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.
Excerpt | Relevance | Reference |
---|---|---|
"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." | 5.14 | Rosiglitazone 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) |
Timeframe | Studies, this research(%) | All Research% |
---|---|---|
pre-1990 | 0 (0.00) | 18.7374 |
1990's | 0 (0.00) | 18.2507 |
2000's | 1 (25.00) | 29.6817 |
2010's | 3 (75.00) | 24.3611 |
2020's | 0 (0.00) | 2.80 |
Authors | Studies |
---|---|
Green, JB | 1 |
Bethel, MA | 1 |
Paul, SK | 1 |
Ring, A | 1 |
Kaufman, KD | 1 |
Shapiro, DR | 1 |
Califf, RM | 1 |
Holman, RR | 1 |
Patorno, E | 1 |
Everett, BM | 1 |
Goldfine, AB | 1 |
Glynn, RJ | 1 |
Liu, J | 1 |
Gopalakrishnan, C | 1 |
Kim, SC | 1 |
Zghebi, SS | 1 |
Steinke, DT | 1 |
Rutter, MK | 1 |
Emsley, RA | 1 |
Ashcroft, DM | 1 |
Home, PD | 1 |
Pocock, SJ | 1 |
Beck-Nielsen, H | 1 |
Curtis, PS | 1 |
Gomis, R | 1 |
Hanefeld, M | 1 |
Jones, NP | 1 |
Komajda, M | 1 |
McMurray, JJ | 1 |
Trial | Phase | Enrollment | Study Type | Start Date | Status | ||
---|---|---|---|---|---|---|---|
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 3 | 14,671 participants (Actual) | Interventional | 2008-12-10 | Completed | ||
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 3 | 4,447 participants (Actual) | Interventional | 2001-04-30 | Completed | ||
[information is prepared from clinicaltrials.gov, extracted Sep-2024] |
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
Intervention | Percentage of participants (Number) |
---|---|
Sitagliptin | 7.5 |
Placebo | 7.3 |
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
Intervention | Percentage of participants (Number) |
---|---|
Sitagliptin | 4.7 |
Placebo | 4.3 |
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
Intervention | Percentage of participants (Number) |
---|---|
Sitagliptin | 3.1 |
Placebo | 3.1 |
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
Intervention | Percentage of participants (Number) |
---|---|
Sitagliptin | 2.8 |
Placebo | 2.8 |
Chronic insulin therapy is defined as a continuous period of insulin use of more than 3 months. (NCT00790205)
Timeframe: Up to 5 years
Intervention | Percentage of participants (Number) |
---|---|
Sitagliptin | 9.7 |
Placebo | 13.2 |
Chronic insulin therapy is defined as a continuous period of insulin use of more than 3 months. (NCT00790205)
Timeframe: Up to 5 years
Intervention | Percentage of participants (Number) |
---|---|
Sitagliptin | 8.6 |
Placebo | 11.9 |
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
Intervention | Percentage of participants (Number) |
---|---|
Sitagliptin | 9.6 |
Placebo | 9.6 |
CV composite endpoint of MACE which includes CV-related death, nonfatal MI, or nonfatal stroke. (NCT00790205)
Timeframe: Up to 5 years
Intervention | Percentage of participants (Number) |
---|---|
Sitagliptin | 10.2 |
Placebo | 10.2 |
CV composite endpoint of MACE which includes CV-related death, nonfatal MI, or nonfatal stroke. (NCT00790205)
Timeframe: Up to 5 years
Intervention | Percentage of participants (Number) |
---|---|
Sitagliptin | 8.4 |
Placebo | 8.3 |
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
Intervention | Percentage of participants (Number) |
---|---|
Sitagliptin | 11.4 |
Placebo | 11.6 |
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
Intervention | Percentage of participants (Number) |
---|---|
Sitagliptin | 21.7 |
Placebo | 27.9 |
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
Intervention | Percentage of participants (Number) |
---|---|
Sitagliptin | 18.9 |
Placebo | 24.5 |
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
Intervention | Percentage of HbA1c (Mean) | ||||||
---|---|---|---|---|---|---|---|
Month 4: Sitagliptin, n= 6772; Placebo, n= 6738 | Month 8: Sitagliptin, n= 6478; Placebo, n= 6414 | Month 12: Sitagliptin, n= 6448; Placebo, n= 6384 | Month 24: Sitagliptin, n= 6105; Placebo, n= 5975 | Month 36: Sitagliptin, n= 3521; Placebo, n= 3439 | Month 48: Sitagliptin, n= 1432; Placebo, n= 1383 | Month 60: Sitagliptin, n= 123; Placebo, n= 128 | |
