TIDE: Thiazolidinedione Intervention With Vitamin D Evaluation

Sponsor
GlaxoSmithKline (Industry)
Overall Status
Terminated
CT.gov ID
NCT00879970
Collaborator
Population Health Research Institute (Other)
1,332
331
5
18
4
0.2

Study Details

Study Description

Brief Summary

This study will answer two separate questions.

The first question is to test the cardiovascular effects of long-term treatment with rosiglitazone or pioglitazone when used as part of standard of care compared to similar standard of care without rosiglitazone or pioglitazone in patients with type 2 diabetes who have a history of or are at risk for cardiovascular disease.

The second question will compare the effects of long-term supplementation of vitamin D on death and cancer

Condition or Disease Intervention/Treatment Phase
Phase 4

Study Design

Study Type:
Interventional
Actual Enrollment :
1332 participants
Allocation:
Randomized
Intervention Model:
Factorial Assignment
Masking:
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose:
Treatment
Official Title:
AVANDIA CV Outcomes Study: Thiazolidinedione Intervention With Vitamin D Evaluation (TIDE) A Multicenter Randomized Double-Blind Placebo-Controlled Trial of a Thiazolidinedione or Placebo and of Vitamin D or Placebo In People With Type 2 Diabetes at Risk For Cardiovascular Disease
Study Start Date :
May 1, 2009
Actual Primary Completion Date :
Nov 1, 2010
Actual Study Completion Date :
Nov 1, 2010

Arms and Interventions

Arm Intervention/Treatment
Active Comparator: pioglitazone

PIO tablet was administered in the dose of 30 milligrams (mg) OD initially and could be titrated to a maximum dose of 45 mg at or after the 6-month visit. After 1 year of treatment, the dose of PIO was increased to 45 mg OD for the duration of 5.5 years.

Drug: pioglitazone
Pioglitazone30 mg and 45 mg tablets are over-encapsulated with Swedish orange size DB-AA capsule shell.

Active Comparator: rosiglitazone

RSG tablet was administered in the dose of 4 mg OD initially and could be titrated to a maximum dose of 8 mg at or after the 6-month visit. After 1 year of treatment, the dose of RSG was increased to 8 mg OD for the duration of 5.5 years.

Drug: rosiglitazone
Rosiglitazone 4 mg and 8 mg tablets are over-encapsulated with Swedish orange size DB-AA capsule shell.

Placebo Comparator: TZD placebo

Matching placebo tablet was administered once a day (OD) for the duration of 5.5 years

Drug: placebo
Placebo to match is Swedish orange size DB-AA capsule filled with white to off-white non-active powder blend.

Active Comparator: Vitamin D

Active comparator

Dietary Supplement: Vitamin D
Vitamin D factor intervention

Placebo Comparator: Vitamin D placebo

Placebo Comparator

Dietary Supplement: Placebo
Vitamin D factor intervention

Outcome Measures

Primary Outcome Measures

  1. Number of Participants With the Indicated Components of the Composite Cardiovascular Outcome for Thiazolidinedione (TZD) [From Randomization at Visit 3 up to the Final Visit (average of 162 days)]

    An event adjudication committee (EAC) adjudicated all occurrences of the components of the composite cardiovascular (CV; related to heart) outcome for TZD. Components are the first occurrence of cardiovascular death for which a non-heart-related cause has not been identified; non-fatal myocardial infarction (MI) (death of heart muscle from sudden blockage of a coronary artery by blood clot not leading to death); and non-fatal stroke (rapidly developing loss of brain function[s] due to disturbance in the blood supply to the brain not leading to death).

  2. Number of Participants With the Indicated Components of the Composite Outcome for Vitamin D [From Randomization at Visit 3 to Final Visit (up to 162 days)]

    An EAC adjudicated all occurrences of the components of the composite outcome for vitamin D. Components are the first occurrence of death or cancer requiring hospitalization, treatment with medicines (chemotherapy), or surgery.

Secondary Outcome Measures

  1. Number of Participants With Any Revascularization [From Randomization at Visit 3 to Final Visit (up to 162 days)]

    Revascularization is defined as any surgical procedure for the provision of a new, additional, or augmented blood supply to heart muscle. Data regarding the need for any revascularization were adjudicated by the EAC and sent to the data monitoring committee (IDMC) on a regular basis for unblinded review.

  2. Number of Participants With Need for Hospitalization for Any Reason [From Randomization at Visit 3 to Final Visit (up to 162 days)]

    Data regarding the need for hospitalization for any reason were collected and were then forwarded to the independent data monitoring committee (IDMC) on a regular basis for unblinded review.

  3. Number of Participants With Need for Hospitalization for Congestive Heart Failure (CHF), Shortness of Breath, Pneumonia, or Angina [From Randomization at Visit 3 to Final Visit (up to 162 days)]

    CHF is a condition in which the heart is not able to pump adequate blood to meet the body's needs. Shortness of breath is defined as difficulty in breathing. Pneumonia is an infection of the lungs, caused by various microorganisms. Angina is defined as severe chest pain due to lack of adequate blood supply of the heart muscle because of obstruction/spasm of the heart's blood vessels. Data regarding the need for hospitalization due to any of these reasons were adjudicated by the EAC and sent to the IDMC on a regular basis for unblinded review.

  4. Number of Participants With Composite Microvascular Outcome [From Randomization at Visit 3 to Final Visit (up to 162 days)]

    The components of the composite microvascular outcome are retinopathy, decline in eGFR, vitrectomy, and renal replacement surgery. Retinopathy is defined as damage to the inner lining of the eye (retina). Decline in eGFR is defined as a >=30% reduction in kidney function. Vitrectomy is a surgery to remove some or all of the fluid (vitreous humor) from the eye. Renal replacement therapy includes all the life-supporting treatments for renal failure. Data regarding the number of participants with changes in micro blood vessels (composite microvascular outcome) were collected at each visit.

  5. Number of Participants With Retinopathy Requiring Laser Therapy, a Decline in Estimated Glomerular Filtration Rate (eGFR), Vitrectomy, and Renal Replacement Therapy [From Randomization at Visit 3 to Final Visit (up to 162 days)]

    Retinopathy is defined as damage to the inner lining of the eye (retina). Decline in eGFR is defined as a >=30% reduction in kidney function. Vitrectomy is a surgery to remove some or all of the fluid (vitreous humor) from the eye. Renal replacement therapy includes all the life-supporting treatments for renal failure. Data on the number of participants with all of these microvascular outcomes were collected at each visit. Data regarding the number of participants with these microvascular outcomes were adjudicated by the EAC and sent to the IDMC on a regular basis for unblinded review.

  6. Number of Participants With Severe Lower Than Normal Blood Glucose Level (Hypoglycemia) [From Randomization at Visit 3 to Final Visit (up to 162 days)]

    Severe hypoglycemia is defined as hypoglycemia requiring assistance from another person with either a documented plasma glucose <=36 mg/deciliter (2.0 millimole per liter [mmol/L]) or prompt recovery after oral carbohydrate, intravenous glucose, or glucagon administration. Hypoglycemia data were obtained from outcomes reported by the site. Data regarding hypoglycemia were adjudicated by the EAC and sent to the IDMC on a regular basis for unblinded review.

