Page last updated: 2024-11-02

pioglitazone and Arthritis, Rheumatoid

pioglitazone has been researched along with Arthritis, Rheumatoid in 5 studies

Pioglitazone: A thiazolidinedione and PPAR GAMMA agonist that is used in the treatment of TYPE 2 DIABETES MELLITUS.
pioglitazone : A member of the class of thiazolidenediones that is 1,3-thiazolidine-2,4-dione substituted by a benzyl group at position 5 which in turn is substituted by a 2-(5-ethylpyridin-2-yl)ethoxy group at position 4 of the phenyl ring. It exhibits hypoglycemic activity.

Arthritis, Rheumatoid: A chronic systemic disease, primarily of the joints, marked by inflammatory changes in the synovial membranes and articular structures, widespread fibrinoid degeneration of the collagen fibers in mesenchymal tissues, and by atrophy and rarefaction of bony structures. Etiology is unknown, but autoimmune mechanisms have been implicated.

Research Excerpts

ExcerptRelevanceReference
"Addition of pioglitazone to RA therapy improves insulin resistance and modestly reduces RA disease activity measured by DAS28-CRP and two of its components, including patient-reported global health and CRP, but not DAS28-ESR or ESR."5.17Peroxisome proliferator-activated receptor γ agonist effect on rheumatoid arthritis: a randomized controlled trial. ( Bian, A; Cunningham, A; Oeser, AM; Ormseth, MJ; Shintani, A; Solus, J; Stein, CM; Tanner, S, 2013)
"Pioglitazone treatment resulted in a change in augmentation index of -4."2.79Reversing vascular dysfunction in rheumatoid arthritis: improved augmentation index but not endothelial function with peroxisome proliferator-activated receptor γ agonist therapy. ( Bian, A; Cunningham, A; Oeser, AM; Ormseth, MJ; Shintani, A; Solus, J; Stein, CM; Tanner, SB, 2014)

Research

Studies (5)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's0 (0.00)29.6817
2010's3 (60.00)24.3611
2020's2 (40.00)2.80

Authors

AuthorsStudies
Li, XF1
Yin, SQ1
Li, H1
Yang, YL1
Chen, X1
Song, B1
Wu, S1
Wu, YY1
Wang, H1
Li, J1
Turosz, N1
Chęcińska, K1
Chęciński, M1
Kamińska, M1
Nowak, Z1
Sikora, M1
Chlubek, D1
Ormseth, MJ2
Oeser, AM2
Cunningham, A2
Bian, A2
Shintani, A2
Solus, J2
Tanner, S1
Stein, CM2
Marder, W1
Khalatbari, S1
Myles, JD1
Hench, R1
Lustig, S1
Yalavarthi, S1
Parameswaran, A1
Brook, RD1
Kaplan, MJ1
Tanner, SB1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Inflammation and Insulin Resistance in Rheumatoid Arthritis[NCT00763139]34 participants (Actual)Interventional2009-04-30Completed
Peroxisome Proliferator-activated Receptor-gamma Agonists, Rheumatoid Arthritis and Cardiovascular Disease[NCT00554853]Phase 3143 participants (Actual)Interventional2007-11-30Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

C-reactive Protein (CRP)

(NCT00763139)
Timeframe: Measured after 8 weeks of treatment

Interventionmg/dl (Mean)
Pioglitazone Phase Baseline8.1
Pioglitazone Phase After 8 Weeks5.02
Placebo Phase Baseline7.7
Placebo Phase wk After 8 Weeks8.25

Disease Activity Score Based on 28-joint Disease Activity Score (DAS28)

A measure of disease activity based upon tender joint count of 28 joints, swollen joint count of 28 joints, erythrocyte sedimentation rate, and global disease activity (GH) as reported by participant. Calculation is as follows: DAS28=0.56*sqrt(t28) + 0.28*sqrt(sw28) + 0.70*Ln(ESR) + 0.014*GH (NCT00763139)
Timeframe: Measured after 8 weeks of treatment

Interventionunits on a scale (Mean)
Pioglitazone Phase Baseline4.40
Pioglitazone Phase After 8 Weeks4.03
Placebo Phase Baseline4.57
Placebo Phase wk 8/204.48

