Trial Outcomes & Findings for Effect of Pioglitazone on Insulin Resistance, Atherosclerosis Progression and Clinical Course of Coronary Heart Disease (NCT NCT03011775)

NCT ID: NCT03011775

Last Updated: 2022-03-10

Results Overview

Number of Participants with cardiovascular death

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

43 participants

Primary outcome timeframe

Baseline and 1 year

Results posted on

2022-03-10

Participant Flow

Participant milestones

Participant milestones
Measure
Pioglitazone + Standard Care
20 patients who received standard medical therapy complex: isosorbide dinitrate 10-20 mg 2 times a day, acetylsalicylic acid 75 mg 1 time a day, bisoprolol 2.5 mg 1 time a day, rosuvastatin 20 mg 1 time a day, ramipril 5 mg 1 time a day. Patients also received recommendations on diet and lifestyle changes. Included pioglitazone 15 mg 1 time per day in the morning for 6 months. Pioglitazone 15 mg Tablet: 1 tablet per day in the morning for 6 months Isosorbide Dinitrate 10Mg Tablet: 1-2 tablets 2 times a day Acetylsalicylic Acid 75Mg Tablet: 1 tablet per a day Bisoprolol Fumarate 2.5 MG Oral Tablet: 1 tablet per a day Rosuvastatin Calcium 20 MG Oral Tablet: 1 tablet per a day ramipril 5 MG: 1 tablet per a day
Standard Care
23 patients who received standard medical therapy complex: isosorbide dinitrate 10-20 mg 2 times a day, acetylsalicylic acid 75 mg 1 time a day, bisoprolol 2.5 mg 1 time a day, rosuvastatin 20 mg 1 time a day, ramipril 5 mg 1 time a day. Patients also received recommendations on diet and lifestyle changes. Isosorbide Dinitrate 10Mg Tablet: 1-2 tablets 2 times a day Acetylsalicylic Acid 75Mg Tablet: 1 tablet per a day Bisoprolol Fumarate 2.5 MG Oral Tablet: 1 tablet per a day Rosuvastatin Calcium 20 MG Oral Tablet: 1 tablet per a day ramipril 5 MG: 1 tablet per a day
Overall Study
STARTED
20
23
Overall Study
COMPLETED
20
23
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Effect of Pioglitazone on Insulin Resistance, Atherosclerosis Progression and Clinical Course of Coronary Heart Disease

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Pioglitazone + Standard Care
n=20 Participants
20 patients who received standard medical therapy complex: isosorbide dinitrate 10-20 mg 2 times a day, acetylsalicylic acid 75 mg 1 time a day, bisoprolol 2.5 mg 1 time a day, rosuvastatin 20 mg 1 time a day, ramipril 5 mg 1 time a day. Patients also received recommendations on diet and lifestyle changes. Included pioglitazone 15 mg 1 time per day in the morning for 6 months. Pioglitazone 15 mg Tablet: 1 tablet per day in the morning for 6 months Isosorbide Dinitrate 10Mg Tablet: 1-2 tablets 2 times a day Acetylsalicylic Acid 75Mg Tablet: 1 tablet per a day Bisoprolol Fumarate 2.5 MG Oral Tablet: 1 tablet per a day Rosuvastatin Calcium 20 MG Oral Tablet: 1 tablet per a day ramipril 5 MG: 1 tablet per a day
Standard Care
n=23 Participants
23 patients who received standard medical therapy complex: isosorbide dinitrate 10-20 mg 2 times a day, acetylsalicylic acid 75 mg 1 time a day, bisoprolol 2.5 mg 1 time a day, rosuvastatin 20 mg 1 time a day, ramipril 5 mg 1 time a day. Patients also received recommendations on diet and lifestyle changes. Isosorbide Dinitrate 10Mg Tablet: 1-2 tablets 2 times a day Acetylsalicylic Acid 75Mg Tablet: 1 tablet per a day Bisoprolol Fumarate 2.5 MG Oral Tablet: 1 tablet per a day Rosuvastatin Calcium 20 MG Oral Tablet: 1 tablet per a day ramipril 5 MG: 1 tablet per a day
Total
n=43 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
19 Participants
n=5 Participants
22 Participants
n=7 Participants
41 Participants
n=5 Participants
Age, Categorical
>=65 years
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Age, Continuous
54.6 years
STANDARD_DEVIATION 1.15 • n=5 Participants
53 years
STANDARD_DEVIATION 1.36 • n=7 Participants
53.7 years
STANDARD_DEVIATION 5.9 • n=5 Participants
Sex: Female, Male
Female
8 Participants
n=5 Participants
7 Participants
n=7 Participants
15 Participants
n=5 Participants
Sex: Female, Male
Male
12 Participants
n=5 Participants
16 Participants
n=7 Participants
28 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
White
20 Participants
n=5 Participants
23 Participants
n=7 Participants
43 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
Ukraine
20 Participants
n=5 Participants
23 Participants
n=7 Participants
43 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline and 1 year

