Page last updated: 2024-10-30

metformin and Angina, Unstable

metformin has been researched along with Angina, Unstable in 4 studies

Metformin: A biguanide hypoglycemic agent used in the treatment of non-insulin-dependent diabetes mellitus not responding to dietary modification. Metformin improves glycemic control by improving insulin sensitivity and decreasing intestinal absorption of glucose. (From Martindale, The Extra Pharmacopoeia, 30th ed, p289)
metformin : A member of the class of guanidines that is biguanide the carrying two methyl substituents at position 1.

Angina, Unstable: Precordial pain at rest, which may precede a MYOCARDIAL INFARCTION.

Research Excerpts

ExcerptRelevanceReference
"Addition of rosiglitazone to glucose-lowering therapy in people with type 2 diabetes is confirmed to increase the risk of heart failure and of some fractures, mainly in women."5.14Rosiglitazone evaluated for cardiovascular outcomes in oral agent combination therapy for type 2 diabetes (RECORD): a multicentre, randomised, open-label trial. ( Beck-Nielsen, H; Curtis, PS; Gomis, R; Hanefeld, M; Home, PD; Jones, NP; Komajda, M; McMurray, JJ; Pocock, SJ, 2009)

Research

Studies (4)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's1 (25.00)29.6817
2010's3 (75.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Green, JB1
Bethel, MA1
Paul, SK1
Ring, A1
Kaufman, KD1
Shapiro, DR1
Califf, RM1
Holman, RR1
Patorno, E1
Everett, BM1
Goldfine, AB1
Glynn, RJ1
Liu, J1
Gopalakrishnan, C1
Kim, SC1
Zghebi, SS1
Steinke, DT1
Rutter, MK1
Emsley, RA1
Ashcroft, DM1
Home, PD1
Pocock, SJ1
Beck-Nielsen, H1
Curtis, PS1
Gomis, R1
Hanefeld, M1
Jones, NP1
Komajda, M1
McMurray, JJ1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
TECOS: A Randomized, Placebo Controlled Clinical Trial to Evaluate Cardiovascular Outcomes After Treatment With Sitagliptin in Patients With Type 2 Diabetes Mellitus and Inadequate Glycemic Control[NCT00790205]Phase 314,671 participants (Actual)Interventional2008-12-10Completed
A Long Term, Open Label, Randomised Study in Patients With Type 2 Diabetes, Comparing the Combination of Rosiglitazone and Either Metformin or Sulfonylurea With Metformin Plus Sulfonylurea on Cardiovascular Endpoints and Glycaemia[NCT00379769]Phase 34,447 participants (Actual)Interventional2001-04-30Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Percent Incidence of All-cause Mortality (Intent to Treat Population)

Percent incidence of all-cause mortality is reported as the percentage of participants who died due to any cause. (NCT00790205)
Timeframe: Up to 5 years

InterventionPercentage of participants (Number)
Sitagliptin7.5
Placebo7.3

Percent Incidence of All-cause Mortality (Per Protocol Population)

Percent incidence of all-cause mortality is reported as the percentage of participants who died due to any cause. (NCT00790205)
Timeframe: Up to 5 years

InterventionPercentage of participants (Number)
Sitagliptin4.7
Placebo4.3

Percent Incidence of CHF Requiring Hospitalization (Intent to Treat Population)

Percent incidence of CHF requiring hospitalization was reported as the percentage of participants who were admitted to the hospital for CHF. (NCT00790205)
Timeframe: Up to 5 years

InterventionPercentage of participants (Number)
Sitagliptin3.1
Placebo3.1

Percent Incidence of Congestive Heart Failure (CHF) Requiring Hospitalization (Per Protocol Population)

Percent incidence of CHF requiring hospitalization was reported as the percentage of participants who were admitted to the hospital for CHF. (NCT00790205)
Timeframe: Up to 5 years

InterventionPercentage of participants (Number)
Sitagliptin2.8
Placebo2.8

Percentage of Participants Who Initiated Chronic Insulin Therapy (Intent to Treat Population)

Chronic insulin therapy is defined as a continuous period of insulin use of more than 3 months. (NCT00790205)
Timeframe: Up to 5 years

InterventionPercentage of participants (Number)
Sitagliptin9.7
Placebo13.2

Percentage of Participants Who Initiated Chronic Insulin Therapy (Per Protocol Population)

Chronic insulin therapy is defined as a continuous period of insulin use of more than 3 months. (NCT00790205)
Timeframe: Up to 5 years

InterventionPercentage of participants (Number)
Sitagliptin8.6
Placebo11.9

Percentage of Participants With First Confirmed Cardiovascular (CV) Event of Major Adverse Cardiovascular Event (MACE) Plus (Per Protocol Population)

Primary composite CV endpoint of MACE plus which includes CV-related death, nonfatal MI, nonfatal stroke, or unstable angina requiring hospitalization. (NCT00790205)
Timeframe: Up to 5 years

InterventionPercentage of participants (Number)
Sitagliptin9.6
Placebo9.6

Percentage of Participants With First Confirmed CV Event of MACE (Intent to Treat Population)

CV composite endpoint of MACE which includes CV-related death, nonfatal MI, or nonfatal stroke. (NCT00790205)
Timeframe: Up to 5 years

InterventionPercentage of participants (Number)
Sitagliptin10.2
Placebo10.2

Percentage of Participants With First Confirmed CV Event of MACE (Per Protocol Population)

CV composite endpoint of MACE which includes CV-related death, nonfatal MI, or nonfatal stroke. (NCT00790205)
Timeframe: Up to 5 years

InterventionPercentage of participants (Number)
Sitagliptin8.4
Placebo8.3

Percentage of Participants With First Confirmed CV Event of Major Adverse Cardiovascular Event (MACE) Plus (Intent to Treat Population)

Primary composite CV endpoint of MACE plus which includes CV-related death, nonfatal MI, nonfatal stroke, or unstable angina requiring hospitalization. (NCT00790205)
Timeframe: Up to 5 years

InterventionPercentage of participants (Number)
Sitagliptin11.4
Placebo11.6

Percentage of Participants With Initiation of Co-interventional Agent (Intent to Treat Population)

In participants not receiving insulin at baseline, time to addition of first co-interventional agent (i.e., next oral AHA or chronic insulin, where chronic insulin therapy is defined as a continuous period of insulin use of more than 3 months.) (NCT00790205)
Timeframe: Up to 5 years

InterventionPercentage of participants (Number)
Sitagliptin21.7
Placebo27.9

Percentage of Participants With Initiation of Co-interventional Agent (Per Protocol Population)

In participants not receiving insulin at baseline, time to addition of first co-interventional agent (i.e., next oral antihyperglycemic agent [AHA] or chronic insulin, where chronic insulin therapy is defined as a continuous period of insulin use of more than 3 months.) (NCT00790205)
Timeframe: Up to 5 years

InterventionPercentage of participants (Number)
Sitagliptin18.9
Placebo24.5

Change From Baseline in HbA1c Over Time (Intent to Treat Population)

HbA1c is a measure of the percentage of glycated hemoglobin in the blood. Estimated mean difference between sitagliptin and placebo controlling for baseline HbA1c and region. (NCT00790205)
Timeframe: Baseline and up to 4 years

,
InterventionPercentage of HbA1c (Mean)
Month 4: Sitagliptin, n= 6772; Placebo, n= 6738Month 8: Sitagliptin, n= 6478; Placebo, n= 6414Month 12: Sitagliptin, n= 6448; Placebo, n= 6384Month 24: Sitagliptin, n= 6105; Placebo, n= 5975Month 36: Sitagliptin, n= 3521; Placebo, n= 3439Month 48: Sitagliptin, n= 1432; Placebo, n= 1383Month 60: Sitagliptin, n= 123; Placebo, n= 128
Placebo0.10.10.10.10.10.10.0
Sitagliptin-0.3-0.2-0.2-0.1-0.10.00.0

Change From Baseline in HbA1c Over Time (Per Protocol Population)

HbA1c is a measure of the percentage of glycated hemoglobin in the blood. Estimated mean difference between sitagliptin and placebo controlling for baseline HbA1c and region. (NCT00790205)
Timeframe: Baseline and up to 4 years

