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Study to Evaluate the Safety, Tolerability and Efficacy of Three Dose Levels of Mitoglitazone in Type 2 Diabetic Patients

Phase 2B, Randomized, Double-Blind, Comparator- & Placebo-Controlled, Dose Ranging Study to Evaluate Safety, Tolerability & Efficacy of 3 Dose Levels of Mitoglitazone in Type 2 Diabetic Patients

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01103414
Enrollment
356
Registered
2010-04-14
Start date
2010-09-30
Completion date
2011-12-31
Last updated
2015-04-28

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

Conditions

Type 2 Diabetes

Keywords

Diabetes

Brief summary

The purpose of this study is to evaluate the safety, tolerability and efficacy of three dose levels of Mitoglitazone™ (MSDC-0160) in patients with type 2 diabetes.

Detailed description

The primary study objectives are to characterize the reduction in fasting plasma glucose in response to three different doses of Mitoglitazone as compared to placebo following once-daily dosing for 84 consecutive days (12 weeks) in patients with Type 2 diabetes and to investigate the safety and tolerability of three different doses of Mitoglitazone following once-daily dosing for 84 consecutive days (12 weeks) in patients with Type 2 diabetes.

Interventions

DRUGMitoglitazone

50 mg capsules, once daily for 84 days

DRUGPioglitazone

Pioglitazone 45 mg, once daily for 84 days

DRUGPlacebo

Placebo, once daily for 84 days

Sponsors

Metabolic Solutions Development Company
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 75 Years
Healthy volunteers
No

Inclusion criteria

1. Males and females with Type 2 diabetes (fasting plasma glucose ≥126 mg/dL at screening, glycosylated hemoglobin \[HbA1c\] \>7 and ≤10%, and Insulin C-peptide \>1 ng/mL). Patients can be naïve to diabetes therapy or if taking metformin should be on a stable dose level for a period of at least 3 months prior to screening visit (no dose limit). 2. Between the ages of 18-75 years, inclusive. 3. Females should be either postmenopausal (at least 12 months since last menses) or surgically sterilized (bilateral tubal ligation or hysterectomy). Menopausal status will be verified by a follicle-stimulating hormone (FSH) test. If FSH levels are below 40 mIL/mL, some method of birth control must be used. Those with bilateral tubal ligation must also use a barrier method of birth control. In addition, all females must have a negative pregnancy test at Screen and Day 15 regardless of childbearing potential. Males with female partners of child-bearing potential must agree to use adequate contraceptive methods (including a condom, plus one other form of contraception) if engaging in sexual intercourse. 4. Body Mass Index (BMI) = 23 kg/m2 to 45 kg/m2 (inclusive). 5. Willing and able to make a screening visit to the clinic and seven visits over a 21 week period. 6. Willing and able to sign an informed consent document indicating understanding the purpose of and procedures required for the study and willingness to participate in the study.