  7. Number of Participants With Clinical Proteinuria [From Randomization at Visit 3 to Final Visit (up to 162 days)]

    Clinical proteinuria is defined as a laboratory detection of urinary protein excretion > 0.5 grams (g) per 24 hours; spot urine analysis for albumin:creatinine ratio >=300 milligrams/g; timed urine collection for albumin excretion >=200 µg/minute or >=300 mg/24 hours. Clinical proteinuria data were obtained from outcomes reported by the site.

  8. Number of Participants With a Fracture [From Randomization at Visit 3 to Final Visit (up to 162 days)]

    Fracture is defined as a medical condition in which there is a break in the continuity of the bone. Fractures are defined as those breaks that are self reported plus confirmed by an X-ray. Data regarding all occurrences of any fracture were adjudicated by the EAC and sent to the IDMC on a regular basis for unblinded review.

  9. Number of Participants With Hepatic Enzyme Increased or Abnormal Liver Function Tests [From Randomization at Visit 3 to Final Visit (up to 162 days)]

    Liver function tests are groups of clinical biochemistry laboratory blood assays designed to give information about the health of the liver. "Liver function test abnormal" and "hepatic enzyme increased" were obtained from adverse event data as reported by investigators based on the reference range of the reporting local laboratory methodology. The vitamin D arm was not analyzed for this outcome measure.

  10. Number of Participants With Cognitive (Mental Processes) Decline (CD) From Baseline to the Year 2 Visit and the Final Visit [From Randomization at Visit 3 to Final Visit (up to 162 days)]

    CD is equivalent to a difference of >=1.5 units on the Digit Symbol Substitution Test (DSST) score. The DSST is a neuropsychological test sensitive to brain damage, a serious loss of cognitive ability, age, and depression. It consists of digit-symbol pairs, followed by a list of digits. Under each digit the participant was asked to write the corresponding symbol as quickly as possible. The number of correct symbols within the allowed time (90 or 120 seconds) was measured in units (one correct score equals one unit).

  11. Number of Participants With Erectile Dysfunction [From Randomization at Visit 3 to Final Visit (up to 162 days)]

    Erectile dysfunction (ED) is sexual dysfunction characterized by the inability to develop or maintain an erection of the penis during sexual performance. ED was assessed by using the International Index of Erectile Dysfunction (IIED) questionnaire. This standardized and validated 15-item self-evaluation scale provides pre- and post-treatment clinic evaluations of erectile and orgasmic function, sexual desire, satisfaction with sexual intercourse, and general satisfaction.

  12. Mean Score on Euro-QoL (EQ)-5D [From Randomization at Visit 3 to Final Visit (up to 162 days)]

    Quality of life (QoL) was assessed by using the Euro-QoL (EQ)-5D, a short questionnaire used for measuring health-related QoL. The preference weights are elicited by asking participants to place hypothetical health states on a visual analogue scale from "0" to "1", whereby a score of "1" represents the best health state imaginable and "0" represents a health state equivalent to being dead. Negative states are those worse than being dead.

  13. Mean Score on Montreal Cognitive Assessment (MoCA) Test, as an Assessment of Cognitive Function (CF) [From Randomization at Visit 3 to Final Visit (up to 162 days)]

    CF was assessed with the 30-point (pt) MoCA test, involving a short-term memory recall task (T) (5 pts), a clock-drawing T (3 pts), a 3-dimensional cube copy (1 pt), a trail-making B T (1 pt), a phonemic fluency T (1 pt), a 2-item verbal abstraction T (2 pts), an attention T (1 pt), a serial subtraction T (3 pts), digits forward/ backward (1 pt each), a 3-item confrontation naming T (3 pts), repetition of 2 syntactically complex sentences (2 pts), and orientation to time/ place (6 pts). A score of 26 or above is normal.

Eligibility Criteria

Criteria

Ages Eligible for Study:
50 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Men or women with: a) newly detected type 2 diabetes based on a fasting plasma glucose greater than or equal to 7.0 mmol/l (126 mg/dL) or a 2 hour plasma glucose (FPG) greater than or equal to 11.1 mmol/l (200 mg/dL) on an oral glucose tolerance test, or
  1. a history of type 2 diabetes
  • Hemoglobin A1c (A1C) 6.5-9.5% inclusive (for assays with upper limit of normal of 6%) within one month of screening

  • Age ≥ 50 years and evidence of vascular disease defined as ≥1of:

  • prior myocardial infarction

  • prior stroke

  • coronary, carotid or peripheral artery revascularization ≥ 4 years earlier

  • previous documented myocardial ischemia on either an exercise stress test or on any cardiac imaging, or previous unstable angina with ECG changes or cardiac enzyme elevation OR

  • Age ≥ 55 years and evidence of subclinical vascular disease defined as ≥1 of:

  • microalbuminuria or proteinuria

  • history of treated or untreated hypertension with left ventricular hypertrophy by electrocardiogram (ECG) or echocardiogram

  • 50% stenosis on any imaging of coronary, carotid or lower extremity arteries

  • ankle/brachial index <0.9 OR

  • Age ≥ 60 years and at least 2 of the following cardiovascular disease risk factors:

  • current tobacco use

  • LDL-c ≥3.4 mmol/L (130 mg/dL) or on a lipid lowering medication

  • HDL-c < 1.0 mmol/L (40 mg/dL) for men and < 1.3 mmol/L (50 mg/dL) for women or triglycerides ≥ 2.3 mmol/L (200 mg/dL)

  • BP lowering medication use or untreated SBP ≥ 140 mmHg or DBP ≥ 95 mmHg

  • Waist to hip ratio > 1.0 for men and > 0.8 for women

  • On no insulin and on less than or equal to 2 anti-diabetes drugs where at least one drug is at or below the half-maximal dose (as indicated in the MOP) with stable dosing for 10 weeks prior to screening

Exclusion Criteria:
  • Type 1 diabetes

  • Current need for insulin treatment

  • Symptomatic hyperglycemia requiring immediate therapy in the judgment of the physician

  • An acute cardiovascular event within 30 days prior to randomization

  • Symptomatic heart failure (i.e. New York Heart Association class II or higher) or any episode of previous pulmonary edema or known ejection fraction < 0.4 or current use of loop diuretics

  • Any fracture within the past 1 year

  • Currently planned coronary, carotid or peripheral artery revascularization or cardiac valve surgery

  • Coronary, carotid or peripheral artery revascularization within the 4 years prior to screening in the absence of angina, MI, or stroke in the intervening period

  • End stage renal disease requiring renal replacement therapy

  • Receiving drug therapy to treat liver disease

  • A diagnosis of cancer (other than superficial squamous, basal cell skin cancer, or adequately treated cervical carcinoma in situ) in the past 3 years or current treatment for the active cancer (other than prophylactic)

  • Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) level > 2.5 times the upper limit of normal

  • A prior heart transplant or awaiting a heart transplant

  • Previous or current hypercalcemia, hyperparathyroidism, osteomalacia or other contraindication for vitamin D therapy

  • Regular use of or indication for greater than 400IU of vitamin D daily

  • Clinically or medically unstable with expected survival < 1 year

  • Unwillingness to permit sites to contact their primary physicians to communicate information about the study and the participant's data

  • Any other factor likely to limit protocol compliance or reporting of adverse events

  • Inability to discontinue a TZD (if taking one) in the judgement of the physician/investigator

