Skip to content

Efficacy and Safety of Pioglitazone and Metformin Combination Therapy in Treating Type 2 Diabetes Mellitus.

A Phase 3b, Double-Blind, Randomized Study to Determine the Efficacy and Safety of Pioglitazone HCl and Metformin HCl Fixed-Dose Combination Therapy Compared to Pioglitazone HCl Monotherapy and to Metformin HCl Monotherapy in the Treatment of Subjects With Type 2 Diabetes

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00727857
Enrollment
600
Registered
2008-08-04
Start date
2007-06-30
Completion date
2008-08-31
Last updated
2011-07-29

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

Conditions

Diabetes Mellitus

Keywords

Glucose Metabolism Disorder, Dysmetabolic Syndrome, Type II Diabetes, Diabetes Mellitus, Lipoatrophic, Dyslipidemia, Drug Therapy

Brief summary

The purpose of this study is to determine the efficacy of pioglitazone, twice daily (BID), combined with metformin versus pioglitazone taken alone and metformin taken alone in treating Type 2 Diabetes Mellitus.

Detailed description

Pioglitazone hydrochloride (ACTOS®) is a member of a class of oral antidiabetic agents known as thiazolidinediones, which act by reducing insulin resistance. Insulin resistance is a key feature of dysmetabolic syndrome and has been suggested to be the common pathophysiologic basis of both atherosclerosis and type 2 diabetes. Pioglitazone binds to peroxisome proliferator-activated receptors, an effect that is associated with altered transcription of genes capable of influencing carbohydrate and lipid metabolism. Metformin hydrochloride is an oral antihyperglycemic drug not chemically or pharmacologically related to thiazolidinediones. Metformin is a biguanide, which has been shown to be effective in improving glycemic control in diabetic patients. Metformin inhibits hepatic glucose production, most likely through an inhibition of gluconeogenesis, and its use is associated with an improvement in tissue sensitivity to insulin. In accordance with published algorithms for the use of combination therapy for the treatment of type 2 diabetes, physicians have traditionally combined metformin with other antidiabetic agents. This study will determine the effect of a fixed-dose combination of metformin with pioglitazone, compared to metformin monotherapy and pioglitazone monotherapy. Study participation is anticipated to be approximately 6.5 months.

Interventions

Pioglitazone 15 mg /metformin 850 mg combination, tablets, orally, twice daily for up to 24 weeks.

DRUGPioglitazone

Pioglitazone 15 mg, tablets, orally, twice daily for up to 24 weeks.

DRUGMetformin

Metformin 850 mg, tablets, orally, twice daily for up to 24 weeks.

Sponsors

Takeda
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

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

Inclusion criteria

* Has type 2 diabetes. * Has received no treatment with antidiabetic medication in the 12 weeks prior to Screening, other than short-term use defined as less than or equal to 15 days. * A glycosylated hemoglobin greater than or equal to 7.5% and less than or equal to 10.0% at Screening. * Body mass index less than or equal to 45 kg/m2. * Has received counseling on lifestyle modification for type 2 diabetes, including diet and exercise. * 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. * Stable condition as determined by a physician.

Exclusion criteria

* Type 1 diabetes. * Unstable angina or heart failure of any etiology with New York Heart Association functional class III or IV. * History of myocardial infarction, cerebrovascular accident, percutaneous coronary intervention, coronary artery bypass graft, or transient ischemic attack in the 6 months prior to Screening. * Male participant has a serum creatinine level greater than or equal to 1.5 mg per dL or female subject has a serum creatinine level greater than or equal to 1.4 mg per dL. * Has a triglyceride level greater than 500 mg per dL. * Male participant has a hemoglobin level less than 10.5 g per dL or female subject has a hemoglobin level less than 10.0 g per dL. * Alanine aminotransferase level of greater than 2.5 times the upper limit of normal, active liver disease, or jaundice. * History of drug abuse (defined as any illicit drug use) or a history of alcohol abuse (defined as regular or daily consumption of more than 2 alcoholic drinks per day) within 2 years prior to Screening. * Has been discontinued from a thiazolidinedione or metformin therapy due to lack of efficacy or clinical or laboratory signs of intolerance. * Previous history of cancer, other than basal cell or stage 1 squamous cell carcinoma, that has not been in remission for at least 5 years prior to the first dose of study medication. * History of acute or chronic metabolic acidosis, including diabetic ketoacidosis with or without coma. * Any disease or condition at Screening or Randomization that would compromise safety, might affect life expectancy, or make it difficult to successfully manage and follow the subject according to the protocol. * Currently participating in another investigational study or has participated in an investigational study within 30 days prior to randomization. * Is required to take or continues taking any disallowed medication, prescription medication, herbal treatment or over-the counter medication that may interfere with evaluation of the study medication, including: * Antidiabetic medications other than study medication * Chronically used oral or parenteral glucocorticoids * Niacin greater than 200 mg per day, including niacin-containing products such as Advicor * Chronically used steroid-joint injections

Design outcomes

Primary

MeasureTime frameDescription
Percent Change From Baseline in Glycosylated HemoglobinBaseline and Week 24The change between the value of Glycosylated Hemoglobin (the concentration of glucose bound to hemoglobin as a percent of the absolute maximum that can be bound) collected at final visit or week 24 and Glycosylated Hemoglobin collected at baseline.

