Page last updated: 2024-11-02

pioglitazone and Weight Loss

pioglitazone has been researched along with Weight Loss in 40 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.

Weight Loss: Decrease in existing BODY WEIGHT.

Research Excerpts

ExcerptRelevanceReference
" Dapagliflozin has shown non-inferiority compared with pioglitazone for glycemic control, and superiority regarding weight reduction in patients with type 2 diabetes."9.41Favorable effect of sodium-glucose cotransporter 2 inhibitor, dapagliflozin, on non-alcoholic fatty liver disease compared with pioglitazone. ( Aoki, S; Atsumi, T; Cho, KY; Kameda, H; Kurihara, Y; Miya, A; Miyoshi, H; Nakamura, A; Nomoto, H; Omori, K; Takase, T; Taneda, S; Yamamoto, K, 2021)
"5 kg/m(2)) were randomly assigned to one of four intervention groups: pioglitazone or placebo and resistance training (RT) or no RT, while undergoing intentional weight loss via a hypocaloric diet."9.17Resistance training and pioglitazone lead to improvements in muscle power during voluntary weight loss in older adults. ( Carr, JJ; Isom, S; Kritchevsky, SB; Lyles, MF; Marsh, AP; Miller, GD; Miller, ME; Nicklas, BJ; Shea, MK; Vance Locke, RM, 2013)
"We compared the effects of diet/exercise induce weight loss versus pioglitazone on lipoprotein particle characteristics in non-diabetic, insulin resistant adults to determine whether the responses and potential mechanisms for improvement are similar between these two insulin sensitizing regimens."9.12Treatment of obesity with diet/exercise versus pioglitazone has distinct effects on lipoprotein particle size. ( Jensen, MD; LaForge, R; Otvos, JD; Shadid, S, 2006)
" Pioglitazone, vitamin E, a weight reduction program, and usual care were investigated, with the outcomes of interest being the number of cirrhosis and hepatocellular carcinoma (HCC) cases, life expectancy, quality-adjusted life-years (QALYs), lifetime costs, and the incremental cost-effectiveness ratios (ICERs)."7.91Weight Reduction and Pioglitazone are Cost-Effective for the Treatment of Non-Alcoholic Fatty Liver Disease in Thailand. ( Chaiyakunapruk, N; Chongmelaxme, B; Dilokthornsakul, P; Phisalprapa, P; Sawangjit, R, 2019)
"In an observational study of 13 women with polycystic ovary syndrome (PCOS) not optimally responsive to metformin diet, we assessed the efficacy and safety of addition of pioglitazone."7.72Pioglitazone and metformin in obese women with polycystic ovary syndrome not optimally responsive to metformin. ( Glueck, CJ; Goldenberg, N; Moreira, A; Sieve, L; Wang, P, 2003)
"The combined treatment with INS 18 U/kg + PIO 5 mg/kg was more effective in preventing advanced cachexia in TB rats than each treatment alone, emerging as the best approach, considering the lower dosage and higher efficacy."5.91Insulin in combination with pioglitazone prevents advanced cachexia in 256-Walker tumor-bearing rats: effect is greater than treatment alone and is associated with improved insulin sensitivity. ( Bazotte, RB; Bertolini, GL; Biazi, GR; Cassolla, P; de Souza Galia, WB; de Souza, HM; Diaz, BF; Ferraz, LS; Frasson, IG; Kurauti, MA; Mareze-Costa, CE; Marmentini, C; Miksza, DR; Peres, SB, 2023)
"Pioglitazone treatment significantly improved LPS-induced neurobehavioral and physiological disturbances including the loss of body weight, hypothermia, righting reflex, wire-hanging maneuver, negative geotaxis, and hind-limb suspension in neonatal rats."5.62Pioglitazone Ameliorates Lipopolysaccharide-Induced Behavioral Impairment, Brain Inflammation, White Matter Injury and Mitochondrial Dysfunction in Neonatal Rats. ( Fan, LW; Kaizaki, A; Lee, JW; Ojeda, NB; Tien, LT; Tucci, MA; Wang, KC; Wei, HC; Yeh, JH, 2021)
" Dapagliflozin has shown non-inferiority compared with pioglitazone for glycemic control, and superiority regarding weight reduction in patients with type 2 diabetes."5.41Favorable effect of sodium-glucose cotransporter 2 inhibitor, dapagliflozin, on non-alcoholic fatty liver disease compared with pioglitazone. ( Aoki, S; Atsumi, T; Cho, KY; Kameda, H; Kurihara, Y; Miya, A; Miyoshi, H; Nakamura, A; Nomoto, H; Omori, K; Takase, T; Taneda, S; Yamamoto, K, 2021)
"5 kg/m(2)) were randomly assigned to one of four intervention groups: pioglitazone or placebo and resistance training (RT) or no RT, while undergoing intentional weight loss via a hypocaloric diet."5.17Resistance training and pioglitazone lead to improvements in muscle power during voluntary weight loss in older adults. ( Carr, JJ; Isom, S; Kritchevsky, SB; Lyles, MF; Marsh, AP; Miller, GD; Miller, ME; Nicklas, BJ; Shea, MK; Vance Locke, RM, 2013)
"We compared the effects of diet/exercise induce weight loss versus pioglitazone on lipoprotein particle characteristics in non-diabetic, insulin resistant adults to determine whether the responses and potential mechanisms for improvement are similar between these two insulin sensitizing regimens."5.12Treatment of obesity with diet/exercise versus pioglitazone has distinct effects on lipoprotein particle size. ( Jensen, MD; LaForge, R; Otvos, JD; Shadid, S, 2006)
" The use of liraglutide led to significant weight loss (-1."4.91Safety and effectiveness of non-insulin glucose-lowering agents in the treatment of people with type 2 diabetes who observe Ramadan: a systematic review and meta-analysis. ( Brady, EM; Dales, J; Davies, MJ; Gray, LJ; Hanif, W; Khunti, K, 2015)
" Current treatment strategies aim to improve insulin resistance via weight loss and exercise, improve insulin sensitivity by the use of insulin-sensitizing agents (for example, pioglitazone) and reduce oxidative stress by the use of antioxidants, such as vitamin E."4.87Nonalcoholic fatty liver disease and diabetes mellitus: pathogenesis and treatment. ( Adams, LA; Smith, BW, 2011)
" Pioglitazone, vitamin E, a weight reduction program, and usual care were investigated, with the outcomes of interest being the number of cirrhosis and hepatocellular carcinoma (HCC) cases, life expectancy, quality-adjusted life-years (QALYs), lifetime costs, and the incremental cost-effectiveness ratios (ICERs)."3.91Weight Reduction and Pioglitazone are Cost-Effective for the Treatment of Non-Alcoholic Fatty Liver Disease in Thailand. ( Chaiyakunapruk, N; Chongmelaxme, B; Dilokthornsakul, P; Phisalprapa, P; Sawangjit, R, 2019)
"Prominent weight gain (mostly subcutaneous fat area) was observed in the pioglitazone-treated OLETF (O-P) rats versus significant weight loss was observed in the metformin-treated OLETF (O-M) rats."3.74The different mechanisms of insulin sensitizers to prevent type 2 diabetes in OLETF rats. ( Ahn, CW; Cha, BS; Choi, SH; Kim, DJ; Kim, SK; Lee, HC; Lee, YJ; Lim, SK; Zhao, ZS, 2007)
"In an observational study of 13 women with polycystic ovary syndrome (PCOS) not optimally responsive to metformin diet, we assessed the efficacy and safety of addition of pioglitazone."3.72Pioglitazone and metformin in obese women with polycystic ovary syndrome not optimally responsive to metformin. ( Glueck, CJ; Goldenberg, N; Moreira, A; Sieve, L; Wang, P, 2003)
" We observed a statistically significant trend in the RE dose-response relationship for change from baseline in HbA1c at week 12 (p < 0."2.80Randomized efficacy and safety trial of once-daily remogliflozin etabonate for the treatment of type 2 diabetes. ( Almond, SR; Dobbins, R; Kemp, GL; Kler, L; O'Connor-Semmes, R; Sykes, AP; Walker, S; Wilkison, WO, 2015)
" Overall, all treatments were well tolerated and no new adverse events or tolerability issues were observed for IDegLira."2.80One-year efficacy and safety of a fixed combination of insulin degludec and liraglutide in patients with type 2 diabetes: results of a 26-week extension to a 26-week main trial. ( Bode, BW; Buse, JB; Gough, SC; Linjawi, S; Reiter, PD; Rodbard, HW; Woo, VC; Zacho, M, 2015)
" Overall adverse event (AE) incidence over 52 weeks was 69."2.79Efficacy and safety of canagliflozin over 52 weeks in patients with type 2 diabetes on background metformin and pioglitazone. ( Forst, T; Goldenberg, R; Guthrie, R; Meininger, G; Stein, P; Vijapurkar, U; Yee, J, 2014)
" Overall, lixisenatide once daily was well tolerated, with a similar proportion of treatment-emergent adverse events (TEAEs) and serious TEAEs between groups (lixisenatide: 72."2.78Efficacy and safety of lixisenatide once daily versus placebo in type 2 diabetes insufficiently controlled on pioglitazone (GetGoal-P). ( Aronson, R; Goldenberg, R; Guo, H; Muehlen-Bartmer, I; Niemoeller, E; Pinget, M, 2013)
"Non-alcoholic steatohepatitis (NASH) is a common cause of serum alanine aminotransferase (ALT) elevations and chronic liver disease, but it is unclear how well ALT elevations reflect the liver injury."2.78Vitamin E and changes in serum alanine aminotransferase levels in patients with non-alcoholic steatohepatitis. ( Clark, JM; Hoofnagle, JH; Kleiner, DE; Kowdley, KV; Loomba, R; Neuschwander-Tetri, BA; Sanyal, AJ; Tonascia, J; Van Natta, ML, 2013)
"Two hundred seventy-one type 2 diabetes mellitus patients with poor glycemic control and who were overweight were enrolled in this study."2.74Direct comparison among oral hypoglycemic agents and their association with insulin resistance evaluated by euglycemic hyperinsulinemic clamp: the 60's study. ( Cicero, AF; D'Angelo, A; Derosa, G; Ferrari, I; Gravina, A; Maffioli, P; Mereu, R; Palumbo, I; Salvadeo, SA, 2009)
"Significant weight loss can improve NAFLD and nonalcoholic steatohepatitis (NASH)."2.61Nonalcoholic Fatty Liver Disease and Obesity Treatment. ( Brunner, KT; Henneberg, CJ; Long, MT; Wilechansky, RM, 2019)
"Nonalcoholic fatty liver disease is the most common cause of liver dysfunction in the western world because of its close association with obesity, insulin resistance and dyslipidaemia."2.52Nonalcoholic fatty liver disease: new treatments. ( Anstee, QM; Day, CP; Hardy, T, 2015)
"Nonalcoholic fatty liver disease is the most common cause of chronic liver disease in Western countries, and consists of a spectrum of histopathological changes that range in severity from simple steatosis to steatohepatitis to cirrhosis."2.50State of the art: treatment of nonalcoholic steatohepatitis. ( Loomba, R; Pearlman, M, 2014)
"Nonalcoholic steatohepatitis (NASH) is characterized by steatosis with necroinflammation and eventual fibrosis, which can lead to end-stage liver disease and hepatocellular carcinoma."2.49Nonalcoholic fatty liver disease: current issues and novel treatment approaches. ( Bril, F; Cusi, K; Lomonaco, R; Sunny, NE, 2013)
"Non-invasive methods of diagnosing NAFLD without liver biopsy, using combinations of clinical history, laboratory tests and ultrasound, have been explored, but so far liver biopsy is the only proven method of distinguishing simple steatosis from NASH."2.47Insulin sensitisers in the treatment of non-alcoholic fatty liver disease: a systematic review. ( Clar, C; Fraser, A; Ghouri, N; Gurung, T; Henderson, R; Preiss, D; Sattar, N; Shyangdan, D; Waugh, N, 2011)
"The combined treatment with INS 18 U/kg + PIO 5 mg/kg was more effective in preventing advanced cachexia in TB rats than each treatment alone, emerging as the best approach, considering the lower dosage and higher efficacy."1.91Insulin in combination with pioglitazone prevents advanced cachexia in 256-Walker tumor-bearing rats: effect is greater than treatment alone and is associated with improved insulin sensitivity. ( Bazotte, RB; Bertolini, GL; Biazi, GR; Cassolla, P; de Souza Galia, WB; de Souza, HM; Diaz, BF; Ferraz, LS; Frasson, IG; Kurauti, MA; Mareze-Costa, CE; Marmentini, C; Miksza, DR; Peres, SB, 2023)
"Pioglitazone treatment significantly improved LPS-induced neurobehavioral and physiological disturbances including the loss of body weight, hypothermia, righting reflex, wire-hanging maneuver, negative geotaxis, and hind-limb suspension in neonatal rats."1.62Pioglitazone Ameliorates Lipopolysaccharide-Induced Behavioral Impairment, Brain Inflammation, White Matter Injury and Mitochondrial Dysfunction in Neonatal Rats. ( Fan, LW; Kaizaki, A; Lee, JW; Ojeda, NB; Tien, LT; Tucci, MA; Wang, KC; Wei, HC; Yeh, JH, 2021)
"Cinnamon enhanced the bioavailability of pioglitazone by inhibiting the CYP3A4 enzyme."1.46Effect of Cinnamomum cassia on the Pharmacokinetics and Pharmacodynamics of Pioglitazone. ( Koganti, B; Koganti, VSRGP; Mamindla, S; Ravouru, N, 2017)
"Pioglitazone treatment extended survival by 13%, and it reduced gliosis as assessed by immunohistochemical staining for CD-40 and GFAP."1.33Peroxisome proliferator-activated receptor-gamma agonist extends survival in transgenic mouse model of amyotrophic lateral sclerosis. ( Beal, MF; Calingasan, NY; Chen, J; Kiaei, M; Kipiani, K, 2005)