  • Contraindications to or history of hypersensitivity to the investigational products

  • History of renal stones within the past 2 years

  • Participation in another clinical trial of an investigational agent

Contacts and Locations

Locations

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287 GSK Investigational Site Bratislava Slovakia 831 01
288 GSK Investigational Site Nitra Slovakia 949 11
289 GSK Investigational Site Port Elizabeth Eastern Cape South Africa 6014
290 GSK Investigational Site Meyerspark Gauteng South Africa 0184
291 GSK Investigational Site Parktown Gauteng South Africa 2193
292 GSK Investigational Site Chatsworth KwaZulu- Natal South Africa 4092
293 GSK Investigational Site Umhlanga Rocks KwaZulu- Natal South Africa 4320
294 GSK Investigational Site Bellville South Africa 7531
295 GSK Investigational Site Benoni South Africa 1501
296 GSK Investigational Site Bloemfontein South Africa 9301
297 GSK Investigational Site Cape Town South Africa 7500
298 GSK Investigational Site Cape Town South Africa 7800
299 GSK Investigational Site Durban South Africa 4001
300 GSK Investigational Site Newton South Africa 2113
301 GSK Investigational Site Observatory South Africa 7925
302 GSK Investigational Site Parktown South Africa 2193
303 GSK Investigational Site Pretoria South Africa 0002
304 GSK Investigational Site Somerset West South Africa 7130
305 GSK Investigational Site Soweto South Africa 1111
306 GSK Investigational Site Soweto South Africa 2013
307 GSK Investigational Site Worcester South Africa 6850
308 GSK Investigational Site Eksjö Sweden SE-575 36
309 GSK Investigational Site Göteborg Sweden SE-413 45
310 GSK Investigational Site Göteborg Sweden SE-416 85
311 GSK Investigational Site Göteborg Sweden SE-417 17
312 GSK Investigational Site Härnösand Sweden SE-871 82
313 GSK Investigational Site Karlshamn Sweden SE-374 80
314 GSK Investigational Site Kristianstad Sweden SE-291 85
315 GSK Investigational Site Ljungby Sweden SE-341 82
316 GSK Investigational Site Malmö Sweden SE-205 02
317 GSK Investigational Site Malmö Sweden SE-214 22
318 GSK Investigational Site Oskarshamn Sweden SE-572 28
319 GSK Investigational Site Skene Sweden SE-511 62
320 GSK Investigational Site Stockholm Sweden SE-111 57
321 GSK Investigational Site Stockholm Sweden SE-171 76
322 GSK Investigational Site Vällingby Sweden SE-162 68
323 GSK Investigational Site Växjö Sweden SE-351 85
324 GSK Investigational Site Bangkok Thailand 10400
325 GSK Investigational Site Bath Somerset United Kingdom BA1 3NG
326 GSK Investigational Site Chippenham United Kingdom SN15 2SB
327 GSK Investigational Site Doncaster United Kingdom DN9 1EP
328 GSK Investigational Site Harrogate United Kingdom HG1 5JP
329 GSK Investigational Site London United Kingdom E1 1BB
330 GSK Investigational Site Manchester United Kingdom M13 9Wl
331 GSK Investigational Site Sheffield United Kingdom S10 2RX

Sponsors and Collaborators

  • GlaxoSmithKline
  • Population Health Research Institute

Investigators

  • Study Director: GSK Clinical Trials, GlaxoSmithKline

Study Documents (Full-Text)

None provided.

More Information

Additional Information:

Publications

None provided.
Responsible Party:
GlaxoSmithKline
ClinicalTrials.gov Identifier:
NCT00879970
Other Study ID Numbers:
  • 111960
First Posted:
Apr 13, 2009
Last Update Posted:
Apr 18, 2017
Last Verified:
Mar 1, 2017
Individual Participant Data (IPD) Sharing Statement:
Yes
Plan to Share IPD:
Yes
Keywords provided by GlaxoSmithKline
Additional relevant MeSH terms:

Study Results

Participant Flow

Recruitment Details 1332 participants were included in the TZD randomization, and 1221 of 1332 participants were included in the Vitamin D randomization.
Pre-assignment Detail Randomization occurred subsequent to a 3-week rosiglitazone (RSG) and vitamin D Single-blind Run-in Phase to assess compliance and tolerability. Participants received an RSG tablet (4 milligrams [mg]) and a vitamin D tablet (1000 international units [IU]) once a day.
Arm/Group Title Placebo Pioglitazone (PIO) Rosiglitazone (RSG) Vitamin D Placebo Vitamin D
Arm/Group Description Matching placebo tablet was administered once a day (OD) for a mean duration of 162 days. PIO tablet was administered in the dose of 30-45 milligrams (mg) OD for a mean duration of 162 days. RSG tablet was administered in the dose of 4-8 mg OD for a mean duration of 162 days. Vitamin D placebo administered for a mean duration of 162 days. 1,000 IU/day administered for a mean duration of 162 days.
Period Title: Period 1 TZD Randomization
STARTED 541 392 399 0 0
COMPLETED 533 388 393 0 0
NOT COMPLETED 8 4 6 0 0
Period Title: Period 1 TZD Randomization
STARTED 0 0 0 614 607
COMPLETED 0 0 0 610 600
NOT COMPLETED 0 0 0 4 7

Baseline Characteristics

Arm/Group Title Placebo Pioglitazone (PIO) Rosiglitazone (RSG) Total
Arm/Group Description Matching placebo tablet was administered once a day (OD) for a mean duration of 162 days. PIO tablet was administered in the dose of 30-45 milligrams (mg) OD for a mean duration of 162 days. RSG tablet was administered in the dose of 4-8 mg OD for a mean duration of 162 days. Total of all reporting groups
Overall Participants 541 392 399 1332
Age (Years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [Years]
66.4
(6.8)
66.3
(6.6)
66.5
(6.4)
66.4
(6.6)
Sex: Female, Male (Count of Participants)
Female
220
40.7%
167
42.6%
161
40.4%
548
41.1%
Male
321
59.3%
225
57.4%
238
59.6%
784
58.9%
Race/Ethnicity, Customized (participants) [Number]
European/ Caucasian/ White
330
61%
241
61.5%
255
63.9%
826
62%
Unknown
53
9.8%
34
8.7%
35
8.8%
122
9.2%
South Asian
63
11.6%
46
11.7%
48
12%
157
11.8%
Black African
45
8.3%
35
8.9%
26
6.5%
106
8%
Native South American
33
6.1%
26
6.6%
24
6%
83
6.2%
Other Asian
10
1.8%
6
1.5%
6
1.5%
22
1.7%
Native North American
1
0.2%
2
0.5%
4
1%
7
0.5%
Japanese
1
0.2%
0
0%
1
0.3%
2
0.2%
Arab/ Persian
1
0.2%
1
0.3%
0
0%
2
0.2%
Native Hawaiian/ Australian or Other Asian Pacific
1
0.2%
1
0.3%
0
0%
2
0.2%
Malays
1
0.2%
0
0%
0
0%
1
0.1%
Sub-Saharan African
1
0.2%
0
0%
0
0%
1
0.1%
Missing
1
0.2%
0
0%
0
0%
1
0.1%