Secondary

MeasureTime frameDescription
Change From Baseline in Fasting InsulinBaseline and Week 24The change between the Fasting Insulin value collected at final visit or week 24 and Fasting Insulin collected at baseline.
Change From Baseline in Homeostasis Model Assessment - Insulin ResistanceBaseline and Week 24The change between Homeostasis Model Assessment of Insulin Resistance collected at final visit or week 24 and Homeostasis Model Assessment of Insulin Resistance collected at baseline. Homeostasis Model Assessment measures insulin resistance, calculated by insulin times glucose, divided by a constant (22.5).
Median Percent Change From Baseline in High Sensitivity C-reactive ProteinBaseline and Week 24Measurement for High Sensitivity C-reactive Protein was collected at final visit or week 24 and at baseline. Percent change from baseline is calculated as: \[(Week 24 - baseline levels)/baseline\]\*100
Change From Baseline in AdiponectinBaseline and Week 24The change between Adiponectin collected at final visit or week 24 and Adiponectin collected at baseline.
Change From Baseline in Total CholesterolBaseline and Week 24The change between Total Cholesterol collected at final visit or week 24 and Total Cholesterol collected at baseline.
Change From Baseline in Low-Density Lipoprotein CholesterolBaseline and Week 24The change between Low-Density Lipoprotein Cholesterol collected at final visit or week 24 and Low-Density Lipoprotein Cholesterol collected at baseline.
Change From Baseline in High-Density Lipoprotein CholesterolBaseline and Week 24The change between High-Density Lipoprotein Cholesterol collected at final visit or week 24 and High-Density Lipoprotein Cholesterol collected at baseline.
Change From Baseline in TriglyceridesBaseline and Week 24The change between Triglycerides collected at final visit or week 24 and Triglycerides collected at baseline.
Change From Baseline in Mean Low Density Lipoprotein Particle ConcentrationBaseline and Week 24The change between Low Density Lipoprotein particle concentration collected at final visit or week 24 and Low Density Lipoprotein particle concentration collected at baseline.
Change From Baseline in Mean Low Density Lipoprotein Particle SizeBaseline and Week 24The change between Low Density Lipoprotein collected at final visit or week 24 and Low Density Lipoprotein collected at baseline.
Change From Baseline in Large Low Density Lipoprotein (L3) ConcentrationBaseline and Week 24The change between Large Low Density Lipoprotein collected at final visit or week 24 and Large Low Density Lipoprotein collected at baseline.
Change From Baseline in Intermediate-Density Low Density Lipoprotein ConcentrationBaseline and Week 24The change between Intermediate-Density Low Density Lipoprotein collected at final visit or week 24 and Intermediate-Density Low Density Lipoprotein collected at baseline
Change From Baseline in Fasting Plasma GlucoseBaseline and Week 24The change between the value of Fasting Plasma Glucose collected at final visit or week 24 and Fasting Plasma Glucose collected at baseline.
Change From Baseline in Small Low Density Lipoprotein ConcentrationBaseline and Week 24The change between Small Low Density Lipoprotein collected at final visit or week 24 and Small Low Density Lipoprotein collected at baseline
Change From Baseline in Very Small Low Density Lipoprotein ConcentrationBaseline and Week 24The change between Very Small Low Density Lipoprotein collected at final visit or week 24 and Very Small Low Density Lipoprotein collected at baseline
Change From Baseline in Mean High Density Lipoprotein Particle ConcentrationBaseline and Week 24The change between High Density Lipoprotein collected at final visit or week 24 and High Density Lipoprotein collected at baseline.
Change From Baseline in Mean High Density Lipoprotein Particle SizeBaseline and Week 24The change between High Density Lipoprotein collected at final visit or week 24 and High Density Lipoprotein collected at baseline.
Change From Baseline in Large High Density Lipoprotein (H4+H5) ConcentrationBaseline and Week 24The change between Large High Density Lipoprotein collected at final visit or week 24 and Large High Density Lipoprotein collected at baseline
Change From Baseline in Intermediate-Medium High Density Lipoprotein (H3) ConcentrationBaseline and Week 24The change between Intermediate-Medium High Density Lipoprotein collected at final visit or week 24 and Intermediate-Medium High Density Lipoprotein collected at baseline
Change From Baseline in Small High Density Lipoprotein (H1+H2) ConcentrationBaseline and Week 24The change between Small High Density Lipoprotein collected at final visit or week 24 and Small High Density Lipoprotein collected at baseline
Change From Baseline in Mean Very Low Density Lipoprotein Particle ConcentrationBaseline and Week 24The change between Very Low Density Lipoprotein collected at final visit or week 24 and Very Low Density Lipoprotein collected at baseline.
Change From Baseline in Mean Very Low Density Lipoprotein Particle SizeBaseline and Week 24The change between Very Low Density Lipoprotein collected at final visit or week 24 and Very Low Density Lipoprotein collected at baseline.
Change From Baseline in Large-Chylomicrons Very Low Density Lipoprotein ConcentrationBaseline and Week 24The change between Large-Chylomicrons Very Low Density Lipoprotein collected at final visit or week 24 and Large-Chylomicrons Very Low Density Lipoprotein collected at baseline
Change From Baseline in Medium-Intermediate Very Low Density Lipoprotein (V3+V4) ConcentrationBaseline and Week 24The change between Medium-Intermediate Very Low Density Lipoprotein collected at final visit or week 24 and Medium-Intermediate Very Low Density Lipoprotein collected at baseline
Change From Baseline in Small Very Low Density Lipoprotein (V1+V2) ConcentrationBaseline and Week 24The change between Small Very Low Density Lipoprotein collected at final visit or week 24 and Small Very Low Density Lipoprotein collected at baseline
Change From Baseline in Medium-Small Low Density Lipoprotein ConcentrationBaseline and Week 24The change between Medium-Small Low Density Lipoprotein collected at final visit or week 24 and Medium-Small Low Density Lipoprotein collected at baseline

Countries

Chile, Mexico, Puerto Rico, United States

Participant flow

Recruitment details

Participants were enrolled at 134 investigative sites in the United States (including Puerto Rico), Argentina, Chile, Guatemala, Mexico and Peru from 13 June 2007 to 29 August 2008.

Pre-assignment details

Participants who had not received treatment with antidiabetic medication 12 weeks prior to Screening were enrolled in one of three, twice-daily (BID) treatment groups.

Participants by arm

ArmCount
Pioglitazone 15 mg/Metformin 850 mg BID
Pioglitazone 15 mg /metformin 850 mg combination tablets, orally, twice daily for up to 24 weeks
201
Pioglitazone 15 mg BID
Pioglitazone 15 mg, tablets, orally, twice daily for up to 24 weeks
189
Metformin 850 mg BID
Metformin 850 mg, tablets, orally, twice daily for up to 24 weeks.
210
Total600

