%33.1 percentage of participants
Secondary

Percentage of Participants With Glycosylated Hemoglobin ≤ 6.5% (Grouped Analysis)

Clinical response at Week 26 was assessed by the percentage of participants with HbA1c less than or equal to 6.5%. This analysis compared the groupings of participants who received the combination of pioglitazone with each dose of alogliptin with the grouping of participants who received pioglitazone alone.

Time frame: Week 26

Population: The full analysis set. Patients who did not complete the scheduled Week 26 visit were assessed based on their response at the time of discontinuation.

ArmMeasureValue (NUMBER)
Pioglitazone AlonePercentage of Participants With Glycosylated Hemoglobin ≤ 6.5% (Grouped Analysis)12.4 percentage of participants
Alogliptin 12.5 + PioglitazonePercentage of Participants With Glycosylated Hemoglobin ≤ 6.5% (Grouped Analysis)27.9 percentage of participants
Alogliptin 25 + PioglitazonePercentage of Participants With Glycosylated Hemoglobin ≤ 6.5% (Grouped Analysis)29.2 percentage of participants
Secondary

Percentage of Participants With Glycosylated Hemoglobin ≤ 7%

Clinical response at Week 26 was assessed by the percentage of participants with HbA1c less than or equal to 7%.

Time frame: Week 26

Population: The full analysis set. Patients who did not complete the scheduled Week 26 visit were assessed based on their response at the time of discontinuation.

ArmMeasureValue (NUMBER)
Pioglitazone AlonePercentage of Participants With Glycosylated Hemoglobin ≤ 7%6.2 percentage of participants
Alogliptin 12.5 + PioglitazonePercentage of Participants With Glycosylated Hemoglobin ≤ 7%22.7 percentage of participants
Alogliptin 25 + PioglitazonePercentage of Participants With Glycosylated Hemoglobin ≤ 7%27.1 percentage of participants
Placebo + Pioglitazone 15Percentage of Participants With Glycosylated Hemoglobin ≤ 7%25.6 percentage of participants
Alogliptin 12.5 + Pioglitazone 15Percentage of Participants With Glycosylated Hemoglobin ≤ 7%49.2 percentage of participants
Alogliptin 25 + Pioglitazone 15Percentage of Participants With Glycosylated Hemoglobin ≤ 7%54.6 percentage of participants
Placebo + Pioglitazone 30Percentage of Participants With Glycosylated Hemoglobin ≤ 7%29.5 percentage of participants
Alogliptin 12.5 + Pioglitazone 30Percentage of Participants With Glycosylated Hemoglobin ≤ 7%53.1 percentage of participants
Alogliptin 25 + Pioglitazone 30Percentage of Participants With Glycosylated Hemoglobin ≤ 7%53.1 percentage of participants
Placebo + Pioglitazone 45Percentage of Participants With Glycosylated Hemoglobin ≤ 7%36.4 percentage of participants
Alogliptin 12.5 + Pioglitazone 45Percentage of Participants With Glycosylated Hemoglobin ≤ 7%61.5 percentage of participants
Alogliptin 25 + Pioglitazone 45Percentage of Participants With Glycosylated Hemoglobin ≤ 7%60.0 percentage of participants
Secondary

Percentage of Participants With Glycosylated Hemoglobin ≤ 7.0% (Grouped Analysis)

Clinical response at Week 26 was assessed by the percentage of participants with HbA1c less than or equal to 7%. This analysis compared the groupings of participants who received the combination of pioglitazone with each dose of alogliptin with the grouping of participants who received pioglitazone alone.

Time frame: Week 26

Population: The full analysis set. Patients who did not complete the scheduled Week 26 visit were assessed based on their response at the time of discontinuation.

ArmMeasureValue (NUMBER)
Pioglitazone AlonePercentage of Participants With Glycosylated Hemoglobin ≤ 7.0% (Grouped Analysis)30.5 percentage of participants
Alogliptin 12.5 + PioglitazonePercentage of Participants With Glycosylated Hemoglobin ≤ 7.0% (Grouped Analysis)54.6 percentage of participants
Alogliptin 25 + PioglitazonePercentage of Participants With Glycosylated Hemoglobin ≤ 7.0% (Grouped Analysis)55.9 percentage of participants
Secondary

Percentage of Participants With Glycosylated Hemoglobin ≤ 7.5%

Clinical response at Week 26 was assessed by the percentage of participants with HbA1c less than or equal to 7.5%.

Time frame: Week 26

Population: The full analysis set. Patients who did not complete the scheduled Week 26 visit were assessed based on their response at the time of discontinuation.