Number of Participants with cardiovascular death

Outcome measures

Outcome measures
Measure
Pioglitazone + Standard Care
n=20 Participants
20 patients who received standard medical therapy complex: isosorbide dinitrate 10-20 mg 2 times a day, acetylsalicylic acid 75 mg 1 time a day, bisoprolol 2.5 mg 1 time a day, rosuvastatin 20 mg 1 time a day, ramipril 5 mg 1 time a day. Patients also received recommendations on diet and lifestyle changes. Included pioglitazone 15 mg 1 time per day in the morning for 6 months. Pioglitazone 15 mg Tablet: 1 tablet per day in the morning for 6 months Isosorbide Dinitrate 10Mg Tablet: 1-2 tablets 2 times a day Acetylsalicylic Acid 75Mg Tablet: 1 tablet per a day Bisoprolol Fumarate 2.5 MG Oral Tablet: 1 tablet per a day Rosuvastatin Calcium 20 MG Oral Tablet: 1 tablet per a day ramipril 5 MG: 1 tablet per a day
Standard Care
n=23 Participants
23 patients who received standard medical therapy complex: isosorbide dinitrate 10-20 mg 2 times a day, acetylsalicylic acid 75 mg 1 time a day, bisoprolol 2.5 mg 1 time a day, rosuvastatin 20 mg 1 time a day, ramipril 5 mg 1 time a day. Patients also received recommendations on diet and lifestyle changes. Isosorbide Dinitrate 10Mg Tablet: 1-2 tablets 2 times a day Acetylsalicylic Acid 75Mg Tablet: 1 tablet per a day Bisoprolol Fumarate 2.5 MG Oral Tablet: 1 tablet per a day Rosuvastatin Calcium 20 MG Oral Tablet: 1 tablet per a day ramipril 5 MG: 1 tablet per a day
Сardiovascular Death
Baseline
0 Participants
0 Participants
Сardiovascular Death
1 year
0 Participants
0 Participants

PRIMARY outcome

Timeframe: Baseline and 1 year

Number of Participants with revascularization coronary procedures (coronary artery bypass grafting)

Outcome measures

Outcome measures
Measure
Pioglitazone + Standard Care
n=20 Participants
20 patients who received standard medical therapy complex: isosorbide dinitrate 10-20 mg 2 times a day, acetylsalicylic acid 75 mg 1 time a day, bisoprolol 2.5 mg 1 time a day, rosuvastatin 20 mg 1 time a day, ramipril 5 mg 1 time a day. Patients also received recommendations on diet and lifestyle changes. Included pioglitazone 15 mg 1 time per day in the morning for 6 months. Pioglitazone 15 mg Tablet: 1 tablet per day in the morning for 6 months Isosorbide Dinitrate 10Mg Tablet: 1-2 tablets 2 times a day Acetylsalicylic Acid 75Mg Tablet: 1 tablet per a day Bisoprolol Fumarate 2.5 MG Oral Tablet: 1 tablet per a day Rosuvastatin Calcium 20 MG Oral Tablet: 1 tablet per a day ramipril 5 MG: 1 tablet per a day
Standard Care
n=23 Participants
23 patients who received standard medical therapy complex: isosorbide dinitrate 10-20 mg 2 times a day, acetylsalicylic acid 75 mg 1 time a day, bisoprolol 2.5 mg 1 time a day, rosuvastatin 20 mg 1 time a day, ramipril 5 mg 1 time a day. Patients also received recommendations on diet and lifestyle changes. Isosorbide Dinitrate 10Mg Tablet: 1-2 tablets 2 times a day Acetylsalicylic Acid 75Mg Tablet: 1 tablet per a day Bisoprolol Fumarate 2.5 MG Oral Tablet: 1 tablet per a day Rosuvastatin Calcium 20 MG Oral Tablet: 1 tablet per a day ramipril 5 MG: 1 tablet per a day
Coronary Artery Bypass [Coronary Revascularization]
Baseline
0 Participants
0 Participants
Coronary Artery Bypass [Coronary Revascularization]
1 year
0 Participants
0 Participants