Research

Studies (40)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's10 (25.00)29.6817
2010's27 (67.50)24.3611
2020's3 (7.50)2.80

Authors

AuthorsStudies
Xiang, H1
Zhao, W1
Xiao, H1
Qian, L1
Yao, Y1
Li, XB1
Liao, QJ1
Miksza, DR1
Biazi, GR1
Frasson, IG1
de Souza Galia, WB2
Ferraz, LS1
Diaz, BF1
Kurauti, MA1
Marmentini, C1
Mareze-Costa, CE1
Peres, SB1
Cassolla, P2
Bertolini, GL1
Bazotte, RB1
de Souza, HM2
Cho, KY1
Nakamura, A1
Omori, K1
Takase, T1
Miya, A1
Yamamoto, K1
Nomoto, H1
Kameda, H1
Taneda, S1
Kurihara, Y1
Aoki, S1
Atsumi, T1
Miyoshi, H1
Yeh, JH1
Wang, KC1
Kaizaki, A1
Lee, JW1
Wei, HC1
Tucci, MA1
Ojeda, NB1
Fan, LW1
Tien, LT1
Banini, BA1
Sanyal, AJ2
Dawson, AJ1
Kilpatrick, ES1
Coady, AM1
Elshewehy, AMM1
Dakroury, Y1
Ahmed, L1
Atkin, SL2
Sathyapalan, T1
Chongmelaxme, B1
Phisalprapa, P1
Sawangjit, R1
Dilokthornsakul, P1
Chaiyakunapruk, N1
Brunner, KT1
Henneberg, CJ1
Wilechansky, RM1
Long, MT1
Pinget, M1
Goldenberg, R2
Niemoeller, E1
Muehlen-Bartmer, I1
Guo, H1
Aronson, R1
Hoofnagle, JH1
Van Natta, ML1
Kleiner, DE1
Clark, JM1
Kowdley, KV1
Loomba, R2
Neuschwander-Tetri, BA1
Tonascia, J1
Kovacs, CS1
Seshiah, V1
Swallow, R1
Jones, R1
Rattunde, H1
Woerle, HJ1
Broedl, UC1
Forst, T1
Guthrie, R1
Yee, J1
Vijapurkar, U1
Meininger, G1
Stein, P1
Pearlman, M1
Malekinejad, H1
Khoramjouy, M1
Hobbenaghi, R1
Amniattalab, A1
Sykes, AP2
O'Connor-Semmes, R2
Dobbins, R2
Dorey, DJ1
Lorimer, JD1
Walker, S2
Wilkison, WO2
Kler, L2
Kemp, GL1
Almond, SR1
Abdul-Ghani, MA1
Puckett, C1
Triplitt, C1
Maggs, D1
Adams, J1
Cersosimo, E1
DeFronzo, RA1
Lecube, A1
Bueno, M1
Suárez, X1
Hardy, T1
Anstee, QM1
Day, CP1
Gray, LJ1
Dales, J1
Brady, EM1
Khunti, K1
Hanif, W1
Davies, MJ1
Gough, SC1
Bode, BW1
Woo, VC1
Rodbard, HW1
Linjawi, S1
Zacho, M1
Reiter, PD1
Buse, JB1
Perazzo, H1
Dufour, JF1
de Fatima Silva, F1
Ortiz-Silva, M1
Graciano, MF1
Zaia, CT1
Zaia, D1
Carpinelli, ÂR1
da Silva, FG1
Mamindla, S1
Koganti, VSRGP1
Ravouru, N1
Koganti, B1
Vuppalanchi, R1
Chalasani, N1
Derosa, G1
Maffioli, P1
Salvadeo, SA1
Ferrari, I1
Gravina, A1
Mereu, R1
Palumbo, I1
D'Angelo, A1
Cicero, AF1
Shea, MK2
Nicklas, BJ2
Marsh, AP2
Houston, DK1
Miller, GD2
Isom, S2
Miller, ME2
Carr, JJ2
Lyles, MF2
Harris, TB1
Kritchevsky, SB2
Smith, BW1
Adams, LA1
Shyangdan, D1
Clar, C1
Ghouri, N1
Henderson, R1
Gurung, T1
Preiss, D1
Sattar, N1
Fraser, A1
Waugh, N1
Janczyk, W1
Socha, P1
Vance Locke, RM1
Lomonaco, R1
Sunny, NE1
Bril, F1
Cusi, K1
Glueck, CJ1
Moreira, A1
Goldenberg, N1
Sieve, L1
Wang, P1
Kiaei, M1
Kipiani, K1
Chen, J1
Calingasan, NY1
Beal, MF1
Shadid, S1
LaForge, R1
Otvos, JD1
Jensen, MD1
Siebler, J1
Galle, PR1
Chavez-Tapia, NC1
Barrientos-Gutierrez, T1
Uribe, M1
Choi, SH1
Zhao, ZS1
Lee, YJ1
Kim, SK1
Kim, DJ1
Ahn, CW1
Lim, SK1
Lee, HC1
Cha, BS1
Cho, LW1
Bourassa, MG1
Berry, C1

Clinical Trials (14)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Calisthenics Versus High-intensity Interval Exercises on Health-related Outcomes in Patients With Non-alcoholic Fatty Liver[NCT06032650]60 participants (Anticipated)Interventional2023-10-31Not yet recruiting
A Randomized, Double-blind, Placebo-controlled, 2-arm Parallel-group, Multicenter Study With a 24-week Main Treatment Period and an Extension Assessing the Efficacy and Safety of AVE0010 on Top of Pioglitazone in Patients With Type 2 Diabetes Not Adequate[NCT00763815]Phase 3484 participants (Actual)Interventional2008-09-30Completed
Effects of Lixisenatide on Gastric Emptying, Glycaemia and 'Postprandial' Blood Pressure in Type 2 Diabetes and Healthy Subjects.[NCT02308254]Phase 1/Phase 230 participants (Anticipated)Interventional2013-11-30Recruiting
Clinical Research Network in Nonalcoholic Steatohepatitis: Pioglitazone vs. Vitamin E vs. Placebo for the Treatment of Non-Diabetic Patients With Nonalcoholic Steatohepatitis (PIVENS)[NCT00063622]Phase 3247 participants (Actual)Interventional2005-01-31Completed
SGLT-2 Inhibitor Empagliflozin Effects on Appetite and Weight Regulation: A Randomised Double-blind Placebo-controlled Trial (The SEESAW Study)[NCT02798744]Phase 468 participants (Actual)Interventional2016-12-31Completed
A Double-blind, Randomized 12-week Study to Evaluate the Safety and Efficacy of GSK189075 Tablets vs Pioglitazone in Treatment Naive Subjects With Type 2 Diabetes Mellitus[NCT00500331]Phase 2334 participants (Actual)Interventional2007-01-23Completed
A Once-Daily Dose-Ranging Study of GSK189075 Versus Placebo In The Treatment of Type 2 Diabetes Mellitus in Treatment-Naïve Subjects[NCT00495469]Phase 2250 participants (Actual)Interventional2007-08-17Completed
Effectiveness and Tolerability of Novel, Initial Triple Combination Therapy With Xigduo (Dapagliflozin Plus Metformin) and Saxagliptin vs. Conventional Stepwise add-on Therapy in Drug-naïve Patients With Type 2 Diabetes[NCT02946632]Phase 3104 participants (Anticipated)Interventional2016-12-31Not yet recruiting
A 16-wk, Uni-center, Randomized, Double-blind, Parallel, Phase 3b Trial to Evaluate Efficacy of Saxagliptin + Dapagliflozin vs.Dapagliflozin With Regard to EGP in T2DM With Insufficient Glycemic Control on Metformin+/-Sulfonylurea Therapy[NCT02613897]56 participants (Actual)Interventional2016-01-31Completed
Effect of Dapagliflozin on the Progression From Prediabetes to T2DM in Subjects With Myocardial Infarction[NCT03658031]Phase 3576 participants (Anticipated)Interventional2019-03-01Not yet recruiting
A 26 Week Randomised, Parallel Three-arm, Open-label, Multi-centre, Multinational Treat-to-target Trial Comparing Fixed Ratio Combination of Insulin Degludec and Liraglutide Versus Insulin Degludec or Liraglutide Alone, in Subjects With Type 2 Diabetes Tr[NCT01336023]Phase 31,663 participants (Actual)Interventional2011-05-23Completed
Prevalence of NAFLD and Correlation With Its Main Risk Factors Among Egyptian Multicenter National Study[NCT04081571]1,080 participants (Anticipated)Observational2019-04-01Recruiting
Efficacy, Safety and Tolerability Study of 45 mg Pioglitazone in Patients With Amyotrophic Lateral Sclerosis (ALS) Receiving Standard Therapy (Riluzole)[NCT00690118]Phase 2219 participants (Actual)Interventional2008-05-31Terminated (stopped due to The interim analysis showed no tendency in favour of the verum group. Therefore it was decided to stop the study prematurely.)
The Impact of Brief Primary Care Counseling and Novel Physiological Measures on Patient Physical and Emotional Health[NCT00534482]950 participants (Anticipated)Interventional2007-07-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Absolute Change From Baseline in Glycosylated Hemoglobin (HbA1c) at Week 24

Absolute change = HbA1c value at Week 24 minus HbA1c value at baseline. The on-treatment period for this efficacy variable is time from the first dose of study drug and up to 3 days after the last dose of study drug, on or before Visit 12 (Week 24) or Day 169 if Visit 12 is not available, and before the introduction of rescue therapy. For a patient to be included in mITT population, both baseline and at least 1 post baseline assessment for at least 1 efficacy variable, were required. (NCT00763815)
Timeframe: Baseline, Week 24