,
InterventionPercentage of HbA1c (Mean)
Month 4; Sitagliptin, n=6632, Placebo, n=6588Month 8; Sitagliptin, n=6294, Placebo, n=6197Month 12; Sitagliptin, n=6217, Placebo, n=6092Month 24; Sitagliptin, n=5668, Placebo, n=5475Month 36; Sitagliptin, n=3227, Placebo, n=3083Month 48; Sitagliptin, n=1271, Placebo, n=1224Month 60; Sitagliptin, n=106, Placebo, n=108
Placebo0.10.10.10.20.10.10.0
Sitagliptin-0.3-0.3-0.2-0.1-0.10.0-0.1

Change From Baseline in Renal Function Over Time (Intent to Treat Population)

Change in renal function based on eGFR using the MDRD method. (NCT00790205)
Timeframe: Baseline and up to 5 years

,
InterventionmL/min/1.73 m^2 (Mean)
Month 4; Sitagliptin, n=3949; Placebo, n=3977Month 8; Sitagliptin, n=3687; Placebo, n=3648Month 12; Sitagliptin, n=5082; Placebo, n=5015Month 24; Sitagliptin, n=5157; Placebo, n=5071Month 36; Sitagliptin, n=3037; Placebo, n=2942Month 48; Sitagliptin, n=1237; Placebo, n=1210Month 60; Sitagliptin, n=93; Placebo, n=106
Placebo-0.8-0.9-0.5-1.7-1.6-2.8-5.7
Sitagliptin-1.8-2.4-1.8-3.2-3.8-4.0-4.2

Change From Baseline in Renal Function Over Time (Per Protocol Population)

Change in renal function based on estimated glomerular filtration rate [eGFR] using the Modification of Diet in Renal Disease [MDRD] method. (NCT00790205)
Timeframe: Baseline and up to 5 years

,
InterventionmL/min/1.73 m^2 (Mean)
Month 4; Sitagliptin, n= 3859; Placebo, n= 3864Month 8; Sitagliptin, n= 3562; Placebo, n= 3501Month 12; Sitagliptin, n=4912, Placebo, n=4778Month 24; Sitagliptin, n=4782, Placebo, n=4637Month 36; Sitagliptin, n=2776, Placebo, n=2614Month 48; Sitagliptin, n=1096, Placebo, n=1056Month 60; Sitagliptin, n=79, Placebo, n=88
Placebo-0.8-0.9-0.5-1.7-1.6-2.8-6.4
Sitagliptin-1.9-2.5-1.8-3.1-3.7-3.7-3.5

Change From Baseline in Urine Albumin:Creatinine Ratio Over Time (Intent to Treat Population)

Change from baseline reflects the difference between the urine albumin:creatinine ratio reported time point and baseline value. (NCT00790205)
Timeframe: Baseline and up to 5 years

,
Interventiong/mol Creatinine (Mean)
Month 4; n=677, n=713Month 8; n=658, n=624Month 12; n=1167, n=1115Month 24; n=1011, n=964Month 36; n=537, n=553Month 48; n=265, n=256Month 60; n=14, n=18
Placebo-1.40.51.23.13.91.66.4
Sitagliptin-2.12.11.30.52.61.9-2.5

Change From Baseline in Urine Albumin:Creatinine Ratio Over Time (Per Protocol Population)

Change from baseline reflects the difference between the urine albumin:creatinine ratio reported time point and baseline value. (NCT00790205)
Timeframe: Baseline and up to 5 years

,
Interventiong/mol Creatinine (Mean)
Month 4; Sitagliptin, n=664; Placebo, n=688Month 8; Sitagliptin, n=635; Placebo, n=597Month 12; Sitagliptin, n=1126; Placebo, n=1059Month 24; Sitagliptin, n=930; Placebo, n=892Month 36; Sitagliptin, n=488; Placebo, n=513Month 48; Sitagliptin, n=238; Placebo, n=233Month 60; Sitagliptin, n=13; Placebo, n=17
Placebo-1.40.21.23.24.01.54.8
Sitagliptin-2.21.70.80.72.51.3-2.7

Independent Re-adjudication (IR) Outcome: Number of Participants With a First Occurrence of a Major Adverse Cardiovascular Event (MACE) Defined as CV (or Unknown) Death, Non-fatal MI, and Non-fatal Stroke Based on Original RECORD Endpoint Definitions

IR was based on original RECORD endpoint definitions. CV death= no unequivocal non-CV cause (sudden death, death from acute vascular events, heart failure, acute MI, other CV causes, and deaths adjudicated as unknown cause). MI event=hospitalization + elevation of specific cardiac biomarkers above the upper limit of normal + cardiac ischemia symptoms/new pathological electrocardiogram findings. Stroke event=hospitalization + rapidly developed clinical signs of focal/global disturbance of cerebral function for more than 24 hours, with no apparent cause other than a vascular origin. (NCT00379769)
Timeframe: Baseline through End of Study (up to 7.5 years)

Interventionparticipants (Number)
Combined RSG181
Combined MET/SU188

Independent Re-adjudication Outcome: Number of Participants (Par.) With an Event of Stroke (Fatal and Non-fatal), Based on Original RECORD Endpoint Definitions

Par. with a stroke (fatal or non-fatal) event as determined by independent re-adjudication using the original RECORD endpoint definitions was recorded. A stroke event=hospitalization plus rapidly developed clinical signs of focal (or global) disturbance of cerebral function lasting more than 24 hours (unless interrupted by thrombolysis, surgery, or death), with no apparent cause other than a vascular origin, including par. presenting clinical signs/symptoms suggestive of subarachnoid haemorrhage/intracerebral haemorrhage/cerebral ischemic necrosis or cause of death adjudicated as stroke. (NCT00379769)
Timeframe: Baseline through End of Study (up to 7.5 years)

Interventionparticipants (Number)
Combined RSG50
Combined MET/SU63

Independent Re-adjudication Outcome: Number of Participants Who Died Due to Any Cause

All deaths identified during the original record study and discovered after the re-adjudication efforts began were included. (NCT00379769)
Timeframe: Baseline through End of Study (up to 7.5 years)

Interventionparticipants (Number)
Combined RSG139
Combined MET/SU160

Independent Re-adjudication Outcome: Number of Participants With a CV (or Unknown) Death, Based on Contemporary Endpoint Definitions

The number of participants with a CV (or unknown) death as determined by independent re-adjudication using the Standard Data Collection for Cardiovascular Trials Initiative (draft October 2011) endpoint definitions was recorded. CV death included death resulting from an acute myocardial infarction (MI), sudden cardiac death, death due to heart failure, death due to stroke, and death due to other CV causes. Deaths of unknown cause were counted as CV deaths. (NCT00379769)
Timeframe: Baseline through End of Study (up to 7.5 years)

Interventionparticipants (Number)
Combined RSG88
Combined MET/SU96

Independent Re-adjudication Outcome: Number of Participants With a CV (or Unknown) Death, Based on Original RECORD Endpoint Definitions

"The number of participants with a CV death (or unknown) as determined by independent re-adjudication using the original RECORD endpoint definitions was recorded. CV death was defined as any death for which an unequivocal non-CV cause could not be established. CV death included death following heart failure, death following acute myocardial infarction (MI), sudden death, death due to acute vascular events, and other CV causes. Deaths due to unknown causes were classified as unknown deaths, but were counted as CV deaths for the analysis of this endpoint." (NCT00379769)
Timeframe: Baseline through End of Study (up to 7.5 years)

Interventionparticipants (Number)
Combined RSG88
Combined MET/SU96

Independent Re-adjudication Outcome: Number of Participants With a First Occurrence of a Major Adverse Cardiovascular Event (MACE) Defined as CV (or Unknown) Death, Non-fatal MI, and Non-fatal Stroke Based on Contemporary Endpoint Definitions

Independent re-adjudication was based on the Standard Data Collection for Cardiovascular Trials Initiative (draft October 2011) endpoint definitions. CV death included death resulting from an acute MI; sudden cardiac death and death due to heart failure, stroke, and to other CV causes. Deaths of unknown cause were counted as CV deaths. MI was defined as evidence of myocardial necrosis in a clinical setting consistent with myocardial ischemia. Stroke was defined as an acute episode of neurological dysfunction caused by focal or global brain, spinal cord, or retinal vascular injury. (NCT00379769)
Timeframe: Baseline through End of Study (up to 7.5 years)