Placebo | 0.1 | 0.1 | 0.1 | 0.1 | 0.1 | 0.1 | 0.0 |
Sitagliptin | -0.3 | -0.2 | -0.2 | -0.1 | -0.1 | 0.0 | 0.0 |
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
Intervention | Percentage of HbA1c (Mean) | ||||||
---|---|---|---|---|---|---|---|
Month 4; Sitagliptin, n=6632, Placebo, n=6588 | Month 8; Sitagliptin, n=6294, Placebo, n=6197 | Month 12; Sitagliptin, n=6217, Placebo, n=6092 | Month 24; Sitagliptin, n=5668, Placebo, n=5475 | Month 36; Sitagliptin, n=3227, Placebo, n=3083 | Month 48; Sitagliptin, n=1271, Placebo, n=1224 | Month 60; Sitagliptin, n=106, Placebo, n=108 | |
Placebo | 0.1 | 0.1 | 0.1 | 0.2 | 0.1 | 0.1 | 0.0 |
Sitagliptin | -0.3 | -0.3 | -0.2 | -0.1 | -0.1 | 0.0 | -0.1 |
Change in renal function based on eGFR using the MDRD method. (NCT00790205)
Timeframe: Baseline and up to 5 years
Intervention | mL/min/1.73 m^2 (Mean) | ||||||
---|---|---|---|---|---|---|---|
Month 4; Sitagliptin, n=3949; Placebo, n=3977 | Month 8; Sitagliptin, n=3687; Placebo, n=3648 | Month 12; Sitagliptin, n=5082; Placebo, n=5015 | Month 24; Sitagliptin, n=5157; Placebo, n=5071 | Month 36; Sitagliptin, n=3037; Placebo, n=2942 | Month 48; Sitagliptin, n=1237; Placebo, n=1210 | Month 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 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
Intervention | mL/min/1.73 m^2 (Mean) | ||||||
---|---|---|---|---|---|---|---|
Month 4; Sitagliptin, n= 3859; Placebo, n= 3864 | Month 8; Sitagliptin, n= 3562; Placebo, n= 3501 | Month 12; Sitagliptin, n=4912, Placebo, n=4778 | Month 24; Sitagliptin, n=4782, Placebo, n=4637 | Month 36; Sitagliptin, n=2776, Placebo, n=2614 | Month 48; Sitagliptin, n=1096, Placebo, n=1056 | Month 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 reflects the difference between the urine albumin:creatinine ratio reported time point and baseline value. (NCT00790205)
Timeframe: Baseline and up to 5 years
Intervention | g/mol Creatinine (Mean) | ||||||
---|---|---|---|---|---|---|---|
Month 4; n=677, n=713 | Month 8; n=658, n=624 | Month 12; n=1167, n=1115 | Month 24; n=1011, n=964 | Month 36; n=537, n=553 | Month 48; n=265, n=256 | Month 60; n=14, n=18 | |
Placebo | -1.4 | 0.5 | 1.2 | 3.1 | 3.9 | 1.6 | 6.4 |
Sitagliptin | -2.1 | 2.1 | 1.3 | 0.5 | 2.6 | 1.9 | -2.5 |
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
Intervention | g/mol Creatinine (Mean) | ||||||
---|---|---|---|---|---|---|---|
Month 4; Sitagliptin, n=664; Placebo, n=688 | Month 8; Sitagliptin, n=635; Placebo, n=597 | Month 12; Sitagliptin, n=1126; Placebo, n=1059 | Month 24; Sitagliptin, n=930; Placebo, n=892 | Month 36; Sitagliptin, n=488; Placebo, n=513 | Month 48; Sitagliptin, n=238; Placebo, n=233 | Month 60; Sitagliptin, n=13; Placebo, n=17 | |
Placebo | -1.4 | 0.2 | 1.2 | 3.2 | 4.0 | 1.5 | 4.8 |
Sitagliptin | -2.2 | 1.7 | 0.8 | 0.7 | 2.5 | 1.3 | -2.7 |
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)
Intervention | participants (Number) |
---|---|
Combined RSG | 181 |
Combined MET/SU | 188 |
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)
Intervention | participants (Number) |
---|---|
Combined RSG | 50 |
Combined MET/SU | 63 |
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)
Intervention | participants (Number) |
---|---|
Combined RSG | 139 |
Combined MET/SU | 160 |
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)
Intervention | participants (Number) |
---|---|
Combined RSG | 88 |
Combined MET/SU | 96 |
"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)
Intervention | participants (Number) |
---|---|
Combined RSG | 88 |
Combined MET/SU | 96 |
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)
Intervention | participants (Number) |
---|---|
Combined RSG | 186 |
Combined MET/SU | 191 |
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)
Intervention | participants (Number) |
---|---|
Combined RSG | 72 |