Exclusion criteria

1. Use of TZDs or diabetes medications other than metformin (generic or Glucophage®) 3 months prior to screening. 2. History of diabetic ketoacidosis or hyperosmolar non-ketotic coma. 3. Fasting plasma glucose in excess of 240 mg/dl at screening 4. History of heart failure (including CHF) or previous cardiovascular event (myocardial infarct, by-pass surgery, or PTCA) within the past 6 months prior to screening. 5. ALT and/or AST levels that are twice the upper limit of normal; bilirubin levels that exceed 2 mg/dL; serum creatinine \>1.5 mg/dL in men or \> 1.4 mg/dL in women. 6. History nephropathy, neuropathy, or retinopathy within 6 months of screening. 7. Use of glucocorticoids (oral, injectible, intraarticular, or chronic inhaled) or weight-loss drugs within 3 months of randomization. 8. Current or recurrent disease that may affect the action, absorption or disposition of the study treatment, or clinical or laboratory assessments. 9. Current or history of severe or unstable disorder (medical or psychiatric) requiring treatment that may make the patient unlikely to complete the study. 10. Febrile illness within the 5 days prior to the first dose. 11. Known history of HIV, hepatitis B, or hepatitis C. 12. Clinically significant findings on physical examination, including BP, pulse rate and 12-lead ECG. 13. Blood pressure greater than 160/100 mmHg. Patients with elevated BP (\<160/100 mmHg) with or without current treatment will be allowed at the discretion of the Principal Investigator (PI) and primary care physician. Individuals with hypertension must have been stabilized to the current treatment regimen for at least 6 weeks prior to screening. 14. Change in BP or lipid-lowering medication within 6 weeks or change in dose of metformin or thyroid replacement within 3 months prior to screening. 15. Known or suspected intolerance or hypersensitivity to the study drugs, closely related compounds or any of their stated ingredients. 16. History of alcohol or drug abuse within 6 months of Screening. 17. Have participated in an investigational study or received an investigational drug within 30 days or 5 half-lives (whichever is longer) prior to study drug administration. 18. Blood donation of 1 pint or more within 56 days of screening. 19. Plasmapheresis or plasma donation within 30 days of screening. 20. Single 12-lead ECG demonstrating a QTc \>450 msec at Screening. A single repeat ECG may be done at the investigator's discretion. 21. Any surgical or medical condition which may significantly alter the absorption of any drug substance including, but not limited to, any of the following: history of major gastrointestinal tract surgery such as gastrectomy, gastroenterostomy, bowel resection, gastric bypass, gastric stapling, or gastric banding, currently active inflammatory bowel syndrome. 22. Evidence of clinically relevant pathology that could interfere with the study results or put the patient's safety at risk. 23. Malignancy, including leukemia and lymphoma (not including basal cell skin cancer) within the last 5 years.

Design outcomes

Primary

MeasureTime frameDescription
Change From Baseline in Fasting Plasma Glucose (FPG) at Week 12.Baseline, Week 12Change from baseline in fasting plasma glucose in response to three different doses of Mitoglitazone as compared to pioglitazone following once-daily dosing for 84 consecutive days (12 weeks) in patients with Type 2 diabetes.

Secondary

MeasureTime frameDescription
Change From Baseline in HbA1c12 weeksChange from baseline in plasma glucose measured by hemoglobin A1c in response to three different doses of Mitoglitazone and pioglitazone as compared to placebo following once-daily dosing for 84 consecutive days (12 weeks) in patients with Type 2 diabetes.
Percent Change From Baseline to Week 12 Endpoint in HMW Adiponectin12 weeksPercent change from baseline to week 12 endpoint in high molecular weight adiponectin
Change From Baseline to Week 12 Endpoint in Hematocrit12 weeksChange from baseline to week 12 endpoint in hematocrit as an indication of fluid retention
Change From Baseline in Hemoglobin12 weeksChange from baseline at week 12 endpoint in hemoglobin concentration
Change From Baseline in RBC12 weekChange from baseline at week 12 endpoint in red blood cell concentration
Change in Body Weight From Baseline to Week 12 Endpoint12 weeksEffects of 3 different doses of Mitoglitazone and pioglitazone as compared to placebo on body weight following once-daily dosing for 12
Change From Baseline in Waist Circumference at Week 12 Endpoint12 weeksEffects of 3 different doses of Mitoglitazone and pioglitazone as compared to placebo on waist circumference following once-daily dosing for 12 weeks
Presence of Edema Post Baseline During 12 Weeks Active Treatment12 weeksEffects of 3 different doses of Mitoglitazone and pioglitazone as compared to placebo on presence of edema following once-daily dosing for 12 weeks
Changes in HDL Particle Size Subfractions From Baseline to Week 1212 weeksEffects of 3 different doses of Mitoglitazone and pioglitazone as compared to placebo on HDL particle size profile as characterized by changes in NMR analysis of subfractions following once-daily dosing for 12 weeks
Changes in LDL Particle Size Subfractions From Baseline to Week 1212 weekEffects of 3 different doses of Mitoglitazone and pioglitazone as compared to placebo on LDL particle size profile as characterized by changes in NMR analysis of subfractions following once-daily dosing for 12 weeks

Countries

United States

Participant flow

Recruitment details

The study was conducted at 26 investigational sites in the United States. Over the course of the study, 786 patients were screened, 356 patients were randomized, 297 patients completed the study, and 258 patients completed the study for the Modified Per Protocol Population which required compliance with taking the active medications.

