Trial Outcomes & Findings for Special Drug Use Surveillance of Pioglitazone/Metformin Hydrochloride Combination Tablets Survey on Long-term Use for Type 2 Diabetes Mellitus (NCT NCT02024971)

NCT ID: NCT02024971

Last Updated: 2016-11-22

Results Overview

Adverse events are defined as any unfavorable and unintended signs, symptoms or diseases temporally associated with the use of a medicinal product reported from the first dose of study drug to the last dose of study drug. Among these, events which are considered possibly associated with a medicinal product are defined as adverse drug reactions.

Recruitment status

COMPLETED

Target enrollment

1103 participants

Primary outcome timeframe

12 months

Results posted on

2016-11-22

Participant Flow

Participants took part in the study at 196 investigative sites in Japan from July 2010 to November 2013 (N=1103).

Patients with type 2 diabetes mellitus for whom a physician has concluded that therapy with pioglitazone hydrochloride combined with metformin hydrochloride is suitable and for whom long-term treatment with Metact Combination Tablets is considered necessary.

Participant milestones

Participant milestones
Measure
Pioglitazone/Metformin Hydrochloride
Pioglitazone/metformin hydrochloride combination tablets, orally, for 12 months as prescribed by the standard of care.
Overall Study
STARTED
1103
Overall Study
Safety Analysis Set
1067
Overall Study
COMPLETED
1067
Overall Study
NOT COMPLETED
36

Reasons for withdrawal

Reasons for withdrawal
Measure
Pioglitazone/Metformin Hydrochloride
Pioglitazone/metformin hydrochloride combination tablets, orally, for 12 months as prescribed by the standard of care.
Overall Study
Data Not Available
30
Overall Study
Lost to Follow-up
6

Baseline Characteristics

Special Drug Use Surveillance of Pioglitazone/Metformin Hydrochloride Combination Tablets Survey on Long-term Use for Type 2 Diabetes Mellitus