Interventionpercentage of hemoglobin (Least Squares Mean)
Placebo-0.34
Lixisenatide-0.90

Change From Baseline in Beta-cell Function Assessed by Homeostasis Model Assessment for Beta-cell Function (HOMA-beta) at Week 24

Beta cell function was assessed by HOMA-beta. HOMA-beta (% of normal beta cells function) = (20 multiplied by fasting plasma insulin [micro unit per milliliter]) divided by (fasting plasma glucose [mmol/L] minus 3.5). Change was calculated by subtracting baseline value from Week 24 value. The on-treatment period for this efficacy variable is time from the first dose of study drug and up to 1 day after the last dose of study drug, on or before Visit 12 (Week 24) or Day 169 if Visit 12 is not available, and before the introduction of rescue therapy. For a patient to be included in mITT population, both baseline and at least 1 post baseline assessment for at least 1 efficacy variable, were required. (NCT00763815)
Timeframe: Baseline, Week 24

Intervention% of normal beta cells function (Least Squares Mean)
Placebo6.98
Lixisenatide6.72

Change From Baseline in Body Weight at Week 24

Change was calculated by subtracting baseline value from Week 24 value. The on-treatment period for this efficacy variable is time from the first dose of study drug and up to 3 days after the last dose of study drug, on or before Visit 12 (Week 24) or Day 169 if Visit 12 is not available, and before the introduction of rescue therapy. For a patient to be included in mITT population, both baseline and at least 1 post baseline assessment for at least 1 efficacy variable, were required. (NCT00763815)
Timeframe: Baseline, Week 24

Interventionkilogram (Least Squares Mean)
Placebo0.21
Lixisenatide-0.21

Change From Baseline in Fasting Plasma Glucose (FPG) at Week 24

Change was calculated by subtracting baseline value from Week 24 value. The on-treatment period for this efficacy variable is time from the first dose of study drug and up to 1 day after the last dose of study drug, on or before Visit 12 (Week 24) or Day 169 if Visit 12 is not available, and before the introduction of rescue therapy. For a patient to be included in mITT population, both baseline and at least 1 post baseline assessment for at least 1 efficacy variable, were required. (NCT00763815)
Timeframe: Baseline, Week 24

Interventionmmol/L (Least Squares Mean)
Placebo-0.32
Lixisenatide-1.16

Change From Baseline in Fasting Plasma Insulin (FPI) at Week 24

Change was calculated by subtracting baseline value from Week 24 value. The on-treatment period for this efficacy variable is time from the first dose of study drug and up to 1 day after the last dose of study drug, on or before Visit 12 (Week 24) or Day 169 if Visit 12 is not available, and before the introduction of rescue therapy. For a patient to be included in mITT population, both baseline and at least 1 post baseline assessment for at least 1 efficacy variable, were required. (NCT00763815)
Timeframe: Baseline, Week 24

Interventionpmol/L (Least Squares Mean)
Placebo-1.01
Lixisenatide-10.36

Percentage of Patients Requiring Rescue Therapy During Main 24-Week Period

Routine fasting self-monitored plasma glucose (SMPG) and central laboratory FPG (and HbA1c after week 12) values were used to determine the requirement of rescue medication. If fasting SMPG value exceeded the specified limit for 3 consecutive days, the central laboratory FPG (and HbA1c after week 12) were performed. Threshold values - from baseline to Week 8: fasting SMPG/FPG >270 milligram/deciliter (mg/dL) (15.0 mmol/L), from Week 8 to Week 12: fasting SMPG/FPG >240 mg/dL (13.3 mmol/L), and from Week 12 to Week 24: fasting SMPG/FPG >200 mg/dL (11.1 mmol/L) or HbA1c >8.5%. For a patient to be included in mITT population, both baseline and at least 1 post baseline assessment for at least 1 efficacy variable, were required. (NCT00763815)
Timeframe: Baseline up to Week 24

Interventionpercentage of participants (Number)
Placebo11.3
Lixisenatide3.8

Percentage of Patients With at Least 5% Weight Loss From Baseline at Week 24

The on-treatment period for this efficacy variable is time from the first dose of study drug and up to 3 days after the last dose of study drug, on or before Visit 12 (Week 24) or Day 169 if Visit 12 is not available, and before the introduction of rescue therapy. For a patient to be included in mITT population, both baseline and at least 1 post baseline assessment for at least 1 efficacy variable, were required. (NCT00763815)
Timeframe: Baseline, Week 24

Interventionpercentage of participants (Number)
Placebo5.1
Lixisenatide9.2

Percentage of Patients With Glycosylated Hemoglobin (HbA1c) Level Less Than 7% at Week 24

The on-treatment period for this efficacy variable is the time from the first dose of study drug up to 3 days after the last dose of study drug or up to the introduction of rescue therapy, whichever is the earliest. For a patient to be included in mITT population, both baseline and at least 1 post baseline assessment for at least 1 efficacy variable, were required. (NCT00763815)
Timeframe: Week 24

Interventionpercentage of participants (Number)
Placebo26.4
Lixisenatide52.3

Percentage of Patients With HbA1c Level Less Than or Equal to 6.5% at Week 24

The on-treatment period for this efficacy variable is the time from the first dose of study drug up to 3 days after the last dose of study drug or up to the introduction of rescue therapy, whichever is the earliest. For a patient to be included in mITT population, both baseline and at least 1 post baseline assessment for at least 1 efficacy variable, were required. (NCT00763815)
Timeframe: Week 24

Interventionpercentage of participants (Number)
Placebo10.1
Lixisenatide28.9

Number of Patients With Symptomatic Hypoglycemia and Severe Symptomatic Hypoglycemia

Symptomatic hypoglycemia was an event with clinical symptoms that were considered to result from a hypoglycemic episode with an accompanying plasma glucose less than 60 mg/dL (3.3 mmol/L) or associated with prompt recovery after oral carbohydrate, intravenous glucose, or glucagon administration if no plasma glucose measurement was available. Severe symptomatic hypoglycemia was symptomatic hypoglycemia event in which the patient required the assistance of another person and was associated with either a plasma glucose level below 36 mg/dL (2.0 mmol/L) or prompt recovery after oral carbohydrate, intravenous glucose, or glucagon administration, if no plasma glucose measurement was available. (NCT00763815)
Timeframe: First dose of study drug up to 3 days after the last dose administration, for up to 132 weeks

,
Interventionparticipants (Number)
Symptomatic HypoglycemiaSevere Symptomatic Hypoglycemia
Lixisenatide230
Placebo70

Number of Participants With Improvement in Fibrosis

Fibrosis is assessed on a scale of 0 to 4 with higher scores indicating more severe fibrosis. This secondary outcome measure is the number of participants that experienced a decrease in fibrosis score, which indicates improvement in fibrosis. (NCT00063622)
Timeframe: baseline and 96 weeks

Interventionparticipants (Number)
Pioglitazone31
Vitamin E33
Placebo22

Number of Participants With Improvement in Hepatocellular Ballooning

Hepatocellular ballooning is assessed on a scale of 0 to 2 with higher scores indicating more severe hepatocellular ballooning. This secondary outcome measure is the number of participants that experienced a decrease in hepatocellular ballooning score, which indicates improvement in hepatocellular ballooning. (NCT00063622)
Timeframe: baseline and 96 weeks

Interventionparticipants (Number)
Pioglitazone31
Vitamin E40
Placebo21

Number of Participants With Improvement in Lobular Inflammation

Lobular inflammation is assessed on a scale of 0 to 3 with higher scores indicating more severe lobular inflammation. This secondary outcome measure is the number of participants that experienced a decrease in lobular inflammation score, which indicates improvement in lobular inflammation. (NCT00063622)
Timeframe: baseline and 96 weeks

Interventionparticipants (Number)
Pioglitazone41
Vitamin E43
Placebo25

Number of Participants With Improvement in Non-alcoholic Fatty Liver Disease (NAFLD) Activity Defined by Change in Standardized Scoring of Liver Biopsies at Baseline and After 96 Weeks of Treatment.

Total nonalcoholic fatty liver disease (NAFLD) activity was assessed on a scale of 0 to 8, with higher scores indicating more severe disease; the components of this measure include steatosis (assessed on a scale of 0 to 3), lobular inflammation (assessed on a scale of 0 to 3), and hepatocellular ballooning (assessed on a scale of 0 to 2). The primary outcome was an improvement in histological findings from baseline to 96 weeks, which required an improvement by 1 or more points in the hepatocellular ballooning score; no increase in the fibrosis score; and either a decrease in the activity score for nonalcoholic fatty liver disease to a score of 3 or less or a decrease in the activity score of at least 2 points, with at least a 1-point decrease in either the lobular inflammation or steatosis score. (NCT00063622)
Timeframe: baseline and 96 weeks

Interventionparticipants (Number)
Pioglitazone27
Vitamin E36
Placebo16

Number of Participants With Improvement in Steatosis

Steatosis is assessed on a scale of 0 to 3 with higher scores indicating more severe steatosis. This secondary outcome measure is the number of participants that experienced a decrease in steatosis score, which indicates improvement in steatosis. (NCT00063622)
Timeframe: baseline and 96 weeks

Interventionparticipants (Number)
Pioglitazone48
Vitamin E43
Placebo22

Number of Participants With Resolution of Definite Nonalcoholic Steatohepatitis

The criteria for nonalcoholic steatohepatitis was definite or possible steatohepatitis (assessed by a pathologist) with an activity score of 5 or more, or definite steatohepatitis (confirmed by two pathologists) with an activity score of 4. This secondary outcome measure is the number of participants who met this definition at baseline and did not meet this definition after 96 weeks of treatment and thus had a resolution of steatohepatitis. (NCT00063622)
Timeframe: baseline and 96 weeks

Interventionparticipants (Number)
Pioglitazone33
Vitamin E29
Placebo15

Change From Baseline (Week 0) in Glycosylated Hemoglobin (HbA1c) (%) at Week 12

Fasted blood samples for HbA1c were collected at Baseline and Week 12. Participants were required to fast for at least 8 hours prior to laboratory samples and were told not to take the morning dose of study medication on these visit days and to refrain from eating until instructed to do so by study personnel in the clinic. When the participant had not fasted, the participant was rescheduled to return to the clinic to have a fasted sample taken. Baseline was Week 0. Change from Baseline was calculated by subtracting Baseline values from post-Baseline values. Only those participants with a value at Baseline and at Week 12 (after Last Observation Carried Forward [LOCF]) were used for this analysis. Adjusted mean is presented as least square mean. (NCT00500331)
Timeframe: Baseline (Week 0) and Week 12

InterventionPercentage of hemoglobin (Least Squares Mean)
Placebo-0.31
GSK189075 50 mg-1.04
GSK189075 100 mg-0.96
GSK189075 250 mg-1.05
GSK189075 500 mg-1.21
GSK189075 1000 mg-1.38
Pioglitazone 30 mg-1.07

Change From Baseline in 24-hour Percent of Filtered Glucose Excreted in Urine

A 24-hour urine collection was obtained from all participants at Baseline (Week 0) and Week 12 to measure glucose. Participants were provided with urine collection bottles and cooler prior to these visits and instructed that the urine collections must be kept cold and dropped off at the clinic prior to or at the scheduled visits. Site staff queried participants to determine whether the sample represented a full 24-hour collection. The total volume and the sample date and time were recorded. The entire 24-hour urine collection was well mixed in one container and a urine aliquot obtained. Samples were assayed for glucose. The 24-hour collections were used to derive 24-hour urine glucose excretion corrected for filtered load. Baseline was Week 0. Change from Baseline was calculated by subtracting Baseline values from post-Baseline values. (NCT00500331)
Timeframe: Baseline (Week 0) and Week 12 (24-hour urine collection)