PRIMARY outcome

Timeframe: Baseline and 1 year

Number of Participants with acute coronary syndrome (ACS) or unstable angina (UA)

Outcome measures

Outcome measures
Measure
Pioglitazone + Standard Care
n=20 Participants
20 patients who received standard medical therapy complex: isosorbide dinitrate 10-20 mg 2 times a day, acetylsalicylic acid 75 mg 1 time a day, bisoprolol 2.5 mg 1 time a day, rosuvastatin 20 mg 1 time a day, ramipril 5 mg 1 time a day. Patients also received recommendations on diet and lifestyle changes. Included pioglitazone 15 mg 1 time per day in the morning for 6 months. Pioglitazone 15 mg Tablet: 1 tablet per day in the morning for 6 months Isosorbide Dinitrate 10Mg Tablet: 1-2 tablets 2 times a day Acetylsalicylic Acid 75Mg Tablet: 1 tablet per a day Bisoprolol Fumarate 2.5 MG Oral Tablet: 1 tablet per a day Rosuvastatin Calcium 20 MG Oral Tablet: 1 tablet per a day ramipril 5 MG: 1 tablet per a day
Standard Care
n=23 Participants
23 patients who received standard medical therapy complex: isosorbide dinitrate 10-20 mg 2 times a day, acetylsalicylic acid 75 mg 1 time a day, bisoprolol 2.5 mg 1 time a day, rosuvastatin 20 mg 1 time a day, ramipril 5 mg 1 time a day. Patients also received recommendations on diet and lifestyle changes. Isosorbide Dinitrate 10Mg Tablet: 1-2 tablets 2 times a day Acetylsalicylic Acid 75Mg Tablet: 1 tablet per a day Bisoprolol Fumarate 2.5 MG Oral Tablet: 1 tablet per a day Rosuvastatin Calcium 20 MG Oral Tablet: 1 tablet per a day ramipril 5 MG: 1 tablet per a day
Cardiovascular Hospitalization
Baseline
0 Participants
0 Participants
Cardiovascular Hospitalization
1 year
0 Participants
0 Participants

PRIMARY outcome

Timeframe: Baseline and 1 year

Number of Participants with incidence of percutaneous coronary intervention.

Outcome measures

Outcome measures
Measure
Pioglitazone + Standard Care
n=20 Participants
20 patients who received standard medical therapy complex: isosorbide dinitrate 10-20 mg 2 times a day, acetylsalicylic acid 75 mg 1 time a day, bisoprolol 2.5 mg 1 time a day, rosuvastatin 20 mg 1 time a day, ramipril 5 mg 1 time a day. Patients also received recommendations on diet and lifestyle changes. Included pioglitazone 15 mg 1 time per day in the morning for 6 months. Pioglitazone 15 mg Tablet: 1 tablet per day in the morning for 6 months Isosorbide Dinitrate 10Mg Tablet: 1-2 tablets 2 times a day Acetylsalicylic Acid 75Mg Tablet: 1 tablet per a day Bisoprolol Fumarate 2.5 MG Oral Tablet: 1 tablet per a day Rosuvastatin Calcium 20 MG Oral Tablet: 1 tablet per a day ramipril 5 MG: 1 tablet per a day
Standard Care
n=23 Participants
23 patients who received standard medical therapy complex: isosorbide dinitrate 10-20 mg 2 times a day, acetylsalicylic acid 75 mg 1 time a day, bisoprolol 2.5 mg 1 time a day, rosuvastatin 20 mg 1 time a day, ramipril 5 mg 1 time a day. Patients also received recommendations on diet and lifestyle changes. Isosorbide Dinitrate 10Mg Tablet: 1-2 tablets 2 times a day Acetylsalicylic Acid 75Mg Tablet: 1 tablet per a day Bisoprolol Fumarate 2.5 MG Oral Tablet: 1 tablet per a day Rosuvastatin Calcium 20 MG Oral Tablet: 1 tablet per a day ramipril 5 MG: 1 tablet per a day
Percutaneous Coronary Intervention [Coronary Revascularization]
Baseline
0 Participants
0 Participants
Percutaneous Coronary Intervention [Coronary Revascularization]
1 year
0 Participants
0 Participants