Outcome Measures

1. Primary Outcome
Title Number of Participants With the Indicated Components of the Composite Cardiovascular Outcome for Thiazolidinedione (TZD)
Description An event adjudication committee (EAC) adjudicated all occurrences of the components of the composite cardiovascular (CV; related to heart) outcome for TZD. Components are the first occurrence of cardiovascular death for which a non-heart-related cause has not been identified; non-fatal myocardial infarction (MI) (death of heart muscle from sudden blockage of a coronary artery by blood clot not leading to death); and non-fatal stroke (rapidly developing loss of brain function[s] due to disturbance in the blood supply to the brain not leading to death).
Time Frame From Randomization at Visit 3 up to the Final Visit (average of 162 days)

Outcome Measure Data

Analysis Population Description
Intent-to-Treat (ITT) Population: all randomized participants
Arm/Group Title Placebo Pioglitazone (PIO) Rosiglitazone (RSG) Vitamin D Placebo Vitamin D
Arm/Group Description Matching placebo tablet was administered once a day (OD) for a mean duration of 162 days. PIO tablet was administered in the dose of 30-45 milligrams (mg) OD for a mean duration of 162 days. RSG tablet was administered in the dose of 4-8 mg OD for a mean duration of 162 days. Vitamin D placebo administered for a mean duration of 162 days. 1,000 IU/day administered for a mean duration of 162 days.
Measure Participants 541 392 399 614 607
CV Death/Non-Fatal MI/Non-Fatal Stroke
5
0.9%
2
0.5%
1
0.3%
3
0.2%
2
NaN
CV Death
1
0.2%
0
0%
0
0%
1
0.1%
0
NaN
Non-Fatal MI
2
0.4%
0
0%
1
0.3%
1
0.1%
1
NaN
Non-Fatal Stroke
2
0.4%
2
0.5%
0
0%
1
0.1%
1
NaN
2. Primary Outcome
Title Number of Participants With the Indicated Components of the Composite Outcome for Vitamin D
Description An EAC adjudicated all occurrences of the components of the composite outcome for vitamin D. Components are the first occurrence of death or cancer requiring hospitalization, treatment with medicines (chemotherapy), or surgery.
Time Frame From Randomization at Visit 3 to Final Visit (up to 162 days)

Outcome Measure Data

Analysis Population Description
ITT Population
Arm/Group Title Placebo Pioglitzaone Rosiglitazone Vitamin D Placebo Vitamin D
Arm/Group Description PLACEBO Matching placebo tablet was administered once a day (OD) for a mean duration of 162 days. PIO tablet was administered in the dose of 30-45 milligrams (mg) OD for a mean duration of 162 days. RSG tablet was administered in the dose of 4-8 mg OD for a mean duration of 162 days. Vitamin D placebo administered for a mean duration of 162 days. 1,000 IU/day administered for a mean duration of 162 days.
Measure Participants 541 392 399 614 607
Death or serious cancer
6
1.1%
3
0.8%
1
0.3%
3
0.2%
2
NaN
All death
4
0.7%
1
0.3%
1
0.3%
2
0.2%
0
NaN
Serious cancer
2
0.4%
2
0.5%
0
0%
1
0.1%
2
NaN
3. Secondary Outcome
Title Number of Participants With Any Revascularization
Description Revascularization is defined as any surgical procedure for the provision of a new, additional, or augmented blood supply to heart muscle. Data regarding the need for any revascularization were adjudicated by the EAC and sent to the data monitoring committee (IDMC) on a regular basis for unblinded review.
Time Frame From Randomization at Visit 3 to Final Visit (up to 162 days)

Outcome Measure Data

Analysis Population Description
ITT Population
Arm/Group Title Placebo Pioglitazone Rosiglitazone VITAMIN D PLACEBO VITAMIN D
Arm/Group Description Matching placebo tablet was administered once a day (OD) for a mean duration of 162 days. PIO tablet was administered in the dose of 30-45 milligrams (mg) OD for a mean duration of 162 days. RSG tablet was administered in the dose of 4-8 mg OD for a mean duration of 162 days. Vitamin D placebo administered for a mean duration of 162 days. 1,000 IU/day administered for a mean duration of 162 days.
Measure Participants 541 392 399 614 607
Number [participants]
6
1.1%
3
0.8%
5
1.3%
7
0.5%
5
NaN
4. Secondary Outcome
Title Number of Participants With Need for Hospitalization for Any Reason
Description Data regarding the need for hospitalization for any reason were collected and were then forwarded to the independent data monitoring committee (IDMC) on a regular basis for unblinded review.
Time Frame From Randomization at Visit 3 to Final Visit (up to 162 days)

Outcome Measure Data

Analysis Population Description
ITT Population
Arm/Group Title Placebo Pioglitazone Rosiglitazone VITAMIN D PLACEBO VITAMIN D
Arm/Group Description Matching placebo tablet was administered once a day (OD) for a mean duration of 162 days. PIO tablet was administered in the dose of 30-45 milligrams (mg) OD for a mean duration of 162 days. RSG tablet was administered in the dose of 4-8 mg OD for a mean duration of 162 days. Vitamin D placebo administered for a mean duration of 162 days. 1,000 IU/day administered for a mean duration of 162 days.
Measure Participants 541 392 399 614 607
Number [participants]
31
5.7%
16
4.1%
24
6%
19
1.4%
32
NaN
5. Secondary Outcome
Title Number of Participants With Need for Hospitalization for Congestive Heart Failure (CHF), Shortness of Breath, Pneumonia, or Angina
Description CHF is a condition in which the heart is not able to pump adequate blood to meet the body's needs. Shortness of breath is defined as difficulty in breathing. Pneumonia is an infection of the lungs, caused by various microorganisms. Angina is defined as severe chest pain due to lack of adequate blood supply of the heart muscle because of obstruction/spasm of the heart's blood vessels. Data regarding the need for hospitalization due to any of these reasons were adjudicated by the EAC and sent to the IDMC on a regular basis for unblinded review.
Time Frame From Randomization at Visit 3 to Final Visit (up to 162 days)

Outcome Measure Data

Analysis Population Description
ITT Population
Arm/Group Title Placebo Pioglitazone Rosiglitazone VITAMIN D PLACEBO VITAMIN D
Arm/Group Description Matching placebo tablet was administered once a day (OD) for a mean duration of 162 days. PIO tablet was administered in the dose of 30-45 milligrams (mg) OD for a mean duration of 162 days. RSG tablet was administered in the dose of 4-8 mg OD for a mean duration of 162 days. Vitamin D placebo administered for a mean duration of 162 days. 1,000 IU/day administered for a mean duration of 162 days.
Measure Participants 541 392 399 614 607
CHF
1
0.2%
2
0.5%
0
0%
0
0%
2
NaN
Shortness of breath
0
0%
1
0.3%
2
0.5%
0
0%
1
NaN
Pneumonia
0
0%
1
0.3%
0
0%
0
0%
0
NaN
Angina
3
0.6%
1
0.3%
1
0.3%
NA
NaN
NA
NaN
6. Secondary Outcome
Title Number of Participants With Composite Microvascular Outcome
Description The components of the composite microvascular outcome are retinopathy, decline in eGFR, vitrectomy, and renal replacement surgery. Retinopathy is defined as damage to the inner lining of the eye (retina). Decline in eGFR is defined as a >=30% reduction in kidney function. Vitrectomy is a surgery to remove some or all of the fluid (vitreous humor) from the eye. Renal replacement therapy includes all the life-supporting treatments for renal failure. Data regarding the number of participants with changes in micro blood vessels (composite microvascular outcome) were collected at each visit.
Time Frame From Randomization at Visit 3 to Final Visit (up to 162 days)