Combined MET/SU | 62 |
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)
Intervention | participants (Number) |
---|---|
Combined RSG | 68 |
Combined MET/SU | 60 |
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)
Intervention | participants (Number) |
---|---|
Combined RSG | 53 |
Combined MET/SU | 64 |
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
Intervention | U/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 (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
Intervention | kilograms (Mean) |
---|---|
RSG in Addition to Background MET | 3.93 |
SU in Addition to Background MET | -0.54 |
RSG in Addition to Background SU | 4.72 |
MET in Addition to Background SU | -2.16 |
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
Intervention | mmol/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 (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
Intervention | Percent (Mean) |
---|---|
RSG in Addition to Background MET | -0.14 |
SU in Addition to Background MET | 0.17 |
RSG in Addition to Background SU | -0.24 |
MET in Addition to Background SU | -0.10 |
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
Intervention | cm (centimeters) (Mean) |
---|---|
RSG in Addition to Background MET | 2.70 |
SU in Addition to Background MET | 0.65 |
RSG in Addition to Background SU | 3.00 |
MET in Addition to Background SU | -0.60 |
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
Intervention | percent 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 |
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
Intervention | percent 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 |
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
Intervention | percent change (Geometric Mean) |
---|---|
RSG in Addition to Background MET | 2.12 |
SU in Addition to Background MET | 5.74 |
RSG in Addition to Background SU | -0.23 |
MET in Addition to Background SU | 3.14 |
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
Intervention | percent change (Geometric Mean) |
---|---|
RSG in Addition to Background MET | -9.85 |
SU in Addition to Background MET | 15.01 |
RSG in Addition to Background SU | -7.79 |
MET in Addition to Background SU | -0.64 |
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
Intervention | percent change (Geometric Mean) |
---|---|
RSG in Addition to Background MET | 8.31 |
SU in Addition to Background MET | 15.17 |
RSG in Addition to Background SU | -3.43 |
MET in Addition to Background SU | 11.91 |
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)
Intervention | participants (Number) |
---|---|
Combined RSG: Main Study and Observational Follow-up | 0 |
Combined MET/SU: Main Study and Observational Follow-up | 0 |
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)
Intervention | participants (Number) |
---|---|
Combined RSG | 321 |
Combined MET/SU | 323 |
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)
Intervention | partcipants (Number) |
---|---|
RSG in Addition to Background MET | 158 |
SU in Addition to Background MET | 154 |
RSG in Addition to Background SU | 163 |
MET in Addition to Background SU | 169 |
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
Intervention | participants (Number) |
---|---|
RSG in Addition to Background MET | 281 |
SU in Addition to Background MET | 451 |
RSG in Addition to Background SU | 365 |
MET in Addition to Background SU | 424 |
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)
Intervention | participants (Number) |
---|---|
RSG in Addition to Background MET | 126 |
SU in Addition to Background MET | 276 |
RSG in Addition to Background SU | 168 |
MET in Addition to Background SU | 259 |
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
Intervention | mmHg (millimeters of mercury) (Mean) | |
---|---|---|
SBP | DBP | |
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 (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
Intervention | picamoles/liter (pmol/L) (Mean) | |