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Pioglitazone/Metformin Hydrochloride
n=1067 Participants
Pioglitazone/metformin hydrochloride combination tablets, orally, for 12 months as prescribed by the standard of care.
Age, Continuous
63.7 years
STANDARD_DEVIATION 12.01 • n=93 Participants
Age, Customized
<65 years
534 participants
n=93 Participants
Age, Customized
≥65 years
533 participants
n=93 Participants
Age, Customized
<20 years
0 participants
n=93 Participants
Age, Customized
≥20 to <30 years
7 participants
n=93 Participants
Age, Customized
≥30 to <40 years
33 participants
n=93 Participants
Age, Customized
≥40 to <50 years
91 participants
n=93 Participants
Age, Customized
≥50 to <60 years
218 participants
n=93 Participants
Age, Customized
≥60 to <70 years
347 participants
n=93 Participants
Age, Customized
≥70 to <80 years
294 participants
n=93 Participants
Age, Customized
≥80 years
77 participants
n=93 Participants
Sex: Female, Male
Female
450 Participants
n=93 Participants
Sex: Female, Male
Male
617 Participants
n=93 Participants
Pregnancy status (Females)
Not pregnant
450 participants
n=93 Participants
Pregnancy status (Females)
Pregnant
0 participants
n=93 Participants
Weight
69.0 kg
STANDARD_DEVIATION 15.36 • n=93 Participants
Weight, Customized
<40 kg
7 participants
n=93 Participants
Weight, Customized
≥40 to <50 kg
48 participants
n=93 Participants
Weight, Customized
≥50 to <60 kg
138 participants
n=93 Participants
Weight, Customized
≥60 to <70 kg
193 participants
n=93 Participants
Weight, Customized
≥70 kg
310 participants
n=93 Participants
Weight, Customized
Unmeasured
371 participants
n=93 Participants
Body Mass Index (BMI)
26.61 kg/m^2
STANDARD_DEVIATION 4.738 • n=93 Participants
Body Mass Index, Customized
<18.5 kg/m^2
10 participants
n=93 Participants
Body Mass Index, Customized
≥18.5 to <25 kg/m^2
261 participants
n=93 Participants
Body Mass Index, Customized
≥25 to <30 kg/m^2
280 participants
n=93 Participants
Body Mass Index, Customized
≥30 kg/m^2
125 participants
n=93 Participants
Body Mass Index, Customized
Unknown
391 participants
n=93 Participants
Duration of Type 2 Diabetes
7.5 years
STANDARD_DEVIATION 6.59 • n=93 Participants
Duration of Type 2 Diabetes, Customized
<2 years
163 participants
n=93 Participants
Duration of Type 2 Diabetes, Customized
≥2 to <5 years
168 participants
n=93 Participants
Duration of Type 2 Diabetes, Customized
≥5 to <10 years
183 participants
n=93 Participants
Duration of Type 2 Diabetes, Customized
≥10 years
216 participants
n=93 Participants
Duration of Type 2 Diabetes, Customized
Unknown
337 participants
n=93 Participants
Healthcare Category
Outpatient
1049 participants
n=93 Participants
Healthcare Category
Inpatient
6 participants
n=93 Participants
Healthcare Category
Outpatient and Inpatient
12 participants
n=93 Participants
History of Allergies
No
931 participants
n=93 Participants
History of Allergies
Yes
95 participants
n=93 Participants
History of Allergies
Unknown
41 participants
n=93 Participants
Presence of Complications
No
132 participants
n=93 Participants
Presence of Complications
Yes
935 participants
n=93 Participants
Breakdown of Complications
Diabetic complications
169 participants
n=93 Participants
Breakdown of Complications
Lifestyle-related diseases (excluding DM)
858 participants
n=93 Participants
Breakdown of Complications
Liver diseases
139 participants
n=93 Participants
Breakdown of Complications
Renal diseases
9 participants
n=93 Participants
Breakdown of Complications
Heart or cerebrovascular diseases
144 participants
n=93 Participants
Breakdown of Complications
Allergic conditions
84 participants
n=93 Participants
Breakdown of Complications
Malignant tumors
10 participants
n=93 Participants
Breakdown of Complications
Other
349 participants
n=93 Participants
Complications: Breakdown of Diabetic Complications
Diabetic nephropathy
81 participants
n=93 Participants
Complications: Breakdown of Diabetic Complications
Diabetic retinopathy
56 participants
n=93 Participants
Complications: Breakdown of Diabetic Complications
Diabetic neuropathy
74 participants
n=93 Participants
Complications: Breakdown of Lifestyle-Related Diseases (Excluding Diabetes Mellitus)
Hypertension
656 participants
n=93 Participants
Complications: Breakdown of Lifestyle-Related Diseases (Excluding Diabetes Mellitus)
Dyslipidaemia
634 participants
n=93 Participants
Complications: Breakdown of Lifestyle-Related Diseases (Excluding Diabetes Mellitus)
Hyperuricaemia
79 participants
n=93 Participants
Complications: Breakdown of Liver Diseases
Hepatic steatosis
107 participants
n=93 Participants
Complications: Breakdown of Liver Diseases
Hepatitis alcoholic
14 participants
n=93 Participants
Complications: Breakdown of Liver Diseases
Chronic hepatitis
17 participants
n=93 Participants
Complications: Breakdown of Liver Diseases
Hepatic cirrhosis
1 participants
n=93 Participants
Complications: Breakdown of Renal Diseases
Nephrotic syndrome
2 participants
n=93 Participants
Complications: Breakdown of Renal Diseases
Renal failure chronic
4 participants
n=93 Participants
Complications: Breakdown of Heart or Cerebrovascular Diseases
Cardiac failure
17 participants
n=93 Participants
Complications: Breakdown of Heart or Cerebrovascular Diseases
Myocardial infarction
9 participants
n=93 Participants
Complications: Breakdown of Heart or Cerebrovascular Diseases
Angina pectoris
55 participants
n=93 Participants
Complications: Breakdown of Heart or Cerebrovascular Diseases
Cerebral infarction (including late effects)
52 participants
n=93 Participants
Stages of Cardiac Failure (New York Heart Association [NYHA] Classification)
Class I
14 participants
n=93 Participants
Stages of Cardiac Failure (New York Heart Association [NYHA] Classification)