Interventionparticipants (Number)
Combined RSG186
Combined MET/SU191

Independent Re-adjudication Outcome: Number of Participants With an Event of Myocardial Infarction (Fatal and Non-fatal), Based on Contemporary Endpoint Definitions

The number of participants with an MI (fatal or non-fatal) event as determined by independent re-adjudication using the Standard Data Collection for Cardiovascular Trials Initiative (draft October 2011) endpoint definitions was recorded. An event of MI was defined as evidence of myocardial necrosis in a clinical setting consistent with myocardial ischemia. (NCT00379769)
Timeframe: Baseline through End of Study (up to 7.5 years)

Interventionparticipants (Number)
Combined RSG72
Combined MET/SU62

Independent Re-adjudication Outcome: Number of Participants With an Event of Myocardial Infarction (Fatal and Non-fatal), Based on Original RECORD Endpoint Definitions

The number of participants with an MI (fatal or non-fatal) event as determined by independent re-adjudication using the original RECORD endpoint definitions was recorded. An event of MI was defined as hospitalization plus elevation of cardiac biomarkers troponin (TN) I and/or TNT above the upper limit of normal (ULN) or creatinine kinase (CK) MB (M=muscle type; B=brain type) isoenzyme >= 2x the ULN or CK > 2x the ULN plus typical symptoms of cardiac ischemia or new pathological electrocardiogram findings, or cause of death adjudicated as MI. (NCT00379769)
Timeframe: Baseline through End of Study (up to 7.5 years)

Interventionparticipants (Number)
Combined RSG68
Combined MET/SU60

Independent Re-adjudication Outcome: Number of Participants With an Event of Stroke (Fatal and Non-fatal), Based on Contemporary Endpoint Definitions

The number of participants with a stroke (fatal or non-fatal) event as determined by independent re-adjudication using the Standard Data Collection for Cardiovascular Trials Initiative (draft October 2011) endpoint definitions was recorded. An event of stroke was defined as an acute episode of neurological dysfunction caused by focal or global brain, spinal cord, or retinal vascular injury. (NCT00379769)
Timeframe: Baseline through End of Study (up to 7.5 years)

Interventionparticipants (Number)
Combined RSG53
Combined MET/SU64

Model Adjusted Change From Baseline in Alanine Aminotransferase at Month 60

Model adjusted (adjusted for any imbalances in the baseline values between within stratum treatment groups) change from baseline in alanine aminotransferase was calculated as the value at Month 60 minus the Baseline value. (NCT00379769)
Timeframe: Baseline to Month 60 of the randomised dual therapy treatment phase

InterventionU/L (Units/Liter) (Mean)
RSG in Addition to Background MET-37.43
SU in Addition to Background MET-21.73
RSG in Addition to Background SU-30.17
MET in Addition to Background SU-24.00

Model Adjusted Change From Baseline in Body Weight at Month 60

Model adjusted (adjusted for any imbalances in the baseline values between within stratum treatment groups) change from baseline in body weight was calculated as the value at Month 60 minus the Baseline value. (NCT00379769)
Timeframe: Baseline to Month 60 of the randomised dual therapy treatment phase

Interventionkilograms (Mean)
RSG in Addition to Background MET3.93
SU in Addition to Background MET-0.54
RSG in Addition to Background SU4.72
MET in Addition to Background SU-2.16

Model Adjusted Change From Baseline in Fasting Plasma Glucose at Month 60

Model adjusted (adjusted for any imbalances in the baseline values between within stratum treatment groups) change from baseline in fasting plasma glucose was calculated as the value at Month 60 minus the Baseline value. (NCT00379769)
Timeframe: Baseline to Month 60 of the randomised dual therapy treatment period

Interventionmmol/L (millimoles/Liter) (Mean)
RSG in Addition to Background MET-1.38
SU in Addition to Background MET-0.29
RSG in Addition to Background SU-2.00
MET in Addition to Background SU-0.94

Model Adjusted Change From Baseline in HbA1c at Month 60

Model adjusted (adjusted for any imbalances in the baseline values between within stratum treatment groups) change from baseline in HbA1c was calculated as the value at Month 60 minus the Baseline value. (NCT00379769)
Timeframe: Baseline and Month 60 of randomised dual therapy treatment period

InterventionPercent (Mean)
RSG in Addition to Background MET-0.14
SU in Addition to Background MET0.17
RSG in Addition to Background SU-0.24
MET in Addition to Background SU-0.10

Model Adjusted Change From Baseline in Waist Circumference at Month 60

Model adjusted (adjusted for any imbalances in the baseline values between within stratum treatment groups) change from baseline in waist circumference was calculated as the value at Month 60 minus the Baseline value. (NCT00379769)
Timeframe: Baseline to Month 60 of the randomised dual therapy treatment phase

Interventioncm (centimeters) (Mean)
RSG in Addition to Background MET2.70
SU in Addition to Background MET0.65
RSG in Addition to Background SU3.00
MET in Addition to Background SU-0.60

Model Adjusted Ratio to Baseline (Expressed as a Percentage) for Apolipoprotein B (Apo-B) at Month 60

The model adjusted (adjusted for any imbalances in the baseline [BL] values between within stratum treatment groups) ratio to BL in Apo-B was calculated as the ratio of the Month 60 value to the BL value and was expressed as percent change from BL. For each treatment group, the model-adjusted mean change from BL at Month 60 was determined on the log scale. This mean was then back transformed to give a geometric mean (GM) of the ratio of the Month 60 value to BL on the original scale. The GM was expressed as a percentage (100*[GM^-1]). (NCT00379769)
Timeframe: Baseline to Month 60 of the randomised dual therapy treatment period

Interventionpercent change (Geometric Mean)
RSG in Addition to Background MET-13.77
SU in Addition to Background MET-11.63
RSG in Addition to Background SU-9.68
MET in Addition to Background SU-12.09

Model Adjusted Ratio to Baseline (Expressed as a Percentage) for C-Reactive Protein at Month 60

The model adjusted (adjusted for any imbalances in the baseline [BL] values between within stratum treatment groups) ratio to BL in C-Reactive Protein was calculated as the ratio of the Month 60 value to the BL value and was expressed as percent change from BL. For each treatment group, the model-adjusted mean change from BL at Month 60 was determined on the log scale. This mean was then back transformed to give a geometric mean (GM) of the ratio of the Month 60 value to BL on the original scale. The GM was expressed as a percentage (100*[GM^-1]). (NCT00379769)
Timeframe: Baseline to Month 60 of the randomised dual therapy treatment phase

Interventionpercent change (Geometric Mean)
RSG in Addition to Background MET-57.40
SU in Addition to Background MET-28.92
RSG in Addition to Background SU-56.50
MET in Addition to Background SU-36.29

Model Adjusted Ratio to Baseline (Expressed as a Percentage) for Fibrinogen at Month 60

The model adjusted (adjusted for any imbalances in the baseline [BL] values between within stratum treatment groups) ratio to BL in fibrinogen was calculated as the ratio of the Month 60 value to the BL value and was expressed as percent change from BL. For each treatment group, the model-adjusted mean change from BL at Month 60 was determined on the log scale. This mean was then back transformed to give a geometric mean (GM) of the ratio of the Month 60 value to BL on the original scale. The GM was expressed as a percentage (100*[GM^-1]). (NCT00379769)
Timeframe: Baseline to Month 60 of the randomised dual therapy treatment phase

Interventionpercent change (Geometric Mean)
RSG in Addition to Background MET2.12
SU in Addition to Background MET5.74
RSG in Addition to Background SU-0.23
MET in Addition to Background SU3.14

Model Adjusted Ratio to Baseline (Expressed as a Percentage) for Plasminogen Activator Inhibitor-1 (PAI-1) Antigen at Month 60

The model adjusted (adjusted for any imbalances in the baseline [BL] values between within stratum treatment groups) ratio to BL in plasminogen activator inhibitor-1 (PAI-1) antigen was calculated as the ratio of the Month 60 value to the BL value and was expressed as percent change from BL. For each treatment group, the model-adjusted mean change from BL at Month 60 was determined on the log scale. This mean was then back transformed to give a geometric mean (GM) of the ratio of the Month 60 value to BL on the original scale. The GM was expressed as a percentage (100*[GM^-1]). (NCT00379769)
Timeframe: Baseline to Month 60 of the randomised dual therapy treatment phase