Baseline characteristics

CharacteristicTotalPioglitazone 15 mg/Metformin 850 mg BIDPioglitazone 15 mg BIDMetformin 850 mg BID
Age Continuous54.1 years
STANDARD_DEVIATION 12.09
54.7 years
STANDARD_DEVIATION 12.23
54.0 years
STANDARD_DEVIATION 12.08
53.7 years
STANDARD_DEVIATION 12
Body Mass Index30.94 kg/m²
STANDARD_DEVIATION 5.63
30.84 kg/m²
STANDARD_DEVIATION 5.74
31.18 kg/m²
STANDARD_DEVIATION 5.5
30.83 kg/m²
STANDARD_DEVIATION 5.66
Race/Ethnicity, Customized
American Indian or Alaska Native
14 participants2 participants6 participants6 participants
Race/Ethnicity, Customized
Asian
13 participants3 participants5 participants5 participants
Race/Ethnicity, Customized
Black or African American
39 participants12 participants13 participants14 participants
Race/Ethnicity, Customized
Multiracial
178 participants61 participants56 participants61 participants
Race/Ethnicity, Customized
Native Hawaiian or Other Pacific Islander
0 participants0 participants0 participants0 participants
Race/Ethnicity, Customized
White
356 participants123 participants109 participants124 participants
Sex: Female, Male
Female
346 Participants111 Participants123 Participants112 Participants
Sex: Female, Male
Male
254 Participants90 Participants66 Participants98 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —
other
Total, other adverse events
84 / 20161 / 19095 / 209
serious
Total, serious adverse events
2 / 2013 / 1905 / 209

Outcome results

Primary

Percent Change From Baseline in Glycosylated Hemoglobin

The change between the value of Glycosylated Hemoglobin (the concentration of glucose bound to hemoglobin as a percent of the absolute maximum that can be bound) collected at final visit or week 24 and Glycosylated Hemoglobin collected at baseline.

Time frame: Baseline and Week 24

Population: Participant must have baseline and at least one post-baseline value. Last Observation Carried Forward (LOCF) for missing final/week 24 visit

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone 15 mg/Metformin 850 mg BIDPercent Change From Baseline in Glycosylated Hemoglobin-1.83 percentage of Glycosylated HemoglobinStandard Error 0.122
Pioglitazone 15 mg BIDPercent Change From Baseline in Glycosylated Hemoglobin-0.96 percentage of Glycosylated HemoglobinStandard Error 0.131
Metformin 850 mg BIDPercent Change From Baseline in Glycosylated Hemoglobin-0.99 percentage of Glycosylated HemoglobinStandard Error 0.12
Comparison: One-way Analysis of Covariance (ANCOVA) with treatment as a factor and the baseline value as a covariate. Least Squares (LS) mean change and LS mean of the treatment difference reported.p-value: <0.000195% CI: [0.51, 1.22]ANCOVA
Comparison: One-way ANCOVA with treatment as a factor and the baseline value as a covariate. LS mean change and LS mean of the treatment difference reported.p-value: <0.000195% CI: [0.5, 1.18]ANCOVA
Comparison: One-way ANCOVA with treatment as a factor and the baseline value as a covariate. LS mean change and LS mean of the treatment difference reported.p-value: 0.891995% CI: [-0.37, 0.33]ANCOVA
Secondary

Change From Baseline in Adiponectin

The change between Adiponectin collected at final visit or week 24 and Adiponectin collected at baseline.

Time frame: Baseline and Week 24

Population: Participant must have baseline and at least one post-baseline value. LOCF for missing final/week 24 visit

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone 15 mg/Metformin 850 mg BIDChange From Baseline in Adiponectin7.8 mcg/mlStandard Error 0.55
Pioglitazone 15 mg BIDChange From Baseline in Adiponectin9.2 mcg/mlStandard Error 0.61
Metformin 850 mg BIDChange From Baseline in Adiponectin-0.3 mcg/mlStandard Error 0.55
Comparison: One-way ANCOVA with treatment as a factor and the baseline value as a covariate. LS mean change and LS mean of the treatment difference reported.p-value: 0.080695% CI: [-0.2, 3.1]ANCOVA
Comparison: One-way ANCOVA with treatment as a factor and the baseline value as a covariate. LS mean change and LS mean of the treatment difference reported.p-value: <0.000195% CI: [-9.6, -6.5]ANCOVA
Comparison: One-way ANCOVA with treatment as a factor and the baseline value as a covariate. LS mean change and LS mean of the treatment difference reported.p-value: <0.000195% CI: [-11.1, -7.9]ANCOVA
Secondary

Change From Baseline in Fasting Insulin

The change between the Fasting Insulin value collected at final visit or week 24 and Fasting Insulin collected at baseline.

Time frame: Baseline and Week 24

Population: Participant must have baseline and at least one post-baseline value. LOCF for missing final/week 24 visit

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone 15 mg/Metformin 850 mg BIDChange From Baseline in Fasting Insulin-3.91 μIU/mLStandard Error 0.736
Pioglitazone 15 mg BIDChange From Baseline in Fasting Insulin-3.18 μIU/mLStandard Error 0.812
Metformin 850 mg BIDChange From Baseline in Fasting Insulin-0.98 μIU/mLStandard Error 0.722
Comparison: One-way ANCOVA with treatment as a factor and the baseline value as a covariate. LS mean change and LS mean of the treatment difference reported.p-value: 0.507495% CI: [-1.43, 2.88]ANCOVA
Comparison: One-way ANCOVA with treatment as a factor and the baseline value as a covariate. LS mean change and LS mean of the treatment difference reported.p-value: 0.004795% CI: [0.9, 4.95]ANCOVA
Comparison: One-way ANCOVA with treatment as a factor and the baseline value as a covariate. LS mean change and LS mean of the treatment difference reported.p-value: 0.043595% CI: [0.06, 4.33]ANCOVA
Secondary

Change From Baseline in Fasting Plasma Glucose

The change between the value of Fasting Plasma Glucose collected at final visit or week 24 and Fasting Plasma Glucose collected at baseline.

Time frame: Baseline and Week 24

Population: Participant must have baseline and at least one post-baseline value. LOCF for missing final/week 24 visit

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone 15 mg/Metformin 850 mg BIDChange From Baseline in Fasting Plasma Glucose-39.9 mg/dLStandard Error 3.48
Pioglitazone 15 mg BIDChange From Baseline in Fasting Plasma Glucose-22.2 mg/dLStandard Error 3.67
Metformin 850 mg BIDChange From Baseline in Fasting Plasma Glucose-24.8 mg/dLStandard Error 3.42
Comparison: One-way ANCOVA with treatment as a factor and the baseline value as a covariate. LS mean change and LS mean of the treatment difference reported.p-value: 0.000595% CI: [7.8, 27.7]ANCOVA
Comparison: One-way ANCOVA with treatment as a factor and the baseline value as a covariate. LS mean change and LS mean of the treatment difference reported.p-value: 0.002195% CI: [5.5, 24.7]ANCOVA
Comparison: One-way ANCOVA with treatment as a factor and the baseline value as a covariate. LS mean change and LS mean of the treatment difference reported.p-value: 0.598195% CI: [-12.5, 7.2]ANCOVA
Secondary

Change From Baseline in High-Density Lipoprotein Cholesterol

The change between High-Density Lipoprotein Cholesterol collected at final visit or week 24 and High-Density Lipoprotein Cholesterol collected at baseline.