Class II
3 participants
n=93 Participants
Stages of Cardiac Failure (New York Heart Association [NYHA] Classification)
Class III
0 participants
n=93 Participants
Stages of Cardiac Failure (New York Heart Association [NYHA] Classification)
Class IV
0 participants
n=93 Participants
Complications: Breakdown of Allergic Conditions
Asthma bronchial
33 participants
n=93 Participants
Complications: Breakdown of Allergic Conditions
Pollinosis
12 participants
n=93 Participants
Complications: Breakdown of Allergic Conditions
Rhinitis allergic
38 participants
n=93 Participants
Complications: Breakdown of Allergic Conditions
Dermatitis allergic
11 participants
n=93 Participants
Complications: Breakdown of Malignant Tumors
Gastric cancer
1 participants
n=93 Participants
Complications: Breakdown of Malignant Tumors
Large intestine carcinoma
4 participants
n=93 Participants
Presence of Medical History
No
875 participants
n=93 Participants
Presence of Medical History
Yes
143 participants
n=93 Participants
Presence of Medical History
Unknown
49 participants
n=93 Participants
Alcohol History (Drinking Alcohol-Containing Beverages Nearly Every Day)
No
597 participants
n=93 Participants
Alcohol History (Drinking Alcohol-Containing Beverages Nearly Every Day)
Yes
293 participants
n=93 Participants
Alcohol History (Drinking Alcohol-Containing Beverages Nearly Every Day)
Unknown
177 participants
n=93 Participants
Smoking Classification
Never smoked
499 participants
n=93 Participants
Smoking Classification
Current smoker
155 participants
n=93 Participants
Smoking Classification
Ex-smoker
196 participants
n=93 Participants
Smoking Classification
Unknown
217 participants
n=93 Participants
Status of Administration of Pioglitazone and Metformin Prior to Dosing of Metact Combination Tablets
Pioglitazone plus metformin prior to dosing
277 participants
n=93 Participants
Status of Administration of Pioglitazone and Metformin Prior to Dosing of Metact Combination Tablets
Pioglitazone alone prior to dosing
442 participants
n=93 Participants
Status of Administration of Pioglitazone and Metformin Prior to Dosing of Metact Combination Tablets
Metformin alone prior to dosing
211 participants
n=93 Participants
Status of Administration of Pioglitazone and Metformin Prior to Dosing of Metact Combination Tablets
Neither pioglitazone nor metformin prior to dosing
137 participants
n=93 Participants
Daily Dose of Pioglitazone Prior to Dosing of Metact Combination Tablets
20.5 mg/day
STANDARD_DEVIATION 7.60 • n=93 Participants
Daily Dose of Pioglitazone Prior to Dosing of Metact Combination Tablets
≤ 15 mg/day
456 participants
n=93 Participants
Daily Dose of Pioglitazone Prior to Dosing of Metact Combination Tablets
> 15 to ≤ 30 mg/day
258 participants
n=93 Participants
Daily Dose of Pioglitazone Prior to Dosing of Metact Combination Tablets
> 30 to ≤ 45 mg/day
5 participants
n=93 Participants
Daily Dose of Pioglitazone Prior to Dosing of Metact Combination Tablets
> 45 mg/day
0 participants
n=93 Participants
Daily Dose of Pioglitazone Before Switching to Metact Combination Tablets,and Metact Dose Assignment
≤15 mg/day of Pio to Metact LD
429 participants
n=93 Participants
Daily Dose of Pioglitazone Before Switching to Metact Combination Tablets,and Metact Dose Assignment
≤15 mg/day of Pio to Metact HD
27 participants
n=93 Participants
Daily Dose of Pioglitazone Before Switching to Metact Combination Tablets,and Metact Dose Assignment
>15 to ≤30 mg/day of Pio to Metact LD
46 participants
n=93 Participants
Daily Dose of Pioglitazone Before Switching to Metact Combination Tablets,and Metact Dose Assignment
>15 to ≤30 mg/day of Pio to Metact HD
212 participants
n=93 Participants
Daily Dose of Pioglitazone Before Switching to Metact Combination Tablets,and Metact Dose Assignment
>30 to ≤45 mg/day of Pio to Metact LD
1 participants
n=93 Participants
Daily Dose of Pioglitazone Before Switching to Metact Combination Tablets,and Metact Dose Assignment
>30 to ≤45 mg/day of Pio to Metact HD
4 participants
n=93 Participants
Daily Dose of Pioglitazone Before Switching to Metact Combination Tablets,and Metact Dose Assignment
>45 mg/day of Pio to Metact LD
0 participants
n=93 Participants
Daily Dose of Pioglitazone Before Switching to Metact Combination Tablets,and Metact Dose Assignment
>45 mg/day of Pio to Metact HD
0 participants
n=93 Participants
Daily Dose of Metformin Prior to Dosing of Metact Combination Tablets
681.4 mg/day
STANDARD_DEVIATION 310.08 • n=93 Participants
Daily Dose of Metformin Prior to Dosing of Metact Combination Tablets
< 500 mg/day
25 participants
n=93 Participants
Daily Dose of Metformin Prior to Dosing of Metact Combination Tablets
≥ 500 to < 750 mg/day
229 participants
n=93 Participants
Daily Dose of Metformin Prior to Dosing of Metact Combination Tablets
≥ 750 to < 1500 mg/day
206 participants
n=93 Participants
Daily Dose of Metformin Prior to Dosing of Metact Combination Tablets
≥ 1500 to < 2250 mg/day
22 participants
n=93 Participants
Daily Dose of Metformin Prior to Dosing of Metact Combination Tablets
≥ 2250 mg/day
6 participants
n=93 Participants
Daily Dose of Metformin Prior to Dosing of Metact Combination Tablets
≤ 500 mg/day
254 participants
n=93 Participants
Daily Dose of Metformin Prior to Dosing of Metact Combination Tablets
> 500 to ≤ 750 mg/day
163 participants
n=93 Participants
Daily Dose of Metformin Prior to Dosing of Metact Combination Tablets
> 750 mg/day
71 participants
n=93 Participants
Daily Dose of Metformin Prior to Dosing of Metact Combination Tablets
> 500 mg/day
234 participants
n=93 Participants
Daily Dose of Metformin Before Switching to Metact Combination Tablets,and Metact Dose Assignment
<500 mg/day of Met to Metact LD