ESR

sed rate (NCT00763139)
Timeframe: baseline and after 8 weeks on either placebo or pioglitazone

Interventionmm/hr (Mean)
Pioglitazone Phase Baseline18.5
Pioglitazone Phase After 8 Weeks17
Placebo Phase Baseline19.5
Placebo Phase After 8 Weeks18.88

Homeostasis Model Assessment (HOMA) for Insulin Sensitivity

Homa is a measure of insulin sensitivity, using glucose measured in mmol/L and insulin measured in milliUnits per liter (mU/L) Calculated using the formula Glucose * Insulin/22/5 (NCT00763139)
Timeframe: Measured after 8 weeks of treatment

Interventionunits on a scale (Mean)
Pioglitazone Phase Baseline2.83
Pioglitazone Phase After 8 Weeks2.44
Placebo Phase Baseline2.38
Placebo Phase wk 8/203.11

Brachial Artery Diameter Change From Baseline in Response to Reactive Hyperemia

This measure represents the percentage change in diameter of brachial artery in response to reactive hyperemia. The data is presented intentionally and only for the results at the conclusion of the study. (NCT00554853)
Timeframe: 8 months

Intervention% changes in diameter of artery (Mean)
Study Drug (Pioglitazone) Then Placebo8.3
Placebo Then Study Drug (Pioglitazone)9.43

Rheumatoid Arthritis Disease Activity

"Quantification of disease activity using validated assessments (disease activity score on 28 joints (DAS28) and and C-reactive protein ( CRP) (Inflammatory marker) as a combined score (DAS-28CRP)).~Mean decrease in DAS-28-CRP score when compared to baseline was measured. The range of DAS-28-CRP is 0-10, with 0 meaning no active disease detected and 10 being the most severe active disease detected by joint count and C-reactive protein levels in blood." (NCT00554853)
Timeframe: 8 mo

Interventionmean decrease in DAS28-CRP score (Mean)
All Participants While on Placebo0.15
All Participants While on Study Drug (Pioglitazone).31

Reviews

1 review available for pioglitazone and Arthritis, Rheumatoid

ArticleYear
A Scoping Review of the Use of Pioglitazone in the Treatment of Temporo-Mandibular Joint Arthritis.
    International journal of environmental research and public health, 2022, 12-09, Volume: 19, Issue:24

    Topics: Animals; Arthritis, Rheumatoid; Inflammation; Pioglitazone; Temporomandibular Joint; Temporomandibul

2022

Trials

3 trials available for pioglitazone and Arthritis, Rheumatoid

ArticleYear
Peroxisome proliferator-activated receptor γ agonist effect on rheumatoid arthritis: a randomized controlled trial.
    Arthritis research & therapy, 2013, Volume: 15, Issue:5

    Topics: Aged; Antirheumatic Agents; Arthritis, Rheumatoid; Blood Sedimentation; C-Reactive Protein; Cross-Ov

2013
The peroxisome proliferator activated receptor-γ pioglitazone improves vascular function and decreases disease activity in patients with rheumatoid arthritis.
    Journal of the American Heart Association, 2013, Nov-19, Volume: 2, Issue:6

    Topics: Adult; Aged; Anti-Inflammatory Agents; Antirheumatic Agents; Arthritis, Rheumatoid; Biomarkers; Bloo

2013
Reversing vascular dysfunction in rheumatoid arthritis: improved augmentation index but not endothelial function with peroxisome proliferator-activated receptor γ agonist therapy.
    Arthritis & rheumatology (Hoboken, N.J.), 2014, Volume: 66, Issue:9

    Topics: Adult; Aged; Antirheumatic Agents; Arthritis, Rheumatoid; Cross-Over Studies; Double-Blind Method; E

2014

Other Studies

1 other study available for pioglitazone and Arthritis, Rheumatoid

ArticleYear
PPAR-γ alleviates the inflammatory response in TNF-α-induced fibroblast-like synoviocytes by binding to p53 in rheumatoid arthritis.
    Acta pharmacologica Sinica, 2023, Volume: 44, Issue:2

    Topics: Animals; Arthritis, Experimental; Arthritis, Rheumatoid; Cell Proliferation; Cells, Cultured; Fibrob

2023