---|---|---|
Insulin, Adjusted Change from Baseline | Pro-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 MET | 3.7 | 4.2 |
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
Intervention | percent change (Geometric Mean) | ||||
---|---|---|---|---|---|
Total cholesterol | HDL-cholesterol | LDL-cholesterol | Triglycerides | Free fatty acids | |
MET in Addition to Background SU | -9.68 | 6.14 | -17.80 | -2.50 | 4.47 |
RSG in Addition to Background MET | -5.49 | 9.95 | -12.70 | -7.97 | -16.46 |
RSG in Addition to Background SU | -2.91 | 7.73 | -8.99 | -2.68 | -11.58 |
SU in Addition to Background MET | -9.09 | 2.57 | -17.68 | -1.95 | 2.79 |
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
Intervention | percent change (Geometric Mean) | |
---|---|---|
Total Cholesterol: HDL Cholesterol Ratio | LDL 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 |
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
Intervention | percent change (Geometric Mean) | |
---|---|---|
Beta cell function | Insulin sensitivity | |
MET in Addition to Background SU | 12.43 | 23.90 |
RSG in Addition to Background MET | 20.54 | 42.57 |
RSG in Addition to Background SU | 32.35 | 42.07 |
SU in Addition to Background MET | 19.28 | -3.45 |
"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)
Intervention | bone fracture events (Number) | |||||
---|---|---|---|---|---|---|
Number of bone fracture events | Unknown | Normal healing with standard management | Complication | Additional therapeutic measures required | Data unavailable | |
Combined MET/SU: Main Study and Observational Follow-up | 174 | 5 | 142 | 13 | 9 | 5 |
Combined RSG: Main Study and Observational Follow-up | 299 | 7 | 250 | 14 | 16 | 12 |
"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)
Intervention | bone fracture events (Number) | |||||
---|---|---|---|---|---|---|
Number of bone fracture events | Unknown | Normal healing with standard management | Complication | Additional therapeutic measures required | Data unavailable | |
Combined MET/SU: Observational Follow-up | 41 | 1 | 33 | 4 | 2 | 1 |
Combined RSG: Observational Follow-up | 70 | 1 | 51 | 7 | 3 | 8 |
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
Intervention | participants (Number) | |
---|---|---|
HbA1c Responders | FPG Responders | |
MET in Addition to Background SU | 180 | 154 |
RSG in Addition to Background MET | 265 | 300 |
RSG in Addition to Background SU | 235 | 257 |
SU in Addition to Background MET | 208 | 180 |
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)
Intervention | participants (Number) | |||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Any cancer-related death | Any gastrointestinal event | Pancreatic | Colon/rectal | Gastric | Liver | Gall bladder/biliary | Gastrointestinal event; not specified | Any genitourinary event | Renal | Uterine | Prostate | Bladder | Ovarian | Lung | Any hematologic event | Skin (melanoma) | Skin (non-melanomatous) | Metastases | Breast | Head and neck | Any neurologic event | Endocrine | Not specified | |
Combined MET/SU: Main Study and Observational Follow-up | 72 | 34 | 12 | 11 | 3 | 4 | 3 | 1 | 15 | 3 | 5 | 2 | 3 | 2 | 11 | 0 | 0 | 0 | 4 | 3 | 2 | 2 | 0 | 1 |
Combined RSG: Main Study and Observational Follow-up | 59 | 25 | 4 | 6 | 7 | 4 | 4 | 0 | 6 | 2 | 1 | 1 | 1 | 1 | 13 | 4 | 3 | 1 | 2 | 2 | 1 | 2 | 1 | 0 |
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)
Intervention | participants (Number) | |||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Any cancer-related death | Any gastrointestinal event | Pancreatic | Colon/rectal | Gastric | Liver | Gall bladder/biliary | Gastrointestinal event; not specified | Any genitourinary event | Renal | Uterine | Prostate | Bladder | Ovarian | Lung | Any hematologic event | Skin (melanoma) | Skin (non-melanomatous) | Metastases | Breast | Head and neck | Any neurologic event | Endocrine | Not specified | |