19 participants
n=93 Participants
Daily Dose of Metformin Before Switching to Metact Combination Tablets,and Metact Dose Assignment
<500 mg/day of Met to Metact HD
6 participants
n=93 Participants
Daily Dose of Metformin Before Switching to Metact Combination Tablets,and Metact Dose Assignment
≥500 to <750 mg/day of Met to Metact LD
174 participants
n=93 Participants
Daily Dose of Metformin Before Switching to Metact Combination Tablets,and Metact Dose Assignment
≥500 to <750 mg/day of Met to Metact HD
55 participants
n=93 Participants
Daily Dose of Metformin Before Switching to Metact Combination Tablets,and Metact Dose Assignment
≥750 to <1500 mg/day of Met to Metact LD
155 participants
n=93 Participants
Daily Dose of Metformin Before Switching to Metact Combination Tablets,and Metact Dose Assignment
≥750 to <1500 mg/day of Met to Metact HD
49 participants
n=93 Participants
Daily Dose of Metformin Before Switching to Metact Combination Tablets,and Metact Dose Assignment
≥1500 to <2250 mg/day of Met to Metact LD
12 participants
n=93 Participants
Daily Dose of Metformin Before Switching to Metact Combination Tablets,and Metact Dose Assignment
≥1500 to <2250 mg/day of Met to Metact HD
10 participants
n=93 Participants
Daily Dose of Metformin Before Switching to Metact Combination Tablets,and Metact Dose Assignment
≥2250 mg/day of Met to Metact LD
2 participants
n=93 Participants
Daily Dose of Metformin Before Switching to Metact Combination Tablets,and Metact Dose Assignment
≥2250 mg/day of Met to Metact HD
4 participants
n=93 Participants
Daily Dose of Metformin Before Switching to Metact Combination Tablets,and Metact Dose Assignment
≤500 mg/day of Met to Metact LD
193 participants
n=93 Participants
Daily Dose of Metformin Before Switching to Metact Combination Tablets,and Metact Dose Assignment
≤500 mg/day of Met to Metact HD
61 participants
n=93 Participants
Daily Dose of Metformin Before Switching to Metact Combination Tablets,and Metact Dose Assignment
>500 to ≤750 mg/day of Met to Metact LD
124 participants
n=93 Participants
Daily Dose of Metformin Before Switching to Metact Combination Tablets,and Metact Dose Assignment
>500 to ≤750 mg/day of Met to Metact HD
37 participants
n=93 Participants
Daily Dose of Metformin Before Switching to Metact Combination Tablets,and Metact Dose Assignment
>750 mg/day of Met to Metact LD
45 participants
n=93 Participants
Daily Dose of Metformin Before Switching to Metact Combination Tablets,and Metact Dose Assignment
>750 mg/day of Met to Metact HD
26 participants
n=93 Participants
Daily Dose of Metformin Before Switching to Metact Combination Tablets,and Metact Dose Assignment
Other
2 participants
n=93 Participants
Compliance Status of Pioglitazone (Within 3 Months Before Switching to Metact Combination Tablets)
≥ 90%
534 participants
n=93 Participants
Compliance Status of Pioglitazone (Within 3 Months Before Switching to Metact Combination Tablets)
≥ 70%
142 participants
n=93 Participants
Compliance Status of Pioglitazone (Within 3 Months Before Switching to Metact Combination Tablets)
≥ 50%
19 participants
n=93 Participants
Compliance Status of Pioglitazone (Within 3 Months Before Switching to Metact Combination Tablets)
< 50%
6 participants
n=93 Participants
Compliance Status of Pioglitazone (Within 3 Months Before Switching to Metact Combination Tablets)
Unknown
18 participants
n=93 Participants
Compliance Status of Metformin (Within 3 Months Before Switching to Metact Combination Tablets)
≥ 90%
380 participants
n=93 Participants
Compliance Status of Metformin (Within 3 Months Before Switching to Metact Combination Tablets)
≥ 70%
75 participants
n=93 Participants
Compliance Status of Metformin (Within 3 Months Before Switching to Metact Combination Tablets)
≥ 50%
22 participants
n=93 Participants
Compliance Status of Metformin (Within 3 Months Before Switching to Metact Combination Tablets)
< 50%
8 participants
n=93 Participants
Compliance Status of Metformin (Within 3 Months Before Switching to Metact Combination Tablets)
Unknown
3 participants
n=93 Participants
Frequency of daily dosing of Metformin prior to dosing of Metact Combination Tablets
Daily
58 participants
n=93 Participants
Frequency of daily dosing of Metformin prior to dosing of Metact Combination Tablets
BID
246 participants
n=93 Participants
Frequency of daily dosing of Metformin prior to dosing of Metact Combination Tablets
TID or more
184 participants
n=93 Participants
Switch from metformin (> 500 mg/day) to Metact Combination Tablets
No
833 participants
n=93 Participants
Switch from metformin (> 500 mg/day) to Metact Combination Tablets
Yes
234 participants
n=93 Participants
Response to pioglitazone in Pioglitazone monotherapy prior to dosing of Metact Combination Tablets
Inadequate responders
307 participants
7.60 • n=93 Participants
Response to pioglitazone in Pioglitazone monotherapy prior to dosing of Metact Combination Tablets
Patients excluding inadequate responders
74 participants
n=93 Participants
Response to pioglitazone in Pioglitazone monotherapy prior to dosing of Metact Combination Tablets
Unknown
61 participants
n=93 Participants
Daily dose in Pioglitazone monotherapy prior to dosing of Metact Combination Tablets
20.7 mg/day
STANDARD_DEVIATION 7.60 • n=93 Participants
Daily dose in Pioglitazone monotherapy prior to dosing of Metact Combination Tablets
≤ 15 mg/day
191 participants
n=93 Participants
Daily dose in Pioglitazone monotherapy prior to dosing of Metact Combination Tablets
> 15 mg/day to ≤ 30 mg/day
114 participants
n=93 Participants
Daily dose in Pioglitazone monotherapy prior to dosing of Metact Combination Tablets
> 30 mg/day to ≤ 45 mg/day
2 participants
n=93 Participants
