Page last updated: 2024-11-05

troglitazone and Metabolic Syndrome

troglitazone has been researched along with Metabolic Syndrome in 8 studies

Troglitazone: A chroman and thiazolidinedione derivative that acts as a PEROXISOME PROLIFERATOR-ACTIVATED RECEPTORS (PPAR) agonist. It was formerly used in the treatment of TYPE 2 DIABETES MELLITUS, but has been withdrawn due to hepatotoxicity.

Metabolic Syndrome: A cluster of symptoms that are risk factors for CARDIOVASCULAR DISEASES and TYPE 2 DIABETES MELLITUS. The major components of metabolic syndrome include ABDOMINAL OBESITY; atherogenic DYSLIPIDEMIA; HYPERTENSION; HYPERGLYCEMIA; INSULIN RESISTANCE; a proinflammatory state; and a prothrombotic (THROMBOSIS) state.

Research Excerpts

ExcerptRelevanceReference
"We analyzed data from the Diabetes Prevention Program (DPP) for 2,476 adults in 1996-1999 with prediabetes randomized to receive treatment with lifestyle modification, metformin, or placebo for 2-3 years and followed through 2014 for T2DM and CVD outcomes."5.27Use of a Metabolic Syndrome Severity ( DeBoer, MD; Filipp, SL; Gurka, MJ, 2018)
"Troglitazone was the first drug which reached the market."2.41[Thiazolidinediones--a new class of oral antidiabetic drugs]. ( Csermely, P; Jermendy, G, 2001)

Research

Studies (8)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's6 (75.00)29.6817
2010's2 (25.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Banerjee, S1
Talukdar, I1
Banerjee, A1
Gupta, A1
Balaji, A1
Aduri, R1
DeBoer, MD1
Filipp, SL1
Gurka, MJ1
Moreno Sánchez, D1
Grant, RW1
Meigs, JB1
Maraldi, NM1
Capanni, C1
Mattioli, E1
Columbaro, M1
Squarzoni, S1
Parnaik, WK1
Wehnert, M1
Lattanzi, G1
Khashab, M1
Chalasani, N1
Iwasaki, Y1
Takayasu, S1
Nishiyama, M1
Tsugita, M1
Taguchi, T1
Asai, M1
Yoshida, M1
Kambayashi, M1
Hashimoto, K1
Jermendy, G1
Csermely, P1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
[NCT00004992]Phase 33,234 participants (Actual)Interventional1996-07-31Completed
Diabetes Prevention Program Outcomes Study[NCT00038727]Phase 32,779 participants (Actual)Interventional2002-09-30Active, not recruiting
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Development of Diabetes.

Primary outcome for years 2002-2008 defined according to American Diabetes Association criteria (fasting plasma glucose level >= 126 mg/dL [7.0 mmol/L] or 2-hour plasma glucose >= 200 mg/dL [11.1 mmol/L], after a 75 gram oral glucose tolerance test (OGTT), and confirmed with a repeat test). (NCT00038727)
Timeframe: Outcomes were assessed from 1996-2008 (approximately 12 years including 6 years of DPP).

Interventiondiabetes incidence (cases per 100 person (Number)
1 Original Lifestyle5.3
2 Original Metformin6.4
3 Original Placebo7.8

Mortality

All cause-mortality through clinic reports and National Death Index search (NCT00038727)
Timeframe: Outcomes were assessed throughout follow-up from 1996 to 2022. National Death Index search conducted in 2019 using early release data as of Dec 2018.

InterventionParticipants (Count of Participants)
1 Original Lifestyle158
2 Original Metformin152
3 Original Placebo143

Prevalence of Aggregate Microvascular Complication

Aggregate microvascular disease is defined as the average prevalence of 3 components: (1) retinopathy measured by photography (ETDRS of 20 or greater); (2) neuropathy detected by Semmes Weinstein 10 gram monofilament, and (3) nephropathy based on estimated glomerular filtration rate (eGFR by chronic kidney disease (CKD-Epi) equation ) (<45 ml/min, confirmed) and albumin-to-creatinine ratio in spot urine (> 30mg/gm, confirmed). (NCT00038727)
Timeframe: Outcomes were assessed from 2012-2013 (approximately 2 years).

