Page last updated: 2024-11-02

pioglitazone and Cognition Disorders

pioglitazone has been researched along with Cognition Disorders in 17 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.

Cognition Disorders: Disorders characterized by disturbances in mental processes related to learning, thinking, reasoning, and judgment.

Research Excerpts

ExcerptRelevanceReference
" Specifically, IRIS will test the effectiveness of pioglitazone, an insulin-sensitizing drug of the thiazolidinedione class, for reducing the risk for stroke and myocardial infarction (MI) among insulin resistant, nondiabetic patients with a recent ischemic stroke or TIA."9.19Pioglitazone for secondary prevention after ischemic stroke and transient ischemic attack: rationale and design of the Insulin Resistance Intervention after Stroke Trial. ( Brass, LM; Carolei, A; Conwit, R; Ford, GA; Furie, KL; Gorman, M; Guarino, PD; Inzucchi, SE; Kernan, WN; Lovejoy, AM; Parsons, MW; Peduzzi, PN; Ringleb, PA; Schwartz, GG; Spence, JD; Tanne, D; Viscoli, CM; Young, LH, 2014)
"To test the effects of the PPAR-γ agonist pioglitazone on cognition, regional cerebral blood flow (rCBF), and plasma levels of Aβ40 and Aβ42, we conducted a 6-month, randomized, open-controlled trial in patients with mild Alzheimer disease (AD) accompanied with type II diabetes mellitus."9.15Efficacy of PPAR-γ agonist pioglitazone in mild Alzheimer disease. ( Hanyu, H; Hirao, K; Iwamoto, T; Kanetaka, H; Sakurai, H; Sato, T, 2011)
" Specifically, IRIS will test the effectiveness of pioglitazone, an insulin-sensitizing drug of the thiazolidinedione class, for reducing the risk for stroke and myocardial infarction (MI) among insulin resistant, nondiabetic patients with a recent ischemic stroke or TIA."5.19Pioglitazone for secondary prevention after ischemic stroke and transient ischemic attack: rationale and design of the Insulin Resistance Intervention after Stroke Trial. ( Brass, LM; Carolei, A; Conwit, R; Ford, GA; Furie, KL; Gorman, M; Guarino, PD; Inzucchi, SE; Kernan, WN; Lovejoy, AM; Parsons, MW; Peduzzi, PN; Ringleb, PA; Schwartz, GG; Spence, JD; Tanne, D; Viscoli, CM; Young, LH, 2014)
"To test the effects of the PPAR-γ agonist pioglitazone on cognition, regional cerebral blood flow (rCBF), and plasma levels of Aβ40 and Aβ42, we conducted a 6-month, randomized, open-controlled trial in patients with mild Alzheimer disease (AD) accompanied with type II diabetes mellitus."5.15Efficacy of PPAR-γ agonist pioglitazone in mild Alzheimer disease. ( Hanyu, H; Hirao, K; Iwamoto, T; Kanetaka, H; Sakurai, H; Sato, T, 2011)
"Pioglitazone did not increase weight or produce any other significant side-effects."2.78Effects of pioglitazone on metabolic abnormalities, psychopathology, and cognitive function in schizophrenic patients treated with antipsychotic medication: a randomized double-blind study. ( Bark, N; Davis, JM; Dwivedi, S; Hu, Q; Jin, H; Li, C; Lohr, J; Mortiere, C; Shekhar, A; Smith, RC, 2013)
"Similar insulin resistance is found in type 2 diabetes and is currently treated with insulin sensitizers (IS)."2.61A systematic literature review of the effect of insulin sensitizers on the cognitive symptoms of Alzheimer's Disease in transgenic mice. ( Craig, A; Issberner, J; Parvez, F, 2019)
" The current study was carried out to investigate the effects of chronic administration of pioglitazone, a PPAR-γ agonist, on cognitive impairment in an animal model of Alzheimer's disease induced by β-amyloid."1.40Role of nuclear receptor on regulation of BDNF and neuroinflammation in hippocampus of β-amyloid animal model of Alzheimer's disease. ( Kumar, A; Prakash, A, 2014)
"Treatment with Pioglitazone prevented the increase in the number of activated microglia and no difference was observed between sham and Pioglitazone-treated animals."1.37Pioglitazone attenuates mitochondrial dysfunction, cognitive impairment, cortical tissue loss, and inflammation following traumatic brain injury. ( Bing, G; Gao, J; Liu, M; Pauly, JR; Readnower, R; Sauerbeck, A; Sullivan, PG, 2011)