PRIMARY outcome

Timeframe: Baseline, 6 month and 1 year

Liver injury: mean values of ALT

Outcome measures

Outcome measures
Measure
Pioglitazone + Standard Care
n=20 Participants
20 patients who received standard medical therapy complex: isosorbide dinitrate 10-20 mg 2 times a day, acetylsalicylic acid 75 mg 1 time a day, bisoprolol 2.5 mg 1 time a day, rosuvastatin 20 mg 1 time a day, ramipril 5 mg 1 time a day. Patients also received recommendations on diet and lifestyle changes. Included pioglitazone 15 mg 1 time per day in the morning for 6 months. Pioglitazone 15 mg Tablet: 1 tablet per day in the morning for 6 months Isosorbide Dinitrate 10Mg Tablet: 1-2 tablets 2 times a day Acetylsalicylic Acid 75Mg Tablet: 1 tablet per a day Bisoprolol Fumarate 2.5 MG Oral Tablet: 1 tablet per a day Rosuvastatin Calcium 20 MG Oral Tablet: 1 tablet per a day ramipril 5 MG: 1 tablet per a day
Standard Care
n=23 Participants
23 patients who received standard medical therapy complex: isosorbide dinitrate 10-20 mg 2 times a day, acetylsalicylic acid 75 mg 1 time a day, bisoprolol 2.5 mg 1 time a day, rosuvastatin 20 mg 1 time a day, ramipril 5 mg 1 time a day. Patients also received recommendations on diet and lifestyle changes. Isosorbide Dinitrate 10Mg Tablet: 1-2 tablets 2 times a day Acetylsalicylic Acid 75Mg Tablet: 1 tablet per a day Bisoprolol Fumarate 2.5 MG Oral Tablet: 1 tablet per a day Rosuvastatin Calcium 20 MG Oral Tablet: 1 tablet per a day ramipril 5 MG: 1 tablet per a day
Safety and Tolerability 1
Baseline
23.4 units per liter (U/L)
Standard Deviation 2.4
26.9 units per liter (U/L)
Standard Deviation 2.57
Safety and Tolerability 1
Mean values of ALT in 6 months
27.4 units per liter (U/L)
Standard Deviation 2.1
26.1 units per liter (U/L)
Standard Deviation 1.68
Safety and Tolerability 1
Mean values of ALT in 1 year
19.9 units per liter (U/L)
Standard Deviation 1.9
23.9 units per liter (U/L)
Standard Deviation 1.19

PRIMARY outcome

Timeframe: Baseline, 6 month and 1 year

Liver injury: mean levels of total bilirubin

Outcome measures

Outcome measures
Measure
Pioglitazone + Standard Care
n=20 Participants
20 patients who received standard medical therapy complex: isosorbide dinitrate 10-20 mg 2 times a day, acetylsalicylic acid 75 mg 1 time a day, bisoprolol 2.5 mg 1 time a day, rosuvastatin 20 mg 1 time a day, ramipril 5 mg 1 time a day. Patients also received recommendations on diet and lifestyle changes. Included pioglitazone 15 mg 1 time per day in the morning for 6 months. Pioglitazone 15 mg Tablet: 1 tablet per day in the morning for 6 months Isosorbide Dinitrate 10Mg Tablet: 1-2 tablets 2 times a day Acetylsalicylic Acid 75Mg Tablet: 1 tablet per a day Bisoprolol Fumarate 2.5 MG Oral Tablet: 1 tablet per a day Rosuvastatin Calcium 20 MG Oral Tablet: 1 tablet per a day ramipril 5 MG: 1 tablet per a day
Standard Care
n=23 Participants
23 patients who received standard medical therapy complex: isosorbide dinitrate 10-20 mg 2 times a day, acetylsalicylic acid 75 mg 1 time a day, bisoprolol 2.5 mg 1 time a day, rosuvastatin 20 mg 1 time a day, ramipril 5 mg 1 time a day. Patients also received recommendations on diet and lifestyle changes. Isosorbide Dinitrate 10Mg Tablet: 1-2 tablets 2 times a day Acetylsalicylic Acid 75Mg Tablet: 1 tablet per a day Bisoprolol Fumarate 2.5 MG Oral Tablet: 1 tablet per a day Rosuvastatin Calcium 20 MG Oral Tablet: 1 tablet per a day ramipril 5 MG: 1 tablet per a day
Safety and Tolerability 2
Baseline
12.3 μmol/l
Standard Deviation 1.3
10.8 μmol/l
Standard Deviation 1.01
Safety and Tolerability 2
Mean values of total bilirubin in 6 month
12.4 μmol/l
Standard Deviation 1.02
12.7 μmol/l
Standard Deviation 1.05
Safety and Tolerability 2
Mean values of total bilirubin in 1 year
15.7 μmol/l
Standard Deviation 1.6
15.0 μmol/l
Standard Deviation 5.9