InterventionPercentage of filtered glucose molecules (Mean)
Placebo-1.09
GSK189075 50 mg27.96
GSK189075 100 mg40.43
GSK189075 250 mg38.98
GSK189075 500 mg42.41
GSK189075 1000 mg52.39
Pioglitazone 30 mg-0.99

Change From Baseline in C-peptide AUC During a 2-hr OGTT

"Post-prandial assessments of C-peptide were performed at Baseline (Week 0) and at Week 12 using a 2-hour OGTT in a subgroup of participants at selected sites who agreed to participate. Participants were required to fast for at least 8 hours prior to the test. Seventy-five (75) g of standard oral glucose solution was administered 15 minutes after the morning administration of study medication (Week 12) and in the place of breakfast at Week 0 (i.e., at Week 0 the OGTT was completed prior to administration of study medication). Time 0 started when the participants drank the glucose solution. Blood samples were collected at the following times relative to the administration of oral glucose: -30 min (pre-glucose), -20 min (pre-glucose), 20 min, 30 min, 1 hour, 1.5 hour and 2 hour post glucose administration. Baseline was Week 0. Change from Baseline was calculated by subtracting Baseline values from post-Baseline values." (NCT00500331)
Timeframe: Baseline (Week 0) and Week 12 (0 to 2 hour OGTT)

InterventionNanomol*hour per Liter (nmol*hr/L) (Mean)
Placebo-0.140
GSK189075 50 mg0.654
GSK189075 100 mg-0.156
GSK189075 250 mg-0.026
GSK189075 500 mg-0.476
GSK189075 1000 mg-0.175
Pioglitazone 30 mg-0.239

Change From Baseline in Insulin AUC During a 2-hour OGTT

"Post-prandial assessments of insulin were performed at Baseline (Week 0) and at Week 12 using a 2-hour OGTT in a subgroup of participants at selected sites who agreed to participate. Participants were required to fast for at least 8 hours prior to the test. Seventy-five (75) g of standard oral glucose solution was administered 15 minutes after the morning administration of study medication (Week 12) and in the place of breakfast at Week 0 (i.e., at Week 0 the OGTT was completed prior to administration of study medication). Time 0 started when the participants drank the glucose solution. Blood samples were collected at the following times relative to the administration of oral glucose: -30 min (pre-glucose), -20 min (pre-glucose), 20 min, 30 min, 1 hour, 1.5 hour and 2 hour post glucose administration. Baseline was Week 0. Change from Baseline was calculated by subtracting Baseline values from post-Baseline values." (NCT00500331)
Timeframe: Baseline (Week 0) and Week 12 (0 to 2-hour OGTT)

InterventionPicomol*hour per Liter (pmol*hr/L) (Mean)
Placebo-5.3
GSK189075 50 mg162.4
GSK189075 100 mg-70.9
GSK189075 250 mg66.6
GSK189075 500 mg-173.9
GSK189075 1000 mg-97.8
Pioglitazone 30 mg10.0

Change From Baseline in Plasma Glucose Area Under the Curve (AUC) During a 2-hour Oral Glucose Tolerance Test (OGTT)

"Post-prandial assessments of glucose were performed at Baseline (Week 0) and at Week 12 using a 2-hour OGTT in a subgroup of participants at selected sites who agreed to participate. Participants were required to fast for at least 8 hours prior to the test. Seventy-five (75) g of standard oral glucose solution was administered 15 minutes after the morning administration of study medication (Week 12) and in the place of breakfast at Week 0 (i.e., at Week 0 the OGTT was completed prior to administration of study medication). Time 0 started when the participants drank the glucose solution. Blood samples were collected at the following times relative to the administration of oral glucose: -30 min (pre-glucose), -20 min (pre-glucose), 20 min, 30 min, 1 hour, 1.5 hour and 2 hour post glucose administration. Baseline was Week 0. Change from Baseline was calculated by subtracting Baseline values from post-Baseline values." (NCT00500331)
Timeframe: Baseline (Week 0) and Week 12 (0 to 2 hour OGTT)

InterventionMillimol*hour per Liter (mmol*hr/L) (Mean)
Placebo-0.90
GSK189075 50 mg-6.31
GSK189075 100 mg-6.71
GSK189075 250 mg-7.69
GSK189075 500 mg-6.06
GSK189075 1000 mg-7.59
Pioglitazone 30 mg-6.55

Change From Baseline to Week 12 in Body Weight

Weight of participants was measured from Baseline (Week 0) to Week 12 and recorded in the case report form (CRF). Baseline was Week 0. Change from Baseline was calculated by subtracting Baseline values from post-Baseline values. (NCT00500331)
Timeframe: Baseline (Week 0) to Week 12

InterventionKilograms (Mean)
Placebo-0.49
GSK189075 50 mg-1.78
GSK189075 100 mg-2.41
GSK189075 250 mg-2.38
GSK189075 500 mg-3.52
GSK189075 1000 mg-4.00
Pioglitazone 30 mg0.96

Change From Baseline to Week 12 in Fasting Insulin

Fasted blood samples for insulin were collected up to Week 12. Participants were required to fast for at least 8 hours prior to laboratory samples and were told not to take the morning dose of study medication on these visit days and to refrain from eating until instructed to do so by study personnel in the clinic. When the participant had not fasted, the participant was rescheduled to return to the clinic to have a fasted sample taken. Baseline was Week 0. Change from Baseline was calculated by subtracting Baseline values from post-Baseline values. (NCT00500331)
Timeframe: Baseline (Week 0) to Week 12

InterventionPicomol per Liter (pmol/L) (Mean)
Placebo-30.6
GSK189075 50 mg0.3
GSK189075 100 mg-20.7
GSK189075 250 mg-9.7
GSK189075 500 mg-25.8
GSK189075 1000 mg-15.1
Pioglitazone 30 mg-2.1

Change From Baseline to Week 12 in Fructosamine

Fasted blood samples for fructosamine were collected up to Week 12. Participants were required to fast for at least 8 hours prior to laboratory samples and were told not to take the morning dose of study medication on these visit days and to refrain from eating until instructed to do so by study personnel in the clinic. When the participant had not fasted, the participant was rescheduled to return to the clinic to have a fasted sample taken. Baseline was Week 0. Change from Baseline was calculated by subtracting Baseline values from post-Baseline values. (NCT00500331)
Timeframe: Baseline (Week 0) to Week 12

InterventionMicromol per Liter (mcmol/L) (Mean)
Placebo5.7
GSK189075 50 mg-33.8
GSK189075 100 mg-35.7
GSK189075 250 mg-38.9
GSK189075 500 mg-41.9
GSK189075 1000 mg-55.2
Pioglitazone 30 mg-34.7

Change From Baseline to Week 12 in Waist Circumference

Waist circumference of participants was measured from Baseline (Week 0) to Week 12 and recorded in the CRF. Baseline was Week 0. Change from Baseline was calculated by subtracting Baseline values from post-Baseline values. (NCT00500331)
Timeframe: Baseline (Week 0) to Week 12

InterventionCentimeters (Mean)
Placebo-0.7
GSK189075 50 mg-1.2
GSK189075 100 mg-2.0
GSK189075 250 mg-2.2
GSK189075 500 mg-2.6
GSK189075 1000 mg-2.4
Pioglitazone 30 mg1.3

Number of Participants With On-therapy Hypoglycemia

Hypoglycemia is low blood glucose or low blood sugar. Hypoglycemic events were collected separately and reported separately from AE, including supplemental data which were not collected for AE. However, any hypoglycemic event which met the criteria for a SAE was included in the SAE summaries. The number of participants in each group that experienced a hypoglycemic event was summarized by frequency of the events. (NCT00500331)
Timeframe: Up to 14 weeks

InterventionParticipants (Count of Participants)
Placebo1
GSK189075 50 mg1
GSK189075 100 mg0
GSK189075 250 mg0
GSK189075 500 mg1
GSK189075 1000 mg0
Pioglitazone 30 mg0

Change From Baseline in HbA1c (%) at Weeks 4 and 8

Fasted blood samples for HbA1c were collected at Baseline and Weeks 4 and 8. Participants were required to fast for at least 8 hours prior to laboratory samples and were told not to take the morning dose of study medication on these visit days and to refrain from eating until instructed to do so by study personnel in the clinic. When the participant had not fasted, the participant was rescheduled to return to the clinic to have a fasted sample taken. Baseline was Week 0. Change from Baseline was calculated by subtracting Baseline values from post-Baseline values. (NCT00500331)
Timeframe: Baseline (Week 0) and Week 4 and Week 8

,,,,,,
InterventionPercentage of hemoglobin (Mean)
Week 4Week 8
GSK189075 100 mg-0.69-0.96
GSK189075 1000 mg-0.84-1.28
GSK189075 250 mg-0.64-0.99
GSK189075 50 mg-0.77-0.98
GSK189075 500 mg-0.83-1.07
Pioglitazone 30 mg-0.39-0.88
Placebo-0.30-0.41

Change From Baseline to Week 12 in Fasting Plasma Glucose (FPG) at Weeks 4, 8 and 12

Fasted blood samples for FPG were collected up to Week 12. Participants were required to fast for at least 8 hours prior to laboratory samples and were told not to take the morning dose of study medication on these visit days and to refrain from eating until instructed to do so by study personnel in the clinic. When the participant had not fasted, the participant was rescheduled to return to the clinic to have a fasted sample taken. Baseline was Week 0. Change from Baseline was calculated by subtracting Baseline values from post-Baseline values. (NCT00500331)
Timeframe: Baseline (Week 0) and Week 4, Week 8 and Week 12

,,,,,,
InterventionMillimoles per Liter (mmol/L) (Mean)
Week 4Week 8Week 12
GSK189075 100 mg-1.43-1.30-1.63
GSK189075 1000 mg-2.48-2.78-2.76
GSK189075 250 mg-1.49-1.76-1.80
GSK189075 50 mg-0.56-0.91-0.89
GSK189075 500 mg-1.90-2.14-2.07
Pioglitazone 30 mg-1.26-1.73-1.71
Placebo-0.49-0.62-0.51

Number of Participants at Week 12 With: HbA1c <= 6.5%, HbA1c <7.0%; FPG <7 Mmo/L, FPG <7.8 mmol/L; FPG <5.5 mmol/L; a Decrease From Baseline of HbA1c >= 0.7%; a Decrease From Baseline of FPG ≥1.7 mmol/L

Fasted blood samples for HbA1c were collected at Week 12. Participants were required to fast for at least 8 hours prior to laboratory samples and were told not to take the morning dose of study medication on these visit days and to refrain from eating until instructed to do so by study personnel in the clinic. When the participant had not fasted, the participant was rescheduled to return to the clinic to have a fasted sample taken. Number of participants at Week 12 with: HbA1c <= 6.5%, HbA1c <7.0%; FPG <7 mmo/L (126 milligram/deciliter [mg/dL]), FPG <7.8 mmol/L (140 mg/dL); FPG <5.5 mmol/L (100 mg/dL); a decrease from Baseline of HbA1c >= 0.7%; a decrease from Baseline of FPG ≥1.7 mmol/L (30 mg/dL) are presented. (NCT00500331)
Timeframe: Week 12

,,,,,,
InterventionParticipants (Count of Participants)
HbA1c <= 6.5%HbA1c <7.0%FPG <7 mmo/LFPG <7.8 mmol/LFPG <5.5 mmol/LDecrease from Baseline of HbA1c >= 0.7%Decrease from Baseline of FPG ≥1.7 mmol/L
GSK189075 100 mg818202622719
GSK189075 1000 mg1729223433930
GSK189075 250 mg1122182753321
GSK189075 50 mg1020162443315
GSK189075 500 mg1728223343624
Pioglitazone 30 mg821213122823
Placebo394130168