Research

Studies (17)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's2 (11.76)29.6817
2010's15 (88.24)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Craig, A1
Parvez, F1
Issberner, J1
Prakash, A2
Kumar, A2
Aghaei, I1
Shabani, M1
Doustar, N1
Nazeri, M1
Dehpour, A1
Kummer, MP1
Schwarzenberger, R1
Sayah-Jeanne, S1
Dubernet, M1
Walczak, R1
Hum, DW1
Schwartz, S1
Axt, D1
Heneka, MT1
Viscoli, CM1
Brass, LM1
Carolei, A1
Conwit, R1
Ford, GA1
Furie, KL1
Gorman, M1
Guarino, PD1
Inzucchi, SE1
Lovejoy, AM1
Parsons, MW1
Peduzzi, PN1
Ringleb, PA1
Schwartz, GG1
Spence, JD1
Tanne, D1
Young, LH1
Kernan, WN1
Lan, LF1
Zheng, L1
Yang, X1
Ji, XT1
Fan, YH1
Zeng, JS1
Skerrett, R1
Pellegrino, MP1
Casali, BT1
Taraboanta, L1
Landreth, GE1
Jain, S1
Sharma, BM1
Sharma, B1
Hanyu, H2
Sato, T2
Kiuchi, A1
Sakurai, H2
Iwamoto, T2
Hirao, K1
Kanetaka, H1
Baraka, A1
ElGhotny, S1
Sauerbeck, A1
Gao, J1
Readnower, R1
Liu, M1
Pauly, JR1
Bing, G1
Sullivan, PG1
Semple, BD1
Noble-Haeusslein, LJ1
Jiang, LY1
Tang, SS1
Wang, XY1
Liu, LP1
Long, Y1
Hu, M1
Liao, MX1
Ding, QL1
Hu, W1
Li, JC1
Hong, H1
Smith, RC1
Jin, H1
Li, C1
Bark, N1
Shekhar, A1
Dwivedi, S1
Mortiere, C1
Lohr, J1
Hu, Q1
Davis, JM1
Zhao, W1
Payne, V1
Tommasi, E1
Diz, DI1
Hsu, FC1
Robbins, ME1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Insulin Resistance Intervention After Stroke (IRIS) Trial[NCT00091949]Phase 33,876 participants (Actual)Interventional2005-02-28Completed
Pioglitazone as a Treatment for Lipid and Glucose Abnormalities In Patients With Schizophrenia Treated With Antipsychotic Medication And Potential Effects on Cognitive Function[NCT00231894]Phase 456 participants (Actual)Interventional2005-05-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Acute Coronary Syndrome

Fatal or non-fatal acute myocardial infarction or unstable angina (NCT00091949)
Timeframe: 5 years

Interventionparticipants (Number)
Pioglitazone206
Placebo249

All Cause Mortality

(NCT00091949)
Timeframe: 5 years

Interventionparticipants (Number)
Pioglitazone136
Placebo146

Composite Outcome of Fatal or Non-fatal Stroke, Fatal or Non-fatal MI or Episode of Serious Congestive Heart Failure

(NCT00091949)
Timeframe: 5 years

Interventionparticipants (Number)
Pioglitazone206
Placebo249

Decline in Cognitive Status

Change in modified mental status examination (3MS) score from baseline to exit. Theoretical range of 3MS scores is 0-100. Baseline scores ranged from 22-100. (NCT00091949)
Timeframe: Annual measures from baseline to exit (up to 5 years)

Interventionunits on a scale (Mean)
Pioglitazone0.27
Placebo0.29

Development of Overt Diabetes

(NCT00091949)
Timeframe: 5 years

Interventionparticipants (Number)
Pioglitazone73
Placebo149

Fatal or Non-fatal Stroke Alone

(NCT00091949)
Timeframe: 5 years

Interventionparticipants (Number)
Pioglitazone127
Placebo154

Recurrent Fatal or Non-fatal Stroke, or Fatal or Non-fatal Myocardial Infarction

(NCT00091949)
Timeframe: Up to 5 years

Interventionparticipants (Number)
Pioglitazone175
Placebo228

2 Hour Glucose From Glucose Tolerance Test China Sample

difference between 2 hr glucose for GTT test at baseline vs after 3 months of drug treatment (NCT00231894)
Timeframe: between baseline and 3 months of study drug treatment