PRIMARY outcome

Timeframe: Baseline and 1 year

Kidney injury: mean values of the microalbuminuria

Outcome measures

Outcome measures
Measure
Pioglitazone + Standard Care
n=20 Participants
20 patients who received standard medical therapy complex: isosorbide dinitrate 10-20 mg 2 times a day, acetylsalicylic acid 75 mg 1 time a day, bisoprolol 2.5 mg 1 time a day, rosuvastatin 20 mg 1 time a day, ramipril 5 mg 1 time a day. Patients also received recommendations on diet and lifestyle changes. Included pioglitazone 15 mg 1 time per day in the morning for 6 months. Pioglitazone 15 mg Tablet: 1 tablet per day in the morning for 6 months Isosorbide Dinitrate 10Mg Tablet: 1-2 tablets 2 times a day Acetylsalicylic Acid 75Mg Tablet: 1 tablet per a day Bisoprolol Fumarate 2.5 MG Oral Tablet: 1 tablet per a day Rosuvastatin Calcium 20 MG Oral Tablet: 1 tablet per a day ramipril 5 MG: 1 tablet per a day
Standard Care
n=23 Participants
23 patients who received standard medical therapy complex: isosorbide dinitrate 10-20 mg 2 times a day, acetylsalicylic acid 75 mg 1 time a day, bisoprolol 2.5 mg 1 time a day, rosuvastatin 20 mg 1 time a day, ramipril 5 mg 1 time a day. Patients also received recommendations on diet and lifestyle changes. Isosorbide Dinitrate 10Mg Tablet: 1-2 tablets 2 times a day Acetylsalicylic Acid 75Mg Tablet: 1 tablet per a day Bisoprolol Fumarate 2.5 MG Oral Tablet: 1 tablet per a day Rosuvastatin Calcium 20 MG Oral Tablet: 1 tablet per a day ramipril 5 MG: 1 tablet per a day
Safety and Tolerability 3
Baseline
31.44 mg/mol
Standard Deviation 4.28
41.1 mg/mol
Standard Deviation 4.85
Safety and Tolerability 3
1 year
31.10 mg/mol
Standard Deviation 5.00
37.70 mg/mol
Standard Deviation 4.48

PRIMARY outcome

Timeframe: Baseline and 1 year

Kidneys injury: mean values of creatinine

Outcome measures

Outcome measures
Measure
Pioglitazone + Standard Care
n=20 Participants
20 patients who received standard medical therapy complex: isosorbide dinitrate 10-20 mg 2 times a day, acetylsalicylic acid 75 mg 1 time a day, bisoprolol 2.5 mg 1 time a day, rosuvastatin 20 mg 1 time a day, ramipril 5 mg 1 time a day. Patients also received recommendations on diet and lifestyle changes. Included pioglitazone 15 mg 1 time per day in the morning for 6 months. Pioglitazone 15 mg Tablet: 1 tablet per day in the morning for 6 months Isosorbide Dinitrate 10Mg Tablet: 1-2 tablets 2 times a day Acetylsalicylic Acid 75Mg Tablet: 1 tablet per a day Bisoprolol Fumarate 2.5 MG Oral Tablet: 1 tablet per a day Rosuvastatin Calcium 20 MG Oral Tablet: 1 tablet per a day ramipril 5 MG: 1 tablet per a day
Standard Care
n=23 Participants
23 patients who received standard medical therapy complex: isosorbide dinitrate 10-20 mg 2 times a day, acetylsalicylic acid 75 mg 1 time a day, bisoprolol 2.5 mg 1 time a day, rosuvastatin 20 mg 1 time a day, ramipril 5 mg 1 time a day. Patients also received recommendations on diet and lifestyle changes. Isosorbide Dinitrate 10Mg Tablet: 1-2 tablets 2 times a day Acetylsalicylic Acid 75Mg Tablet: 1 tablet per a day Bisoprolol Fumarate 2.5 MG Oral Tablet: 1 tablet per a day Rosuvastatin Calcium 20 MG Oral Tablet: 1 tablet per a day ramipril 5 MG: 1 tablet per a day
Safety and Tolerability 4
Mean values of creatinine in men baseline
105.6 μmol/l
Standard Deviation 38.5
102.3 μmol/l
Standard Deviation 43.1
Safety and Tolerability 4
Mean values of creatinine in men in 1 year
85.0 μmol/l
Standard Deviation 21.1
82.0 μmol/l
Standard Deviation 14.0
Safety and Tolerability 4
Mean values of creatinine in women baseline
66.8 μmol/l
Standard Deviation 8.8
88.2 μmol/l
Standard Deviation 11.1
Safety and Tolerability 4
Mean values of creatinine in women in 1 year
72.5 μmol/l
Standard Deviation 8.1
77.5 μmol/l
Standard Deviation 18.0