Time frame: Baseline and Week 24

Population: Participant must have baseline and at least one post-baseline value. LOCF for missing final/week 24 visit

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone 15 mg/Metformin 850 mg BIDChange From Baseline in High-Density Lipoprotein Cholesterol14.20 mg/dLStandard Error 1.44
Pioglitazone 15 mg BIDChange From Baseline in High-Density Lipoprotein Cholesterol9.88 mg/dLStandard Error 1.552
Metformin 850 mg BIDChange From Baseline in High-Density Lipoprotein Cholesterol6.09 mg/dLStandard Error 1.426
Comparison: One-way ANCOVA with treatment as a factor and the baseline value as a covariate. LS mean change and LS mean of the treatment difference reported.p-value: 0.042395% CI: [-8.48, -0.15]ANCOVA
Comparison: One-way ANCOVA with treatment as a factor and the baseline value as a covariate. LS mean change and LS mean of the treatment difference reported.p-value: <0.000195% CI: [-12.08, -4.12]ANCOVA
Comparison: One-way ANCOVA with treatment as a factor and the baseline value as a covariate. LS mean change and LS mean of the treatment difference reported.p-value: 0.72895% CI: [-7.93, 0.35]ANCOVA
Secondary

Change From Baseline in Homeostasis Model Assessment - Insulin Resistance

The change between Homeostasis Model Assessment of Insulin Resistance collected at final visit or week 24 and Homeostasis Model Assessment of Insulin Resistance collected at baseline. Homeostasis Model Assessment measures insulin resistance, calculated by insulin times glucose, divided by a constant (22.5).

Time frame: Baseline and Week 24

Population: Participant must have baseline and at least one post-baseline value. LOCF for missing final/week 24 visit

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone 15 mg/Metformin 850 mg BIDChange From Baseline in Homeostasis Model Assessment - Insulin Resistance-2.704 percent of insulin resistanceStandard Error 0.4274
Pioglitazone 15 mg BIDChange From Baseline in Homeostasis Model Assessment - Insulin Resistance-2.075 percent of insulin resistanceStandard Error 0.4586
Metformin 850 mg BIDChange From Baseline in Homeostasis Model Assessment - Insulin Resistance-1.085 percent of insulin resistanceStandard Error 0.4123
Comparison: One-way ANCOVA with treatment as a factor and the baseline value as a covariate. LS mean change and LS mean of the treatment difference reported.p-value: 0.315895% CI: [-0.602, 1.861]ANCOVA
Comparison: One-way ANCOVA with treatment as a factor and the baseline value as a covariate. LS mean change and LS mean of the treatment difference reported.p-value: 0.006795% CI: [0.452, 2.785]ANCOVA
Comparison: One-way ANCOVA with treatment as a factor and the baseline value as a covariate. LS mean change and LS mean of the treatment difference reported.p-value: 0.109495% CI: [-0.223, 2.201]ANCOVA
Secondary

Change From Baseline in Intermediate-Density Low Density Lipoprotein Concentration

The change between Intermediate-Density Low Density Lipoprotein collected at final visit or week 24 and Intermediate-Density Low Density Lipoprotein collected at baseline

Time frame: Baseline and Week 24

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone 15 mg/Metformin 850 mg BIDChange From Baseline in Intermediate-Density Low Density Lipoprotein Concentration-16.3 nmol/LStandard Error 3.39
Pioglitazone 15 mg BIDChange From Baseline in Intermediate-Density Low Density Lipoprotein Concentration-11.0 nmol/LStandard Error 3.66
Metformin 850 mg BIDChange From Baseline in Intermediate-Density Low Density Lipoprotein Concentration-17.3 nmol/LStandard Error 3.37
Comparison: One-way ANCOVA with treatment as a factor and the baseline value as a covariate. LS mean change and LS mean of the treatment difference reported.p-value: 0.289495% CI: [-4.5, 15.1]ANCOVA
Comparison: One-way ANCOVA with treatment as a factor and the baseline value as a covariate. LS mean change and LS mean of the treatment difference reported.p-value: 0.846395% CI: [-10.3, 8.5]ANCOVA
Comparison: One-way ANCOVA with treatment as a factor and the baseline value as a covariate. LS mean change and LS mean of the treatment difference reported.p-value: 0.212495% CI: [-16, 3.6]ANCOVA
Secondary

Change From Baseline in Intermediate-Medium High Density Lipoprotein (H3) Concentration

The change between Intermediate-Medium High Density Lipoprotein collected at final visit or week 24 and Intermediate-Medium High Density Lipoprotein collected at baseline

Time frame: Baseline and Week 24

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone 15 mg/Metformin 850 mg BIDChange From Baseline in Intermediate-Medium High Density Lipoprotein (H3) Concentration1.34 μmol/LStandard Error 0.285
Pioglitazone 15 mg BIDChange From Baseline in Intermediate-Medium High Density Lipoprotein (H3) Concentration1.62 μmol/LStandard Error 0.308
Metformin 850 mg BIDChange From Baseline in Intermediate-Medium High Density Lipoprotein (H3) Concentration-0.09 μmol/LStandard Error 0.283
Comparison: One-way ANCOVA with treatment as a factor and the baseline value as a covariate. LS mean change and LS mean of the treatment difference reported.p-value: 0.504495% CI: [-0.54, 1.1]ANCOVA
Comparison: One-way ANCOVA with treatment as a factor and the baseline value as a covariate. LS mean change and LS mean of the treatment difference reported.p-value: 0.000495% CI: [-2.22, -0.64]ANCOVA
Comparison: One-way ANCOVA with treatment as a factor and the baseline value as a covariate. LS mean change and LS mean of the treatment difference reported.p-value: <0.000195% CI: [-2.53, -0.89]ANCOVA
Secondary

Change From Baseline in Large-Chylomicrons Very Low Density Lipoprotein Concentration

The change between Large-Chylomicrons Very Low Density Lipoprotein collected at final visit or week 24 and Large-Chylomicrons Very Low Density Lipoprotein collected at baseline