Interventionaverage percentage of participants (Number)
1 Original Lifestyle11.3
2 Original Metformin13
3 Original Placebo12.4

Subclinical Atherosclerosis

Measured using coronary artery calcification (CAC). (NCT00038727)
Timeframe: Outcomes were assessed from 2012-2013 (approximately 2 years).

,,
InterventionCAC geometric mean in AU (Geometric Mean)
MenWomen
1 Original Lifestyle70.16.0
2 Original Metformin40.26.1
3 Original Placebo63.75.3

Reviews

4 reviews available for troglitazone and Metabolic Syndrome

ArticleYear
[Medical management of primary nonalcoholic fatty liver disease].
    Medicina clinica, 2005, Jun-18, Volume: 125, Issue:3

    Topics: Anti-Obesity Agents; Anticholesteremic Agents; Atorvastatin; Chromans; Diabetes Mellitus, Type 2; Fa

2005
Management of the metabolic syndrome.
    Panminerva medica, 2005, Volume: 47, Issue:4

    Topics: Angiotensin II Type 1 Receptor Blockers; Angiotensin-Converting Enzyme Inhibitors; Cardiovascular Di

2005
Use of insulin sensitizers in NASH.
    Endocrinology and metabolism clinics of North America, 2007, Volume: 36, Issue:4

    Topics: Alanine Transaminase; Chromans; Fatty Liver; Humans; Insulin Resistance; Metabolic Syndrome; Metform

2007
[Thiazolidinediones--a new class of oral antidiabetic drugs].
    Orvosi hetilap, 2001, Jul-22, Volume: 142, Issue:29

    Topics: Animals; Chromans; Diabetes Mellitus, Type 2; Humans; Hypoglycemic Agents; Metabolic Syndrome; Piogl

2001

Trials

1 trial available for troglitazone and Metabolic Syndrome

ArticleYear
Use of a Metabolic Syndrome Severity
    Diabetes care, 2018, Volume: 41, Issue:11

    Topics: Adult; Aged; Aged, 80 and over; Cardiovascular Diseases; Diabetes Mellitus, Type 2; Disease Progress

2018
Use of a Metabolic Syndrome Severity
    Diabetes care, 2018, Volume: 41, Issue:11

    Topics: Adult; Aged; Aged, 80 and over; Cardiovascular Diseases; Diabetes Mellitus, Type 2; Disease Progress

2018
Use of a Metabolic Syndrome Severity
    Diabetes care, 2018, Volume: 41, Issue:11

    Topics: Adult; Aged; Aged, 80 and over; Cardiovascular Diseases; Diabetes Mellitus, Type 2; Disease Progress

2018
Use of a Metabolic Syndrome Severity
    Diabetes care, 2018, Volume: 41, Issue:11

    Topics: Adult; Aged; Aged, 80 and over; Cardiovascular Diseases; Diabetes Mellitus, Type 2; Disease Progress

2018

Other Studies

3 other studies available for troglitazone and Metabolic Syndrome

ArticleYear
Type II diabetes mellitus and obesity: Common links, existing therapeutics and future developments.
    Journal of biosciences, 2019, Volume: 44, Issue:6

    Topics: Adipogenesis; Diabetes Mellitus, Type 2; Glucose; Humans; Hypoglycemic Agents; Insulin Resistance; M

2019
A pathogenic mechanism leading to partial lipodistrophy and prospects for pharmacological treatment of insulin resistance syndrome.
    Acta bio-medica : Atenei Parmensis, 2007, Volume: 78 Suppl 1

    Topics: Adipocytes; Body Fat Distribution; Cell Differentiation; Chromans; Humans; Insulin Resistance; Lamin

2007
Is the metabolic syndrome an intracellular Cushing state? Effects of multiple humoral factors on the transcriptional activity of the hepatic glucocorticoid-activating enzyme (11beta-hydroxysteroid dehydrogenase type 1) gene.
    Molecular and cellular endocrinology, 2008, Mar-26, Volume: 285, Issue:1-2

    Topics: 11-beta-Hydroxysteroid Dehydrogenase Type 1; Animals; Anticholesteremic Agents; Base Sequence; Cell

2008