SECONDARY outcome

Timeframe: Baseline, 6 month and 1 year

Mean thickness of carotid intima-media complex

Outcome measures

Outcome measures
Measure
Pioglitazone + Standard Care
n=20 Participants
20 patients who received standard medical therapy complex: isosorbide dinitrate 10-20 mg 2 times a day, acetylsalicylic acid 75 mg 1 time a day, bisoprolol 2.5 mg 1 time a day, rosuvastatin 20 mg 1 time a day, ramipril 5 mg 1 time a day. Patients also received recommendations on diet and lifestyle changes. Included pioglitazone 15 mg 1 time per day in the morning for 6 months. Pioglitazone 15 mg Tablet: 1 tablet per day in the morning for 6 months Isosorbide Dinitrate 10Mg Tablet: 1-2 tablets 2 times a day Acetylsalicylic Acid 75Mg Tablet: 1 tablet per a day Bisoprolol Fumarate 2.5 MG Oral Tablet: 1 tablet per a day Rosuvastatin Calcium 20 MG Oral Tablet: 1 tablet per a day ramipril 5 MG: 1 tablet per a day
Standard Care
n=23 Participants
23 patients who received standard medical therapy complex: isosorbide dinitrate 10-20 mg 2 times a day, acetylsalicylic acid 75 mg 1 time a day, bisoprolol 2.5 mg 1 time a day, rosuvastatin 20 mg 1 time a day, ramipril 5 mg 1 time a day. Patients also received recommendations on diet and lifestyle changes. Isosorbide Dinitrate 10Mg Tablet: 1-2 tablets 2 times a day Acetylsalicylic Acid 75Mg Tablet: 1 tablet per a day Bisoprolol Fumarate 2.5 MG Oral Tablet: 1 tablet per a day Rosuvastatin Calcium 20 MG Oral Tablet: 1 tablet per a day ramipril 5 MG: 1 tablet per a day
Thickness of the Intima-media Complex
Mean thickness of the left carotid intima-media in 1 year
1.02 cm
Standard Deviation 0.02
0.97 cm
Standard Deviation 0.02
Thickness of the Intima-media Complex
Mean thickness of the right carotid intima-media baseline
1.08 cm
Standard Deviation 0.17
0.98 cm
Standard Deviation 0.15
Thickness of the Intima-media Complex
Mean thickness of the right carotid intima-media in 6 month
1.05 cm
Standard Deviation 0.13
0.97 cm
Standard Deviation 0.11
Thickness of the Intima-media Complex
Mean thickness of the right carotid intima-media in 1 year
1.01 cm
Standard Deviation 0.02
1.01 cm
Standard Deviation 0.01
Thickness of the Intima-media Complex
Mean thickness of the left carotid intima-media baseline
1.1 cm
Standard Deviation 0.18
1.0 cm
Standard Deviation 0.15
Thickness of the Intima-media Complex
Mean thickness of the left carotid intima-media in 6 month
1.06 cm
Standard Deviation 0.13
1.00 cm
Standard Deviation 0.10