Pre-assignment details

The study consisted of a 14-day, placebo lead-in period & an 84-day double-blind treatment period. At screening, patients were required to have FPG ≥126 mg/dL, HbA1c 7-10%, and insulin C-peptide \>1 ng/mL. At the end of the lead-in period, eligible patients were randomized based on a stratification criterion of current metformin use (yes, no).

Participants by arm

ArmCount
Mitoglitazone 50 mg Capsules
Over-encapsulated Mitoglitazone 50 mg tablet
72
Mitoglitazone 100 mg Capsules
Over-encapsulated Mitoglitazone 100 mg tablet
71
Mitoglitazone 150 mg Capsules
Over-encapsulated Mitoglitazone 50 mg tablet and 100 mg tablet
71
Pioglitazone 45 mg Capsules
Over-encapsulated ACTOS three 15 mg tablets
71
Matching Placebo
Over-encapsulated placebo tablet
71
Total356

Baseline characteristics

CharacteristicMitoglitazone 50 mg CapsulesMitoglitazone 100 mg CapsulesMitoglitazone 150 mg CapsulesPioglitazone 45 mg CapsulesMatching PlaceboTotal
Age, Continuous54.3 years
STANDARD_DEVIATION 9.7
55.5 years
STANDARD_DEVIATION 10.19
56.0 years
STANDARD_DEVIATION 8.76
54.2 years
STANDARD_DEVIATION 9.9
53.4 years
STANDARD_DEVIATION 8.76
54.7 years
STANDARD_DEVIATION 9.47
Fasting plasma glucose176.1 mg/dL
STANDARD_DEVIATION 39.62
173.7 mg/dL
STANDARD_DEVIATION 36.73
170.2 mg/dL
STANDARD_DEVIATION 44.22
172.3 mg/dL
STANDARD_DEVIATION 33.96
170.2 mg/dL
STANDARD_DEVIATION 43.78
172.5 mg/dL
STANDARD_DEVIATION 39.7
HbA1c8.2 percent
STANDARD_DEVIATION 0.862
8.09 percent
STANDARD_DEVIATION 0.816
8.00 percent
STANDARD_DEVIATION 0.809
8.08 percent
STANDARD_DEVIATION 0.852
8.04 percent
STANDARD_DEVIATION 0.845
8.08 percent
STANDARD_DEVIATION 0.835
Region of Enrollment
United States
72 participants71 participants71 participants71 participants71 participants356 participants
Sex: Female, Male
Female
42 Participants29 Participants26 Participants32 Participants37 Participants166 Participants
Sex: Female, Male
Male
30 Participants42 Participants45 Participants39 Participants34 Participants190 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —— / —— / —
other
Total, other adverse events
10 / 715 / 715 / 706 / 716 / 71
serious
Total, serious adverse events
0 / 710 / 711 / 703 / 710 / 71

Outcome results

Primary

Change From Baseline in Fasting Plasma Glucose (FPG) at Week 12.

Change from baseline in fasting plasma glucose in response to three different doses of Mitoglitazone as compared to pioglitazone following once-daily dosing for 84 consecutive days (12 weeks) in patients with Type 2 diabetes.

Time frame: Baseline, Week 12

Population: The Modified Per-Protocol Population included all per-protocol patients (all ITT patients who completed the 12-week, double-blind treatment period without any major deviations from the protocol procedures) without any study medication non-compliance issues based on their pharmacokinetic data.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Mitoglitazone 50 mg CapsulesChange From Baseline in Fasting Plasma Glucose (FPG) at Week 12.-5.3 mg/dLStandard Error 4.95
Mitoglitazone 100 mg CapsulesChange From Baseline in Fasting Plasma Glucose (FPG) at Week 12.-14.6 mg/dLStandard Error 4.74
Mitoglitazone 150 mg CapsulesChange From Baseline in Fasting Plasma Glucose (FPG) at Week 12.-25.1 mg/dLStandard Error 4.99
Pioglitazone 45 mg CapsulesChange From Baseline in Fasting Plasma Glucose (FPG) at Week 12.-27.2 mg/dLStandard Error 4.61
Matching PlaceboChange From Baseline in Fasting Plasma Glucose (FPG) at Week 12.3.8 mg/dLStandard Error 4.59
p-value: 0.181995% CI: [-22.4, 4.3]ANCOVA
p-value: 0.005795% CI: [-31.4, -5.4]ANCOVA
p-value: <0.000195% CI: [-42.3, -15.6]ANCOVA
p-value: <0.000195% CI: [-43.8, -18.2]ANCOVA
Secondary