Time frame: Baseline and Week 24

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone 15 mg/Metformin 850 mg BIDChange From Baseline in Large-Chylomicrons Very Low Density Lipoprotein Concentration-1.71 nmol/LStandard Error 0.351
Pioglitazone 15 mg BIDChange From Baseline in Large-Chylomicrons Very Low Density Lipoprotein Concentration-1.97 nmol/LStandard Error 0.379
Metformin 850 mg BIDChange From Baseline in Large-Chylomicrons Very Low Density Lipoprotein Concentration-1.96 nmol/LStandard Error 0.349
Comparison: One-way ANCOVA with treatment as a factor and the baseline value as a covariate. LS mean change and LS mean of the treatment difference reported.p-value: 0.60995% CI: [-1.28, 0.75]ANCOVA
Comparison: One-way ANCOVA with treatment as a factor and the baseline value as a covariate. LS mean change and LS mean of the treatment difference reported.p-value: 0.616995% CI: [-1.22, 0.72]ANCOVA
Comparison: One-way ANCOVA with treatment as a factor and the baseline value as a covariate. LS mean change and LS mean of the treatment difference reported.p-value: 0.97495% CI: [-0.99, 1.03]ANCOVA
Secondary

Change From Baseline in Large High Density Lipoprotein (H4+H5) Concentration

The change between Large High Density Lipoprotein collected at final visit or week 24 and Large High Density Lipoprotein collected at baseline

Time frame: Baseline and Week 24

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone 15 mg/Metformin 850 mg BIDChange From Baseline in Large High Density Lipoprotein (H4+H5) Concentration0.70 μmol/LStandard Error 1.8
Pioglitazone 15 mg BIDChange From Baseline in Large High Density Lipoprotein (H4+H5) Concentration1.02 μmol/LStandard Error 0.194
Metformin 850 mg BIDChange From Baseline in Large High Density Lipoprotein (H4+H5) Concentration0.52 μmol/LStandard Error 0.179
Comparison: One-way ANCOVA with treatment as a factor and the baseline value as a covariate. LS mean change and LS mean of the treatment difference reported.p-value: 0.238495% CI: [-0.21, 0.83]ANCOVA
Comparison: One-way ANCOVA with treatment as a factor and the baseline value as a covariate. LS mean change and LS mean of the treatment difference reported.p-value: 0.461795% CI: [-0.69, 0.31]ANCOVA
Comparison: One-way ANCOVA with treatment as a factor and the baseline value as a covariate. LS mean change and LS mean of the treatment difference reported.p-value: 0.059395% CI: [-1.02, 0.02]ANCOVA
Secondary

Change From Baseline in Large Low Density Lipoprotein (L3) Concentration

The change between Large Low Density Lipoprotein collected at final visit or week 24 and Large Low Density Lipoprotein collected at baseline.

Time frame: Baseline and Week 24

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone 15 mg/Metformin 850 mg BIDChange From Baseline in Large Low Density Lipoprotein (L3) Concentration96.0 nmol/LStandard Error 12.53
Pioglitazone 15 mg BIDChange From Baseline in Large Low Density Lipoprotein (L3) Concentration115.7 nmol/LStandard Error 13.52
Metformin 850 mg BIDChange From Baseline in Large Low Density Lipoprotein (L3) Concentration18.4 nmol/LStandard Error 12.46
Comparison: One-way ANCOVA with treatment as a factor and the baseline value as a covariate. LS mean change and LS mean of the treatment difference reported.p-value: 0.284995% CI: [-16.5, 55.9]ANCOVA
Comparison: One-way ANCOVA with treatment as a factor and the baseline value as a covariate. LS mean change and LS mean of the treatment difference reported.p-value: <0.000195% CI: [-112.4, -42.8]ANCOVA
Comparison: One-way ANCOVA with treatment as a factor and the baseline value as a covariate. LS mean change and LS mean of the treatment difference reported.p-value: <0.000195% CI: [-133.4, -61.2]ANCOVA
Secondary

Change From Baseline in Low-Density Lipoprotein Cholesterol

The change between Low-Density Lipoprotein Cholesterol collected at final visit or week 24 and Low-Density Lipoprotein Cholesterol collected at baseline.

Time frame: Baseline and Week 24

Population: Participant must have baseline and at least one post-baseline value. LOCF for missing final/week 24 visit

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone 15 mg/Metformin 850 mg BIDChange From Baseline in Low-Density Lipoprotein Cholesterol1.19 mg/dLStandard Error 2.015
Pioglitazone 15 mg BIDChange From Baseline in Low-Density Lipoprotein Cholesterol6.08 mg/dLStandard Error 2.175
Metformin 850 mg BIDChange From Baseline in Low-Density Lipoprotein Cholesterol-1.37 mg/dLStandard Error 1.998
Comparison: One-way ANCOVA with treatment as a factor and the baseline value as a covariate. LS mean change and LS mean of the treatment difference reported.p-value: 0.099395% CI: [-0.93, 10.72]ANCOVA
Comparison: One-way ANCOVA with treatment as a factor and the baseline value as a covariate. LS mean change and LS mean of the treatment difference reported.p-value: 0.36795% CI: [-8.14, 3.01]ANCOVA
Comparison: One-way ANCOVA with treatment as a factor and the baseline value as a covariate. LS mean change and LS mean of the treatment difference reported.p-value: 0.011995% CI: [-13.26, -1.66]ANCOVA
Secondary

Change From Baseline in Mean High Density Lipoprotein Particle Concentration

The change between High Density Lipoprotein collected at final visit or week 24 and High Density Lipoprotein collected at baseline.

Time frame: Baseline and Week 24

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone 15 mg/Metformin 850 mg BIDChange From Baseline in Mean High Density Lipoprotein Particle Concentration0.28 μmol/LStandard Error 0.271
Pioglitazone 15 mg BIDChange From Baseline in Mean High Density Lipoprotein Particle Concentration-0.80 μmol/LStandard Error 0.293
Metformin 850 mg BIDChange From Baseline in Mean High Density Lipoprotein Particle Concentration0.62 μmol/LStandard Error 0.269
Comparison: One-way ANCOVA with treatment as a factor and the baseline value as a covariate. LS mean change and LS mean of the treatment difference reported.p-value: 0.007295% CI: [-1.86, -0.29]ANCOVA
Comparison: One-way ANCOVA with treatment as a factor and the baseline value as a covariate. LS mean change and LS mean of the treatment difference reported.p-value: 0.368295% CI: [-0.41, 1.1]ANCOVA
Comparison: One-way ANCOVA with treatment as a factor and the baseline value as a covariate. LS mean change and LS mean of the treatment difference reported.p-value: 0.000495% CI: [0.64, 2.2]ANCOVA
Secondary

Change From Baseline in Mean High Density Lipoprotein Particle Size

The change between High Density Lipoprotein collected at final visit or week 24 and High Density Lipoprotein collected at baseline.