Interventionpercent change (Geometric Mean)
RSG in Addition to Background MET-9.85
SU in Addition to Background MET15.01
RSG in Addition to Background SU-7.79
MET in Addition to Background SU-0.64

Model Adjusted Ratio to Baseline (Expressed as a Percentage) for Urinary Albumin Creatinine Ratio at Month 60

The model adjusted (adjusted for any imbalances in the baseline [BL] values between within stratum treatment groups) ratio to BL in urinary albumin creatinine ratio was calculated as the ratio of the Month 60 value to the BL value and was expressed as percent change from BL. For each treatment group, the model-adjusted mean change from BL at Month 60 was determined on the log scale. This mean was then back transformed to give a geometric mean (GM) of the ratio of the Month 60 value to BL on the original scale. The GM was expressed as a percentage (100*[GM^-1]). (NCT00379769)
Timeframe: Baseline to Month 60 of the randomised dual therapy treatment phase

Interventionpercent change (Geometric Mean)
RSG in Addition to Background MET8.31
SU in Addition to Background MET15.17
RSG in Addition to Background SU-3.43
MET in Addition to Background SU11.91

Number of Participants With an Event of Death Due to a Bone Fracture-related Event: Main Study + Observational Follow-up Combined

The observational follow-up was designed to collect data concerning cancer and bone fractures in RECORD participants during a 4-year period after the end of the main RECORD study. At the end of the main study, all study medication was stopped. Participants were not provided with study medication in the observational follow-up; instead, anti-diabetic treatment was prescribed at the investigator's discretion. A bone fracture event is defined as one or more fractured bones occurring on the same date and that had the same Higher Level Group Term (HLGT) for fracture location, per participant. (NCT00379769)
Timeframe: From the beginning of the main study through the end of the observational follow-up (up to 11.4 years)

Interventionparticipants (Number)
Combined RSG: Main Study and Observational Follow-up0
Combined MET/SU: Main Study and Observational Follow-up0

Number of Participants With Cardiovascular Death/Cardiovascular Hospitalisation Events

The number of participants with cardiovascular death events (death due to cardiovascular causes or deaths with insufficient information to rule out a cardiovascular cause) and cardiovascular hospitalisation events (hospitalisation for a cardiovascular event, excluding planned admissions not associated with a worsening of the disease/condition of the participant) was recorded. (NCT00379769)
Timeframe: Baseline through End of Study (up to 7.5 years)

Interventionparticipants (Number)
Combined RSG321
Combined MET/SU323

Number of Participants With First Cardiovascular Hospitalisations/Cardiovascular Deaths by Stratum

Participants with first cardiovascular death (death due to cardiovascular causes or deaths with insufficient information to rule out a cardiovascular cause) and cardiovascular hospitalisation (hospitalisation for a cardiovascular event, excluding planned admissions not associated with a worsening of the disease/condition of the participant) were recorded by study stratum. (NCT00379769)
Timeframe: Baseline through End of Study (up to 7.5 years)

Interventionpartcipants (Number)
RSG in Addition to Background MET158
SU in Addition to Background MET154
RSG in Addition to Background SU163
MET in Addition to Background SU169

Number of Participants With Glycaemic Failure Events

Failure of glycaemic control was defined as two consecutive HbA1c values of ≥8.5 percent, or HbA1c ≥8.5percent at a single visit, after which the subject was either moved to the post-randomised treatment phase or triple therapy was started. (NCT00379769)
Timeframe: Baseline through to end of randomised dual therapy

Interventionparticipants (Number)
RSG in Addition to Background MET281
SU in Addition to Background MET451
RSG in Addition to Background SU365
MET in Addition to Background SU424

The Number of Participants Starting Insulin at Any Time During the Study

The number of participants starting insulin at any time during the study was recorded. (NCT00379769)
Timeframe: Baseline through End of Study (up to 7.5 years)

Interventionparticipants (Number)
RSG in Addition to Background MET126
SU in Addition to Background MET276
RSG in Addition to Background SU168
MET in Addition to Background SU259

Model Adjusted Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Month 60

Model adjusted (adjusted for any imbalances in the baseline values between within treatment groups) change from baseline in SBP and DBP was calculated as the value at Month 60 minus the Baseline value. (NCT00379769)
Timeframe: Baseline to Month 60 of the randomised dual therapy treatment phase

,,,
InterventionmmHg (millimeters of mercury) (Mean)
SBPDBP
MET in Addition to Background SU-0.6-2.3
RSG in Addition to Background MET-1.9-3.6
RSG in Addition to Background SU-2.3-3.6
SU in Addition to Background MET-2.2-3.4

Model Adjusted Mean Change From Baseline in Insulin and Pro-insulin at Month 60

Model adjusted (adjusted for any imbalances in the baseline values between within stratum treatment groups) change from baseline in insulin and pro-insulin was calculated as the value at Month 60 minus the Baseline value. (NCT00379769)
Timeframe: Baseline to Month 60 of the randomised dual therapy treatment period

,,,
Interventionpicamoles/liter (pmol/L) (Mean)
Insulin, Adjusted Change from BaselinePro-insulin, Adjusted Change from Baseline
MET in Addition to Background SU-12.1-3.0
RSG in Addition to Background MET-18.6-2.4
RSG in Addition to Background SU-16.9-3.2
SU in Addition to Background MET3.74.2

Model Adjusted Ratio to Baseline (Expressed as a Percentage) for Total Cholesterol (TC), Low-density Lipoprotein (LDL) Cholesterol, High-density Lipoprotein (HDL) Cholesterol, Triglycerides, and Free Fatty Acids (FFAs) at Month 60

The model adjusted (adjusted for any imbalances in the baseline [BL] values between within stratum treatment groups) ratio to BL in TC, LDL cholesterol, HDL cholesterol, triglycerides, and FFAs was calculated as the ratio of the Month 60 value to the BL value and was expressed as percent change from BL. For each treatment group, the model-adjusted mean change from BL at Month 60 was determined on the log scale. This mean was then back transformed to give a geometric mean (GM) of the ratio of the Month 60 value to BL on the original scale. The GM was expressed as a percentage (100*[GM^-1]). (NCT00379769)
Timeframe: Baseline to Month 60 of the randomised dual therapy treatment phase

,,,
Interventionpercent change (Geometric Mean)
Total cholesterolHDL-cholesterolLDL-cholesterolTriglyceridesFree fatty acids
MET in Addition to Background SU-9.686.14-17.80-2.504.47
RSG in Addition to Background MET-5.499.95-12.70-7.97-16.46
RSG in Addition to Background SU-2.917.73-8.99-2.68-11.58
SU in Addition to Background MET-9.092.57-17.68-1.952.79

Model Adjusted Ratio to Baseline (Expressed as a Percentage) for Total Cholesterol (TC):High-density Lipoprotein (HDL) Cholesterol and Low-density Lipoprotein (LDL) Cholesterol:HDL Cholesterol Ratios at Month 60

The model adjusted (adjusted for any imbalances in the baseline [BL] values between within stratum treatment groups) ratio to BL in TC:HDL cholesterol and LDL cholesterol:HDL cholesterol was calculated as the ratio of the Month 60 value to the BL value and was expressed as percent change from BL. For each treatment group, the model-adjusted mean change from BL at Month 60 was determined on the log scale. This mean was then back transformed to give a geometric mean (GM) of the ratio of the Month 60 value to BL on the original scale. The GM was expressed as a percentage (100*[GM^-1]). (NCT00379769)
Timeframe: Baseline to Month 60 of the randomised dual therapy treatment period

,,,
Interventionpercent change (Geometric Mean)
Total Cholesterol: HDL Cholesterol RatioLDL Cholesterol: HDL-Cholesterol Ratio
MET in Addition to Background SU-15.01-22.53
RSG in Addition to Background MET-14.20-20.89
RSG in Addition to Background SU-9.93-15.85
SU in Addition to Background MET-11.33-20.04

Model Adjusted Ratio to Baseline (Expressed as a Percentage) Homeostasis Model Assessment (HOMA) Beta Cell Function and Insulin Sensitivity at Month 60