Outcome Measure Data

Analysis Population Description
ITT Population
Arm/Group Title Placebo Pioglitazone Rosiglitazone VITAMIN D PLACEBO VITAMIN D
Arm/Group Description Matching placebo tablet was administered once a day (OD) for a mean duration of 162 days. PIO tablet was administered in the dose of 30-45 milligrams (mg) OD for a mean duration of 162 days. RSG tablet was administered in the dose of 4-8 mg OD for a mean duration of 162 days. Vitamin D placebo administered for a mean duration of 162 days. 1,000 IU/day administered for a mean duration of 162 days.
Measure Participants 541 392 399 614 607
Number [participants]
21
3.9%
8
2%
9
2.3%
18
1.4%
18
NaN
7. Secondary Outcome
Title Number of Participants With Retinopathy Requiring Laser Therapy, a Decline in Estimated Glomerular Filtration Rate (eGFR), Vitrectomy, and Renal Replacement Therapy
Description Retinopathy is defined as damage to the inner lining of the eye (retina). Decline in eGFR is defined as a >=30% reduction in kidney function. Vitrectomy is a surgery to remove some or all of the fluid (vitreous humor) from the eye. Renal replacement therapy includes all the life-supporting treatments for renal failure. Data on the number of participants with all of these microvascular outcomes were collected at each visit. Data regarding the number of participants with these microvascular outcomes were adjudicated by the EAC and sent to the IDMC on a regular basis for unblinded review.
Time Frame From Randomization at Visit 3 to Final Visit (up to 162 days)

Outcome Measure Data

Analysis Population Description
ITT Population
Arm/Group Title Placebo Pioglitazone Rosiglitazone VITAMIN D PLACEBO VITAMIN D
Arm/Group Description Matching placebo tablet was administered once a day (OD) for a mean duration of 162 days. PIO tablet was administered in the dose of 30-45 milligrams (mg) OD for a mean duration of 162 days. RSG tablet was administered in the dose of 4-8 mg OD for a mean duration of 162 days. Vitamin D placebo administered for a mean duration of 162 days. 1,000 IU/day administered for a mean duration of 162 days.
Measure Participants 541 392 399 614 607
Retinopathy Requiring Laser Therapy
1
0.2%
0
0%
0
0%
0
0%
0
NaN
Decline in eGFR >=30%
20
3.7%
8
2%
9
2.3%
18
1.4%
18
NaN
Vitrectomy
0
0%
0
0%
0
0%
0
0%
0
NaN
Renal Replacement Therapy
0
0%
0
0%
0
0%
0
0%
0
NaN
8. Secondary Outcome
Title Number of Participants With Severe Lower Than Normal Blood Glucose Level (Hypoglycemia)
Description Severe hypoglycemia is defined as hypoglycemia requiring assistance from another person with either a documented plasma glucose <=36 mg/deciliter (2.0 millimole per liter [mmol/L]) or prompt recovery after oral carbohydrate, intravenous glucose, or glucagon administration. Hypoglycemia data were obtained from outcomes reported by the site. Data regarding hypoglycemia were adjudicated by the EAC and sent to the IDMC on a regular basis for unblinded review.
Time Frame From Randomization at Visit 3 to Final Visit (up to 162 days)

Outcome Measure Data

Analysis Population Description
ITT Population
Arm/Group Title Placebo Pioglitazone Rosiglitazone VITAMIN D PLACEBO VITAMIN D
Arm/Group Description Matching placebo tablet was administered once a day (OD) for a mean duration of 162 days. PIO tablet was administered in the dose of 30-45 milligrams (mg) OD for a mean duration of 162 days. RSG tablet was administered in the dose of 4-8 mg OD for a mean duration of 162 days. Vitamin D placebo administered for a mean duration of 162 days. 1,000 IU/day administered for a mean duration of 162 days.
Measure Participants 541 392 399 614 607
Number [participants]
0
0%
2
0.5%
1
0.3%
0
0%
3
NaN
9. Secondary Outcome
Title Number of Participants With Clinical Proteinuria
Description Clinical proteinuria is defined as a laboratory detection of urinary protein excretion > 0.5 grams (g) per 24 hours; spot urine analysis for albumin:creatinine ratio >=300 milligrams/g; timed urine collection for albumin excretion >=200 µg/minute or >=300 mg/24 hours. Clinical proteinuria data were obtained from outcomes reported by the site.
Time Frame From Randomization at Visit 3 to Final Visit (up to 162 days)

Outcome Measure Data

Analysis Population Description
ITT Population
Arm/Group Title Placebo Pioglitazone Rosiglitazone VITAMIN D PLACEBO VITAMIN D
Arm/Group Description Matching placebo tablet was administered once a day (OD) for a mean duration of 162 days. PIO tablet was administered in the dose of 30-45 milligrams (mg) OD for a mean duration of 162 days. RSG tablet was administered in the dose of 4-8 mg OD for a mean duration of 162 days. Vitamin D placebo administered for a mean duration of 162 days. 1,000 IU/day administered for a mean duration of 162 days.
Measure Participants 541 392 399 614 607
Number [participants]
1
0.2%
0
0%
0
0%
NA
NaN
NA
NaN
10. Secondary Outcome
Title Number of Participants With a Fracture
Description Fracture is defined as a medical condition in which there is a break in the continuity of the bone. Fractures are defined as those breaks that are self reported plus confirmed by an X-ray. Data regarding all occurrences of any fracture were adjudicated by the EAC and sent to the IDMC on a regular basis for unblinded review.
Time Frame From Randomization at Visit 3 to Final Visit (up to 162 days)

Outcome Measure Data

Analysis Population Description
ITT Population
Arm/Group Title Placebo Pioglitazone Rosiglitazone VITAMIN D PLACEBO VITAMIN D
Arm/Group Description Matching placebo tablet was administered once a day (OD) for a mean duration of 162 days. PIO tablet was administered in the dose of 30-45 milligrams (mg) OD for a mean duration of 162 days. RSG tablet was administered in the dose of 4-8 mg OD for a mean duration of 162 days. Vitamin D placebo administered for a mean duration of 162 days. 1,000 IU/day administered for a mean duration of 162 days.
Measure Participants 541 392 399 614 607
Number [participants]
2
0.4%
2
0.5%
3
0.8%
3
0.2%
3
NaN
11. Secondary Outcome
Title Number of Participants With Hepatic Enzyme Increased or Abnormal Liver Function Tests
Description Liver function tests are groups of clinical biochemistry laboratory blood assays designed to give information about the health of the liver. "Liver function test abnormal" and "hepatic enzyme increased" were obtained from adverse event data as reported by investigators based on the reference range of the reporting local laboratory methodology. The vitamin D arm was not analyzed for this outcome measure.
Time Frame From Randomization at Visit 3 to Final Visit (up to 162 days)