Number of Participants With Change From Baseline in Standard Laboratory Parameters of Potential Clinical Concern

Participants were instructed to fast for at least 8 hours prior to all study visits for the collection of laboratory samples. An additional fasting blood sample (serum and plasma) was drawn at Week 0, Week 4, Week 6 and Week 12 or at early withdrawal (up to 14 weeks) and kept in long-term storage for future testing of biomarkers for diabetes and complications of the disease. Baseline was Week 0. Change from Baseline was calculated by subtracting Baseline values from post-Baseline values. (NCT00500331)
Timeframe: Up to 14 weeks

,,,,,,
InterventionParticipants (Count of Participants)
Low HemoglobinLow Hematocrit
GSK189075 100 mg00
GSK189075 1000 mg00
GSK189075 250 mg00
GSK189075 50 mg00
GSK189075 500 mg00
Pioglitazone 30 mg00
Placebo11

Number of Participants With Change From Baseline Vital Signs of Potential Clinical Concern

Vital signs included heart rate and blood pressure. Heart rate and blood pressure were taken before blood draws were performed. Participants were asked to refrain from smoking for at least 30 minutes prior to vital sign measurements. Heart rate and blood pressure was measured pre-dose in duplicate at the specified visits, after the participant had been lying quietly for 5 minutes, and then in duplicate 3 minutes after standing up. Heart rate was measured at the same time as blood pressure using the standardized blood pressure equipment that was provided. Baseline was Week 0. Change from Baseline was calculated by subtracting Baseline values from post-Baseline values. (NCT00500331)
Timeframe: Up to 14 weeks

,,,,,,
InterventionParticipants (Count of Participants)
High SBPLow SBPHigh DBPLow DBPHigh heart rateLow heart rate
GSK189075 100 mg210200
GSK189075 1000 mg122101
GSK189075 250 mg020000
GSK189075 50 mg000110
GSK189075 500 mg020001
Pioglitazone 30 mg000300
Placebo301000

Number of Participants With Electrocardiogram (ECG) Values of Potential Clinical Concern

Full 12-lead ECGs were recorded at screening, Baseline (Week 0), Week 4, Week 12 or early withdrawal, and Week 14 (Follow-up) using an ECG machine that automatically calculated the heart rate and measured the PR, QRS, QT and corrected QT (QTc) intervals. All 12-lead ECGs were read locally by the Investigator or his/her designate and were forwarded electronically to the central reader for interpretation. If the QTc was >500 milliseconds (msec) on the locally read ECG recording, an additional 2 ECG recordings at 10 minute intervals were made at that visit. If the average QTc for the 3 recordings was >500 msec, the participant was withdrawn from the study. (NCT00500331)
Timeframe: Up to Early withdrawal (Between Week 12 and Week 14)

,,,,,,
InterventionParticipants (Count of Participants)
PR interval > 300 msecQRS Duration > 200 msecQTc(Bazett) > 500 msecQTc(Fridericia) > 500 msec
GSK189075 100 mg0000
GSK189075 1000 mg0000
GSK189075 250 mg0000
GSK189075 50 mg0000
GSK189075 500 mg0000
Pioglitazone 30 mg0000
Placebo0000

Number of Participants With On-therapy Adverse Events (AE) and Serious Adverse Events (SAE)

AE is any untoward medical occurrence in a participant or clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a medicinal product. For marketed medicinal products, this also includes failure to produce expected benefits (i.e., lack of efficacy), abuse or misuse. SAE is any untoward medical occurrence that, at any dose results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, or is a congenital anomaly/birth defect or is medically significant. (NCT00500331)
Timeframe: Up to 12 weeks

,,,,,,
InterventionParticipants (Count of Participants)
AESAE
GSK189075 100 mg170
GSK189075 1000 mg220
GSK189075 250 mg190
GSK189075 50 mg180
GSK189075 500 mg180
Pioglitazone 30 mg220
Placebo180

Percent Change From Baseline in Lipid Parameters at Weeks 4, 8 and 12(Triglycerides [TG], Total Cholesterol [TC], Low-density Lipoprotein Cholesterol [LDL-C] and High-density Lipoprotein Cholesterol [HDL-C])

Fasted samples for TC, LDL-C, HDL-C and TG were collected at Week 12. When the participant had not fasted, the participant was rescheduled to return to the clinic to have a fasted sample taken. Baseline was Week 0. Change from Baseline was calculated by subtracting Baseline values from post-Baseline values. Percent Change based on log-transformed data: 100*(exponentiated(mean change on log scale)-1) (NCT00500331)
Timeframe: Baseline (Week 0) and Week 4, Week 8 and Week 12

,,,,,,
InterventionPercent change (Median)
TG: Week 4TG: Week 8TG: Week 12TC: Week 4TC: Week 8TC: Week 12LDL-C: Week 4LDL-C: Week 8LDL-C: Week 12HDL-C: Week 4HDL-C: Week 8HDL-C: Week 12
GSK189075 100 mg6.320.5910.921.623.645.450.373.623.573.695.004.96
GSK189075 1000 mg-4.62-7.30-9.972.390.002.777.024.4414.890.000.004.27
GSK189075 250 mg-13.42-10.01-4.714.134.493.976.918.963.935.133.096.70
GSK189075 50 mg-3.45-9.09-10.911.853.493.390.838.676.695.436.205.56
GSK189075 500 mg-13.04-13.35-15.284.435.319.8210.037.5711.435.697.1411.93
Pioglitazone 30mg-7.22-0.79-7.192.291.06-2.050.00-2.241.189.188.2010.00
Placebo-8.35-1.663.320.470.824.750.823.173.17-1.970.000.00

Mean Change From Baseline in Hemoglobin A1c (Glycosylated Hemoglobin) (HbA1c) at Week 12

The blood samples were collected at Baseline, Week 4, Week 8 and at Week 12 (or early withdrawal). Baseline was defined as the period immediately preceding treatment with study medication (Week 0). For participants with missing Baseline assessment, the last pre-therapy value prior to the Baseline visit was used as the Baseline value. Change from Baseline was the value at Week 12 minus Baseline value. The primary analysis was performed on the Intent-to-Treat (ITT) Population with Last observation carried forward (LOCF). Adjusted mean is presented as least square (LS) mean. (NCT00495469)
Timeframe: Baseline (Week 0) and at Week 12

InterventionPercentage (Least Squares Mean)
Placebo-0.19
GSK189075 100 mg QD-0.53
GSK189075 250 mg QD-0.75
GSK189075 500 mg QD-0.53
GSK189075 1000 mg QD-0.85
GSK189075 250 mg BID-0.78
Pioglitazone 30 mg QD-0.38

Mean Change From Baseline to Week 12 in Body Weight

Body weight measurement was taken at Baseline, Week 2, Week 4, Week 8, Week 12 and at Week 14 (follow up). Baseline was defined as the period immediately preceding treatment with study medication (Week 0). For participants with missing Baseline assessment, the last pre-therapy value prior to the Baseline visit was used as the Baseline value. Change from Baseline was the value at Week 12 minus Baseline value. Adjusted mean is presented as LS mean. (NCT00495469)
Timeframe: Baseline (Week 0) and Week 12

Interventionkilograms (Least Squares Mean)
Placebo-1.03
GSK189075 100 mg QD-1.52
GSK189075 250 mg QD-2.54
GSK189075 500 mg QD-2.46
GSK189075 1000 mg QD-2.47
GSK189075 250 mg BID-2.11
Pioglitazone 30 mg QD0.00

Mean Change From Baseline to Week 12 in Fasting Plasma Glucose (FPG)

The samples were collected at Baseline, Week 2, Week 4, Week 8, Week 12 and Week 14 (follow up). Participants were asked to be on fast for at least 8 hours prior to each study visits and collection of lab samples. Baseline was defined as the period immediately preceding treatment with study medication (Week 0). For participants with missing Baseline assessment, the last pre-therapy value prior to the Baseline visit was used as the Baseline value. Change from Baseline was the value at Week 12 minus Baseline value. The primary analysis was performed on the ITT Population with LOCF. Adjusted mean is presented as LS mean. (NCT00495469)
Timeframe: Baseline (Week 0) and at Week 12

Interventionmillimoles per liter (mmol/L) (Least Squares Mean)
Placebo-0.50
GSK189075 100 mg QD-1.35
GSK189075 250 mg QD-1.56
GSK189075 500 mg QD-1.13
GSK189075 1000 mg QD-1.45
GSK189075 250 mg BID-1.63
Pioglitazone 30 mg QD-1.01

Mean Change From Baseline to Week 12 in Fructosamine (Corrected)

The blood samples were collected at Baseline, Week 2, Week 4, Week 8, Week 12 and Week 14 (follow up). Participants were asked to be on fast for at least 8 hours prior to each study visits and collection of lab samples. Baseline was defined as the period immediately preceding treatment with study medication (Week 0). For participants with missing Baseline assessment, the last pre-therapy value prior to the Baseline visit was used as the Baseline value. Change from Baseline was the value at Week 12 minus Baseline value. The primary analysis was performed on the ITT Population with LOCF. Adjusted mean is presented as LS mean. (NCT00495469)
Timeframe: Baseline (Week 0) and at Week 12

Interventionmicromoles per liter (µmol/L) (Least Squares Mean)
Placebo-1.4
GSK189075 100 mg QD-25.5
GSK189075 250 mg QD-36.3
GSK189075 500 mg QD-31.2
GSK189075 1000 mg QD-37.9
GSK189075 250 mg BID-30.9
Pioglitazone 30 mg QD-15.2

Mean Change From Baseline to Week 12 in High Density Lipoprotein Cholesterol (HDL-c)

Blood samples were collected at Baseline and at Week 12 (or early withdrawal). Baseline was defined as the period immediately preceding treatment with study medication (Week 0). For participants with missing Baseline assessment, the last pre-therapy value prior to the Baseline visit was used as the Baseline value. Change from Baseline was the value at Week 12 minus Baseline value. Adjusted mean is presented as LS mean. (NCT00495469)
Timeframe: Baseline (Week 0) and Week 12

Interventionmmol/L (Least Squares Mean)
Placebo-0.02
GSK189075 100 mg QD0.00
GSK189075 250 mg QD0.02
GSK189075 500 mg QD0.06
GSK189075 1000 mg QD0.05
GSK189075 250 mg BID0.04
Pioglitazone 30 mg QD0.09

Mean Change From Baseline to Week 12 in LDL-c/HDL-c Ratio

Blood samples were collected at Baseline and at Week 12 (or early withdrawal). Baseline was defined as the period immediately preceding treatment with study medication (Week 0). For participants with missing Baseline assessment, the last pre-therapy value prior to the Baseline visit was used as the Baseline value. Change from Baseline was the value at Week 12 minus Baseline value. Adjusted mean is presented as LS mean. (NCT00495469)
Timeframe: Baseline (Week 0) and Week 12

InterventionRatio (Least Squares Mean)
Placebo0.06
GSK189075 100 mg QD-0.19
GSK189075 250 mg QD-0.06
GSK189075 500 mg QD-0.13
GSK189075 1000 mg QD-0.07
GSK189075 250 mg BID0.10
Pioglitazone 30 mg QD-0.07

Mean Change From Baseline to Week 12 in Low Density Lipoprotein Cholesterol (LDL-c)

Blood samples were collected at Baseline and at Week 12 (or early withdrawal). Baseline was defined as the period immediately preceding treatment with study medication (Week 0). For participants with missing Baseline assessment, the last pre-therapy value prior to the Baseline visit was used as the Baseline value. Change from Baseline was the value at Week 12 minus Baseline value. Adjusted mean is presented as LS mean. (NCT00495469)
Timeframe: Baseline (Week 0) and Week 12