Interventionmg/dL (Least Squares Mean)
Pioglitazone-6.82
Placebo-40.72

2 Hour Glucose From Glucose Tolerance Test US Sample

difference between 2 hr glucose for GTT test at baseline vs after 3 months of drug treatment (NCT00231894)
Timeframe: between baseline and 3 months of study drug treatment

Interventionmg/dL (Least Squares Mean)
Pioglitazone-24.19
Placebo15.19

Change From Baseline in Serum Glucose at 3 Months ( 3 Months -Baseline) China Sample

(NCT00231894)
Timeframe: pretreatment and during 3 months of drug treatment

Interventionmg/dL (Least Squares Mean)
Pioglitazone-13.33
Placebo-11.5

Change From Baseline in Serum Glucose at 3 Months (3 Months-baseline) US Sample

(NCT00231894)
Timeframe: pretreatment and during 3 months of drug treatment

Interventionmg/dL (Least Squares Mean)
Pioglitazone0.02
Placebo24.20

Change From Baseline in Serum HDL at 3 Months (3 Months-baseline) China Site

(NCT00231894)
Timeframe: pretreatment and during 3 months of drug treatment

Interventionmg/dL (Least Squares Mean)
Pioglitazone6.52
Placebo7.72

Change From Baseline in Serum HDL at 3 Months (3 Months-baseline) US Sample

serum high density lipoprotein (HDL) (NCT00231894)
Timeframe: pre-treatment and during 3 months of treatment

Interventionmg/dL (Least Squares Mean)
Piogltiazone4.62
Placebo-2.59

Change From Baseline in Serum Triglycerides at 3 Months ( 3 Months-baseline) US Sample

(NCT00231894)
Timeframe: pre-treatment and during 3 months of treatment

Interventionmg/dL (Least Squares Mean)
Pioglitazone-49.65
Placebo30.99

Change From Baseline in Serum Triglycerides at 3 Months (3 Months-baseline) China Sample

(NCT00231894)
Timeframe: pretreatment and during 3 months of drug treatment

Interventionmg/dL (Least Squares Mean)
Pioglitazone32.56
Placebo-79.12

Change in RBANS List Recognition Scores at 3 Months (3 Months-baseline) US Sample

The scale is Repeatable Battery for the Assessment to Neuropsychological Status (RBANS). This scale measure cognitive function in patients with schizophrenia. Range for list learning sub-score is 0 to 20 . Higher values indicate better performance. For change score (3 months -baseline) positive values indicate improved performance for this cognitive function and negative values indicate poorer performance on this cognitive function. (NCT00231894)
Timeframe: pre-treatment and 3 months of treatment

InterventionUnits on RBANS scale (Least Squares Mean)
Pioglitazone0.27
Placebo-1.11

Reviews

1 review available for pioglitazone and Cognition Disorders

ArticleYear
A systematic literature review of the effect of insulin sensitizers on the cognitive symptoms of Alzheimer's Disease in transgenic mice.
    Behavioural brain research, 2019, 10-17, Volume: 372

    Topics: Alzheimer Disease; Amyloid beta-Peptides; Amyloid beta-Protein Precursor; Animals; Brain; Cognition;

2019

Trials

4 trials available for pioglitazone and Cognition Disorders

ArticleYear
Pioglitazone for secondary prevention after ischemic stroke and transient ischemic attack: rationale and design of the Insulin Resistance Intervention after Stroke Trial.
    American heart journal, 2014, Volume: 168, Issue:6

    Topics: Adult; Cognition Disorders; Dose-Response Relationship, Drug; Double-Blind Method; Female; Humans; H

2014
Pioglitazone improved cognition in a pilot study on patients with Alzheimer's disease and mild cognitive impairment with diabetes mellitus.
    Journal of the American Geriatrics Society, 2009, Volume: 57, Issue:1

    Topics: Aged; Aged, 80 and over; Alzheimer Disease; Cognition Disorders; Diabetes Mellitus; Female; Humans;

2009
Efficacy of PPAR-γ agonist pioglitazone in mild Alzheimer disease.
    Neurobiology of aging, 2011, Volume: 32, Issue:9

    Topics: Aged; Aged, 80 and over; Alzheimer Disease; Cognition Disorders; Diabetes Mellitus, Type 2; Female;

2011
Effects of pioglitazone on metabolic abnormalities, psychopathology, and cognitive function in schizophrenic patients treated with antipsychotic medication: a randomized double-blind study.
    Schizophrenia research, 2013, Volume: 143, Issue:1

    Topics: Adult; Analysis of Variance; Antipsychotic Agents; Antisocial Personality Disorder; Case-Control Stu

