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Role of Rosiglitazone on Pre-Diabetes Mellitus and Coronary Artery Disease

Role of Rosiglitazone Treatment and Secondary Prevention of Cardiovascular Events in Patients With Pre-Diabetes Mellitus and Coronary Artery Disease

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01574820
Enrollment
105
Registered
2012-04-10
Start date
2006-11-30
Completion date
2011-07-31
Last updated
2012-04-11

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

Conditions

Coronary Artery Disease, Glucose Intolerance, Insulin Resistance, Prediabetes

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

DRUGplacebo tablet

placebo tablet for 6 months

DRUGrosiglitazone (4 mg)/day

rosiglitazone (4 mg)/day for 6 months

Sponsors

National Cheng-Kung University Hospital
Lead SponsorOTHER

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 80 Years
Healthy volunteers
No

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

MeasureTime frameDescription
major cardiovascular events, including myocardial infarction, overt heart failure, and surgery or coronary intervention for CADat least 6 months follow-up of MACEsPrimary 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

MeasureTime frameDescription
Biomarkers measurementsBiomarkers were taken before the trial and 6 months laterResistin 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.

Outcome results

None listed

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