Page last updated: 2024-11-02

pioglitazone and Coronary Stenosis

pioglitazone has been researched along with Coronary Stenosis 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.

Coronary Stenosis: Narrowing or constriction of a coronary artery.

Research Excerpts

ExcerptRelevanceReference
"In all, 360 diabetic patients with coronary artery disease were treated with pioglitazone or glimepiride for 18 months in the PERISCOPE (Pioglitazone Effect on Regression of Intravascular Sonographic Coronary Obstruction Prospective Evaluation) study."9.15Lowering the triglyceride/high-density lipoprotein cholesterol ratio is associated with the beneficial impact of pioglitazone on progression of coronary atherosclerosis in diabetic patients: insights from the PERISCOPE (Pioglitazone Effect on Regression o ( Bayturan, O; Kupfer, S; Lavoie, A; Nesto, R; Nicholls, SJ; Nissen, SE; Perez, A; Tuzcu, EM; Uno, K; Wolski, K, 2011)
"In all, 360 diabetic patients with coronary artery disease were treated with pioglitazone or glimepiride for 18 months in the PERISCOPE (Pioglitazone Effect on Regression of Intravascular Sonographic Coronary Obstruction Prospective Evaluation) study."5.15Lowering the triglyceride/high-density lipoprotein cholesterol ratio is associated with the beneficial impact of pioglitazone on progression of coronary atherosclerosis in diabetic patients: insights from the PERISCOPE (Pioglitazone Effect on Regression o ( Bayturan, O; Kupfer, S; Lavoie, A; Nesto, R; Nicholls, SJ; Nissen, SE; Perez, A; Tuzcu, EM; Uno, K; Wolski, K, 2011)

Research

Studies (5)

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

Authors

AuthorsStudies
Nicholls, SJ1
Tuzcu, EM1
Wolski, K1
Bayturan, O1
Lavoie, A1
Uno, K1
Kupfer, S1
Perez, A1
Nesto, R1
Nissen, SE1
Patel, D1
Walitt, B1
Lindsay, J1
Wilensky, RL1
Kitahara, H1
Kobayashi, Y1
Iwata, Y1
Fujimoto, Y1
Komuro, I1
Cho, L1
Lewis, BE1
Steen, LH1
Leya, FS1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Double-Blind, Randomized, Comparator-Controlled Study In Subjects With Type 2 Diabetes Mellitus Comparing the Effects of Pioglitazone HCl Versus Glimepiride on the Rate of Progression of Coronary Atherosclerotic Disease as Measured by Intravascular Ultr[NCT00225277]Phase 3547 participants (Actual)Interventional2003-07-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Number of Subjects Experiencing Any of the Composite Endpoint A Cardiovascular Events

Due to low event rates, number of subjects experiencing any of the composite endpoint A cardiovascular events is being reported instead of time to first occurrence. Endpoint A conditions listed in Limitations and Caveats section. (NCT00225277)
Timeframe: Up to 72 weeks

InterventionParticipants (Number)
Pioglitazone QD5
Glimepiride QD6

Number of Subjects Experiencing Any of the Composite Endpoint B Cardiovascular Events

Due to low event rates, number of subjects experiencing any of the composite endpoint B cardiovascular events is being reported instead of time to first occurrence. Endpoint B conditions listed in Limitations and Caveats section. (NCT00225277)
Timeframe: Up to 72 weeks

InterventionParticipants (Number)
Pioglitazone QD40
Glimepiride QD41

Number of Subjects Experiencing Any of the Composite Endpoint C Cardiovascular Events

Due to low event rates, number of subjects experiencing any of the composite endpoint C cardiovascular events is being reported instead of time to first occurrence. Endpoint C conditions listed in Limitations and Caveats section. (NCT00225277)
Timeframe: Up to 72 weeks

Interventionparticipants (Number)
Pioglitazone QD11
Glimepiride QD13

Nominal Change From Baseline in Normalized Total Atheroma Volume

The nominal change in normalized total atheroma volume as measured by the average of plaque areas for all slices of anatomically comparable segments of the target coronary artery multiplied by the mean number of matched slices in the population. Assessment completed at the Week 72 visit or Final Visit if treatment was prematurely discontinued. (NCT00225277)
Timeframe: Baseline and Final Visit (up to 72 weeks)