SECONDARY outcome

Timeframe: Baseline and 1 year

Mean diameters of the stenosis of the right and left common carotid arteries

Outcome measures

Outcome measures
Measure
Pioglitazone + Standard Care
n=20 Participants
20 patients who received standard medical therapy complex: isosorbide dinitrate 10-20 mg 2 times a day, acetylsalicylic acid 75 mg 1 time a day, bisoprolol 2.5 mg 1 time a day, rosuvastatin 20 mg 1 time a day, ramipril 5 mg 1 time a day. Patients also received recommendations on diet and lifestyle changes. Included pioglitazone 15 mg 1 time per day in the morning for 6 months. Pioglitazone 15 mg Tablet: 1 tablet per day in the morning for 6 months Isosorbide Dinitrate 10Mg Tablet: 1-2 tablets 2 times a day Acetylsalicylic Acid 75Mg Tablet: 1 tablet per a day Bisoprolol Fumarate 2.5 MG Oral Tablet: 1 tablet per a day Rosuvastatin Calcium 20 MG Oral Tablet: 1 tablet per a day ramipril 5 MG: 1 tablet per a day
Standard Care
n=23 Participants
23 patients who received standard medical therapy complex: isosorbide dinitrate 10-20 mg 2 times a day, acetylsalicylic acid 75 mg 1 time a day, bisoprolol 2.5 mg 1 time a day, rosuvastatin 20 mg 1 time a day, ramipril 5 mg 1 time a day. Patients also received recommendations on diet and lifestyle changes. Isosorbide Dinitrate 10Mg Tablet: 1-2 tablets 2 times a day Acetylsalicylic Acid 75Mg Tablet: 1 tablet per a day Bisoprolol Fumarate 2.5 MG Oral Tablet: 1 tablet per a day Rosuvastatin Calcium 20 MG Oral Tablet: 1 tablet per a day ramipril 5 MG: 1 tablet per a day
Diameter of Stenosis [Carotic Atherosclerotic Lesions]
Mean diameter of the stenosis of the right common carotid artery baseline
9.8 mm
Standard Deviation 3.1
8.7 mm
Standard Deviation 2.7
Diameter of Stenosis [Carotic Atherosclerotic Lesions]
Mean diameter of the stenosis of the right common carotid artery in 1 year
5.0 mm
Standard Deviation 1.8
4.8 mm
Standard Deviation 1.5
Diameter of Stenosis [Carotic Atherosclerotic Lesions]
Mean diameter of the stenosis of the left common carotid artery baseline
11.6 mm
Standard Deviation 3.6
10.1 mm
Standard Deviation 3.0
Diameter of Stenosis [Carotic Atherosclerotic Lesions]
Mean diameter of the stenosis of the left common carotid artery in 1 year
4.1 mm
Standard Deviation 1.7
5.6 mm
Standard Deviation 1.8

SECONDARY outcome

Timeframe: Baseline and 1 year

Number of Participants with presence of atherosclerotic plaque of the intima media of common carotid artery greater than 1.4 mm

Outcome measures

Outcome measures
Measure
Pioglitazone + Standard Care
n=20 Participants
20 patients who received standard medical therapy complex: isosorbide dinitrate 10-20 mg 2 times a day, acetylsalicylic acid 75 mg 1 time a day, bisoprolol 2.5 mg 1 time a day, rosuvastatin 20 mg 1 time a day, ramipril 5 mg 1 time a day. Patients also received recommendations on diet and lifestyle changes. Included pioglitazone 15 mg 1 time per day in the morning for 6 months. Pioglitazone 15 mg Tablet: 1 tablet per day in the morning for 6 months Isosorbide Dinitrate 10Mg Tablet: 1-2 tablets 2 times a day Acetylsalicylic Acid 75Mg Tablet: 1 tablet per a day Bisoprolol Fumarate 2.5 MG Oral Tablet: 1 tablet per a day Rosuvastatin Calcium 20 MG Oral Tablet: 1 tablet per a day ramipril 5 MG: 1 tablet per a day
Standard Care
n=23 Participants
23 patients who received standard medical therapy complex: isosorbide dinitrate 10-20 mg 2 times a day, acetylsalicylic acid 75 mg 1 time a day, bisoprolol 2.5 mg 1 time a day, rosuvastatin 20 mg 1 time a day, ramipril 5 mg 1 time a day. Patients also received recommendations on diet and lifestyle changes. Isosorbide Dinitrate 10Mg Tablet: 1-2 tablets 2 times a day Acetylsalicylic Acid 75Mg Tablet: 1 tablet per a day Bisoprolol Fumarate 2.5 MG Oral Tablet: 1 tablet per a day Rosuvastatin Calcium 20 MG Oral Tablet: 1 tablet per a day ramipril 5 MG: 1 tablet per a day
Carotic Atherosclerotic Lesions
Baseline
0 Participants
0 Participants
Carotic Atherosclerotic Lesions
1 year
0 Participants
0 Participants