Outcome Measure Data

Analysis Population Description
ITT Population
Arm/Group Title Placebo Pioglitazone Rosiglitazone VITAMIN D PLACEBO VITAMIN D
Arm/Group Description Matching placebo tablet was administered once a day (OD) for a mean duration of 162 days. PIO tablet was administered in the dose of 30-45 milligrams (mg) OD for a mean duration of 162 days. RSG tablet was administered in the dose of 4-8 mg OD for a mean duration of 162 days. Vitamin D placebo administered for a mean duration of 162 days. 1,000 IU/day administered for a mean duration of 162 days.
Measure Participants 541 392 399 614 607
Number [participants]
1
0.2%
0
0%
1
0.3%
NA
NaN
NA
NaN
12. Secondary Outcome
Title Number of Participants With Cognitive (Mental Processes) Decline (CD) From Baseline to the Year 2 Visit and the Final Visit
Description CD is equivalent to a difference of >=1.5 units on the Digit Symbol Substitution Test (DSST) score. The DSST is a neuropsychological test sensitive to brain damage, a serious loss of cognitive ability, age, and depression. It consists of digit-symbol pairs, followed by a list of digits. Under each digit the participant was asked to write the corresponding symbol as quickly as possible. The number of correct symbols within the allowed time (90 or 120 seconds) was measured in units (one correct score equals one unit).
Time Frame From Randomization at Visit 3 to Final Visit (up to 162 days)

Outcome Measure Data

Analysis Population Description
ITT Population. Study participation was placed on full clinical hold before data could be collected for this endpoint.
Arm/Group Title Placebo Pioglitazone Rosiglitazone VITAMIN D PLACEBO VITAMIN D
Arm/Group Description Matching placebo tablet was administered once a day (OD) for a mean duration of 162 days. PIO tablet was administered in the dose of 30-45 milligrams (mg) OD for a mean duration of 162 days. RSG tablet was administered in the dose of 4-8 mg OD for a mean duration of 162 days. Vitamin D placebo administered for a mean duration of 162 days. 1,000 IU/day administered for a mean duration of 162 days.
Measure Participants 0 0 0 0 0
13. Secondary Outcome
Title Number of Participants With Erectile Dysfunction
Description Erectile dysfunction (ED) is sexual dysfunction characterized by the inability to develop or maintain an erection of the penis during sexual performance. ED was assessed by using the International Index of Erectile Dysfunction (IIED) questionnaire. This standardized and validated 15-item self-evaluation scale provides pre- and post-treatment clinic evaluations of erectile and orgasmic function, sexual desire, satisfaction with sexual intercourse, and general satisfaction.
Time Frame From Randomization at Visit 3 to Final Visit (up to 162 days)

Outcome Measure Data

Analysis Population Description
ITT Population. Study participation was placed on full clinical hold before data could be collected for this endpoint.
Arm/Group Title Placebo Pioglitazone Rosiglitazone VITAMIN D PLACEBO VITAMIN D
Arm/Group Description Matching placebo tablet was administered once a day (OD) for a mean duration of 162 days. PIO tablet was administered in the dose of 30-45 milligrams (mg) OD for a mean duration of 162 days. RSG tablet was administered in the dose of 4-8 mg OD for a mean duration of 162 days. Vitamin D placebo administered for a mean duration of 162 days. 1,000 IU/day administered for a mean duration of 162 days.
Measure Participants 0 0 0 0 0
14. Secondary Outcome
Title Mean Score on Euro-QoL (EQ)-5D
Description Quality of life (QoL) was assessed by using the Euro-QoL (EQ)-5D, a short questionnaire used for measuring health-related QoL. The preference weights are elicited by asking participants to place hypothetical health states on a visual analogue scale from "0" to "1", whereby a score of "1" represents the best health state imaginable and "0" represents a health state equivalent to being dead. Negative states are those worse than being dead.
Time Frame From Randomization at Visit 3 to Final Visit (up to 162 days)

Outcome Measure Data

Analysis Population Description
ITT Population. Study participation was placed on full clinical hold before data could be collected for this endpoint.
Arm/Group Title Placebo Pioglitazone Rosiglitazone VITAMIN D PLACEBO VITAMIN D
Arm/Group Description Matching placebo tablet was administered once a day (OD) for a mean duration of 162 days. PIO tablet was administered in the dose of 30-45 milligrams (mg) OD for a mean duration of 162 days. RSG tablet was administered in the dose of 4-8 mg OD for a mean duration of 162 days. Vitamin D placebo administered for a mean duration of 162 days. 1,000 IU/day administered for a mean duration of 162 days.
Measure Participants 0 0 0 0 0
15. Secondary Outcome
Title Mean Score on Montreal Cognitive Assessment (MoCA) Test, as an Assessment of Cognitive Function (CF)
Description CF was assessed with the 30-point (pt) MoCA test, involving a short-term memory recall task (T) (5 pts), a clock-drawing T (3 pts), a 3-dimensional cube copy (1 pt), a trail-making B T (1 pt), a phonemic fluency T (1 pt), a 2-item verbal abstraction T (2 pts), an attention T (1 pt), a serial subtraction T (3 pts), digits forward/ backward (1 pt each), a 3-item confrontation naming T (3 pts), repetition of 2 syntactically complex sentences (2 pts), and orientation to time/ place (6 pts). A score of 26 or above is normal.
Time Frame From Randomization at Visit 3 to Final Visit (up to 162 days)

Outcome Measure Data

Analysis Population Description
ITT Population. Study participation was placed on full clinical hold before data could be collected for this endpoint.
Arm/Group Title Placebo Pioglitazone Rosiglitazone VITAMIN D PLACEBO VITAMIN D
Arm/Group Description Matching placebo tablet was administered once a day (OD) for a mean duration of 162 days. PIO tablet was administered in the dose of 30-45 milligrams (mg) OD for a mean duration of 162 days. RSG tablet was administered in the dose of 4-8 mg OD for a mean duration of 162 days. Vitamin D placebo administered for a mean duration of 162 days. 1,000 IU/day administered for a mean duration of 162 days.
Measure Participants 0 0 0 0 0