Daily dose in Pioglitazone monotherapy prior to dosing of Metact Combination Tablets
> 45 mg/day
0 participants
n=93 Participants
Daily dose in Pioglitazone monotherapy prior to switching to Metact Combination Tablets
≤ 15 mg/day of Pio to Metact LD
178 participants
n=93 Participants
Daily dose in Pioglitazone monotherapy prior to switching to Metact Combination Tablets
≤ 15 mg/day of Pio to Metact HD
13 participants
n=93 Participants
Daily dose in Pioglitazone monotherapy prior to switching to Metact Combination Tablets
> 15 mg/day to ≤ 30 mg/day of Pio to Metact LD
21 participants
n=93 Participants
Daily dose in Pioglitazone monotherapy prior to switching to Metact Combination Tablets
> 15 mg/day to ≤ 30 mg/day of Pio to Metact HD
93 participants
n=93 Participants
Daily dose in Pioglitazone monotherapy prior to switching to Metact Combination Tablets
> 30 mg/day to ≤ 45 mg/day of Pio to Metact LD
0 participants
n=93 Participants
Daily dose in Pioglitazone monotherapy prior to switching to Metact Combination Tablets
> 30 mg/day to ≤ 45 mg/day of Pio to Metact HD
2 participants
n=93 Participants
Daily dose in Pioglitazone monotherapy prior to switching to Metact Combination Tablets
> 45 mg/day of Pio to Metact LD
0 participants
n=93 Participants
Daily dose in Pioglitazone monotherapy prior to switching to Metact Combination Tablets
> 45 mg/day of Pio to Metact HD
0 participants
n=93 Participants
Rate of compliance with the diet regimen at the start of treatment with Metact Combination Tablets
≥ 90%
270 participants
n=93 Participants
Rate of compliance with the diet regimen at the start of treatment with Metact Combination Tablets
≥ 70%
367 participants
n=93 Participants
Rate of compliance with the diet regimen at the start of treatment with Metact Combination Tablets
≥ 50%
259 participants
n=93 Participants
Rate of compliance with the diet regimen at the start of treatment with Metact Combination Tablets
< 50%
76 participants
n=93 Participants
Rate of compliance with the diet regimen at the start of treatment with Metact Combination Tablets
Not assessed or compliance status is unknown
95 participants
n=93 Participants
Rate of compliance with exercise regimen at the start of treatment with Metact Combination Tablets
≥ 90%
205 participants
n=93 Participants
Rate of compliance with exercise regimen at the start of treatment with Metact Combination Tablets
≥ 70%
294 participants
n=93 Participants
Rate of compliance with exercise regimen at the start of treatment with Metact Combination Tablets
≥ 50%
305 participants
n=93 Participants
Rate of compliance with exercise regimen at the start of treatment with Metact Combination Tablets
< 50%
135 participants
n=93 Participants
Rate of compliance with exercise regimen at the start of treatment with Metact Combination Tablets
Not assessed or compliance status is unknown
128 participants
n=93 Participants
HbA1c (NGSP value) at the start of treatment with Metact Combination Tablets
7.69 percentage of HbA1c
STANDARD_DEVIATION 1.369 • n=93 Participants
Participants with HbA1c (NGSP value) at the start of treatment with Metact Combination Tablets
< 6.0%
39 participants
n=93 Participants
Participants with HbA1c (NGSP value) at the start of treatment with Metact Combination Tablets
≥ 6.0% to < 7.0%
270 participants
n=93 Participants
Participants with HbA1c (NGSP value) at the start of treatment with Metact Combination Tablets
≥ 7.0% to < 8.0%
340 participants
n=93 Participants
Participants with HbA1c (NGSP value) at the start of treatment with Metact Combination Tablets
≥ 8.0%
290 participants
n=93 Participants
Participants with HbA1c (NGSP value) at the start of treatment with Metact Combination Tablets
Unknown
128 participants
n=93 Participants
Fasting blood glucose at the start of treatment with Metact Combination Tablets
150.1 mg/dL
STANDARD_DEVIATION 56.43 • n=93 Participants
Participants with Fasting blood glucose at the start of treatment with Metact Combination Tablets
< 126 mg/dL
157 participants
n=93 Participants
Participants with Fasting blood glucose at the start of treatment with Metact Combination Tablets
≥ 126 to < 140 mg/dL
75 participants
n=93 Participants
Participants with Fasting blood glucose at the start of treatment with Metact Combination Tablets
≥ 140 to < 160 mg/dL
80 participants
n=93 Participants
Participants with Fasting blood glucose at the start of treatment with Metact Combination Tablets
≥ 160 mg/dL
134 participants
n=93 Participants
Participants with Fasting blood glucose at the start of treatment with Metact Combination Tablets
Unknown
621 participants
n=93 Participants
Fasting insulin at the start of treatment with Metact Combination Tablets
10.775 μU/dL
STANDARD_DEVIATION 9.0804 • n=93 Participants
Participants with Fasting insulin at the start of treatment with Metact Combination Tablets
< 1.0 μU/dL
0 participants
n=93 Participants
Participants with Fasting insulin at the start of treatment with Metact Combination Tablets
≥ 1.0 μU/dL to < 5.0 μU/dL
24 participants
n=93 Participants
Participants with Fasting insulin at the start of treatment with Metact Combination Tablets
≥ 5.0 μU/dL to < 10.0 μU/dL
25 participants
n=93 Participants
Participants with Fasting insulin at the start of treatment with Metact Combination Tablets
≥ 10.0 μU/dL to < 50.0 μU/dL
46 participants
n=93 Participants
Participants with Fasting insulin at the start of treatment with Metact Combination Tablets
≥ 50.0 μU/dL to < 100.0 μU/dL
1 participants
n=93 Participants
Participants with Fasting insulin at the start of treatment with Metact Combination Tablets
≥ 100 μU/dL
0 participants
n=93 Participants
Participants with Fasting insulin at the start of treatment with Metact Combination Tablets
Unknown
971 participants
n=93 Participants