Combined MET/SU: Observational Follow-up | 24 | 14 | 3 | 6 | 1 | 2 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 5 | 0 | 0 | 0 | 1 | 3 | 0 | 1 | 0 | 0 |
Combined RSG: Observational Follow-up | 25 | 10 | 3 | 2 | 2 | 2 | 1 | 0 | 2 | 1 | 1 | 0 | 0 | 0 | 4 | 4 | 1 | 1 | 1 | 1 | 1 | 1 | 0 | 0 |
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)
Intervention | participants (Number) | ||
---|---|---|---|
Overall, n=2220, 2227 | Male, n=1142, 1152 | Female, n=1078, 1075 | |
Combined MET/SU: Main Study and Observational Follow-up | 151 | 60 | 91 |
Combined RSG: Main Study and Observational Follow-up | 238 | 82 | 156 |
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)
Intervention | participants (Number) | ||
---|---|---|---|
Overall, n=1280, 1250 | Male, n=665, 635 | Female, n=615, 615 | |
Combined MET/SU: Observational Follow-up | 37 | 11 | 26 |
Combined RSG: Observational Follow-up | 64 | 25 | 39 |
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)
Intervention | participants (Number) | ||||||
---|---|---|---|---|---|---|---|
Any event | Upper limb | Distal lower limb | Femur/hip | Spinal | Pelvic | Other | |
Combined MET/SU: Main Study and Observational Follow-up | 57 | 17 | 16 | 11 | 9 | 3 | 4 |
Combined RSG: Main Study and Observational Follow-up | 81 | 41 | 24 | 15 | 7 | 0 | 7 |
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)
Intervention | participants (Number) | ||||||
---|---|---|---|---|---|---|---|
Any event | Upper limb | Distal lower limb | Femur/hip | Spinal | Pelvic | Other | |
Combined MET/SU: Observational Follow-up | 21 | 5 | 8 | 4 | 3 | 1 | 1 |
Combined RSG: Observational Follow-up | 35 | 17 | 9 | 6 | 2 | 0 | 2 |
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)
Intervention | participants (Number) | ||
---|---|---|---|
Participants with an event | First Event - Triple Therapy | First Event - Insulin | |
MET in Addition to Background SU | 171 | 6 | 165 |
RSG in Addition to Background MET | 295 | 257 | 38 |
RSG in Addition to Background SU | 344 | 296 | 49 |
SU in Addition to Background MET | 183 | 7 | 176 |
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)
Intervention | participants (Number) | |||||
---|---|---|---|---|---|---|
Any event | Non-traumatic event | Traumatic event | Pathologic | Unknown | Data unavailable | |
Combined MET/SU: Main Study and Observational Follow-up | 151 | 55 | 77 | 4 | 19 | 3 |
Combined RSG: Main Study and Observational Follow-up | 238 | 113 | 110 | 1 | 20 | 9 |
"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)
Intervention | participants (Number) | |||||
---|---|---|---|---|---|---|
Any event | Non-traumatic event, | Traumatic event | Pathologic | Unknown | Data unavailable | |
Combined MET/SU: Observational Follow-up | 37 | 14 | 17 | 2 | 4 | 1 |
Combined RSG: Observational Follow-up | 64 | 36 | 24 | 1 | 1 | 3 |
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)
Intervention | participants (Number) | |||||||||
---|---|---|---|---|---|---|---|---|---|---|
CV death, acute MI, stroke | CV death, acute MI, stroke, unstable angina | CV death, acute MI, stroke, unstable angina, CHF | All-cause death,acuteMI,stroke,unstable angina,CHF | Acute MI (fatal or non-fatal) | Stroke (fatal or non-fatal) | CHF (fatal or non-fatal) | Death from CV causes | Death (all cause) during CV follow-up | Death (all-cause) including survival status | |
Combined MET/SU | 165 | 184 | 206 | 268 | 56 | 63 | 29 | 71 | 139 | 157 |
Combined RSG | 154 | 171 | 204 | 251 | 64 | 46 | 61 | 60 | 111 | 136 |
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)
Intervention | participants (Number) | ||||
---|---|---|---|---|---|
Participants with a CV/Microvascular event | Participants with any microvascular event | Participants with any eye event | Participants with any foot event | Participants with any renal event | |
Combined MET/SU | 385 | 78 | 52 | 28 | 0 |
Combined RSG | 363 | 59 | 42 | 19 | 0 |
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)
