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Phase 4 N=23 Randomized Treatment

24-Hour Glycemia: Rosiglitazone Versus Glimepiride In Type 2 Diabetes

Non-Insulin-Dependent Diabetes Mellitus

Enrolled (actual)
23
Serious AEs
Results posted
Mar 2009
Primary outcome: Primary: Duration of Hyperglycaemia (>126 mg/dL) in Hours at Baseline Compared to After 12 Weeks on Treatment — 17.31; 17.53; 15.30; 10.83 Hours — p=0.064

Study Design & Population

Study type
Interventional
Phase
Phase 4
Interventions
rosiglitazone-metformin fixed dose combination (Drug); metformin + glimepiride (Drug)
Age
Adult, Older Adult · 40+ yrs
Sex
All
Sponsor
GlaxoSmithKline
Primary completion
Oct 2007

Outcome Measures

OutcomeResultp-value
PRIMARY
Duration of Hyperglycaemia (>126 mg/dL) in Hours at Baseline Compared to After 12 Weeks on Treatment
17.31; 17.53; 15.30; 10.83 0.064
PRIMARY
Episodes of Hyperglycaemia (>126 mg/dL) at Baseline Compared to After 12 Weeks on Treatment
3.91; 4.05; 5.36; 5.90 0.923
SECONDARY
Duration of Severe Hyperglycaemia (>150 mg/dL) in Hours at Baseline Compared to After 12 Weeks on Treatment
11.28; 12.35; 6.39; 4.23
SECONDARY
Episodes of Severe Hyperglycaemia (>150 mg/dL) at Baseline Compared to After 12 Weeks on Treatment
4.00; 3.55; 5.00; 2.95
SECONDARY
Duration of Hypoglycaemia (<80 mg/dL) in Hours at Baseline Compared to After 12 Weeks on Treatment
0.85; 0.24; 0.64; 0.41
SECONDARY
Episodes of Hypoglycaemia (<80 mg/dL) at Baseline Compared to After 12 Weeks on Treatment
0.64; 0.30; 0.50; 0.80
SECONDARY
Duration of Hypoglycaemia (<60 mg/dL) in Hours at Baseline Compared to After 12 Weeks on Treatment
0.51; 0; 0.14; 0.08
SECONDARY
Episodes of Hypoglycaemia (<60 mg/dL) at Baseline Compared to After 12 Weeks on Treatment
0.50; 0; 0.14; 0.1
SECONDARY
HbA1c (Glycosylated Hemoglobin)
7.8; 7.7; 7.4; 7.1
SECONDARY
8-Iso Prostaglandin F2α (8-iso PGF2α) Excretion Rate
361.9; 325.1; 373.5; 320.4
SECONDARY
Glycaemia According to CGMS (Nocturnal), mg/dL
148.4; 140.4; 130.2; 126.3
SECONDARY
Glycaemia According to CGMS (Diurnal), mg/dL
162.1; 158.7; 139.1; 130.13
SECONDARY
Glycaemia According to CGMS (Dawn), mg/dL
145.0; 138.6; 130.6; 124.7
SECONDARY
Glycaemia According to CGMS (Total Area Under the Curve (AUC) for Values Above 1 mg/dL), mg/dL
1428.2; 1293.1; 891.4; 717.7
SECONDARY
Glycaemia According to CGMS (Postprandial Incremental AUC or Values Above 1 mg/dL), mg/dL
522.8; 443.0; 356.9; 362.7
SECONDARY
Glycaemia According to CGMS (Basal Incremental AUC or Values Above 1 mg/dL), mg/dL
905.6; 850.1; 534.5; 355.0
SECONDARY
Glycaemia According to CGMS (MAGE), mg/dL
75.1; 61.6; 44.2; 50.8

Summary

A better glycemic control is associated with less complications (cardiac diseases, blindness, etcetera) for type 2 diabetic patients. The objective is to study if rosiglitazone may lead to a more regular glycemic pattern with less hyperglycemia and hypoglycemia episodes than with a sulphonylurea (glimepiride).

Eligibility Criteria

Inclusion Criteria

  • Males and females aged 40 to 80 years
  • Diagnosis of type 2 diabetes mellitus for at least 6 months
  • Body mass index (BMI) ≥25kg/m2
  • 7%≥HbA1c ≤ 9% at visit 2
  • Treatment with metformin between 1.7g/day and 3g/day for at least 12 weeks prior to visit 1
  • Female subjects must be non-pregnant, post-menopausal, surgically sterile or using effective contraceptive measures
  • Written informed consent

Exclusion Criteria

  • Use of any oral antidiabetic drug other than metformin within 12 weeks prior to screening
  • Significant hypersensitivity to thiazolidinediones and sulfonylureas or compounds with similar chemical structure
  • Subjects who have required the use of insulin for glycaemic control at any time in the past or subject with a history of metabolic acidosis including diabetic ketoacidosis
  • Subjects with clinically significant ongoing oedema or with a history of oedema in the 12 months prior to visit 1
  • Subjects with a history of severe hypoglycaemia
  • Anemia defined by haemoglobin concentration 2.5 times the upper limit of the normal reference range)
  • Congestive heart failure (NYHA class I to IV), unstable or severe angina, recent myocardial infarction
  • Subjects with chronic diseases requiring periodic or intermittent treatment with oral or intravenous corticosteroids
  • Female who are lactating, pregnant, or planning to become pregnant
  • Any clinically significant abnormality identified at screening which in the judgement of the investigator makes the subject unsuitable for inclusion in the study (e.g. physical examination, laboratory test, ECG, ...)
  • Use of any investigational agent within 30 days or 5 half-lives (whichever is longer) prior to enrolment in this study
  • Active alcohol, drug or medication abuse within the last 6 months or any condition that would indicate the likelihood of poor subject compliance
  • Subjects not willing to comply with the procedures described in this protocol.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00318656). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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