Change From Baseline in HbA1c

Change from baseline in plasma glucose measured by hemoglobin A1c in response to three different doses of Mitoglitazone and pioglitazone as compared to placebo following once-daily dosing for 84 consecutive days (12 weeks) in patients with Type 2 diabetes.

Time frame: 12 weeks

Population: The Modified Per-Protocol Population included all per-protocol patients (all ITT patients who completed the 12-week, double-blind treatment period without any major deviations from the protocol procedures) without any study medication non-compliance issues based on their pharmacokinetic data.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Mitoglitazone 50 mg CapsulesChange From Baseline in HbA1c-0.10 percentage of hemoglobinStandard Deviation 0.129
Mitoglitazone 100 mg CapsulesChange From Baseline in HbA1c-0.49 percentage of hemoglobinStandard Deviation 0.123
Mitoglitazone 150 mg CapsulesChange From Baseline in HbA1c-0.57 percentage of hemoglobinStandard Deviation 0.13
Pioglitazone 45 mg CapsulesChange From Baseline in HbA1c-0.69 percentage of hemoglobinStandard Deviation 0.12
Matching PlaceboChange From Baseline in HbA1c0.29 percentage of hemoglobinStandard Deviation 0.119
p-value: 0.027395% CI: [-0.73, -0.04]ANCOVA
p-value: <0.000195% CI: [-1.13, -0.45]ANCOVA
p-value: <0.000195% CI: [-1.21, -0.52]ANCOVA
p-value: <0.000195% CI: [-1.32, -0.65]ANCOVA
Secondary

Change From Baseline in Hemoglobin

Change from baseline at week 12 endpoint in hemoglobin concentration

Time frame: 12 weeks

Population: All randomized patients who received at least 1 dose of randomized study medication and who had both baseline and week 12 assessments.

ArmMeasureValue (MEAN)Dispersion
Mitoglitazone 50 mg CapsulesChange From Baseline in Hemoglobin-0.07 g/dLStandard Deviation 0.729
Mitoglitazone 100 mg CapsulesChange From Baseline in Hemoglobin-0.38 g/dLStandard Deviation 0.72
Mitoglitazone 150 mg CapsulesChange From Baseline in Hemoglobin-0.33 g/dLStandard Deviation 0.676
Pioglitazone 45 mg CapsulesChange From Baseline in Hemoglobin-0.60 g/dLStandard Deviation 0.827
Matching PlaceboChange From Baseline in Hemoglobin-0.07 g/dLStandard Deviation 0.67
Secondary

Change From Baseline in RBC

Change from baseline at week 12 endpoint in red blood cell concentration

Time frame: 12 week

Population: All randomized patients who received at least 1 dose of randomized study medication and who had both baseline and week 12 assessments

ArmMeasureValue (MEAN)Dispersion
Mitoglitazone 50 mg CapsulesChange From Baseline in RBC-0.014 10e-6 cells per uLStandard Deviation 0.2073
Mitoglitazone 100 mg CapsulesChange From Baseline in RBC-0.098 10e-6 cells per uLStandard Deviation 0.2332
Mitoglitazone 150 mg CapsulesChange From Baseline in RBC-0.107 10e-6 cells per uLStandard Deviation 0.2499
Pioglitazone 45 mg CapsulesChange From Baseline in RBC-0.211 10e-6 cells per uLStandard Deviation 0.2878
Matching PlaceboChange From Baseline in RBC0.035 10e-6 cells per uLStandard Deviation 0.248
Secondary

Change From Baseline in Waist Circumference at Week 12 Endpoint

Effects of 3 different doses of Mitoglitazone and pioglitazone as compared to placebo on waist circumference following once-daily dosing for 12 weeks

Time frame: 12 weeks

Population: All randomized patients who received at least 1 dose of randomized study medication and had both baseline and week 12 waist circumference assessments