Intervention | participants (Number) | ||||||||
---|---|---|---|---|---|---|---|---|---|
Any H/UA/FF event, overall, n=2220, 2227 | Any H/UA/FF event, male, n=1142, 1152 | Any H/UA/FF event, female, n=1078, 1075 | High morbidity fractures, overall, n=2220, 2227 | High morbidity fractures, male, n=1142, 1152 | High morbidity fractures, female, n=1078, 1075 | Non-high morbidity fractures, overall, n=2220, 222 | Non-high morbidity fractures, male, n=1142, 1152 | Non-high morbidity fractures, female, n=1078, 1075 | |
Combined MET/SU: Main Study and Observational Follow-up | 46 | 15 | 31 | 1 | 0 | 1 | 4 | 3 | 1 |
Combined RSG: Main Study and Observational Follow-up | 86 | 28 | 58 | 5 | 0 | 5 | 15 | 2 | 13 |
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)
Intervention | participants (Number) | |||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Any event, overall, n=2220, 2227 | Any event, male, n=1142, 1152 | Any event, female, n=1078, 1075 | Hip, overall, n=2220, 2227 | Hip, male, n=1142, 1152 | Hip, female, n=1078, 1075 | Pelvis, overall, n=2220, 2227 | Pelvis, male, n=1142, 1152 | Pelvis, female, n=1078, 1075 | Upper leg, overall, n=2220, 2227 | Upper leg, male, n=1142, 1152 | Upper leg, female, n=1078, 1075 | Any vertebral event, overall, n=2220, 2227 | Any vertebral event, male, n=1142, 1152 | Any vertebral event, female, n=1078, 1075 | Lumbar spine, overall, n=2220, 2227 | Lumbar spine, male, n=1142, 1152 | Lumbar spine, female, n=1078, 1075 | Thoracic spine, overall, n=2220, 2227 | Thoracic spine, male, n=1142, 1152 | Thoracic spine, female, n=1078, 1075 | Cervical spine, overall, n=2220, 2227 | Cervical spine, male, n=1142, 1152 | Cervical spine, female, n=1078, 1075 | |
Combined MET/SU: Main Study and Observational Follow-up | 31 | 13 | 18 | 7 | 1 | 6 | 5 | 4 | 1 | 6 | 0 | 6 | 13 | 8 | 5 | 4 | 3 | 1 | 8 | 4 | 4 | 1 | 1 | 0 |
Combined RSG: Main Study and Observational Follow-up | 31 | 10 | 21 | 9 | 0 | 9 | 0 | 0 | 0 | 7 | 4 | 3 | 16 | 6 | 10 | 10 | 5 | 5 | 5 | 1 | 4 | 1 | 0 | 1 |
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)
Intervention | participants (Number) | |||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Any event, overall; n=2220, 2227 | Any event, male; n=1142, 1152 | Any event, female; n=1078, 1075 | Upper limb, any event, overall; n=2220, 2227 | Upper limb, any event, male; n=1142, 1152 | Upper limb, any event, female; n=1078, 1075 | Distal lower limb, any event, overall; n=2220, 222 | Distal lower limb, any event, male; n=1142, 1152 | Distal lower limb, any event, female; n=1078, 1075 | Femur/hip, any event, overall; n=2220, 2227 | Femur/hip, any event, male; n=1142, 1152 | Femur/hip, any event, female; n=1078, 1075 | Spinal, any event, overall; n=2220, 2227 | Spinal, any event, male; n=1142, 1152 | Spinal, any event, female; n=1078, 1075 | Pelvic, any event, overall; n=2220, 2227 | Pelvic, any event, male; n=1142, 1152 | Pelvic, any event, female; n=1078, 1075 | Unclassified, any event, overall; n=2220, 2227 | Unclassified, any event, male; n=1142, 1152 | Unclassified, any event, female; n=1078, 1075 | Other, any event, overall; n=2220, 2227 | Other, any event, male; n=1142, 1152 | Other, any event, female; n=1078, 1075 | |
Combined MET/SU: Main Study and Observational Follow-up | 151 | 60 | 91 | 70 | 22 | 48 | 40 | 14 | 26 | 13 | 1 | 12 | 14 | 9 | 5 | 5 | 4 | 1 | 0 | 0 | 0 | 26 | 16 | 10 |
Combined RSG: Main Study and Observational Follow-up | 238 | 82 | 156 | 116 | 32 | 84 | 88 | 31 | 57 | 16 | 4 | 12 | 18 | 7 | 11 | 0 | 0 | 0 | 1 | 1 | 0 | 31 | 18 | 13 |
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)