Interventionmmol/L (Least Squares Mean)
Placebo-0.02
GSK189075 100 mg QD-0.17
GSK189075 250 mg QD-0.03
GSK189075 500 mg QD0.08
GSK189075 1000 mg QD-0.04
GSK189075 250 mg BID0.23
Pioglitazone 30 mg QD0.07

Mean Change From Baseline to Week 12 in Total Cholesterol

Samples were collected at Baseline and at Week 12 (or early withdrawal). Baseline was defined as the period immediately preceding treatment with study medication (Week 0). For participants with missing Baseline assessment, the last pre-therapy value prior to the Baseline visit was used as the Baseline value. Change from Baseline was the value at Week 12 minus Baseline value. Adjusted mean is presented as LS mean. (NCT00495469)
Timeframe: Baseline (Week 0) and at Week 12

Interventionmmol/L (Least Squares Mean)
Placebo-0.03
GSK189075 100 mg QD-0.08
GSK189075 250 mg QD-0.12
GSK189075 500 mg QD0.10
GSK189075 1000 mg QD-0.02
GSK189075 250 mg BID0.22
Pioglitazone 30 mg QD0.00

Mean Change From Baseline to Week 12 in Total Cholesterol/HDL-c Ratio

Blood samples were collected at Baseline and at Week 12 (or early withdrawal). Baseline was defined as the period immediately preceding treatment with study medication (Week 0). For participants with missing Baseline assessment, the last pre-therapy value prior to the Baseline visit was used as the Baseline value. Change from Baseline was the value at Week 12 minus Baseline value. Adjusted mean is presented as LS mean. (NCT00495469)
Timeframe: Baseline (Week 0) and Week 12

InterventionRatio (Least Squares Mean)
Placebo0.14
GSK189075 100 mg QD-0.05
GSK189075 250 mg QD-0.20
GSK189075 500 mg QD-0.22
GSK189075 1000 mg QD-0.09
GSK189075 250 mg BID0.01
Pioglitazone 30 mg QD-0.26

Mean Change From Baseline to Week 12 in Triglycerides

Samples were collected at Baseline and at Week 12 (or early withdrawal). Baseline was defined as the period immediately preceding treatment with study medication (Week 0). For participants with missing Baseline assessment, the last pre-therapy value prior to the Baseline visit was used as the Baseline value. Change from Baseline was the value at Week 12 minus Baseline value. Adjusted mean is presented as LS mean. (NCT00495469)
Timeframe: Baseline (Week 0) and at Week 12

Interventionmmol/L (Least Squares Mean)
Placebo-0.01
GSK189075 100 mg QD0.19
GSK189075 250 mg QD-0.32
GSK189075 500 mg QD-0.16
GSK189075 1000 mg QD-0.05
GSK189075 250 mg BID-0.18
Pioglitazone 30 mg QD-0.37

Number of Participants With Abnormal Electrocardiogram (ECG) Findings at Any Time Post-Baseline

Full 12-lead ECGs were recorded at Randomization (Week 0), Week 4, and Week 12 or early withdrawal. If the QTc was >500 milliseconds on the locally read ECG recording, an additional 2 ECG recordings at 10 minute intervals were made at that visit. If the average QTc for the 3 recordings was >500 milliseconds, the participant was withdrawn from the study. (NCT00495469)
Timeframe: Up to Week 12

InterventionParticipants (Count of Participants)
Placebo9
GSK189075 100 mg QD12
GSK189075 250 mg QD11
GSK189075 500 mg QD7
GSK189075 1000 mg QD14
GSK189075 250 mg BID7
Pioglitazone 30 mg QD8

Number of Participants With On-therapy Hypoglycemia

Participants were provided with a Daily Glucose Monitoring Log to record glucose meter readings and to record symptoms of hypoglycemia. A separate electronic case report form (eCRF) page was provided to capture events of hypoglycemia. (NCT00495469)
Timeframe: Up to Week 12

InterventionParticipants (Count of Participants)
Placebo0
GSK189075 100 mg QD1
GSK189075 250 mg QD0
GSK189075 500 mg QD2
GSK189075 1000 mg QD1
GSK189075 250 mg BID1
Pioglitazone 30 mg QD0

Mean Change From Baseline in HbA1c at Weeks 4 and 8

The blood samples were collected at Baseline, Week 4, Week 8 and at Week 12 (or early withdrawal). Baseline was defined as the period immediately preceding treatment with study medication (Week 0). For participants with missing Baseline assessment, the last pre-therapy value prior to the Baseline visit was used as the Baseline value. Change from Baseline was the value at Week 4 and 8 minus Baseline value. The primary analysis was performed on the ITT Population with LOCF. (NCT00495469)
Timeframe: Baseline (Week 0) and at Week 4 nad 8

,,,,,,
InterventionPercentage (Mean)
Week 4Week 8
GSK189075 100 mg QD-0.37-0.42
GSK189075 1000 mg QD-0.45-0.77
GSK189075 250 mg BID-0.31-0.67
GSK189075 250 mg QD-0.57-0.76
GSK189075 500 mg QD-0.40-0.60
Pioglitazone 30 mg QD-0.07-0.25
Placebo-0.18-0.08

Number of Participants Who Were Fasting Plasma Glucose (FPG) Responders at Week 12

Differences between treatment groups in the proportion of participants who achieved FPG targets of <7.0 millimoles per liter (mmol/L) (126 milligrams per deciliter [mg/dL]) and <7.8 mmol/L (140 mg/dL) at Week 12 in the ITT population with LOCF were assessed based on a logistic regression model with terms included for treatment and Baseline FPG. The proportion of participants who achieved the target of <5.5 mmol/L (100 mg/dL) at Week 12 within each treatment group were summarized only. Differences between treatment groups in the proportion of participants who achieved a clinically meaningful decreases from Baseline in FPG (1.7 mmol/L [>=30 mg/dL]) at Week 12 were assessed in the same manner. (NCT00495469)
Timeframe: Week 12

,,,,,,
InterventionParticipants (Count of Participants)
Responders (<7 mmol/L)Responders (<7.8 mmol/L)Responders (reduction >=1.7 mmol/L)
GSK189075 100 mg QD10209
GSK189075 1000 mg QD122114
GSK189075 250 mg BID142219
GSK189075 250 mg QD141913
GSK189075 500 mg QD111711
Pioglitazone 30 mg QD131517
Placebo6135

Number of Participants Who Were HbA1c Responders at Week 12

Differences between treatment groups in the proportion of participants who achieved HbA1c targets of <=6.5% and <7% at Week 12 in the ITT population with LOCF were assessed based on a logistic regression model with terms included for treatment and Baseline HbA1c. Differences between treatment groups in the proportion of participants who achieved a clinically meaningful decreases from Baseline in HbA1c (>=0.7%) at Week 12 were assessed in the same manner. (NCT00495469)
Timeframe: Week 12

,,,,,,
InterventionParticipants (Count of Participants)
Responders (<=6.5%)Responders (<7%)Responders (reduction>=0.7%)
GSK189075 100 mg QD51113
GSK189075 1000 mg QD71318
GSK189075 250 mg BID61521
GSK189075 250 mg QD41218
GSK189075 500 mg QD41013
Pioglitazone 30 mg QD41113
Placebo379

Number of Participants With Abnormal Chemistry Value of PCI at Any Time on Therapy

Chemistry parameters: Albumin, Alkaline phosphatase, Alanine animotransferase, Aspartate aminotransferase, Total billirubin, Calcium, Carbon dioxide/Bicarbonate, Glucose, Potassium, Sodium, Phosphorus and Total protein were assessed for abnormal PCI values. Participants were instructed to fast for at least 8 hours prior to all study visits for the collection of laboratory samples. Samples were collected at Baseline, Week 2, Week 4, Week 8, Week 12 and at Week 14 (follow up). (NCT00495469)
Timeframe: Up to Week 12

,,,,,,
InterventionParticipants (Count of Participants)
Albumin, lowAlkaline phosphatase, highAlanine aminotransferase, highAspartate aminotransferase, highTotal bilirubin, highCalcium, lowcarbon dioxide content/Bicarbonate, lowGlucose, highPotassium, highPotassium, lowSodium, highPhosphorus, highTotal protein, highTotal protein, low
GSK189075 100 mg QD11111120011011
GSK189075 1000 mg QD00001010200000
GSK189075 250 mg BID00001210100000
GSK189075 250 mg QD00000300100000
GSK189075 500 mg QD00000010000100
Pioglitazone 30 mg QD00002000000000
Placebo00001001000000

Number of Participants With Abnormal Hematology Value of PCI at Any Time on Therapy

Hematology parameters: Hemoglobin, Hematocrit, Platelet count and White blood cells were assessed for abnormal PCI values. Participants were instructed to fast for at least 8 hours prior to all study visits for the collection of laboratory samples. Samples were collected at Baseline, Week 2, Week 4, Week 8, Week 12 and at Week 14 (follow up). (NCT00495469)
Timeframe: Up to Week 12

,,,,,,
InterventionParticipants (Count of Participants)
Hemoglobin, highHemoglobin, lowHematocrit, highHematocrit, lowPlatelet count, highPlatelet count, lowWhite blood cell count, low
GSK189075 100 mg QD0002000
GSK189075 1000 mg QD2020011
GSK189075 250 mg BID0000200
GSK189075 250 mg QD0000000
GSK189075 500 mg QD1010000
Pioglitazone 30 mg QD0100001
Placebo1211010

Number of Participants With Any On-therapy Adverse Events (AEs) and Serious Adverse Events (SAEs)

AE was defined as any untoward medical occurrence in a clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. SAE was defined as any untoward event resulting in death, life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, congenital anomaly/birth defect or any other situation according to medical or scientific judgment. (NCT00495469)
Timeframe: Up to Week 12

,,,,,,
InterventionParticipants (Count of Participants)
Any AEsAny SAEs
GSK189075 100 mg QD151
GSK189075 1000 mg QD210
GSK189075 250 mg BID201
GSK189075 250 mg QD200
GSK189075 500 mg QD110
Pioglitazone 30 mg QD120
Placebo80

Number of Participants With Vital Signs of Potential Clinical Importance (PCI) at Any Time on Therapy

Systolic blood pressure (SBP), diastolic blood pressure (DBP), heart rate (HR) were measured pre-dose in duplicate, after the participant has been lying quietly for 5 minutes, and then in duplicate 3 minutes after standing up. Participants were asked to refrain from smoking for at least 30 minutes prior to vital sign measurements. (NCT00495469)
Timeframe: Up to Week 12

,,,,,,
InterventionParticipants (Count of Participants)
SBP, supine, lowDBP, supine, highHR, supine, lowOrthostatic SBP, standing, lowOrthostatic DBP, standing, lowOrthostatic HR, standing, high
GSK189075 100 mg QD200015
GSK189075 1000 mg QD201005
GSK189075 250 mg BID210117
GSK189075 250 mg QD000336
GSK189075 500 mg QD300425
Pioglitazone 30 mg QD301015
Placebo101114

Change in BMI

Change in BMI (body mass index) from study start to 16 weeks (NCT02613897)
Timeframe: Change from baseline to 16 weeks

InterventionKg/m^2 (Mean)
DAPA/SAXA (Dapagliflozin Plus Saxagliptin)-0.8
DAPA (Dapagliflozin Plus Placebo)-0.66
PCB (Placebo Plus Placebo)0.16

Change in Body Weight

Change in body weight from baseline to 16 weeks (NCT02613897)
Timeframe: Baseline to 16 weeks

InterventionKg (Mean)
DAPA/SAXA (Dapagliflozin Plus Saxagliptin)-2.28
DAPA (Dapagliflozin Plus Placebo)-1.76
PCB (Placebo Plus Placebo)0.26

Change in Fasting Plasma Glucagon (FPG)