2013

Other Studies

12 other studies available for pioglitazone and Cognition Disorders

ArticleYear
Pioglitazone alleviates the mitochondrial apoptotic pathway and mito-oxidative damage in the d-galactose-induced mouse model.
    Clinical and experimental pharmacology & physiology, 2013, Volume: 40, Issue:9

    Topics: Acetylcholinesterase; Aging; Animals; Antioxidants; Apoptosis; Behavior, Animal; Brain; Caspase 3; C

2013
Role of nuclear receptor on regulation of BDNF and neuroinflammation in hippocampus of β-amyloid animal model of Alzheimer's disease.
    Neurotoxicity research, 2014, Volume: 25, Issue:4

    Topics: Alzheimer Disease; Amyloid beta-Peptides; Animals; Brain-Derived Neurotrophic Factor; Cognition Diso

2014
Peroxisome proliferator-activated receptor-γ activation attenuates motor and cognition impairments induced by bile duct ligation in a rat model of hepatic cirrhosis.
    Pharmacology, biochemistry, and behavior, 2014, Volume: 120

    Topics: Animals; Avoidance Learning; Bile Duct Diseases; Bile Ducts; Cognition Disorders; Hypoglycemic Agent

2014
Pan-PPAR modulation effectively protects APP/PS1 mice from amyloid deposition and cognitive deficits.
    Molecular neurobiology, 2015, Volume: 51, Issue:2

    Topics: Amyloid beta-Protein Precursor; Animals; Chlorocebus aethiops; Cognition Disorders; COS Cells; Femal

2015
Peroxisome proliferator-activated receptor-γ agonist pioglitazone ameliorates white matter lesion and cognitive impairment in hypertensive rats.
    CNS neuroscience & therapeutics, 2015, Volume: 21, Issue:5

    Topics: Animals; Blood Pressure; Brain; Cognition Disorders; Disease Models, Animal; Male; Maze Learning; Ne

2015
Combined Liver X Receptor/Peroxisome Proliferator-activated Receptor γ Agonist Treatment Reduces Amyloid β Levels and Improves Behavior in Amyloid Precursor Protein/Presenilin 1 Mice.
    The Journal of biological chemistry, 2015, Aug-28, Volume: 290, Issue:35

    Topics: Alzheimer Disease; Amyloid beta-Protein Precursor; Animals; Apolipoproteins E; Behavior, Animal; Ben

2015
Calcium Channel Blockade and Peroxisome Proliferator Activated Receptor γ Agonism Diminish Cognitive Loss and Preserve Endothelial Function During Diabetes Mellitus.
    Current neurovascular research, 2016, Volume: 13, Issue:1

    Topics: Animals; Attention; Blood-Brain Barrier; Brain; Calcium Channel Blockers; Calcium Channels; Capillar

2016
Study of the effect of inhibiting galanin in Alzheimer's disease induced in rats.
    European journal of pharmacology, 2010, Sep-01, Volume: 641, Issue:2-3

    Topics: Administration, Oral; Alzheimer Disease; Amyloid beta-Peptides; Animals; Avoidance Learning; Brain;

2010
Pioglitazone attenuates mitochondrial dysfunction, cognitive impairment, cortical tissue loss, and inflammation following traumatic brain injury.
    Experimental neurology, 2011, Volume: 227, Issue:1

    Topics: Analysis of Variance; Animals; Brain Injuries; CD11b Antigen; Cerebral Cortex; Cognition Disorders;

2011
Broad-spectrum neuroprotection against traumatic brain injury by agonism of peroxisome proliferator-activated receptors.
    Experimental neurology, 2011, Volume: 229, Issue:2

    Topics: Animals; Brain Injuries; Cerebral Cortex; Cognition Disorders; Disease Models, Animal; Encephalitis;

2011
PPARγ agonist pioglitazone reverses memory impairment and biochemical changes in a mouse model of type 2 diabetes mellitus.
    CNS neuroscience & therapeutics, 2012, Volume: 18, Issue:8

    Topics: Amyloid beta-Peptides; Amyloid Precursor Protein Secretases; Animals; Aspartic Acid Endopeptidases;

2012
Administration of the peroxisomal proliferator-activated receptor gamma agonist pioglitazone during fractionated brain irradiation prevents radiation-induced cognitive impairment.
    International journal of radiation oncology, biology, physics, 2007, Jan-01, Volume: 67, Issue:1

    Topics: Analysis of Variance; Animals; Body Weight; Brain; Cognition; Cognition Disorders; Cranial Irradiati

2007