Intervention | participants (Number) | |||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Any event, overall; n=1280, 1250 | Any event, male; n=665, 635 | Any event, female; n=615, 615 | Upper limb, any event, overall; n=1280, 1250 | Upper limb, any event, male; n=665, 635 | Upper limb, any event, female; n=615, 615 | Distal lower limb, any event, overall; n=1280,1250 | Distal lower limb, any event, male; n=665, 635 | Distal lower limb, any event, female; n=615, 615 | Femur/hip, any event, overall; n=1280, 1250 | Femur/hip, any event, male; n=665, 635 | Femur/hip, any event, female; n=615, 615 | Spinal, any event, overall; n=1280, 1250 | Spinal, any event, male; n=665, 635 | Spinal, any event, female; n=615, 615 | Pelvic, any event, overall; n=1280, 1250 | Pelvic, any event, male; n=665, 635 | Pelvic, any event, female; n=615, 615 | Unclassified, any event, overall; n=1280, 1250 | Unclassified, any event, male; n=665, 635 | Unclassified, any event, female; n=615, 615 | Other, any event, overall; n=1280, 1250 | Other, any event, male; n=665, 635 | Other, any event, female; n=615, 615 | |
Combined MET/SU: Observational Follow-up | 37 | 11 | 26 | 15 | 3 | 12 | 13 | 4 | 9 | 5 | 0 | 5 | 5 | 4 | 1 | 1 | 1 | 0 | 0 | 0 | 0 | 1 | 1 | 0 |
Combined RSG: Observational Follow-up | 64 | 25 | 39 | 33 | 10 | 23 | 18 | 9 | 9 | 6 | 1 | 5 | 4 | 1 | 3 | 0 | 0 | 0 | 1 | 1 | 0 | 6 | 4 | 2 |
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)
Intervention | participants (Number) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Any event | Ankle fracture | Prostate cancer | Lung neoplasm malignant | Breast cancer | Basal cell carcinoma | Pancreatic carcinoma | Colon cancer | Humerus fracture | Upper limb fracture | Malignant melanoma | Uterine cancer | Gastric cancer | Wrist fracture | Hip fracture | Radius fracture | Forearm fracture | Hepatic neoplasm malignant | Rectal cancer | Renal cancer | Foot fracture | Renal cell carcinoma | Femur fracture | Femoral neck fracture | Lumbar vertebral fracture | Metastases to bone | Metastases to liver | Bladder cancer | Fall | Metastases to central nervous system | Rib fracture | Squamous cell carcinoma | Acute myocardial infarction | Brain neoplasm | Gastric neoplasm | Metastases to lung | Patella fracture | Death | Abdominal pain | Acute myeloid leukaemia | Acute respiratory failure | Anaemia | Benign salivary gland neoplasm | Biliary colic | Biliary neoplasm | Bone neoplasm malignant | Bronchial carcinoma | Cardiac failure acute | Chest pain | Chronic lymphocytic leukaemia | Colon neoplasm | Contusion | Drowning | Dysplasia | Endometrial cancer stage I | Leukaemia | Lower limb fracture | Lung squamous cell carcinoma stage unspecified | Lymphoma | Malignant neoplasm of pleura | Metastases to skin | Metastases to testicle | Metastatic renal cell carcinoma | Oesophageal carcinoma | Osteoarthritis | Pancreatic necrosis | Rectal cancer stage II | Spinal fracture | T-cell lymphoma | Urinary tract infection | Uterine leiomyosarcoma | Biliary cancer metastatic | Cervix carcinoma | Chronic obstructive pulmonary disease | Comminuted fracture | Craniocerebral injury | Gastrointestinal neoplasm | Hepatic lesion | Joint dislocation | Laryngeal cancer | Lip neoplasm malignant stage unspecified | Lung neoplasm | Metastases to lymph nodes | Metastasis | Musculoskeletal chest pain | Myocardial infarction | Non-Hodgkin's lymphoma | Pubis fracture | Pulmonary embolism | Rectal cancer recurrent | Rectal neoplasm | Skin cancer | Skin ulcer | Small cell lung cancer stage unspecified | Sternal fracture | Subdural haemorrhage | Sudden death | Thoracic vertebral fracture | Thyroid cancer | Vulval cancer | |
Combined MET/SU: Observational Follow-up | 76 | 3 | 1 | 4 | 6 | 3 | 3 | 6 | 1 | 1 | 2 | 3 | 0 | 0 | 1 | 1 | 2 | 2 | 2 | 2 | 3 | 0 | 1 | 2 | 2 | 2 | 2 | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 1 | 1 | 1 | 2 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 1 | 0 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 |
Combined RSG: Observational Follow-up | 99 | 6 | 7 | 4 | 2 | 4 | 4 | 1 | 5 | 5 | 3 | 2 | 4 | 4 | 3 | 3 | 2 | 2 | 2 | 2 | 1 | 3 | 2 | 1 | 1 | 1 | 1 | 2 | 2 | 2 | 2 | 2 | 1 | 1 | 1 | 1 | 1 | 0 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
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)