PRIMARY outcome

Timeframe: 12 months

Population: Safety Analysis Set, all patients for whom data was collected in case report forms, except those who were treated before the contract period, those who were enrolled after Day 15 of the start of treatment with Metact Combination Tablets, and those with missing data after treatment (missed visits).

Adverse events are defined as any unfavorable and unintended signs, symptoms or diseases temporally associated with the use of a medicinal product reported from the first dose of study drug to the last dose of study drug. Among these, events which are considered possibly associated with a medicinal product are defined as adverse drug reactions.

Outcome measures

Outcome measures
Measure
Pioglitazone/Metformin Hydrochloride
n=1067 Participants
Pioglitazone/metformin hydrochloride combination tablets, orally, for 12 months as prescribed by the standard of care.
Number of Participants With Adverse Drug Reactions
Thyroid cancer
1 participants
Number of Participants With Adverse Drug Reactions
Anaemia
1 participants
Number of Participants With Adverse Drug Reactions
Insomnia
1 participants
Number of Participants With Adverse Drug Reactions
Dizziness
2 participants
Number of Participants With Adverse Drug Reactions
Dysgeusia
1 participants
Number of Participants With Adverse Drug Reactions
Right ventricular failure
1 participants
Number of Participants With Adverse Drug Reactions
Dyspnoea exertional
1 participants
Number of Participants With Adverse Drug Reactions
Abdominal distension
2 participants
Number of Participants With Adverse Drug Reactions
Constipation
1 participants
Number of Participants With Adverse Drug Reactions
Nausea
1 participants
Number of Participants With Adverse Drug Reactions
Hepatic function abnormal
1 participants
Number of Participants With Adverse Drug Reactions
Cold sweat
1 participants
Number of Participants With Adverse Drug Reactions
Myalgia
1 participants
Number of Participants With Adverse Drug Reactions
Renal impairment
1 participants
Number of Participants With Adverse Drug Reactions
Chest discomfort
1 participants
Number of Participants With Adverse Drug Reactions
Face oedema
1 participants
Number of Participants With Adverse Drug Reactions
Malaise
2 participants
Number of Participants With Adverse Drug Reactions
Oedema
5 participants
Number of Participants With Adverse Drug Reactions
Oedema peripheral
11 participants
Number of Participants With Adverse Drug Reactions
Cardiothoracic ratio increased
1 participants
Number of Participants With Adverse Drug Reactions
Blood cholesterol increased
1 participants
Number of Participants With Adverse Drug Reactions
Blood triglycerides increased
1 participants
Number of Participants With Adverse Drug Reactions
Lipids abnormal
1 participants
Number of Participants With Adverse Drug Reactions
Blood creatinine increased
1 participants
Number of Participants With Adverse Drug Reactions
Weight increased
4 participants
Number of Participants With Adverse Drug Reactions
Heat illness
1 participants

SECONDARY outcome

Timeframe: Baseline and Months 3, 6, 9, 12 and final assessment

Population: The analysis was performed in the efficacy assessment population (n=905).

Tabulation of the HbA1c test value and change at each test time point (test value at each test time point after baseline - test value at baseline). A negative change from Baseline indicates improvement. n=number of participants analyzed at each time point. Final assessment is defined as a cumulative assessment of Month 12 and Early Termination Visit data.

Outcome measures

Outcome measures
Measure
Pioglitazone/Metformin Hydrochloride
n=905 Participants
Pioglitazone/metformin hydrochloride combination tablets, orally, for 12 months as prescribed by the standard of care.
Change From Baseline in Glycosylated Hemoglobin (HbA1c)
Month 3 (n=819)
-0.47 percentage of HbA1c
Standard Deviation 1.030
Change From Baseline in Glycosylated Hemoglobin (HbA1c)
Month 6 (n=761)
-0.53 percentage of HbA1c
Standard Deviation 1.142
Change From Baseline in Glycosylated Hemoglobin (HbA1c)
Month 9 (n=681)
-0.55 percentage of HbA1c
Standard Deviation 1.183
Change From Baseline in Glycosylated Hemoglobin (HbA1c)
Month 12 (n=670)
-0.60 percentage of HbA1c
Standard Deviation 1.190
Change From Baseline in Glycosylated Hemoglobin (HbA1c)
Final Assessment (n=896)
-0.58 percentage of HbA1c
Standard Deviation 1.182

SECONDARY outcome

Timeframe: Baseline and Months 3, 6, 9, 12 and final assessment

Population: The analysis was performed in the efficacy assessment population (n=905).