ArmMeasureValue (MEAN)Dispersion
Mitoglitazone 50 mg CapsulesChange From Baseline in Waist Circumference at Week 12 Endpoint0.1 cmStandard Deviation 3.39
Mitoglitazone 100 mg CapsulesChange From Baseline in Waist Circumference at Week 12 Endpoint-0.2 cmStandard Deviation 2.13
Mitoglitazone 150 mg CapsulesChange From Baseline in Waist Circumference at Week 12 Endpoint-0.4 cmStandard Deviation 4.02
Pioglitazone 45 mg CapsulesChange From Baseline in Waist Circumference at Week 12 Endpoint0.7 cmStandard Deviation 2.95
Matching PlaceboChange From Baseline in Waist Circumference at Week 12 Endpoint-0.9 cmStandard Deviation 3.21
Secondary

Change From Baseline to Week 12 Endpoint in Hematocrit

Change from baseline to week 12 endpoint in hematocrit as an indication of fluid retention

Time frame: 12 weeks

Population: The Modified Per-Protocol Population included all per-protocol patients (all ITT patients who completed the 12-week, double-blind treatment period without any major deviations from the protocol procedures) without any study medication non-compliance issues based on their pharmacokinetic data.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Mitoglitazone 50 mg CapsulesChange From Baseline to Week 12 Endpoint in Hematocrit0.0 percentage of volumeStandard Error 0.34
Mitoglitazone 100 mg CapsulesChange From Baseline to Week 12 Endpoint in Hematocrit-0.9 percentage of volumeStandard Error 0.33
Mitoglitazone 150 mg CapsulesChange From Baseline to Week 12 Endpoint in Hematocrit-1.0 percentage of volumeStandard Error 0.34
Pioglitazone 45 mg CapsulesChange From Baseline to Week 12 Endpoint in Hematocrit-1.7 percentage of volumeStandard Error 0.32
Matching PlaceboChange From Baseline to Week 12 Endpoint in Hematocrit0.0 percentage of volumeStandard Error 0.32
Secondary

Change in Body Weight From Baseline to Week 12 Endpoint

Effects of 3 different doses of Mitoglitazone and pioglitazone as compared to placebo on body weight following once-daily dosing for 12

Time frame: 12 weeks

Population: The Modified Per-Protocol Population included all per-protocol patients (all ITT patients who completed the 12-week, double-blind treatment period without any major deviations from the protocol procedures) without any study medication non-compliance issues based on their pharmacokinetic data.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Mitoglitazone 50 mg CapsulesChange in Body Weight From Baseline to Week 12 Endpoint0.23 kgStandard Deviation 0.318
Mitoglitazone 100 mg CapsulesChange in Body Weight From Baseline to Week 12 Endpoint0.56 kgStandard Deviation 0.306
Mitoglitazone 150 mg CapsulesChange in Body Weight From Baseline to Week 12 Endpoint1.15 kgStandard Deviation 0.323
Pioglitazone 45 mg CapsulesChange in Body Weight From Baseline to Week 12 Endpoint1.53 kgStandard Deviation 0.297
Matching PlaceboChange in Body Weight From Baseline to Week 12 Endpoint-0.71 kgStandard Deviation 0.294
Secondary

Changes in HDL Particle Size Subfractions From Baseline to Week 12

Effects of 3 different doses of Mitoglitazone and pioglitazone as compared to placebo on HDL particle size profile as characterized by changes in NMR analysis of subfractions following once-daily dosing for 12 weeks

Time frame: 12 weeks

Population: The Modified Per-Protocol Population included all ITT patients who completed the 12-week, double-blind treatment period with no major deviations from protocol procedures, without any study medication non-compliance issues based on their pharmacokinetic data, and with both baseline and post-baseline NMR analysis of lipoprotein particle subfractions.