The model adjusted (adjusted for any imbalances in the baseline [BL] values between within stratum treatment groups) ratio to BL in HOMA beta-cell function and insulin sensitivity was calculated as the ratio of the Month 60 value to the BL value and was expressed as percent change from BL. For each treatment group, the model-adjusted mean change from BL at Month 60 was determined on the log scale. This mean was then back transformed to give a geometric mean (GM) of the ratio of the Month 60 value to BL on the original scale. The GM was expressed as a percentage (100*[GM^-1]). (NCT00379769)
Timeframe: Baseline to Month 60 of the randomised dual therapy treatment phase

,,,
Interventionpercent change (Geometric Mean)
Beta cell functionInsulin sensitivity
MET in Addition to Background SU12.4323.90
RSG in Addition to Background MET20.5442.57
RSG in Addition to Background SU32.3542.07
SU in Addition to Background MET19.28-3.45

Number of Bone Fracture Events With the Indicated Outcome: Main Study + Observational Follow-up Combined

"The observational follow-up was designed to collect data concerning cancer and bone fractures in RECORD participants during a 4-year period after the end of the main RECORD study. At the end of the main study, all study medication was stopped. Participants were not provided with study medication in the observational follow-up; instead, anti-diabetic treatment was prescribed at the investigator's discretion. A bone fracture event is defined as one or more fractured bones occurring on the same date and that had the same Higher Level Group Term (HLGT) for fracture location, per participant. The indicated fracture outcome was pre-specified in the CRF and included Unknown as a category. Fracture events with missing outcome data were reported as Data unavailable." (NCT00379769)
Timeframe: From the beginning of the main study through the end of the observational follow-up (up to 11.4 years)

,
Interventionbone fracture events (Number)
Number of bone fracture eventsUnknownNormal healing with standard managementComplicationAdditional therapeutic measures requiredData unavailable
Combined MET/SU: Main Study and Observational Follow-up17451421395
Combined RSG: Main Study and Observational Follow-up2997250141612

Number of Bone Fracture Events With the Indicated Outcome: Observational Follow-up

"The observational follow-up was designed to collect data concerning cancer and bone fractures in RECORD participants during a 4-year period after the end of the main RECORD study. At the end of the main study, all study medication was stopped. Participants were not provided with study medication in the observational follow-up; instead, anti-diabetic treatment was prescribed at the investigator's discretion. A bone fracture event is defined as one or more fractured bones occurring on the same date and that had the same Higher Level Group Term (HLGT) for fracture location, per participant. The indicated fracture outcome was pre-specified in the CRF and included Unknown as a category. Fracture events with missing outcome data were reported as Data unavailable." (NCT00379769)
Timeframe: From the end of the RECORD study through the end of the observational follow-up (up to 4.0 years)

,
Interventionbone fracture events (Number)
Number of bone fracture eventsUnknownNormal healing with standard managementComplicationAdditional therapeutic measures requiredData unavailable
Combined MET/SU: Observational Follow-up41133421
Combined RSG: Observational Follow-up70151738

Number of HbA1c and Fasting Plasma Glucose (FPG) Responders at Month 60

Number of responders, i.e., participants meeting glycaemic targets (HbA1c less than or equal to 7 percent, FPG less than or equal to 7 mmol/L) (NCT00379769)
Timeframe: Baseline to Month 60 of the randomised dual therapy treatment period

,,,
Interventionparticipants (Number)
HbA1c RespondersFPG Responders
MET in Addition to Background SU180154
RSG in Addition to Background MET265300
RSG in Addition to Background SU235257
SU in Addition to Background MET208180

Number of Participants Who Died Due to the Indicated Cancer-related Event: Main Study + Observational Follow-up Combined

The observational follow-up was designed to collect data concerning cancer and bone fractures in RECORD participants during a 4-year period after the end of the main RECORD study. At the end of the main study, all study medication was stopped. Participants were not provided with study medication in the observational follow-up; instead, anti-diabetic treatment was prescribed at the investigator's discretion. An SAE is defined as any event that is fatal; life threatening; disabling/incapacitating; results in hospitalization (excluding elective surgery or routine clinical procedures); prolongs a hospital stay; is associated with a congenital abnormality; cancer; is associated with an overdose. In addition, any event that the investigator regards as serious or that would suggest any significant hazard, contraindication, side effect, or precaution that may be associated with the study procedures should be reported as an SAE. (NCT00379769)
Timeframe: From the beginning of the main study through the end of the observational follow-up (up to 11.4 years)

,
Interventionparticipants (Number)
Any cancer-related deathAny gastrointestinal eventPancreaticColon/rectalGastricLiverGall bladder/biliaryGastrointestinal event; not specifiedAny genitourinary eventRenalUterineProstateBladderOvarianLungAny hematologic eventSkin (melanoma)Skin (non-melanomatous)MetastasesBreastHead and neckAny neurologic eventEndocrineNot specified
Combined MET/SU: Main Study and Observational Follow-up723412113431153523211000432201
Combined RSG: Main Study and Observational Follow-up592546744062111113431221210

Number of Participants Who Died Due to the Indicated Cancer-related Event: Observational Follow-up

The observational follow-up was designed to collect data concerning cancer and bone fractures in RECORD participants during a 4-year period after the end of the main RECORD study. At the end of the main study, all study medication was stopped. Participants were not provided with study medication in the observational follow-up; instead, anti-diabetic treatment was prescribed at the investigator's discretion. An SAE is defined as any event that is fatal; life threatening; disabling/incapacitating; results in hospitalization (excluding elective surgery or routine clinical procedures); prolongs a hospital stay; is associated with a congenital abnormality; cancer; is associated with an overdose. In addition, any event that the investigator regards as serious or that would suggest any significant hazard, contraindication, side effect, or precaution that may be associated with the study procedures should be reported as an SAE. (NCT00379769)
Timeframe: From the end of the RECORD study through the end of the observational follow-up (up to 4.0 years)

,
Interventionparticipants (Number)
Any cancer-related deathAny gastrointestinal eventPancreaticColon/rectalGastricLiverGall bladder/biliaryGastrointestinal event; not specifiedAny genitourinary eventRenalUterineProstateBladderOvarianLungAny hematologic eventSkin (melanoma)Skin (non-melanomatous)MetastasesBreastHead and neckAny neurologic eventEndocrineNot specified
Combined MET/SU: Observational Follow-up24143612110000005000130100
Combined RSG: Observational Follow-up25103222102110004411111100

Number of Participants With a Bone Fracture Event - Overall and by Gender: Main Study and Observational Follow-up Combined

The observational follow-up was designed to collect data concerning cancer and bone fractures in RECORD participants during a 4-year period after the end of the main RECORD study. At the end of the main study, all study medication was stopped. Participants were not provided with study medication in the observational follow-up; instead, anti-diabetic treatment was prescribed at the investigator's discretion. A bone fracture event is defined as one or more fractured bones occurring on the same date and that had the same Higher Level Group Term (HLGT) for fracture location, per participant. (NCT00379769)
Timeframe: From the beginning of the main study through the end of the observational follow-up (up to 11.4 years)

,
Interventionparticipants (Number)
Overall, n=2220, 2227Male, n=1142, 1152Female, n=1078, 1075
Combined MET/SU: Main Study and Observational Follow-up1516091
Combined RSG: Main Study and Observational Follow-up23882156

Number of Participants With a Bone Fracture Event - Overall and by Gender: Observational Follow-up

The observational follow-up was designed to collect data concerning cancer and bone fractures in RECORD participants during a 4-year period after the end of the main RECORD study. At the end of the main study, all study medication was stopped. Participants were not provided with study medication in the observational follow-up; instead, anti-diabetic treatment was prescribed at the investigator's discretion. A bone fracture event is defined as one or more fractured bones occurring on the same date and that had the same Higher Level Group Term (HLGT) for fracture location, per participant. (NCT00379769)
Timeframe: From the end of the RECORD study through the end of the observational follow-up (up to 4.0 years)

,
Interventionparticipants (Number)
Overall, n=1280, 1250Male, n=665, 635Female, n=615, 615
Combined MET/SU: Observational Follow-up371126
Combined RSG: Observational Follow-up642539

Number of Participants With a Bone Fracture Event Reported as the Indicated Serious Adverse Event (by Higher Level Group Term) or Death: Main Study + Observational Follow-up Combined