Tabulation of fasting blood glucose test values and change at each test time point (test value at each test time point after baseline - test value at baseline). A negative change from Baseline indicates improvement. n=number of participants analyzed at each time point. Final assessment is defined as a cumulative assessment of Month 12 and Early Termination Visit data.

Outcome measures

Outcome measures
Measure
Pioglitazone/Metformin Hydrochloride
n=905 Participants
Pioglitazone/metformin hydrochloride combination tablets, orally, for 12 months as prescribed by the standard of care.
Change From Baseline in Fasting Blood Glucose
Month 3 (n=311)
-14.0 mg/dL
Standard Deviation 41.98
Change From Baseline in Fasting Blood Glucose
Month 6 (n=275)
-15.5 mg/dL
Standard Deviation 40.82
Change From Baseline in Fasting Blood Glucose
Month 9 (n=29)
-11.7 mg/dL
Standard Deviation 43.16
Change From Baseline in Fasting Blood Glucose
Month 12 (n=255)
-17.3 mg/dL
Standard Deviation 42.97
Change From Baseline in Fasting Blood Glucose
Final Assessment (n=375)
-17.9 mg/dL
Standard Deviation 45.36

SECONDARY outcome

Timeframe: Baseline and Months 3, 6, 9, 12 and final assessment

Population: The analysis was performed in the efficacy assessment population (n=905).

Tabulation of fasting insulin test values and change at each test time point (test value at each test time point after baseline - test value at baseline). A negative change from Baseline indicates improvement. n=number of participants analyzed at each time point. Final assessment is defined as a cumulative assessment of Month 12 and Early Termination Visit data.

Outcome measures

Outcome measures
Measure
Pioglitazone/Metformin Hydrochloride
n=905 Participants
Pioglitazone/metformin hydrochloride combination tablets, orally, for 12 months as prescribed by the standard of care.
Change From Baseline in Fasting Insulin
Month 3 (n=22)
-1.768 μU/dL
Standard Deviation 4.2928
Change From Baseline in Fasting Insulin
Month 6 (n=46)
-2.374 μU/dL
Standard Deviation 7.0954
Change From Baseline in Fasting Insulin
Month 9 (n=22)
-1.018 μU/dL
Standard Deviation 5.9072
Change From Baseline in Fasting Insulin
Month 12 (n=51)
-2.524 μU/dL
Standard Deviation 9.4260
Change From Baseline in Fasting Insulin
Final Assessment (n=63)
-2.107 μU/dL
Standard Deviation 8.7360