ArmMeasureValue (MEAN)Dispersion
Mitoglitazone 50 mg CapsulesChanges in HDL Particle Size Subfractions From Baseline to Week 120.00 nMStandard Deviation 0.25
Mitoglitazone 100 mg CapsulesChanges in HDL Particle Size Subfractions From Baseline to Week 120.05 nMStandard Deviation 0.4
Mitoglitazone 150 mg CapsulesChanges in HDL Particle Size Subfractions From Baseline to Week 120.10 nMStandard Deviation 0.3
Pioglitazone 45 mg CapsulesChanges in HDL Particle Size Subfractions From Baseline to Week 120.20 nMStandard Deviation 0.5
Matching PlaceboChanges in HDL Particle Size Subfractions From Baseline to Week 120.00 nMStandard Deviation 0.25
Secondary

Changes in LDL Particle Size Subfractions From Baseline to Week 12

Effects of 3 different doses of Mitoglitazone and pioglitazone as compared to placebo on LDL particle size profile as characterized by changes in NMR analysis of subfractions following once-daily dosing for 12 weeks

Time frame: 12 week

Population: The Modified Per-Protocol Population included all ITT patients who completed the 12-week, double-blind treatment period with no major deviations from protocol procedures, without any study medication non-compliance issues based on their pharmacokinetic data, and with both baseline and post-baseline NMR analysis of lipoprotein particle subfractions.

ArmMeasureValue (MEAN)Dispersion
Mitoglitazone 50 mg CapsulesChanges in LDL Particle Size Subfractions From Baseline to Week 120.20 nMStandard Deviation 0.6
Mitoglitazone 100 mg CapsulesChanges in LDL Particle Size Subfractions From Baseline to Week 120.20 nMStandard Deviation 0.55
Mitoglitazone 150 mg CapsulesChanges in LDL Particle Size Subfractions From Baseline to Week 120.30 nMStandard Deviation 0.5
Pioglitazone 45 mg CapsulesChanges in LDL Particle Size Subfractions From Baseline to Week 120.60 nMStandard Deviation 0.7
Matching PlaceboChanges in LDL Particle Size Subfractions From Baseline to Week 120.00 nMStandard Deviation 0.4
Secondary

Percent Change From Baseline to Week 12 Endpoint in HMW Adiponectin

Percent change from baseline to week 12 endpoint in high molecular weight adiponectin

Time frame: 12 weeks

Population: The Modified Per-Protocol Population included all per-protocol patients (all ITT patients who completed the 12-week, double-blind treatment period without any major deviations from the protocol procedures) without any study medication non-compliance issues based on their pharmacokinetic data.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Mitoglitazone 50 mg CapsulesPercent Change From Baseline to Week 12 Endpoint in HMW Adiponectin45.2 percentage of baseline valuesStandard Deviation 18.15
Mitoglitazone 100 mg CapsulesPercent Change From Baseline to Week 12 Endpoint in HMW Adiponectin94.4 percentage of baseline valuesStandard Deviation 17.44
Mitoglitazone 150 mg CapsulesPercent Change From Baseline to Week 12 Endpoint in HMW Adiponectin132.4 percentage of baseline valuesStandard Deviation 18.34
Pioglitazone 45 mg CapsulesPercent Change From Baseline to Week 12 Endpoint in HMW Adiponectin287.0 percentage of baseline valuesStandard Deviation 16.94
Matching PlaceboPercent Change From Baseline to Week 12 Endpoint in HMW Adiponectin4.9 percentage of baseline valuesStandard Deviation 16.82
Secondary

Presence of Edema Post Baseline During 12 Weeks Active Treatment

Effects of 3 different doses of Mitoglitazone and pioglitazone as compared to placebo on presence of edema following once-daily dosing for 12 weeks

Time frame: 12 weeks

Population: All randomized patients who received at least 1 dose of randomized study medication and had both a baseline and post baseline edema assessment

ArmMeasureValue (NUMBER)
Mitoglitazone 50 mg CapsulesPresence of Edema Post Baseline During 12 Weeks Active Treatment8 participants
Mitoglitazone 100 mg CapsulesPresence of Edema Post Baseline During 12 Weeks Active Treatment9 participants
Mitoglitazone 150 mg CapsulesPresence of Edema Post Baseline During 12 Weeks Active Treatment4 participants
Pioglitazone 45 mg CapsulesPresence of Edema Post Baseline During 12 Weeks Active Treatment6 participants
Matching PlaceboPresence of Edema Post Baseline During 12 Weeks Active Treatment8 participants

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026