The OFU was designed to collect data concerning cancer and bone fractures in RECORD participants during a 4-year period after the end of the main RECORD study. At the end of the main study, all study medication was stopped. Participants were not provided with study medication in the OFU. A bone fracture event is defined as one or more fractured bones occurring on the same date and that had the same Higher Level Group Term (HLGT) for fracture location, per participant. An SAE is defined as any event that is fatal; life threatening; disabling/incapacitating; results in hospitalization (excluding elective surgery or routine clinical procedures); prolongs a hospital stay; is associated with a congenital abnormality; cancer; is associated with an overdose. In addition, any event that the investigator regards as serious or that would suggest any significant hazard, contraindication, side effect, or precaution that may be associated with the study procedures should be reported as an SAE. (NCT00379769)
Timeframe: From the beginning of the main study through the end of the observational follow-up (up to 11.4 years)

,
Interventionparticipants (Number)
Any eventUpper limbDistal lower limbFemur/hipSpinalPelvicOther
Combined MET/SU: Main Study and Observational Follow-up57171611934
Combined RSG: Main Study and Observational Follow-up81412415707

Number of Participants With a Bone Fracture Event Reported as the Indicated Serious Adverse Event (by Higher Level Group Term) or Death: Observational Follow-up

The OFU was designed to collect data concerning cancer and bone fractures in RECORD participants during a 4-year period after the end of the main RECORD study. At the end of the main study, all study medication was stopped. Participants were not provided with study medication in the OFU. A bone fracture event is defined as one or more fractured bones occurring on the same date and that had the same Higher Level Group Term (HLGT) for fracture location, per participant. An SAE is defined as any event that is fatal; life threatening; disabling/incapacitating; results in hospitalization (excluding elective surgery or routine clinical procedures); prolongs a hospital stay; is associated with a congenital abnormality; cancer; is associated with an overdose. In addition, any event that the investigator regards as serious or that would suggest any significant hazard, contraindication, side effect, or precaution that may be associated with the study procedures should be reported as an SAE. (NCT00379769)
Timeframe: From the end of the RECORD study through the end of the observational follow-up (up to 4.0 years)

,
Interventionparticipants (Number)
Any eventUpper limbDistal lower limbFemur/hipSpinalPelvicOther
Combined MET/SU: Observational Follow-up21584311
Combined RSG: Observational Follow-up351796202

Number of Participants With Addition of Third Oral Agent/Switch to Insulin

The number of participants with addition of a third oral agent or switch to insulin from randomised dual combination treatment were recorded. (NCT00379769)
Timeframe: Baseline through End of Study (up to 7.5 years)

,,,
Interventionparticipants (Number)
Participants with an eventFirst Event - Triple TherapyFirst Event - Insulin
MET in Addition to Background SU1716165
RSG in Addition to Background MET29525738
RSG in Addition to Background SU34429649
SU in Addition to Background MET1837176

Number of Participants With Bone Fracture Events of the Indicated Cause: Main Study + Observational Follow-up Combined

The observational follow-up was designed to collect data concerning cancer and bone fractures in RECORD participants during a 4-year period after the end of the main RECORD study. At the end of the main study, all study medication was stopped. Participants were not provided with study medication in the observational follow-up; instead, anti-diabetic treatment was prescribed at the investigator's discretion. A bone fracture event is defined as one or more fractured bones occurring on the same date and that had the same Higher Level Group Term (HLGT) for fracture location, per participant. (NCT00379769)
Timeframe: From the beginning of the main study through the end of the observational follow-up (up to 11.4 years)

,
Interventionparticipants (Number)
Any eventNon-traumatic eventTraumatic eventPathologicUnknownData unavailable
Combined MET/SU: Main Study and Observational Follow-up15155774193
Combined RSG: Main Study and Observational Follow-up2381131101209

Number of Participants With Bone Fracture Events of the Indicated Cause: Observational Follow-up

"The observational follow-up was designed to collect data concerning cancer and bone fractures in RECORD participants during a 4-year period after the end of the main RECORD study. At the end of the main study, all study medication was stopped. Participants were not provided with study medication in the observational follow-up; instead, anti-diabetic treatment was prescribed at the investigator's discretion. A bone fracture event is defined as one or more fractured bones occurring on the same date and that had the same Higher Level Group Term (HLGT) for fracture location, per participant. The indicated fracture outcome was pre-specified in the CRF and included Unknown as a category. Fracture events with missing outcome data were reported as Data unavailable." (NCT00379769)
Timeframe: From the end of the RECORD study through the end of the observational follow-up (up to 4.0 years)

,
Interventionparticipants (Number)
Any eventNon-traumatic event,Traumatic eventPathologicUnknownData unavailable
Combined MET/SU: Observational Follow-up371417241
Combined RSG: Observational Follow-up643624113

Number of Participants With Cardiovascular Events and All-cause Deaths

Composites of participants with first cardiovascular (CV) hospitalisations and CV death or all-cause death and individual first events of acute myocardial infarction (MI) , stroke, congestive heart failure (CHF), CV death, and all-cause death. (NCT00379769)
Timeframe: Baseline through End of Study (up to 7.5 years)

,
Interventionparticipants (Number)
CV death, acute MI, strokeCV death, acute MI, stroke, unstable anginaCV death, acute MI, stroke, unstable angina, CHFAll-cause death,acuteMI,stroke,unstable angina,CHFAcute MI (fatal or non-fatal)Stroke (fatal or non-fatal)CHF (fatal or non-fatal)Death from CV causesDeath (all cause) during CV follow-upDeath (all-cause) including survival status
Combined MET/SU16518420626856632971139157
Combined RSG15417120425164466160111136

Number of Participants With CV/Microvascular Events

The number of participants with first cardiovascular or microvascular events (renal, foot, eye) were recorded. (NCT00379769)
Timeframe: Baseline through End of Study (up to 7.5 years)

,
Interventionparticipants (Number)
Participants with a CV/Microvascular eventParticipants with any microvascular eventParticipants with any eye eventParticipants with any foot eventParticipants with any renal event
Combined MET/SU3857852280
Combined RSG3635942190

Number of Participants With Potentially High Morbidity Fracture Events and Non-high Morbidity Fracture Events, in Participants With Prior Hand/Upper Arm/Foot Fractures (H/UA/FF): Main Study + Observational Follow-up Combined

The observational follow-up was designed to collect data concerning cancer and bone fractures in RECORD participants during a 4-year period after the end of the main RECORD study. At the end of the main study, all study medication was stopped. Participants were not provided with study medication in the observational follow-up; instead, anti-diabetic treatment was prescribed at the investigator's discretion. A bone fracture event is defined as one or more fractured bones occurring on the same date and that had the same Higher Level Group Term (HLGT) for fracture location, per participant. The following bone fractures were grouped and were identified as potentially high morbidity bone fractures: hip, pelvis, upper leg, vertebral (lumbar spine, thoracic spine, cervical spine, spine - site unknown). (NCT00379769)
Timeframe: From the beginning of the main study through the end of the observational follow-up (up to 11.4 years)

,
Interventionparticipants (Number)
Any H/UA/FF event, overall, n=2220, 2227Any H/UA/FF event, male, n=1142, 1152Any H/UA/FF event, female, n=1078, 1075High morbidity fractures, overall, n=2220, 2227High morbidity fractures, male, n=1142, 1152High morbidity fractures, female, n=1078, 1075Non-high morbidity fractures, overall, n=2220, 222Non-high morbidity fractures, male, n=1142, 1152Non-high morbidity fractures, female, n=1078, 1075
Combined MET/SU: Main Study and Observational Follow-up461531101431
Combined RSG: Main Study and Observational Follow-up86285850515213

Number of Participants With Potentially High Morbidity Fractures: Main Study + Observational Follow-up Combined

The observational follow-up was designed to collect data concerning cancer and bone fractures in RECORD participants during a 4-year period after the end of the main RECORD study. At the end of the main study, all study medication was stopped. Participants were not provided with study medication in the observational follow-up; instead, anti-diabetic treatment was prescribed at the investigator's discretion. A bone fracture event is defined as one or more fractured bones occurring on the same date and that had the same Higher Level Group Term (HLGT) for fracture location, per participant. The following bone fractures were grouped and were identified as potentially high morbidity bone fractures: hip, pelvis, upper leg, vertebral (lumbar spine, thoracic spine, cervical spine, spine - site unknown). (NCT00379769)
Timeframe: From the beginning of the main study through the end of the observational follow-up (up to 11.4 years)