ArmMeasureValue (NUMBER)
Pioglitazone AlonePercentage of Participants With Glycosylated Hemoglobin ≤ 7.5%24.8 percentage of participants
Alogliptin 12.5 + PioglitazonePercentage of Participants With Glycosylated Hemoglobin ≤ 7.5%38.3 percentage of participants
Alogliptin 25 + PioglitazonePercentage of Participants With Glycosylated Hemoglobin ≤ 7.5%55.0 percentage of participants
Placebo + Pioglitazone 15Percentage of Participants With Glycosylated Hemoglobin ≤ 7.5%51.9 percentage of participants
Alogliptin 12.5 + Pioglitazone 15Percentage of Participants With Glycosylated Hemoglobin ≤ 7.5%77.7 percentage of participants
Alogliptin 25 + Pioglitazone 15Percentage of Participants With Glycosylated Hemoglobin ≤ 7.5%71.5 percentage of participants
Placebo + Pioglitazone 30Percentage of Participants With Glycosylated Hemoglobin ≤ 7.5%55.8 percentage of participants
Alogliptin 12.5 + Pioglitazone 30Percentage of Participants With Glycosylated Hemoglobin ≤ 7.5%73.8 percentage of participants
Alogliptin 25 + Pioglitazone 30Percentage of Participants With Glycosylated Hemoglobin ≤ 7.5%72.3 percentage of participants
Placebo + Pioglitazone 45Percentage of Participants With Glycosylated Hemoglobin ≤ 7.5%56.6 percentage of participants
Alogliptin 12.5 + Pioglitazone 45Percentage of Participants With Glycosylated Hemoglobin ≤ 7.5%80.8 percentage of participants
Alogliptin 25 + Pioglitazone 45Percentage of Participants With Glycosylated Hemoglobin ≤ 7.5%78.5 percentage of participants
Secondary

Percentage of Participants With Glycosylated Hemoglobin ≤ 7.5% (Grouped Analysis)

Clinical response at Week 26 was assessed by the percentage of participants with HbA1c less than or equal to 7.5%. This analysis compared the groupings of participants who received the combination of pioglitazone with each dose of alogliptin with the grouping of participants who received pioglitazone alone.

Time frame: Week 26

Population: The full analysis set. Patients who did not complete the scheduled Week 26 visit were assessed based on their response at the time of discontinuation.

ArmMeasureValue (NUMBER)
Pioglitazone AlonePercentage of Participants With Glycosylated Hemoglobin ≤ 7.5% (Grouped Analysis)54.8 percentage of participants
Alogliptin 12.5 + PioglitazonePercentage of Participants With Glycosylated Hemoglobin ≤ 7.5% (Grouped Analysis)77.4 percentage of participants
Alogliptin 25 + PioglitazonePercentage of Participants With Glycosylated Hemoglobin ≤ 7.5% (Grouped Analysis)74.1 percentage of participants
Secondary

Percentage of Participants With Marked Hyperglycemia

Marked hyperglycemia is defined as fasting plasma glucose greater than or equal to 200 mg/dL (11.10 mmol/L).

Time frame: From Week 1 to Week 26

Population: Full analysis set including patients with at least one non-missing fasting plasma glucose result in each treatment group.

ArmMeasureValue (NUMBER)
Pioglitazone AlonePercentage of Participants With Marked Hyperglycemia60.5 percentage of participants
Alogliptin 12.5 + PioglitazonePercentage of Participants With Marked Hyperglycemia42.6 percentage of participants
Alogliptin 25 + PioglitazonePercentage of Participants With Marked Hyperglycemia39.7 percentage of participants
Placebo + Pioglitazone 15Percentage of Participants With Marked Hyperglycemia37.8 percentage of participants
Alogliptin 12.5 + Pioglitazone 15Percentage of Participants With Marked Hyperglycemia27.1 percentage of participants
Alogliptin 25 + Pioglitazone 15Percentage of Participants With Marked Hyperglycemia22.3 percentage of participants
Placebo + Pioglitazone 30Percentage of Participants With Marked Hyperglycemia39.2 percentage of participants
Alogliptin 12.5 + Pioglitazone 30Percentage of Participants With Marked Hyperglycemia26.4 percentage of participants
Alogliptin 25 + Pioglitazone 30Percentage of Participants With Marked Hyperglycemia23.6 percentage of participants
Placebo + Pioglitazone 45Percentage of Participants With Marked Hyperglycemia41.1 percentage of participants
Alogliptin 12.5 + Pioglitazone 45Percentage of Participants With Marked Hyperglycemia20.3 percentage of participants
Alogliptin 25 + Pioglitazone 45Percentage of Participants With Marked Hyperglycemia20.5 percentage of participants
Secondary

Percentage of Participants With Marked Hyperglycemia (Grouped Analysis)

Marked hyperglycemia is defined as fasting plasma glucose greater than or equal to 200 mg/dL (11.10 mmol/L). This analysis compared the groupings of participants who received the combination of pioglitazone with each dose of alogliptin with the grouping of participants who received pioglitazone alone.

Time frame: From Week 1 to Week 26

Population: Full analysis set including patients with at least one non-missing fasting plasma glucose result in each treatment group.

ArmMeasureValue (NUMBER)
Pioglitazone AlonePercentage of Participants With Marked Hyperglycemia (Grouped Analysis)39.4 percentage of participants
Alogliptin 12.5 + PioglitazonePercentage of Participants With Marked Hyperglycemia (Grouped Analysis)24.6 percentage of participants
Alogliptin 25 + PioglitazonePercentage of Participants With Marked Hyperglycemia (Grouped Analysis)22.1 percentage of participants

Source: ClinicalTrials.gov · Data processed: Mar 9, 2026