Time frame: Baseline and Week 24

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone 15 mg/Metformin 850 mg BIDChange From Baseline in Mean High Density Lipoprotein Particle Size0.15 nmStandard Error 0.021
Pioglitazone 15 mg BIDChange From Baseline in Mean High Density Lipoprotein Particle Size0.19 nmStandard Error 0.022
Metformin 850 mg BIDChange From Baseline in Mean High Density Lipoprotein Particle Size0.11 nmStandard Error 0.021
Comparison: One-way ANCOVA with treatment as a factor and the baseline value as a covariate. LS mean change and LS mean of the treatment difference reported.p-value: 0.198695% CI: [-0.02, 0.1]ANCOVA
Comparison: One-way ANCOVA with treatment as a factor and the baseline value as a covariate. LS mean change and LS mean of the treatment difference reported.p-value: 0.148795% CI: [-0.1, 0.02]ANCOVA
Comparison: One-way ANCOVA with treatment as a factor and the baseline value as a covariate. LS mean change and LS mean of the treatment difference reported.p-value: 0.007695% CI: [-0.14, -0.02]ANCOVA
Secondary

Change From Baseline in Mean Low Density Lipoprotein Particle Concentration

The change between Low Density Lipoprotein particle concentration collected at final visit or week 24 and Low Density Lipoprotein particle concentration collected at baseline.

Time frame: Baseline and Week 24

Population: Participant must have baseline and at least one post-baseline value. LOCF for missing final/week 24 visit

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone 15 mg/Metformin 850 mg BIDChange From Baseline in Mean Low Density Lipoprotein Particle Concentration-240.6 nmol/LStandard Error 23.5
Pioglitazone 15 mg BIDChange From Baseline in Mean Low Density Lipoprotein Particle Concentration-217.2 nmol/LStandard Error 25.4
Metformin 850 mg BIDChange From Baseline in Mean Low Density Lipoprotein Particle Concentration-176.4 nmol/LStandard Error 23.36
Comparison: One-way ANCOVA with a term for treatment and the baseline value as a covariate. LS mean change and LS mean of the treatment difference reported.p-value: 0.499995% CI: [-44.6, 91.4]ANCOVA
Comparison: One-way ANCOVA with a term for treatment and the baseline value as a covariate. LS mean change and LS mean of the treatment difference reported.p-value: 0.053195% CI: [-0.9, 129.3]ANCOVA
Comparison: One-way ANCOVA with a term for treatment and the baseline value as a covariate. LS mean change and LS mean of the treatment difference reported.p-value: 0.236995% CI: [-26.9, 108.7]ANCOVA
Secondary

Change From Baseline in Mean Low Density Lipoprotein Particle Size

The change between Low Density Lipoprotein collected at final visit or week 24 and Low Density Lipoprotein collected at baseline.

Time frame: Baseline and Week 24

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone 15 mg/Metformin 850 mg BIDChange From Baseline in Mean Low Density Lipoprotein Particle Size0.55 nmStandard Deviation 0.049
Pioglitazone 15 mg BIDChange From Baseline in Mean Low Density Lipoprotein Particle Size0.6 nmStandard Deviation 0.053
Metformin 850 mg BIDChange From Baseline in Mean Low Density Lipoprotein Particle Size0.2 nmStandard Deviation 0.049
Comparison: One-way ANCOVA with treatment as a factor and the baseline value as a covariate. LS mean change and LS mean of the treatment difference reported.p-value: 0.502395% CI: [-0.09, 0.19]ANCOVA
Comparison: One-way ANCOVA with treatment as a factor and the baseline value as a covariate. LS mean change and LS mean of the treatment difference reported.p-value: <0.000195% CI: [-0.48, -0.21]ANCOVA
Comparison: One-way ANCOVA with treatment as a factor and the baseline value as a covariate. LS mean change and LS mean of the treatment difference reported.p-value: <0.000195% CI: [-0.53, -0.25]ANCOVA
Secondary

Change From Baseline in Mean Very Low Density Lipoprotein Particle Concentration

The change between Very Low Density Lipoprotein collected at final visit or week 24 and Very Low Density Lipoprotein collected at baseline.

Time frame: Baseline and Week 24

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone 15 mg/Metformin 850 mg BIDChange From Baseline in Mean Very Low Density Lipoprotein Particle Concentration-2.78 nmol/LStandard Error 2.204
Pioglitazone 15 mg BIDChange From Baseline in Mean Very Low Density Lipoprotein Particle Concentration0.98 nmol/LStandard Error 2.381
Metformin 850 mg BIDChange From Baseline in Mean Very Low Density Lipoprotein Particle Concentration-11.30 nmol/LStandard Error 2.191
Comparison: One-way ANCOVA with treatment as a factor and the baseline value as a covariate. LS mean change and LS mean of the treatment difference reported.p-value: 0.246695% CI: [-2.61, 10.14]ANCOVA
Comparison: One-way ANCOVA with treatment as a factor and the baseline value as a covariate. LS mean change and LS mean of the treatment difference reported.p-value: 0.006395% CI: [-14.63, -2.42]ANCOVA
Comparison: One-way ANCOVA with treatment as a factor and the baseline value as a covariate. LS mean change and LS mean of the treatment difference reported.p-value: 0.000295% CI: [-18.65, -5.93]ANCOVA
Secondary

Change From Baseline in Mean Very Low Density Lipoprotein Particle Size

The change between Very Low Density Lipoprotein collected at final visit or week 24 and Very Low Density Lipoprotein collected at baseline.