Adverse Events

Time Frame 162 days for the TZD arm; 130 days for the vitamin D arm
Adverse Event Reporting Description Non-serious AE's were not analyzed including the Vitamin D Placebo and Vitamin D arms. As a result, data is presented as "0" participants at risk for both the Vitamin D Placebo and Vitamin D arms.
Arm/Group Title Placebo Pioglitazone Rosiglitazone Vitamin D Placebo Vitamin D
Arm/Group Description Matching placebo tablet was administered once a day (OD) for a mean duration of 162 days. PIO tablet was administered in the dose of 30-45 milligrams (mg) OD for a mean duration of 162 days. RSG tablet was administered in the dose of 4-8 mg OD for a mean duration of 162 days. Vitamin D placebo administered for a mean duration of 162 days 1,000 IU/day administered for a mean duration of 162 days.
All Cause Mortality
Placebo Pioglitazone Rosiglitazone Vitamin D Placebo Vitamin D
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total / (NaN) / (NaN) / (NaN) / (NaN) / (NaN)
Serious Adverse Events
Placebo Pioglitazone Rosiglitazone Vitamin D Placebo Vitamin D
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 7/541 (1.3%) 5/392 (1.3%) 2/399 (0.5%) 2/614 (0.3%) 9/607 (1.5%)
Gastrointestinal disorders
Intestinal prolapse 1/541 (0.2%) 0/392 (0%) 0/399 (0%) 0/614 (0%) 1/607 (0.2%)
General disorders
Multi-organ failure 1/541 (0.2%) 0/392 (0%) 0/399 (0%) 0/614 (0%) 0/607 (0%)
Hepatobiliary disorders
Cholecystitis acute 0/541 (0%) 0/392 (0%) 1/399 (0.3%) 0/614 (0%) 0/607 (0%)
Infections and infestations
Chronic sinusitis 1/541 (0.2%) 0/392 (0%) 0/399 (0%) 0/614 (0%) 1/607 (0.2%)
Metabolism and nutrition disorders
Hypoglycemia 0/541 (0%) 1/392 (0.3%) 1/399 (0.3%) 0/614 (0%) 2/607 (0.3%)
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Renal cancer 0/541 (0%) 1/392 (0.3%) 0/399 (0%) 0/614 (0%) 0/607 (0%)
Renal and urinary disorders
Hydronephrosis 1/541 (0.2%) 0/392 (0%) 0/399 (0%) 0/614 (0%) 1/607 (0.2%)
Reproductive system and breast disorders
Benign prostatic hyperplasia 0/541 (0%) 1/392 (0.3%) 0/399 (0%) 0/614 (0%) 1/607 (0.2%)
Respiratory, thoracic and mediastinal disorders
Bronchial disorder 0/541 (0%) 1/392 (0.3%) 0/399 (0%) 1/614 (0.2%) 0/607 (0%)
Chronic obstructive pulmonary disease 0/541 (0%) 1/392 (0.3%) 0/399 (0%) 0/614 (0%) 1/607 (0.2%)
Skin and subcutaneous tissue disorders
Pruritis allergic 1/541 (0.2%) 0/392 (0%) 0/399 (0%) 0/614 (0%) 1/607 (0.2%)
Surgical and medical procedures
Angioplasty 1/541 (0.2%) 0/392 (0%) 0/399 (0%) 0/614 (0%) 1/607 (0.2%)
Aortic aneurysm repair 1/541 (0.2%) 0/392 (0%) 0/399 (0%) 1/614 (0.2%) 0/607 (0%)
Vascular disorders
Aortic aneurysm 1/541 (0.2%) 0/392 (0%) 0/399 (0%) 0/614 (0%) 0/607 (0%)
Other (Not Including Serious) Adverse Events
Placebo Pioglitazone Rosiglitazone Vitamin D Placebo Vitamin D
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 36/541 (6.7%) 35/392 (8.9%) 21/399 (5.3%) 0/0 (NaN) 0/0 (NaN)
Cardiac disorders
Angina pectoris 0/541 (0%) 1/392 (0.3%) 0/399 (0%) 0/0 (NaN) 0/0 (NaN)
Cardiac failure 3/541 (0.6%) 2/392 (0.5%) 0/399 (0%) 0/0 (NaN) 0/0 (NaN)
Myocardial infarction 1/541 (0.2%) 0/392 (0%) 1/399 (0.3%) 0/0 (NaN) 0/0 (NaN)
Palpitations 0/541 (0%) 0/392 (0%) 1/399 (0.3%) 0/0 (NaN) 0/0 (NaN)
Right ventricular failure 1/541 (0.2%) 0/392 (0%) 0/399 (0%) 0/0 (NaN) 0/0 (NaN)
Tachycardia 0/541 (0%) 0/392 (0%) 1/399 (0.3%) 0/0 (NaN) 0/0 (NaN)
Ventricular tachycardia 0/541 (0%) 0/392 (0%) 1/399 (0.3%) 0/0 (NaN) 0/0 (NaN)
Ear and labyrinth disorders
Vertigo 1/541 (0.2%) 0/392 (0%) 0/399 (0%) 0/0 (NaN) 0/0 (NaN)
Eye disorders
Vision blurred 0/541 (0%) 0/392 (0%) 1/399 (0.3%) 0/0 (NaN) 0/0 (NaN)
Gastrointestinal disorders
Abdominal discomfort 1/541 (0.2%) 0/392 (0%) 1/399 (0.3%) 0/0 (NaN) 0/0 (NaN)
Abdominal distension 0/541 (0%) 0/392 (0%) 2/399 (0.5%) 0/0 (NaN) 0/0 (NaN)
Abdominal pain 1/541 (0.2%) 1/392 (0.3%) 0/399 (0%) 0/0 (NaN) 0/0 (NaN)
Abdominal pain upper 0/541 (0%) 2/392 (0.5%) 0/399 (0%) 0/0 (NaN) 0/0 (NaN)
Constipation 0/541 (0%) 3/392 (0.8%) 1/399 (0.3%) 0/0 (NaN) 0/0 (NaN)
Crohn's disease 1/541 (0.2%) 1/392 (0.3%) 0/399 (0%) 0/0 (NaN) 0/0 (NaN)
Diarrhea 2/541 (0.4%) 3/392 (0.8%) 1/399 (0.3%) 0/0 (NaN) 0/0 (NaN)
Dry mouth 0/541 (0%) 1/392 (0.3%) 0/399 (0%) 0/0 (NaN) 0/0 (NaN)
Dyspepsia 1/541 (0.2%) 2/392 (0.5%) 0/399 (0%) 0/0 (NaN) 0/0 (NaN)
Dysphagia 0/541 (0%) 1/392 (0.3%) 0/399 (0%) 0/0 (NaN) 0/0 (NaN)
Flatulence 0/541 (0%) 0/392 (0%) 1/399 (0.3%) 0/0 (NaN) 0/0 (NaN)
Nausea 2/541 (0.4%) 2/392 (0.5%) 0/399 (0%) 0/0 (NaN) 0/0 (NaN)
Peptic ulcer 0/541 (0%) 1/392 (0.3%) 0/399 (0%) 0/0 (NaN) 0/0 (NaN)
Vomiting 0/541 (0%) 0/392 (0%) 1/399 (0.3%) 0/0 (NaN) 0/0 (NaN)
General disorders
Asthenia 1/541 (0.2%) 0/392 (0%) 0/399 (0%) 0/0 (NaN) 0/0 (NaN)
Chest pain 1/541 (0.2%) 0/392 (0%) 2/399 (0.5%) 0/0 (NaN) 0/0 (NaN)
Drug intolerance 0/541 (0%) 1/392 (0.3%) 0/399 (0%) 0/0 (NaN) 0/0 (NaN)