,
InterventionPercent volume (Least Squares Mean)
BaselineNominal Change from Baseline
Glimepiride QD217.619-1.480
Pioglitazone QD206.579-5.528

Nominal Change From Baseline in Percent Atheroma Volume

The nominal change from baseline in percent atheroma volume for all slices of anatomically comparable segments of the target coronary artery. Assessment completed at the Week 72 visit or Final Visit if treatment was prematurely discontinued. (NCT00225277)
Timeframe: Baseline and Final Visit (up to 72 weeks)

,
InterventionPercent volume (Least Squares Mean)
BaselineNominal Change from Baseline
Glimepiride QD40.0160.725
Pioglitazone QD40.592-0.161

Number of Cardiovascular Events as Adjudicated by the Clinical Endpoint Committee

The incidence of cardiovascular events and composite endpoints occurring within 30 days of last dose as adjudicated by the Clinical Endpoint Committee. Abbreviations: PCI: Percutaneous Coronary Intervention; CABG: Coronary Artery Bypass Graft; CHF: Congestive Heart Failure. (NCT00225277)
Timeframe: Up to 72 weeks

,
InterventionNumber of Events (Number)
Nonfatal Myocardial InfarctionNonfatal StrokeCoronary Revascularization: PCI/CABG counted onceCoronary Revascularization: PCICoronary Revascularization: CABGCarotid Endarterectomy/StentingHospitalization for Unstable AnginaCHF Hospitalization: new/exacerbated counted onceHospitalization for New CHFHospitalization for Exacerbated CHFNoncardiovascular MortalityCardiovascular MortalityComposite Endpoint AComposite Endpoint BComposite Endpoint C
Glimepiride QD4130282025231164113
Pioglitazone QD2029255144400354011

Reviews

1 review available for pioglitazone and Coronary Stenosis

ArticleYear
Role of pioglitazone in the prevention of restenosis and need for revascularization after bare-metal stent implantation: a meta-analysis.
    JACC. Cardiovascular interventions, 2011, Volume: 4, Issue:3

    Topics: Aged; Angioplasty, Balloon, Coronary; Chi-Square Distribution; Coronary Angiography; Coronary Resten

2011

Trials

2 trials available for pioglitazone and Coronary Stenosis

ArticleYear
Lowering the triglyceride/high-density lipoprotein cholesterol ratio is associated with the beneficial impact of pioglitazone on progression of coronary atherosclerosis in diabetic patients: insights from the PERISCOPE (Pioglitazone Effect on Regression o
    Journal of the American College of Cardiology, 2011, Jan-11, Volume: 57, Issue:2

    Topics: Atherosclerosis; Cholesterol, HDL; Coronary Artery Disease; Coronary Stenosis; Diabetes Mellitus, Ty

2011
Effect of pioglitazone on endothelial dysfunction after sirolimus-eluting stent implantation.
    The American journal of cardiology, 2011, Jul-15, Volume: 108, Issue:2

    Topics: Acetylcholine; Aged; Angioplasty, Balloon, Coronary; Coronary Angiography; Coronary Stenosis; Corona

2011

Other Studies

2 other studies available for pioglitazone and Coronary Stenosis

ArticleYear
[Timely intervention with insulin sensitizer. Controlling cardiovascular risks].
    MMW Fortschritte der Medizin, 2003, Jun-05, Volume: 145, Issue:23

    Topics: Coronary Restenosis; Coronary Stenosis; Diabetes Mellitus, Type 2; Diabetic Angiopathies; Drug Thera

2003
Thiazolidinediones do not reduce target vessel revascularization in diabetic patients undergoing percutaneous coronary intervention.
    Cardiology, 2005, Volume: 104, Issue:2

    Topics: Aged; Angioplasty, Balloon, Coronary; Cause of Death; Coronary Circulation; Coronary Stenosis; Diabe

2005