A measure of the change in fasting plasma glucagon from study start to 16 weeks (NCT02613897)
Timeframe: Change from baseline to 16 weeks

Interventionmg/dl (Mean)
DAPA/SAXA (Dapagliflozin Plus Saxagliptin)-28.52
DAPA (Dapagliflozin Plus Placebo)26.89
PCB (Placebo Plus Placebo)6.88

Change in Free Fatty Acids (FFA)

Measure of change in Free Fatty Acids from study start to 16 weeks (NCT02613897)
Timeframe: Change from baseline to 16 weeks

InterventionmEq/L (Mean)
DAPA/SAXA (Dapagliflozin Plus Saxagliptin)-0.06
DAPA (Dapagliflozin Plus Placebo)-0.01
PCB (Placebo Plus Placebo)0.00

Change in Glucose Oxidation

Change in percentage of glucose oxidation from study start to 16 weeks (NCT02613897)
Timeframe: Change from baseline to 16 weeks

Interventionpercentage of oxidation (Mean)
DAPA/SAXA (Dapagliflozin Plus Saxagliptin)-22.07
DAPA (Dapagliflozin Plus Placebo)-46.54
PCB (Placebo Plus Placebo)4.65

Change in Lipid Oxidation

Change in lipid oxidation percentage from baseline to 16 weeks (NCT02613897)
Timeframe: Change from baseline to 16 weeks

Interventionpercentage of oxidation (Mean)
DAPA/SAXA (Dapagliflozin Plus Saxagliptin)-11.87
DAPA (Dapagliflozin Plus Placebo)22.02
PCB (Placebo Plus Placebo)-6.69

HBA1c

Change in blood glucose level measured over a 3 month period from study start to 16 weeks (NCT02613897)
Timeframe: Change from baseline to 16 weeks

Interventionpercentage change in blood glucose level (Mean)
DAPA/SAXA (Dapagliflozin Plus Saxagliptin)-1.67
DAPA (Dapagliflozin Plus Placebo)-1.46
PCB (Placebo Plus Placebo)0.44

Mean Oral Glucose Tolerance Test (OGTT)

Measure of change in OGTT from study start to 16 weeks (NCT02613897)
Timeframe: Change from baseline to 16 weeks

Interventionmg/dl (Mean)
DAPA/SAXA (Dapagliflozin Plus Saxagliptin)-49.62
DAPA (Dapagliflozin Plus Placebo)-44.24
PCB (Placebo Plus Placebo)20.26

Change in Endogenous Glucose Production (EGP)

All subjects received a Double-Tracer Oral Glucose Tolerance Test (OGTT) with 75g of glucose containing 14C-glucose together with intravenous primed-continuous infusion of 3(3H)-glucose for 240 minutes, at baseline (prior to) and after 16 weeks of therapy. Blood and urine samples were obtained during the OGTT to determine EGP. (NCT02613897)
Timeframe: Baseline and 16 weeks

,,
Interventionmg/kg*min (Mean)
Baseline Measurement16 weeks
DAPA (Dapagliflozin Plus Placebo)2.562.8
DAPA/SAXA (Dapagliflozin Plus Saxagliptin)2.452.4
PCB (Placebo Plus Placebo)1.952.15

Change From Baseline in Incremental Area Under the Curve 0-4h (iAUC0-4h) Derived From the Glucose Concentration Profile During Meal Test

Values of mean change in normalised iAUC0-4h values based on LOCF data derived from the glucose concentration profiles during a meal test. The meal test was performed at selected sites at baseline and after 26 weeks of treatment in the main trial period. The incremental AUC was calculated using the trapezoidal method and the resulting area was divided length of the observation period to yield the (normalised) prandial increment in mmol/L using the available valid glucose observations and the associated actual elapsed time point. (NCT01336023)
Timeframe: Week 0, Week 26

Interventionmmol/L (Mean)
IDeg-0.17
IDegLira-0.87
Liraglutide-0.78

Mean Actual Daily Insulin Dose

Mean of the actual doses recorded at visit 28 (Week 26). (NCT01336023)
Timeframe: Week 26

Interventionunits (Mean)
IDeg53
IDegLira38

Mean Change From Baseline in Body Weight at Week 26

Values of mean change in body weight. (NCT01336023)
Timeframe: Week 0, Week 26

Interventionkg (Mean)
IDeg1.6
IDegLira-0.5
Liraglutide-3.0

Mean Change From Baseline in HbA1c (Glycosylated Haemoglobin) at Week 26.

Values of mean change in HbA1c. (NCT01336023)
Timeframe: Week 0, week 26

InterventionPercentage of glycosylated haemoglobin (Mean)
IDeg-1.44
IDegLira-1.91
Liraglutide-1.28

Number of Hypoglycaemic Episodes

Reported hypoglycemaic episodes are number of hypoglycemic events per 100 patient years of exposure. (NCT01336023)
Timeframe: Weeks 0-26

InterventionEvents per 100 patient years of exposure (Number)
IDeg256.7
IDegLira180.2
Liraglutide22.0

Reviews

12 reviews available for pioglitazone and Weight Loss

ArticleYear
Nonalcoholic Fatty Liver Disease and Obesity Treatment.
    Current obesity reports, 2019, Volume: 8, Issue:3

    Topics: Bariatric Surgery; Body Weight; Diet; Exercise; Glucagon-Like Peptide 1; Humans; Inflammation; Insul

2019
State of the art: treatment of nonalcoholic steatohepatitis.
    Current opinion in gastroenterology, 2014, Volume: 30, Issue:3

    Topics: Antioxidants; Exercise; Humans; Hypoglycemic Agents; Life Style; Non-alcoholic Fatty Liver Disease;

2014
[Twice-daily and weekly exenatide: clinical profile of two pioneer formulations in incretin therapy].
    Medicina clinica, 2014, Volume: 143 Suppl 2

    Topics: Delayed-Action Preparations; Diabetes Mellitus, Type 2; Dipeptidyl-Peptidase IV Inhibitors; Drug Adm

2014
Nonalcoholic fatty liver disease: new treatments.
    Current opinion in gastroenterology, 2015, Volume: 31, Issue:3

    Topics: Antioxidants; Cardiovascular Diseases; Dyslipidemias; Humans; Hypoglycemic Agents; Insulin Resistanc

2015
Safety and effectiveness of non-insulin glucose-lowering agents in the treatment of people with type 2 diabetes who observe Ramadan: a systematic review and meta-analysis.
    Diabetes, obesity & metabolism, 2015, Volume: 17, Issue:7

    Topics: Adamantane; Blood Glucose; Diabetes Mellitus, Type 2; Dipeptidyl-Peptidase IV Inhibitors; Glycated H

2015
The therapeutic landscape of non-alcoholic steatohepatitis.
    Liver international : official journal of the International Association for the Study of the Liver, 2017, Volume: 37, Issue:5

    Topics: Antioxidants; Chalcones; Chenodeoxycholic Acid; Disease Progression; Humans; Hypoglycemic Agents; In

2017
Nonalcoholic fatty liver disease and nonalcoholic steatohepatitis: Selected practical issues in their evaluation and management.
    Hepatology (Baltimore, Md.), 2009, Volume: 49, Issue:1

    Topics: Bariatric Surgery; Biomarkers; Biopsy; Cardiovascular Diseases; Comorbidity; Diabetes Mellitus, Type

2009
Nonalcoholic fatty liver disease and diabetes mellitus: pathogenesis and treatment.
    Nature reviews. Endocrinology, 2011, May-10, Volume: 7, Issue:8

    Topics: Diabetes Mellitus, Type 2; Fatty Liver; Humans; Insulin Resistance; Non-alcoholic Fatty Liver Diseas

2011
Insulin sensitisers in the treatment of non-alcoholic fatty liver disease: a systematic review.
    Health technology assessment (Winchester, England), 2011, Volume: 15, Issue:38

    Topics: Biopsy; Databases, Bibliographic; Diagnosis, Differential; Fatty Liver; Humans; Hypoglycemic Agents;

2011
Nonalcoholic fatty liver disease: current issues and novel treatment approaches.
    Drugs, 2013, Volume: 73, Issue:1

    Topics: Carcinoma, Hepatocellular; Fatty Liver; Humans; Hypoglycemic Agents; Insulin Resistance; Non-alcohol

2013
Treatment of nonalcoholic fatty liver disease.
    World journal of gastroenterology, 2006, Apr-14, Volume: 12, Issue:14

    Topics: Alanine Transaminase; Animals; Antioxidants; Body Mass Index; Fatty Liver; Humans; Hypolipidemic Age

2006
Cardiovascular risk in women with polycystic ovary syndrome.
    Minerva endocrinologica, 2007, Volume: 32, Issue:4

    Topics: Atherosclerosis; Biomarkers; Body Weight; Cardiovascular Diseases; Diabetes Mellitus, Type 2; Exerci

2007

Trials

14 trials available for pioglitazone and Weight Loss

ArticleYear
Favorable effect of sodium-glucose cotransporter 2 inhibitor, dapagliflozin, on non-alcoholic fatty liver disease compared with pioglitazone.
    Journal of diabetes investigation, 2021, Volume: 12, Issue:7

    Topics: Aged; Benzhydryl Compounds; Blood Glucose; Body Mass Index; Diabetes Mellitus, Type 2; Female; gamma

2021
Endocannabinoid receptor blockade reduces alanine aminotransferase in polycystic ovary syndrome independent of weight loss.
    BMC endocrine disorders, 2017, Jul-14, Volume: 17, Issue:1

    Topics: Alanine Transaminase; Anti-Obesity Agents; Body Mass Index; Cannabinoid Receptor Antagonists; Case-C

2017
Efficacy and safety of lixisenatide once daily versus placebo in type 2 diabetes insufficiently controlled on pioglitazone (GetGoal-P).
    Diabetes, obesity & metabolism, 2013, Volume: 15, Issue:11

    Topics: Aged; Diabetes Mellitus, Type 2; Double-Blind Method; Drug Administration Schedule; Drug Monitoring;

2013
Efficacy and safety of lixisenatide once daily versus placebo in type 2 diabetes insufficiently controlled on pioglitazone (GetGoal-P).
    Diabetes, obesity & metabolism, 2013, Volume: 15, Issue:11

    Topics: Aged; Diabetes Mellitus, Type 2; Double-Blind Method; Drug Administration Schedule; Drug Monitoring;

2013
Efficacy and safety of lixisenatide once daily versus placebo in type 2 diabetes insufficiently controlled on pioglitazone (GetGoal-P).
    Diabetes, obesity & metabolism, 2013, Volume: 15, Issue:11

    Topics: Aged; Diabetes Mellitus, Type 2; Double-Blind Method; Drug Administration Schedule; Drug Monitoring;

2013
Efficacy and safety of lixisenatide once daily versus placebo in type 2 diabetes insufficiently controlled on pioglitazone (GetGoal-P).
    Diabetes, obesity & metabolism, 2013, Volume: 15, Issue:11

    Topics: Aged; Diabetes Mellitus, Type 2; Double-Blind Method; Drug Administration Schedule; Drug Monitoring;

2013
Vitamin E and changes in serum alanine aminotransferase levels in patients with non-alcoholic steatohepatitis.
    Alimentary pharmacology & therapeutics, 2013, Volume: 38, Issue:2

    Topics: Adult; Alanine Transaminase; Antioxidants; Fatty Liver; Female; Humans; Hypoglycemic Agents; Male; M

2013
Empagliflozin improves glycaemic and weight control as add-on therapy to pioglitazone or pioglitazone plus metformin in patients with type 2 diabetes: a 24-week, randomized, placebo-controlled trial.
    Diabetes, obesity & metabolism, 2014, Volume: 16, Issue:2

    Topics: Aged; Benzhydryl Compounds; Blood Glucose; Body Weight; Diabetes Mellitus, Type 2; Double-Blind Meth