Fatigue 0/541 (0%) 2/392 (0.5%) 0/399 (0%) 0/0 (NaN) 0/0 (NaN)
Malaise 1/541 (0.2%) 3/392 (0.8%) 0/399 (0%) 0/0 (NaN) 0/0 (NaN)
Edema 2/541 (0.4%) 5/392 (1.3%) 1/399 (0.3%) 0/0 (NaN) 0/0 (NaN)
Edema peripheral 4/541 (0.7%) 8/392 (2%) 1/399 (0.3%) 0/0 (NaN) 0/0 (NaN)
Swelling 1/541 (0.2%) 0/392 (0%) 0/399 (0%) 0/0 (NaN) 0/0 (NaN)
Temperature intolerance 0/541 (0%) 1/392 (0.3%) 0/399 (0%) 0/0 (NaN) 0/0 (NaN)
Infections and infestations
Urinary tract infection 0/541 (0%) 0/392 (0%) 1/399 (0.3%) 0/0 (NaN) 0/0 (NaN)
Investigations
Cardiac stress test abnormal 1/541 (0.2%) 0/392 (0%) 0/399 (0%) 0/0 (NaN) 0/0 (NaN)
Catheterisation cardiac 0/541 (0%) 0/392 (0%) 1/399 (0.3%) 0/0 (NaN) 0/0 (NaN)
Echocardiogram abnormal 1/541 (0.2%) 0/392 (0%) 0/399 (0%) 0/0 (NaN) 0/0 (NaN)
Ejection fraction abnormal 1/541 (0.2%) 0/392 (0%) 0/399 (0%) 0/0 (NaN) 0/0 (NaN)
Ejection fraction decreased 1/541 (0.2%) 0/392 (0%) 0/399 (0%) 0/0 (NaN) 0/0 (NaN)
Electrocardiogram abnormal 1/541 (0.2%) 0/392 (0%) 0/399 (0%) 0/0 (NaN) 0/0 (NaN)
Electrocardiogram change 1/541 (0.2%) 0/392 (0%) 0/399 (0%) 0/0 (NaN) 0/0 (NaN)
Glycosylated hemoglobin increased 0/541 (0%) 0/392 (0%) 1/399 (0.3%) 0/0 (NaN) 0/0 (NaN)
Hepatic enzyme increased 0/541 (0%) 0/392 (0%) 1/399 (0.3%) 0/0 (NaN) 0/0 (NaN)
Liver function test abnormal 1/541 (0.2%) 0/392 (0%) 0/399 (0%) 0/0 (NaN) 0/0 (NaN)
Weight increased 0/541 (0%) 2/392 (0.5%) 2/399 (0.5%) 0/0 (NaN) 0/0 (NaN)
Metabolism and nutrition disorders
Decreased appetite 1/541 (0.2%) 0/392 (0%) 0/399 (0%) 0/0 (NaN) 0/0 (NaN)
Diabetes mellitus inadequate control 1/541 (0.2%) 0/392 (0%) 0/399 (0%) 0/0 (NaN) 0/0 (NaN)
Fluid overload 0/541 (0%) 0/392 (0%) 1/399 (0.3%) 0/0 (NaN) 0/0 (NaN)
Fluid retention 0/541 (0%) 0/392 (0%) 1/399 (0.3%) 0/0 (NaN) 0/0 (NaN)
Hypoglycemia 1/541 (0.2%) 2/392 (0.5%) 0/399 (0%) 0/0 (NaN) 0/0 (NaN)
Musculoskeletal and connective tissue disorders
Joint swelling 0/541 (0%) 0/392 (0%) 1/399 (0.3%) 0/0 (NaN) 0/0 (NaN)
Muscle spasms 0/541 (0%) 1/392 (0.3%) 0/399 (0%) 0/0 (NaN) 0/0 (NaN)
Musculoskeletal pain 1/541 (0.2%) 0/392 (0%) 0/399 (0%) 0/0 (NaN) 0/0 (NaN)
Myalgia 0/541 (0%) 2/392 (0.5%) 0/399 (0%) 0/0 (NaN) 0/0 (NaN)
Osteoarthritis 0/541 (0%) 0/392 (0%) 1/399 (0.3%) 0/0 (NaN) 0/0 (NaN)
Osteoporosis 0/541 (0%) 1/392 (0.3%) 0/399 (0%) 0/0 (NaN) 0/0 (NaN)
Pain in extremity 0/541 (0%) 0/392 (0%) 1/399 (0.3%) 0/0 (NaN) 0/0 (NaN)
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Meningioma 1/541 (0.2%) 0/392 (0%) 0/399 (0%) 0/0 (NaN) 0/0 (NaN)
Neoplasm malignant 1/541 (0.2%) 0/392 (0%) 0/399 (0%) 0/0 (NaN) 0/0 (NaN)
Nervous system disorders
Renal cancer 0/541 (0%) 1/392 (0.3%) 0/399 (0%) 0/0 (NaN) 0/0 (NaN)
Cerebrovascular accident 1/541 (0.2%) 1/392 (0.3%) 0/399 (0%) 0/0 (NaN) 0/0 (NaN)
Dizziness 0/541 (0%) 2/392 (0.5%) 0/399 (0%) 0/0 (NaN) 0/0 (NaN)
Syncope 1/541 (0.2%) 0/392 (0%) 0/399 (0%) 0/0 (NaN) 0/0 (NaN)
Renal and urinary disorders
Bladder obstruction 1/541 (0.2%) 0/392 (0%) 0/399 (0%) 0/0 (NaN) 0/0 (NaN)
Chromaturia 0/541 (0%) 1/392 (0.3%) 0/399 (0%) 0/0 (NaN) 0/0 (NaN)
Hydronephrosis 1/541 (0.2%) 0/392 (0%) 0/399 (0%) 0/0 (NaN) 0/0 (NaN)
Respiratory, thoracic and mediastinal disorders
Dyspnea 1/541 (0.2%) 3/392 (0.8%) 4/399 (1%) 0/0 (NaN) 0/0 (NaN)
Sinus disorder 0/541 (0%) 1/392 (0.3%) 0/399 (0%) 0/0 (NaN) 0/0 (NaN)
Skin and subcutaneous tissue disorders
Erythema 1/541 (0.2%) 0/392 (0%) 0/399 (0%) 0/0 (NaN) 0/0 (NaN)
Hyperhidrosis 1/541 (0.2%) 0/392 (0%) 0/399 (0%) 0/0 (NaN) 0/0 (NaN)
Rash pruritic 0/541 (0%) 1/392 (0.3%) 0/399 (0%) 0/0 (NaN) 0/0 (NaN)
Skin discoloration 0/541 (0%) 0/392 (0%) 1/399 (0.3%) 0/0 (NaN) 0/0 (NaN)
Surgical and medical procedures
Cardiac pacemaker insertion 0/541 (0%) 0/392 (0%) 1/399 (0.3%) 0/0 (NaN) 0/0 (NaN)
Hospitalization 1/541 (0.2%) 0/392 (0%) 0/399 (0%) 0/0 (NaN) 0/0 (NaN)
Surgery 1/541 (0.2%) 0/392 (0%) 0/399 (0%) 0/0 (NaN) 0/0 (NaN)

Limitations/Caveats

The intended duration of this study was approximately 5.5 years. However, the trial was stopped prematurely because of regulatory concerns after a mean of 162 days without consideration of the accrued data.

More Information

Certain Agreements

Principal Investigators are NOT employed by the organization sponsoring the study.

GSK agreements may vary with individual investigators, but will not prohibit any investigator from publishing. GSK supports the publication of results from all centers of a multi-center trial but requests that reports based on single-site data not precede the primary publication of the entire clinical trial.

Results Point of Contact

Name/Title GSK Response Center
Organization GlaxoSmithKline
Phone 866-435-7343
Email
Responsible Party:
GlaxoSmithKline
ClinicalTrials.gov Identifier:
NCT00879970
Other Study ID Numbers:
  • 111960
First Posted:
Apr 13, 2009
Last Update Posted:
Apr 18, 2017
Last Verified:
Mar 1, 2017