Coronary Artery Disease, Glucose Intolerance, Insulin Resistance, Prediabetes
Conditions
Keywords
prediabetes, coronary artery disease, insulin resistance, glucose intolerance
Brief summary
Objectives: The investigators examined whether rosiglitazone, a thiazolidinedione (TZD), is beneficial for pre-diabetes mellitus (DM) adults with documented coronary artery disease (CAD). Background: Microvascular and macrovascular complications are common in type 2 DM. There is no evidence about the effects of TZDs, synthetic peroxisome proliferator-activated receptor (PPAR)-γ activators (insulin sensitizers and adipose transcriptional regulation and anti-inflammatory process activators) on pre-DM patients with documented CAD.
Detailed description
Materials and Methods: This is a randomized, double-blind, placebo-controlled study, patients will be randomly assigned to the TZD group and to the placebo group with a 6-month treatment period. Biomarkers will also examined before and 6 months post-treatment during the trial. The primary end-points will be the diagnosis of major cardiovascular events: myocardial infarction, overt heart failure, and surgery or coronary intervention for CAD.
Interventions
placebo tablet for 6 months
rosiglitazone (4 mg)/day for 6 months
Sponsors
Study design
Eligibility
Inclusion criteria
* documented CAD by angiography * insulin resistance or glucose intolerance * 18 to 80 years of age
Exclusion criteria
* under DM treatment * allergy to TZD * active inflammation * chronic disease under NSAID treatment * active heart failure * unwilling or unable to sign inform consents
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| major cardiovascular events, including myocardial infarction, overt heart failure, and surgery or coronary intervention for CAD | at least 6 months follow-up of MACEs | Primary end points: The primary end-point was defined as major cardiovascular events, including myocardial infarction, overt heart failure, and surgery or coronary intervention for CAD. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Biomarkers measurements | Biomarkers were taken before the trial and 6 months later | Resistin and adiponectin will be measured to evaluate insulin resistance; CCL/MCP-1 and hsCRP were also analyzed to evaluate inflammation status changes. Several vascular associated remodeling markers and proteins will also be measured. |