Adverse Events

Pioglitazone/Metformin Hydrochloride

Serious events: 18 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Pioglitazone/Metformin Hydrochloride
n=1067 participants at risk
Pioglitazone/metformin hydrochloride combination tablets, orally, for 12 months as prescribed by the standard of care.
Infections and infestations
Pneumonia
0.19%
2/1067 • From baseline to 12 months of treatment.
At each visit the investigator documented occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by participant or observed by investigator was recorded, irrespective of relation to study treatment. The same PTs (Preferred Term) coded for same patient with differing LLTs (Low Level Terms) are counted twice.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Breast cancer
0.09%
1/1067 • From baseline to 12 months of treatment.
At each visit the investigator documented occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by participant or observed by investigator was recorded, irrespective of relation to study treatment. The same PTs (Preferred Term) coded for same patient with differing LLTs (Low Level Terms) are counted twice.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Gastric cancer
0.09%
1/1067 • From baseline to 12 months of treatment.
At each visit the investigator documented occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by participant or observed by investigator was recorded, irrespective of relation to study treatment. The same PTs (Preferred Term) coded for same patient with differing LLTs (Low Level Terms) are counted twice.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Malignant ascites
0.09%
1/1067 • From baseline to 12 months of treatment.
At each visit the investigator documented occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by participant or observed by investigator was recorded, irrespective of relation to study treatment. The same PTs (Preferred Term) coded for same patient with differing LLTs (Low Level Terms) are counted twice.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Rectal cancer
0.09%
1/1067 • From baseline to 12 months of treatment.
At each visit the investigator documented occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by participant or observed by investigator was recorded, irrespective of relation to study treatment. The same PTs (Preferred Term) coded for same patient with differing LLTs (Low Level Terms) are counted twice.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Uterine cancer
0.09%
1/1067 • From baseline to 12 months of treatment.
At each visit the investigator documented occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by participant or observed by investigator was recorded, irrespective of relation to study treatment. The same PTs (Preferred Term) coded for same patient with differing LLTs (Low Level Terms) are counted twice.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Thyroid cancer
0.09%
1/1067 • From baseline to 12 months of treatment.
At each visit the investigator documented occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by participant or observed by investigator was recorded, irrespective of relation to study treatment. The same PTs (Preferred Term) coded for same patient with differing LLTs (Low Level Terms) are counted twice.
Metabolism and nutrition disorders
Diabetes mellitus
0.09%
1/1067 • From baseline to 12 months of treatment.
At each visit the investigator documented occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by participant or observed by investigator was recorded, irrespective of relation to study treatment. The same PTs (Preferred Term) coded for same patient with differing LLTs (Low Level Terms) are counted twice.
Nervous system disorders
Cerebral infarction
0.28%
3/1067 • From baseline to 12 months of treatment.
At each visit the investigator documented occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by participant or observed by investigator was recorded, irrespective of relation to study treatment. The same PTs (Preferred Term) coded for same patient with differing LLTs (Low Level Terms) are counted twice.
Nervous system disorders
Diabetic hyperglycaemic coma
0.09%
1/1067 • From baseline to 12 months of treatment.
At each visit the investigator documented occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by participant or observed by investigator was recorded, irrespective of relation to study treatment. The same PTs (Preferred Term) coded for same patient with differing LLTs (Low Level Terms) are counted twice.
Cardiac disorders
Acute myocardial infarction
0.09%
1/1067 • From baseline to 12 months of treatment.
At each visit the investigator documented occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by participant or observed by investigator was recorded, irrespective of relation to study treatment. The same PTs (Preferred Term) coded for same patient with differing LLTs (Low Level Terms) are counted twice.
Respiratory, thoracic and mediastinal disorders
Interstitial lung disease
0.09%
1/1067 • From baseline to 12 months of treatment.
At each visit the investigator documented occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by participant or observed by investigator was recorded, irrespective of relation to study treatment. The same PTs (Preferred Term) coded for same patient with differing LLTs (Low Level Terms) are counted twice.
Respiratory, thoracic and mediastinal disorders
Respiratory failure
0.09%
1/1067 • From baseline to 12 months of treatment.
At each visit the investigator documented occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by participant or observed by investigator was recorded, irrespective of relation to study treatment. The same PTs (Preferred Term) coded for same patient with differing LLTs (Low Level Terms) are counted twice.
Hepatobiliary disorders
Liver disorder
0.09%
1/1067 • From baseline to 12 months of treatment.
At each visit the investigator documented occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by participant or observed by investigator was recorded, irrespective of relation to study treatment. The same PTs (Preferred Term) coded for same patient with differing LLTs (Low Level Terms) are counted twice.
Renal and urinary disorders
Nephrolithiasis
0.09%
1/1067 • From baseline to 12 months of treatment.
At each visit the investigator documented occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by participant or observed by investigator was recorded, irrespective of relation to study treatment. The same PTs (Preferred Term) coded for same patient with differing LLTs (Low Level Terms) are counted twice.
Renal and urinary disorders
Renal failure acute
0.09%
1/1067 • From baseline to 12 months of treatment.
At each visit the investigator documented occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by participant or observed by investigator was recorded, irrespective of relation to study treatment. The same PTs (Preferred Term) coded for same patient with differing LLTs (Low Level Terms) are counted twice.
Renal and urinary disorders
Renal impairment
0.09%
1/1067 • From baseline to 12 months of treatment.
At each visit the investigator documented occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by participant or observed by investigator was recorded, irrespective of relation to study treatment. The same PTs (Preferred Term) coded for same patient with differing LLTs (Low Level Terms) are counted twice.
General disorders
Sudden death
0.09%
1/1067 • From baseline to 12 months of treatment.
At each visit the investigator documented occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by participant or observed by investigator was recorded, irrespective of relation to study treatment. The same PTs (Preferred Term) coded for same patient with differing LLTs (Low Level Terms) are counted twice.
Injury, poisoning and procedural complications
Femur fracture
0.09%
1/1067 • From baseline to 12 months of treatment.
At each visit the investigator documented occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by participant or observed by investigator was recorded, irrespective of relation to study treatment. The same PTs (Preferred Term) coded for same patient with differing LLTs (Low Level Terms) are counted twice.
Injury, poisoning and procedural complications
Radius fracture
0.09%
1/1067 • From baseline to 12 months of treatment.
At each visit the investigator documented occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by participant or observed by investigator was recorded, irrespective of relation to study treatment. The same PTs (Preferred Term) coded for same patient with differing LLTs (Low Level Terms) are counted twice.
Injury, poisoning and procedural complications
Ulna fracture
0.09%
1/1067 • From baseline to 12 months of treatment.
At each visit the investigator documented occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by participant or observed by investigator was recorded, irrespective of relation to study treatment. The same PTs (Preferred Term) coded for same patient with differing LLTs (Low Level Terms) are counted twice.
Injury, poisoning and procedural complications
Heat illness
0.09%
1/1067 • From baseline to 12 months of treatment.
At each visit the investigator documented occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by participant or observed by investigator was recorded, irrespective of relation to study treatment. The same PTs (Preferred Term) coded for same patient with differing LLTs (Low Level Terms) are counted twice.

Other adverse events

Adverse event data not reported

Additional Information

Medical Director, Clinical Science

Takeda Pharmaceuticals Company Limited

Phone: +1-877-825-3327

Results disclosure agreements

  • Principal investigator is a sponsor employee The first study related publication will be a multi-center publication submitted within 24 months after conclusion or termination of a study at all sites. After such multi site publication, all proposed site publications and presentations will be submitted to sponsor for review 60 days in advance of publication. Site will remove Sponsor confidential information unrelated to study results. Sponsor can delay a proposed publication for another 60 days to preserve intellectual property.
  • Publication restrictions are in place

Restriction type: OTHER