2014
Efficacy and safety of canagliflozin over 52 weeks in patients with type 2 diabetes on background metformin and pioglitazone.
    Diabetes, obesity & metabolism, 2014, Volume: 16, Issue:5

    Topics: Blood Glucose; Blood Pressure; Canagliflozin; Candidiasis; Diabetes Mellitus, Type 2; Diuretics, Osm

2014
Randomized trial showing efficacy and safety of twice-daily remogliflozin etabonate for the treatment of type 2 diabetes.
    Diabetes, obesity & metabolism, 2015, Volume: 17, Issue:1

    Topics: Diabetes Mellitus, Type 2; Dose-Response Relationship, Drug; Double-Blind Method; Drug Administratio

2015
Randomized efficacy and safety trial of once-daily remogliflozin etabonate for the treatment of type 2 diabetes.
    Diabetes, obesity & metabolism, 2015, Volume: 17, Issue:1

    Topics: Cohort Studies; Diabetes Mellitus, Type 2; Dose-Response Relationship, Drug; Double-Blind Method; Dr

2015
Initial combination therapy with metformin, pioglitazone and exenatide is more effective than sequential add-on therapy in subjects with new-onset diabetes. Results from the Efficacy and Durability of Initial Combination Therapy for Type 2 Diabetes (EDICT
    Diabetes, obesity & metabolism, 2015, Volume: 17, Issue:3

    Topics: Diabetes Mellitus, Type 2; Drug Therapy, Combination; Exenatide; Female; Glycated Hemoglobin; Humans

2015
Initial combination therapy with metformin, pioglitazone and exenatide is more effective than sequential add-on therapy in subjects with new-onset diabetes. Results from the Efficacy and Durability of Initial Combination Therapy for Type 2 Diabetes (EDICT
    Diabetes, obesity & metabolism, 2015, Volume: 17, Issue:3

    Topics: Diabetes Mellitus, Type 2; Drug Therapy, Combination; Exenatide; Female; Glycated Hemoglobin; Humans

2015
Initial combination therapy with metformin, pioglitazone and exenatide is more effective than sequential add-on therapy in subjects with new-onset diabetes. Results from the Efficacy and Durability of Initial Combination Therapy for Type 2 Diabetes (EDICT
    Diabetes, obesity & metabolism, 2015, Volume: 17, Issue:3

    Topics: Diabetes Mellitus, Type 2; Drug Therapy, Combination; Exenatide; Female; Glycated Hemoglobin; Humans

2015
Initial combination therapy with metformin, pioglitazone and exenatide is more effective than sequential add-on therapy in subjects with new-onset diabetes. Results from the Efficacy and Durability of Initial Combination Therapy for Type 2 Diabetes (EDICT
    Diabetes, obesity & metabolism, 2015, Volume: 17, Issue:3

    Topics: Diabetes Mellitus, Type 2; Drug Therapy, Combination; Exenatide; Female; Glycated Hemoglobin; Humans

2015
Initial combination therapy with metformin, pioglitazone and exenatide is more effective than sequential add-on therapy in subjects with new-onset diabetes. Results from the Efficacy and Durability of Initial Combination Therapy for Type 2 Diabetes (EDICT
    Diabetes, obesity & metabolism, 2015, Volume: 17, Issue:3

    Topics: Diabetes Mellitus, Type 2; Drug Therapy, Combination; Exenatide; Female; Glycated Hemoglobin; Humans

2015
Initial combination therapy with metformin, pioglitazone and exenatide is more effective than sequential add-on therapy in subjects with new-onset diabetes. Results from the Efficacy and Durability of Initial Combination Therapy for Type 2 Diabetes (EDICT
    Diabetes, obesity & metabolism, 2015, Volume: 17, Issue:3

    Topics: Diabetes Mellitus, Type 2; Drug Therapy, Combination; Exenatide; Female; Glycated Hemoglobin; Humans

2015
Initial combination therapy with metformin, pioglitazone and exenatide is more effective than sequential add-on therapy in subjects with new-onset diabetes. Results from the Efficacy and Durability of Initial Combination Therapy for Type 2 Diabetes (EDICT
    Diabetes, obesity & metabolism, 2015, Volume: 17, Issue:3

    Topics: Diabetes Mellitus, Type 2; Drug Therapy, Combination; Exenatide; Female; Glycated Hemoglobin; Humans

2015
Initial combination therapy with metformin, pioglitazone and exenatide is more effective than sequential add-on therapy in subjects with new-onset diabetes. Results from the Efficacy and Durability of Initial Combination Therapy for Type 2 Diabetes (EDICT
    Diabetes, obesity & metabolism, 2015, Volume: 17, Issue:3

    Topics: Diabetes Mellitus, Type 2; Drug Therapy, Combination; Exenatide; Female; Glycated Hemoglobin; Humans

2015
Initial combination therapy with metformin, pioglitazone and exenatide is more effective than sequential add-on therapy in subjects with new-onset diabetes. Results from the Efficacy and Durability of Initial Combination Therapy for Type 2 Diabetes (EDICT
    Diabetes, obesity & metabolism, 2015, Volume: 17, Issue:3

    Topics: Diabetes Mellitus, Type 2; Drug Therapy, Combination; Exenatide; Female; Glycated Hemoglobin; Humans

2015
One-year efficacy and safety of a fixed combination of insulin degludec and liraglutide in patients with type 2 diabetes: results of a 26-week extension to a 26-week main trial.
    Diabetes, obesity & metabolism, 2015, Volume: 17, Issue:10

    Topics: Aged; Blood Glucose; Diabetes Mellitus, Type 2; Dose-Response Relationship, Drug; Drug Therapy, Comb

2015
Direct comparison among oral hypoglycemic agents and their association with insulin resistance evaluated by euglycemic hyperinsulinemic clamp: the 60's study.
    Metabolism: clinical and experimental, 2009, Volume: 58, Issue:8

    Topics: Administration, Oral; Adult; Aged; Blood Glucose; Body Mass Index; Caloric Restriction; Diabetes Mel

2009
The effect of pioglitazone and resistance training on body composition in older men and women undergoing hypocaloric weight loss.
    Obesity (Silver Spring, Md.), 2011, Volume: 19, Issue:8

    Topics: Abdominal Fat; Absorptiometry, Photon; Aged; Body Composition; Body Mass Index; Choristoma; Diet, Re

2011
Resistance training and pioglitazone lead to improvements in muscle power during voluntary weight loss in older adults.
    The journals of gerontology. Series A, Biological sciences and medical sciences, 2013, Volume: 68, Issue:7

    Topics: Aged; Aging; Body Composition; Body Mass Index; Female; Follow-Up Studies; Humans; Hypoglycemic Agen

2013
Treatment of obesity with diet/exercise versus pioglitazone has distinct effects on lipoprotein particle size.
    Atherosclerosis, 2006, Volume: 188, Issue:2

    Topics: Adult; Analysis of Variance; Blood Chemical Analysis; Exercise Therapy; Female; Humans; Insulin Resi

2006

Other Studies

14 other studies available for pioglitazone and Weight Loss

ArticleYear
Synthesis and biological evaluation of isoflavone fatty acid esters with potential weight loss and hypolipidemic activities.
    Bioorganic & medicinal chemistry, 2010, May-01, Volume: 18, Issue:9

    Topics: 3T3-L1 Cells; Adipocytes; Animals; Anti-Obesity Agents; Cell Differentiation; Cell Line; Esters; Fat

2010
Insulin in combination with pioglitazone prevents advanced cachexia in 256-Walker tumor-bearing rats: effect is greater than treatment alone and is associated with improved insulin sensitivity.
    Pharmacological reports : PR, 2023, Volume: 75, Issue:6

    Topics: Animals; Cachexia; Hypoglycemic Agents; Insulin; Insulin Resistance; Neoplasms; Pioglitazone; Rats;

2023
Pioglitazone Ameliorates Lipopolysaccharide-Induced Behavioral Impairment, Brain Inflammation, White Matter Injury and Mitochondrial Dysfunction in Neonatal Rats.
    International journal of molecular sciences, 2021, Jun-11, Volume: 22, Issue:12

    Topics: Animals; Animals, Newborn; Behavior, Animal; Cytokines; Electron Transport Complex I; Encephalitis;

2021
Treatment of NASH: What Helps Beyond Weight Loss?
    The American journal of gastroenterology, 2017, Volume: 112, Issue:6

    Topics: Alcohol Drinking; Comorbidity; Diagnosis, Differential; Diagnostic Imaging; Disease Progression; Hum

2017
Weight Reduction and Pioglitazone are Cost-Effective for the Treatment of Non-Alcoholic Fatty Liver Disease in Thailand.
    PharmacoEconomics, 2019, Volume: 37, Issue:2

    Topics: Carcinoma, Hepatocellular; Cost-Benefit Analysis; Humans; Hypoglycemic Agents; Liver Cirrhosis; Live

2019
Atorvastatin attenuates the paraquat-induced pulmonary inflammation via PPARγ receptors: a new indication for atorvastatin.
    Pesticide biochemistry and physiology, 2014, Volume: 114

    Topics: Animals; Anti-Inflammatory Agents; Atorvastatin; Heptanoic Acids; Herbicides; Interleukin-6; Lung; M

2014
Pioglitazone improves insulin sensitivity and reduces weight loss in Walker-256 tumor-bearing rats.
    Life sciences, 2017, Feb-15, Volume: 171

    Topics: Animals; Cachexia; Insulin Resistance; Male; Pioglitazone; Rats; Rats, Wistar; Thiazolidinediones; W

2017
Effect of Cinnamomum cassia on the Pharmacokinetics and Pharmacodynamics of Pioglitazone.
    Current clinical pharmacology, 2017, Volume: 12, Issue:1

    Topics: Administration, Oral; Animals; Area Under Curve; Biological Availability; Biomarkers; Blood Glucose;

2017
Non-alcoholic fatty liver disease in children.
    Clinics and research in hepatology and gastroenterology, 2012, Volume: 36, Issue:3

    Topics: Biopsy; Child; Fatty Liver; Humans; Hypoglycemic Agents; Life Style; Liver; Metformin; Obesity; Piog

2012
Pioglitazone and metformin in obese women with polycystic ovary syndrome not optimally responsive to metformin.
    Human reproduction (Oxford, England), 2003, Volume: 18, Issue:8

    Topics: Adolescent; Adult; Diet, Reducing; Drug Therapy, Combination; Female; Humans; Hypoglycemic Agents; M

2003
Peroxisome proliferator-activated receptor-gamma agonist extends survival in transgenic mouse model of amyotrophic lateral sclerosis.
    Experimental neurology, 2005, Volume: 191, Issue:2

    Topics: Administration, Oral; Amyotrophic Lateral Sclerosis; Animals; Cell Count; Disease Models, Animal; Di

2005
Pioglitazone in nonalcoholic steatohepatitis.
    The New England journal of medicine, 2007, Mar-08, Volume: 356, Issue:10

    Topics: Diet, Reducing; Exercise Therapy; Fatty Liver; Humans; Hypoglycemic Agents; Pioglitazone; Thiazolidi

2007
The different mechanisms of insulin sensitizers to prevent type 2 diabetes in OLETF rats.
    Diabetes/metabolism research and reviews, 2007, Volume: 23, Issue:5

    Topics: Animals; Diabetes Mellitus, Type 2; Disease Models, Animal; Hypoglycemic Agents; Metformin; Pioglita

2007
Prevention and noninvasive management of coronary atherosclerosis in patients with diabetes.
    Current atherosclerosis reports, 2008, Volume: 10, Issue:2

    Topics: Antihypertensive Agents; Cholesterol, HDL; Cholesterol, LDL; Coronary Artery Disease; Diabetes Melli

2008