Intervention | participants (Number) | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Any genitourinary | Prostate | Renal | Uterine | Bladder | Vaginal/vulvar | Ovarian | Any gastrointestinal | Colon/rectal cancer | Colon | Gastric | Pancreatic | Liver | Gall bladder/biliary | Gastrointestinal; not specified | Any hematologic | Lung | Skin (non-melanomatous) | Skin (melanomatous) | Metastases | Breast | Head and neck | Neurologic | Endocrine | Not specified | Other | |
Combined MET/SU: Main Study and Observational Follow-up | 57 | 22 | 9 | 16 | 5 | 1 | 4 | 62 | 30 | 21 | 5 | 16 | 5 | 5 | 1 | 6 | 15 | 13 | 4 | 18 | 23 | 7 | 3 | 6 | 1 | 3 |
Combined RSG: Main Study and Observational Follow-up | 57 | 22 | 12 | 11 | 8 | 1 | 5 | 48 | 22 | 14 | 13 | 5 | 4 | 4 | 0 | 12 | 19 | 19 | 6 | 12 | 12 | 4 | 3 | 3 | 0 | 0 |
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)
Intervention | participants (Number) | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Any genitourinary | Prostate | Renal | Uterine | Bladder | Vaginal/vulvar | Ovarian | Any gastrointestinal | Colon/rectal cancer | Colon | Gastric | Pancreatic | Liver | Gall bladder/biliary | Gastrointestinal; not specified | Any hematologic | Lung | Skin (non-melanomatous) | Skin (melanomatous) | Metastases | Breast | Head and neck | Neurologic | Endocrine | Not specified | Other | |
Combined MET/SU: Observational Follow-up | 8 | 1 | 2 | 4 | 0 | 1 | 0 | 19 | 11 | 7 | 1 | 3 | 2 | 1 | 1 | 1 | 6 | 5 | 2 | 6 | 7 | 1 | 1 | 1 | 0 | 0 |
Combined RSG: Observational Follow-up | 18 | 7 | 5 | 4 | 2 | 0 | 0 | 17 | 5 | 2 | 5 | 4 | 2 | 1 | 0 | 6 | 6 | 6 | 3 | 3 | 2 | 2 | 1 | 0 | 0 | 0 |
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)
Intervention | participants (Number) | ||
---|---|---|---|
All neoplasms/cancer (N/C) (benign/malignant) | Malignant (Mal.) N/C | Mal. N/C; excluding non-melanomatous skin cancers | |
Combined MET/SU: Main Study and Observational Follow-up | 215 | 195 | 186 |
Combined RSG: Main Study and Observational Follow-up | 196 | 179 | 164 |
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)
Intervention | participants (Number) | ||
---|---|---|---|
All neoplasms/cancer (N/C) (benign/malignant) | Malignant (Mal.) N/C | Mal. N/C; excluding non-melanomatous skin cancers | |
Combined MET/SU: Observational Follow-up | 51 | 51 | 46 |
Combined RSG: Observational Follow-up | 60 | 59 | 55 |
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)
Intervention | Number of events (Number) | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
CV deaths | Death due to acute MI | Death due to heart failure | Sudden death | Death due to acute vascular events | Other CV mortality | Death of presumed CV cause | Cardiovascular hospitalisation | Hospitalisation for acute MI | Hospitalisation for unstable angina | Hospitalisation for congestive heart failure | Hospitalisation for stroke | Hospitalisation for transient ischaemic attack | Hospitalisation for invasive CV procedure | Hospitalisation for amputation of extremities | Other CV hospitalisations | |
Combined MET/SU | 71 | 10 | 2 | 12 | 10 | 4 | 33 | 490 | 57 | 28 | 36 | 67 | 10 | 116 | 23 | 153 |
Combined RSG | 60 | 7 | 10 | 8 | 1 | 6 | 28 | 483 | 66 | 28 | 69 | 51 | 10 | 99 | 6 | 154 |
2 trials available for metformin and Angina, Unstable
Article | Year |
---|---|
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.
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.
Topics: Administration, Oral; Angina, Unstable; Body Weight; Cholesterol, HDL; Cholesterol, LDL; Diabetes Me | 2009 |
2 other studies available for metformin and Angina, Unstable
Article | Year |
---|---|
Comparative cardiovascular safety of glucagon-like peptide-1 receptor agonists versus other antidiabetic drugs in routine care: a cohort study.
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.
Topics: Acute Coronary Syndrome; Aged; Angina, Unstable; Cardiovascular Diseases; Cohort Studies; Diabetes M | 2016 |