,
Interventionparticipants (Number)
Any event, overall, n=2220, 2227Any event, male, n=1142, 1152Any event, female, n=1078, 1075Hip, overall, n=2220, 2227Hip, male, n=1142, 1152Hip, female, n=1078, 1075Pelvis, overall, n=2220, 2227Pelvis, male, n=1142, 1152Pelvis, female, n=1078, 1075Upper leg, overall, n=2220, 2227Upper leg, male, n=1142, 1152Upper leg, female, n=1078, 1075Any vertebral event, overall, n=2220, 2227Any vertebral event, male, n=1142, 1152Any vertebral event, female, n=1078, 1075Lumbar spine, overall, n=2220, 2227Lumbar spine, male, n=1142, 1152Lumbar spine, female, n=1078, 1075Thoracic spine, overall, n=2220, 2227Thoracic spine, male, n=1142, 1152Thoracic spine, female, n=1078, 1075Cervical spine, overall, n=2220, 2227Cervical spine, male, n=1142, 1152Cervical spine, female, n=1078, 1075
Combined MET/SU: Main Study and Observational Follow-up3113187165416061385431844110
Combined RSG: Main Study and Observational Follow-up311021909000743166101055514101

Number of Participants With the Indicated Bone Fracture by Fracture Site: Main Study + Observational Follow-up Combined

The observational follow-up was designed to collect data concerning cancer and bone fractures in RECORD participants during a 4-year period after the end of the main RECORD study. At the end of the main study, all study medication was stopped. Participants were not provided with study medication in the observational follow-up; instead, anti-diabetic treatment was prescribed at the investigator's discretion. A bone fracture event is defined as one or more fractured bones occurring on the same date that had the same Higher Level Group Term (HLGT) for fracture location, per participant. (NCT00379769)
Timeframe: From the beginning of the main study through the end of the observational follow-up (up to 11.4 years)

,
Interventionparticipants (Number)
Any event, overall; n=2220, 2227Any event, male; n=1142, 1152Any event, female; n=1078, 1075Upper limb, any event, overall; n=2220, 2227Upper limb, any event, male; n=1142, 1152Upper limb, any event, female; n=1078, 1075Distal lower limb, any event, overall; n=2220, 222Distal lower limb, any event, male; n=1142, 1152Distal lower limb, any event, female; n=1078, 1075Femur/hip, any event, overall; n=2220, 2227Femur/hip, any event, male; n=1142, 1152Femur/hip, any event, female; n=1078, 1075Spinal, any event, overall; n=2220, 2227Spinal, any event, male; n=1142, 1152Spinal, any event, female; n=1078, 1075Pelvic, any event, overall; n=2220, 2227Pelvic, any event, male; n=1142, 1152Pelvic, any event, female; n=1078, 1075Unclassified, any event, overall; n=2220, 2227Unclassified, any event, male; n=1142, 1152Unclassified, any event, female; n=1078, 1075Other, any event, overall; n=2220, 2227Other, any event, male; n=1142, 1152Other, any event, female; n=1078, 1075
Combined MET/SU: Main Study and Observational Follow-up1516091702248401426131121495541000261610
Combined RSG: Main Study and Observational Follow-up2388215611632848831571641218711000110311813

Number of Participants With the Indicated Bone Fracture by Fracture Site: Observational Follow-up

The observational follow-up was designed to collect data concerning cancer and bone fractures in RECORD participants during a 4-year period after the end of the main RECORD study. At the end of the main study, all study medication was stopped. Participants were not provided with study medication in the observational follow-up; instead, anti-diabetic treatment was prescribed at the investigator's discretion. A bone fracture event is defined as one or more fractured bones occurring on the same date that had the same Higher Level Group Term (HLGT) for fracture location, per participant. (NCT00379769)
Timeframe: From the end of the RECORD study through the end of the observational follow-up (up to 4.0 years)

,
Interventionparticipants (Number)
Any event, overall; n=1280, 1250Any event, male; n=665, 635Any event, female; n=615, 615Upper limb, any event, overall; n=1280, 1250Upper limb, any event, male; n=665, 635Upper limb, any event, female; n=615, 615Distal lower limb, any event, overall; n=1280,1250Distal lower limb, any event, male; n=665, 635Distal lower limb, any event, female; n=615, 615Femur/hip, any event, overall; n=1280, 1250Femur/hip, any event, male; n=665, 635Femur/hip, any event, female; n=615, 615Spinal, any event, overall; n=1280, 1250Spinal, any event, male; n=665, 635Spinal, any event, female; n=615, 615Pelvic, any event, overall; n=1280, 1250Pelvic, any event, male; n=665, 635Pelvic, any event, female; n=615, 615Unclassified, any event, overall; n=1280, 1250Unclassified, any event, male; n=665, 635Unclassified, any event, female; n=615, 615Other, any event, overall; n=1280, 1250Other, any event, male; n=665, 635Other, any event, female; n=615, 615
Combined MET/SU: Observational Follow-up371126153121349505541110000110
Combined RSG: Observational Follow-up6425393310231899615413000110642

Number of Participants With the Indicated Serious Adverse Event: Observational Follow-up

The observational follow-up was designed to collect data concerning cancer and bone fractures in RECORD participants during a 4-year period after the end of the main RECORD study. At the end of the main study, all study medication was stopped. Participants were not provided with study medication in the observational follow-up; instead, anti-diabetic treatment was prescribed at the investigator's discretion. An SAE is defined as any event that is fatal; life threatening; disabling/incapacitating; results in hospitalization (excluding elective surgery or routine clinical procedures); prolongs a hospital stay; is associated with a congenital abnormality; cancer; is associated with an overdose. In addition, any event that the investigator regards as serious or that would suggest any significant hazard, contraindication, side effect, or precaution that may be associated with the study procedures should be reported as an SAE. (NCT00379769)
Timeframe: From the end of the RECORD study through the end of the observational follow-up (up to 4.0 years)

,
Interventionparticipants (Number)
Any eventAnkle fractureProstate cancerLung neoplasm malignantBreast cancerBasal cell carcinomaPancreatic carcinomaColon cancerHumerus fractureUpper limb fractureMalignant melanomaUterine cancerGastric cancerWrist fractureHip fractureRadius fractureForearm fractureHepatic neoplasm malignantRectal cancerRenal cancerFoot fractureRenal cell carcinomaFemur fractureFemoral neck fractureLumbar vertebral fractureMetastases to boneMetastases to liverBladder cancerFallMetastases to central nervous systemRib fractureSquamous cell carcinomaAcute myocardial infarctionBrain neoplasmGastric neoplasmMetastases to lungPatella fractureDeathAbdominal painAcute myeloid leukaemiaAcute respiratory failureAnaemiaBenign salivary gland neoplasmBiliary colicBiliary neoplasmBone neoplasm malignantBronchial carcinomaCardiac failure acuteChest painChronic lymphocytic leukaemiaColon neoplasmContusionDrowningDysplasiaEndometrial cancer stage ILeukaemiaLower limb fractureLung squamous cell carcinoma stage unspecifiedLymphomaMalignant neoplasm of pleuraMetastases to skinMetastases to testicleMetastatic renal cell carcinomaOesophageal carcinomaOsteoarthritisPancreatic necrosisRectal cancer stage IISpinal fractureT-cell lymphomaUrinary tract infectionUterine leiomyosarcomaBiliary cancer metastaticCervix carcinomaChronic obstructive pulmonary diseaseComminuted fractureCraniocerebral injuryGastrointestinal neoplasmHepatic lesionJoint dislocationLaryngeal cancerLip neoplasm malignant stage unspecifiedLung neoplasmMetastases to lymph nodesMetastasisMusculoskeletal chest painMyocardial infarctionNon-Hodgkin's lymphomaPubis fracturePulmonary embolismRectal cancer recurrentRectal neoplasmSkin cancerSkin ulcerSmall cell lung cancer stage unspecifiedSternal fractureSubdural haemorrhageSudden deathThoracic vertebral fractureThyroid cancerVulval cancer
Combined MET/SU: Observational Follow-up76314633611230011222230122220000011111200000000000000000000000000000111011111111111111111111111111111
Combined RSG: Observational Follow-up99674244155324433222213211112222211111011111111111111111111111111111111100000000000000000000000000000