Time frame: Baseline and Week 24

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone 15 mg/Metformin 850 mg BIDChange From Baseline in Mean Very Low Density Lipoprotein Particle Size-2.64 nmStandard Error 0.616
Pioglitazone 15 mg BIDChange From Baseline in Mean Very Low Density Lipoprotein Particle Size-3.79 nmStandard Error 0.666
Metformin 850 mg BIDChange From Baseline in Mean Very Low Density Lipoprotein Particle Size-0.20 nmStandard Error 0.612
Comparison: One-way ANCOVA with treatment as a factor and the baseline value as a covariate. LS mean change and LS mean of the treatment difference reported.p-value: 0.206995% CI: [-2.93, 0.64]ANCOVA
Comparison: One-way ANCOVA with treatment as a factor and the baseline value as a covariate. LS mean change and LS mean of the treatment difference reported.p-value: 0.005295% CI: [0.73, 4.15]ANCOVA
Comparison: One-way ANCOVA with treatment as a factor and the baseline value as a covariate. LS mean change and LS mean of the treatment difference reported.p-value: <0.000195% CI: [1.81, 5.36]ANCOVA
Secondary

Change From Baseline in Medium-Intermediate Very Low Density Lipoprotein (V3+V4) Concentration

The change between Medium-Intermediate Very Low Density Lipoprotein collected at final visit or week 24 and Medium-Intermediate Very Low Density Lipoprotein collected at baseline

Time frame: Baseline and Week 24

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone 15 mg/Metformin 850 mg BIDChange From Baseline in Medium-Intermediate Very Low Density Lipoprotein (V3+V4) Concentration-4.07 nmol/LStandard Error 1.434
Pioglitazone 15 mg BIDChange From Baseline in Medium-Intermediate Very Low Density Lipoprotein (V3+V4) Concentration-3.01 nmol/LStandard Error 1.55
Metformin 850 mg BIDChange From Baseline in Medium-Intermediate Very Low Density Lipoprotein (V3+V4) Concentration-6.48 nmol/LStandard Error 1.426
Comparison: One-way ANCOVA with treatment as a factor and the baseline value as a covariate. LS mean change and LS mean of the treatment difference reported.p-value: 0.61595% CI: [-3.09, 5.21]ANCOVA
Comparison: One-way ANCOVA with treatment as a factor and the baseline value as a covariate. LS mean change and LS mean of the treatment difference reported.p-value: 0.234695% CI: [-6.38, 1.57]ANCOVA
Comparison: One-way ANCOVA with treatment as a factor and the baseline value as a covariate. LS mean change and LS mean of the treatment difference reported.p-value: 0.100195% CI: [-7.61, 0.67]ANCOVA
Secondary

Change From Baseline in Medium-Small Low Density Lipoprotein Concentration

The change between Medium-Small Low Density Lipoprotein collected at final visit or week 24 and Medium-Small Low Density Lipoprotein collected at baseline

Time frame: Baseline and Week 24

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone 15 mg/Metformin 850 mg BIDChange From Baseline in Medium-Small Low Density Lipoprotein Concentration-63.8 nmol/LStandard Error 5.95
Pioglitazone 15 mg BIDChange From Baseline in Medium-Small Low Density Lipoprotein Concentration-66.0 nmol/LStandard Error 6.43
Metformin 850 mg BIDChange From Baseline in Medium-Small Low Density Lipoprotein Concentration-35.3 nmol/LStandard Error 5.92
Comparison: One-way ANCOVA with treatment as a factor and the baseline value as a covariate. LS mean change and LS mean of the treatment difference reported.p-value: 0.80495% CI: [-19.4, 15]ANCOVA
Comparison: One-way ANCOVA with treatment as a factor and the baseline value as a covariate. LS mean change and LS mean of the treatment difference reported.p-value: 0.000895% CI: [12, 45]ANCOVA
Comparison: One-way ANCOVA with treatment as a factor and the baseline value as a covariate. LS mean change and LS mean of the treatment difference reported.p-value: 0.000595% CI: [13.4, 47.8]ANCOVA
Secondary

Change From Baseline in Small High Density Lipoprotein (H1+H2) Concentration

The change between Small High Density Lipoprotein collected at final visit or week 24 and Small High Density Lipoprotein collected at baseline

Time frame: Baseline and Week 24

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone 15 mg/Metformin 850 mg BIDChange From Baseline in Small High Density Lipoprotein (H1+H2) Concentration-1.78 μmol/LStandard Error 0.349
Pioglitazone 15 mg BIDChange From Baseline in Small High Density Lipoprotein (H1+H2) Concentration-3.41 μmol/LStandard Error 0.377
Metformin 850 mg BIDChange From Baseline in Small High Density Lipoprotein (H1+H2) Concentration0.19 μmol/LStandard Error 0.347
Comparison: One-way ANCOVA with treatment as a factor and the baseline value as a covariate. LS mean change and LS mean of the treatment difference reported.p-value: 0.001795% CI: [-2.64, -0.62]ANCOVA
Comparison: One-way ANCOVA with treatment as a factor and the baseline value as a covariate. LS mean change and LS mean of the treatment difference reported.p-value: <0.000195% CI: [1.01, 2.94]ANCOVA
Comparison: One-way ANCOVA with treatment as a factor and the baseline value as a covariate. LS mean change and LS mean of the treatment difference reported.p-value: <0.000195% CI: [2.59, 4.61]ANCOVA
Secondary

Change From Baseline in Small Low Density Lipoprotein Concentration

The change between Small Low Density Lipoprotein collected at final visit or week 24 and Small Low Density Lipoprotein collected at baseline

Time frame: Baseline and Week 24

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone 15 mg/Metformin 850 mg BIDChange From Baseline in Small Low Density Lipoprotein Concentration-319.3 nmol/LStandard Error 28.06
Pioglitazone 15 mg BIDChange From Baseline in Small Low Density Lipoprotein Concentration-321.3 nmol/LStandard Error 30.34
Metformin 850 mg BIDChange From Baseline in Small Low Density Lipoprotein Concentration-179.0 nmol/LStandard Error 27.91
Comparison: One-way ANCOVA with treatment as a factor and the baseline value as a covariate. LS mean change and LS mean of the treatment difference reported.p-value: 0.960495% CI: [-83.3, 79.2]ANCOVA
Comparison: One-way ANCOVA with treatment as a factor and the baseline value as a covariate. LS mean change and LS mean of the treatment difference reported.p-value: 0.000495% CI: [62.5, 218]ANCOVA
Comparison: One-way ANCOVA with treatment as a factor and the baseline value as a covariate. LS mean change and LS mean of the treatment difference reported.p-value: 0.000695% CI: [61.3, 223.3]ANCOVA
Secondary

Change From Baseline in Small Very Low Density Lipoprotein (V1+V2) Concentration

The change between Small Very Low Density Lipoprotein collected at final visit or week 24 and Small Very Low Density Lipoprotein collected at baseline

Time frame: Baseline and Week 24

Population: Participant must have baseline and at least one post-baseline value. LOCF for missing final/week 24 visit