Number of Participants With the Indicated Type of Malignant Neoplasms/Cancer Events Reported as an SAE or Death by Location (Including Location of Special Interest): Main Study + Observational Follow-up Combined

The observational follow-up (OFU) was designed to collect data concerning cancer and bone fractures in RECORD participants during a 4-year period after the end of the main RECORD study. At the end of the main study, all study medication was stopped. Participants were not provided with study medication in the OFU. The neoplasms/cancer events of bladder, breast, colon, liver, pancreatic, prostate cancer, and melanoma were pre-specified as cancers of interest for the OFU. An SAE is defined as any event that is fatal; life threatening; disabling/incapacitating; results in hospitalization (excluding elective surgery or routine clinical procedures); prolongs a hospital stay; is associated with a congenital abnormality; cancer; is associated with an overdose. In addition, any event that the investigator regards as serious or that would suggest any significant hazard, contraindication, side effect, or precaution that may be associated with the study procedures should be reported as an SAE. (NCT00379769)
Timeframe: From the beginning of the main study through the end of the observational follow-up (up to 11.4 years)

,
Interventionparticipants (Number)
Any genitourinaryProstateRenalUterineBladderVaginal/vulvarOvarianAny gastrointestinalColon/rectal cancerColonGastricPancreaticLiverGall bladder/biliaryGastrointestinal; not specifiedAny hematologicLungSkin (non-melanomatous)Skin (melanomatous)MetastasesBreastHead and neckNeurologicEndocrineNot specifiedOther
Combined MET/SU: Main Study and Observational Follow-up5722916514623021516551615134182373613
Combined RSG: Main Study and Observational Follow-up572212118154822141354401219196121243300

Number of Participants With the Indicated Type of Malignant Neoplasms/Cancer Events Reported as an SAE or Death by Location (Including Location of Special Interest): Observational Follow-up

The observational follow-up (OFU) was designed to collect data concerning cancer and bone fractures in RECORD participants during a 4-year period after the end of the main RECORD study. At the end of the main study, all study medication was stopped. Participants were not provided with study medication in the OFU. The neoplasms/cancer events of bladder, breast, colon, liver, pancreatic, prostate cancer, and melanoma were pre-specified as cancers of interest for the OFU. An SAE is defined as any event that is fatal; life threatening; disabling/incapacitating; results in hospitalization (excluding elective surgery or routine clinical procedures); prolongs a hospital stay; is associated with a congenital abnormality; cancer; is associated with an overdose. In addition, any event that the investigator regards as serious or that would suggest any significant hazard, contraindication, side effect, or precaution that may be associated with the study procedures should be reported as an SAE. (NCT00379769)
Timeframe: From the end of the RECORD study through the end of the observational follow-up (up to 4.0 years)

,
Interventionparticipants (Number)
Any genitourinaryProstateRenalUterineBladderVaginal/vulvarOvarianAny gastrointestinalColon/rectal cancerColonGastricPancreaticLiverGall bladder/biliaryGastrointestinal; not specifiedAny hematologicLungSkin (non-melanomatous)Skin (melanomatous)MetastasesBreastHead and neckNeurologicEndocrineNot specifiedOther
Combined MET/SU: Observational Follow-up8124010191171321116526711100
Combined RSG: Observational Follow-up1875420017525421066633221000

Number of Participants With the Indicated Type of Neoplasm/Cancer Event Reported as a Serious Adverse Event (SAE) or Death: Main Study + Observational Follow-up Combined

The observational follow-up was designed to collect data concerning cancer and bone fractures in RECORD participants during a 4-year period after the end of the main RECORD study. At the end of the main study, all study medication was stopped. Participants were not provided with study medication in the observational follow-up; instead, anti-diabetic treatment was prescribed at the investigator's discretion. An SAE is defined as any event that is fatal; life threatening; disabling/incapacitating; results in hospitalization (excluding elective surgery or routine clinical procedures); prolongs a hospital stay; is associated with a congenital abnormality; cancer; is associated with an overdose. In addition, any event that the investigator regards as serious or that would suggest any significant hazard, contraindication, side effect, or precaution that may be associated with the study procedures should be reported as an SAE. (NCT00379769)
Timeframe: From the beginning of the main study through the end of the observational follow-up (up to 11.4 years)

,
Interventionparticipants (Number)
All neoplasms/cancer (N/C) (benign/malignant)Malignant (Mal.) N/CMal. N/C; excluding non-melanomatous skin cancers
Combined MET/SU: Main Study and Observational Follow-up215195186
Combined RSG: Main Study and Observational Follow-up196179164

Number of Participants With the Indicated Type of Neoplasm/Cancer Event Reported as a Serious Adverse Event (SAE) or Death: Observational Follow-up

The observational follow-up was designed to collect data concerning cancer and bone fractures in RECORD participants during a 4-year period after the end of the main RECORD study. At the end of the main study, all study medication was stopped. Participants were not provided with study medication in the observational follow-up; instead, anti-diabetic treatment was prescribed at the investigator's discretion. An SAE is defined as any event that is fatal; life threatening; disabling/incapacitating; results in hospitalization (excluding elective surgery or routine clinical procedures); prolongs a hospital stay; is associated with a congenital abnormality; cancer; is associated with an overdose. In addition, any event that the investigator regards as serious or that would suggest any significant hazard, contraindication, side effect, or precaution that may be associated with the study procedures should be reported as an SAE. (NCT00379769)
Timeframe: From the end of the RECORD study through the end of the observational follow-up (up to 4.0 years)

,
Interventionparticipants (Number)
All neoplasms/cancer (N/C) (benign/malignant)Malignant (Mal.) N/CMal. N/C; excluding non-melanomatous skin cancers
Combined MET/SU: Observational Follow-up515146
Combined RSG: Observational Follow-up605955

Total Number of Cardiovascular Hospitalisations and Cardiovascular Deaths

The total number of events for individual components of cardiovascular (CV) hospitalisations and cardiovascular deaths were recorded. MI, myocardial infarction. (NCT00379769)
Timeframe: Baseline through End of Study (up to 7.5 years)

,
InterventionNumber of events (Number)
CV deathsDeath due to acute MIDeath due to heart failureSudden deathDeath due to acute vascular eventsOther CV mortalityDeath of presumed CV causeCardiovascular hospitalisationHospitalisation for acute MIHospitalisation for unstable anginaHospitalisation for congestive heart failureHospitalisation for strokeHospitalisation for transient ischaemic attackHospitalisation for invasive CV procedureHospitalisation for amputation of extremitiesOther CV hospitalisations
Combined MET/SU711021210433490572836671011623153
Combined RSG60710816284836628695110996154

Trials

2 trials available for metformin and Angina, Unstable

ArticleYear
Rationale, design, and organization of a randomized, controlled Trial Evaluating Cardiovascular Outcomes with Sitagliptin (TECOS) in patients with type 2 diabetes and established cardiovascular disease.
    American heart journal, 2013, Volume: 166, Issue:6

    Topics: Aged; Aged, 80 and over; Angina, Unstable; Cardiovascular Diseases; Diabetes Mellitus, Type 2; Doubl

2013
Rosiglitazone evaluated for cardiovascular outcomes in oral agent combination therapy for type 2 diabetes (RECORD): a multicentre, randomised, open-label trial.
    Lancet (London, England), 2009, Jun-20, Volume: 373, Issue:9681

    Topics: Administration, Oral; Angina, Unstable; Body Weight; Cholesterol, HDL; Cholesterol, LDL; Diabetes Me

2009

Other Studies

2 other studies available for metformin and Angina, Unstable

ArticleYear
Comparative cardiovascular safety of glucagon-like peptide-1 receptor agonists versus other antidiabetic drugs in routine care: a cohort study.
    Diabetes, obesity & metabolism, 2016, Volume: 18, Issue:8

    Topics: Adult; Angina, Unstable; Cardiovascular Diseases; Cohort Studies; Databases, Factual; Diabetes Melli

2016
Comparative risk of major cardiovascular events associated with second-line antidiabetic treatments: a retrospective cohort study using UK primary care data linked to hospitalization and mortality records.
    Diabetes, obesity & metabolism, 2016, Volume: 18, Issue:9

    Topics: Acute Coronary Syndrome; Aged; Angina, Unstable; Cardiovascular Diseases; Cohort Studies; Diabetes M

2016