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone 15 mg/Metformin 850 mg BIDChange From Baseline in Small Very Low Density Lipoprotein (V1+V2) Concentration3.05 nmol/LStandard Error 1.249
Pioglitazone 15 mg BIDChange From Baseline in Small Very Low Density Lipoprotein (V1+V2) Concentration5.9 nmol/LStandard Error 1.35
Metformin 850 mg BIDChange From Baseline in Small Very Low Density Lipoprotein (V1+V2) Concentration-2.86 nmol/LStandard Error 1.239
Comparison: One-way ANCOVA with treatment as a factor and the baseline value as a covariate. LS mean change and LS mean of the treatment difference reported.p-value: 0.121795% CI: [-0.76, 6.48]ANCOVA
Comparison: One-way ANCOVA with treatment as a factor and the baseline value as a covariate. LS mean change and LS mean of the treatment difference reported.p-value: 0.000995% CI: [-9.36, -2.44]ANCOVA
Comparison: One-way ANCOVA with treatment as a factor and the baseline value as a covariate. LS mean change and LS mean of the treatment difference reported.p-value: <0.000195% CI: [-12.36, -5.16]ANCOVA
Secondary

Change From Baseline in Total Cholesterol

The change between Total Cholesterol collected at final visit or week 24 and Total Cholesterol collected at baseline.

Time frame: Baseline and Week 24

Population: Participant must have baseline and at least one post-baseline value. LOCF for missing final/week 24 visit

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone 15 mg/Metformin 850 mg BIDChange From Baseline in Total Cholesterol1.06 mg/dLStandard Error 1.183
Pioglitazone 15 mg BIDChange From Baseline in Total Cholesterol4.79 mg/dLStandard Error 1.271
Metformin 850 mg BIDChange From Baseline in Total Cholesterol-2.72 mg/dLStandard Error 1.169
Comparison: One-way ANCOVA with treatment as a factor and the baseline value as a covariate. LS mean change and LS mean of the treatment difference reported.p-value: 0.032495% CI: [0.31, 7.14]ANCOVA
Comparison: One-way ANCOVA with treatment as a factor and the baseline value as a covariate. LS mean change and LS mean of the treatment difference reported.p-value: 0.023395% CI: [-7.05, -0.52]ANCOVA
Comparison: One-way ANCOVA with treatment as a factor and the baseline value as a covariate. LS mean change and LS mean of the treatment difference reported.p-value: <0.000195% CI: [-10.9, -4.12]ANCOVA
Secondary

Change From Baseline in Triglycerides

The change between Triglycerides collected at final visit or week 24 and Triglycerides collected at baseline.

Time frame: Baseline and Week 24

Population: Participant must have baseline and at least one post-baseline value. LOCF for missing final/week 24 visit

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone 15 mg/Metformin 850 mg BIDChange From Baseline in Triglycerides-5.95 mg/dLStandard Error 2.901
Pioglitazone 15 mg BIDChange From Baseline in Triglycerides-5.54 mg/dLStandard Error 3.107
Metformin 850 mg BIDChange From Baseline in Triglycerides-1.78 mg/dLStandard Error 2.871
Comparison: One-way ANCOVA with treatment as a factor and the baseline value as a covariate. LS mean change and LS mean of the treatment difference reported.p-value: 0.923195% CI: [-7.94, 8.76]ANCOVA
Comparison: One-way ANCOVA with treatment as a factor and the baseline value as a covariate. LS mean change and LS mean of the treatment difference reported.p-value: 0.308295% CI: [-3.86, 12.19]ANCOVA
Comparison: One-way ANCOVA with treatment as a factor and the baseline value as a covariate. LS mean change and LS mean of the treatment difference reported.p-value: 0.375395% CI: [-4.56, 12.07]ANCOVA
Secondary

Change From Baseline in Very Small Low Density Lipoprotein Concentration

The change between Very Small Low Density Lipoprotein collected at final visit or week 24 and Very Small Low Density Lipoprotein collected at baseline

Time frame: Baseline and Week 24

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pioglitazone 15 mg/Metformin 850 mg BIDChange From Baseline in Very Small Low Density Lipoprotein Concentration-255.5 nmol/LStandard Error 22.37
Pioglitazone 15 mg BIDChange From Baseline in Very Small Low Density Lipoprotein Concentration-255.2 nmol/LStandard Error 24.18
Metformin 850 mg BIDChange From Baseline in Very Small Low Density Lipoprotein Concentration-143.8 nmol/LStandard Error 22.25
Comparison: One-way ANCOVA with treatment as a factor and the baseline value as a covariate. LS mean change and LS mean of the treatment difference reported.p-value: 0.992295% CI: [-64.4, 65.1]ANCOVA
Comparison: One-way ANCOVA with treatment as a factor and the baseline value as a covariate. LS mean change and LS mean of the treatment difference reported.p-value: 0.000495% CI: [49.7, 173.7]ANCOVA
Comparison: One-way ANCOVA with treatment as a factor and the baseline value as a covariate. LS mean change and LS mean of the treatment difference reported.p-value: 0.000895% CI: [46.8, 175.9]ANCOVA
Secondary

Median Percent Change From Baseline in High Sensitivity C-reactive Protein

Measurement for High Sensitivity C-reactive Protein was collected at final visit or week 24 and at baseline. Percent change from baseline is calculated as: \[(Week 24 - baseline levels)/baseline\]\*100

Time frame: Baseline and Week 24

ArmMeasureValue (MEDIAN)Dispersion
Pioglitazone 15 mg/Metformin 850 mg BIDMedian Percent Change From Baseline in High Sensitivity C-reactive Protein-36.7 percentFull Range 4.6719
Pioglitazone 15 mg BIDMedian Percent Change From Baseline in High Sensitivity C-reactive Protein-34.0 percentFull Range 8.1275
Metformin 850 mg BIDMedian Percent Change From Baseline in High Sensitivity C-reactive Protein-26.2 percentFull Range 12.5526
Comparison: Nonparametric ANCOVA based on Tukey's normal rank transformation with a term for treatment and the baseline value as a covariate.p-value: 0.596395% CI: [-4.71, 13.97]ANCOVA
Comparison: Nonparametric ANCOVA based on Tukey's normal rank transformation with a term for treatment and the baseline value as a covariate.p-value: 0.026595% CI: [2.88, 22.24]ANCOVA
Comparison: Nonparametric ANCOVA based on Tukey's normal rank transformation with a term for treatment and the baseline value as a covariate.p-value: 0.105395% CI: [-1.77, 18.07]ANCOVA

Source: ClinicalTrials.gov · Data processed: Apr 1, 2026