SECONDARY outcome

Timeframe: Baseline and 1 year

Number of Participants with C-reactive protein level above 3 mg/L

Outcome measures

Outcome measures
Measure
Pioglitazone + Standard Care
n=20 Participants
20 patients who received standard medical therapy complex: isosorbide dinitrate 10-20 mg 2 times a day, acetylsalicylic acid 75 mg 1 time a day, bisoprolol 2.5 mg 1 time a day, rosuvastatin 20 mg 1 time a day, ramipril 5 mg 1 time a day. Patients also received recommendations on diet and lifestyle changes. Included pioglitazone 15 mg 1 time per day in the morning for 6 months. Pioglitazone 15 mg Tablet: 1 tablet per day in the morning for 6 months Isosorbide Dinitrate 10Mg Tablet: 1-2 tablets 2 times a day Acetylsalicylic Acid 75Mg Tablet: 1 tablet per a day Bisoprolol Fumarate 2.5 MG Oral Tablet: 1 tablet per a day Rosuvastatin Calcium 20 MG Oral Tablet: 1 tablet per a day ramipril 5 MG: 1 tablet per a day
Standard Care
n=23 Participants
23 patients who received standard medical therapy complex: isosorbide dinitrate 10-20 mg 2 times a day, acetylsalicylic acid 75 mg 1 time a day, bisoprolol 2.5 mg 1 time a day, rosuvastatin 20 mg 1 time a day, ramipril 5 mg 1 time a day. Patients also received recommendations on diet and lifestyle changes. Isosorbide Dinitrate 10Mg Tablet: 1-2 tablets 2 times a day Acetylsalicylic Acid 75Mg Tablet: 1 tablet per a day Bisoprolol Fumarate 2.5 MG Oral Tablet: 1 tablet per a day Rosuvastatin Calcium 20 MG Oral Tablet: 1 tablet per a day ramipril 5 MG: 1 tablet per a day
Systemic Inflammation Level
Baseline
10 Participants
7 Participants
Systemic Inflammation Level
In 1 year
12 Participants
13 Participants

SECONDARY outcome

Timeframe: Baseline, 6 month and 1 year

Mean levels of total serum cholesterol

Outcome measures

Outcome measures
Measure
Pioglitazone + Standard Care
n=20 Participants
20 patients who received standard medical therapy complex: isosorbide dinitrate 10-20 mg 2 times a day, acetylsalicylic acid 75 mg 1 time a day, bisoprolol 2.5 mg 1 time a day, rosuvastatin 20 mg 1 time a day, ramipril 5 mg 1 time a day. Patients also received recommendations on diet and lifestyle changes. Included pioglitazone 15 mg 1 time per day in the morning for 6 months. Pioglitazone 15 mg Tablet: 1 tablet per day in the morning for 6 months Isosorbide Dinitrate 10Mg Tablet: 1-2 tablets 2 times a day Acetylsalicylic Acid 75Mg Tablet: 1 tablet per a day Bisoprolol Fumarate 2.5 MG Oral Tablet: 1 tablet per a day Rosuvastatin Calcium 20 MG Oral Tablet: 1 tablet per a day ramipril 5 MG: 1 tablet per a day
Standard Care
n=23 Participants
23 patients who received standard medical therapy complex: isosorbide dinitrate 10-20 mg 2 times a day, acetylsalicylic acid 75 mg 1 time a day, bisoprolol 2.5 mg 1 time a day, rosuvastatin 20 mg 1 time a day, ramipril 5 mg 1 time a day. Patients also received recommendations on diet and lifestyle changes. Isosorbide Dinitrate 10Mg Tablet: 1-2 tablets 2 times a day Acetylsalicylic Acid 75Mg Tablet: 1 tablet per a day Bisoprolol Fumarate 2.5 MG Oral Tablet: 1 tablet per a day Rosuvastatin Calcium 20 MG Oral Tablet: 1 tablet per a day ramipril 5 MG: 1 tablet per a day
Lipid Metabolism 1
Mean values of the total cholesterol level baseline
5.27 mmol / l
Standard Deviation 0.2
5.28 mmol / l
Standard Deviation 1.0
Lipid Metabolism 1
Mean values of the total cholesterol level in 6 month
4.5 mmol / l
Standard Deviation 0.2
4.3 mmol / l
Standard Deviation 0.2
Lipid Metabolism 1
Mean values of the total cholesterol level in 1 year
4.5 mmol / l
Standard Deviation 0.2
4.3 mmol / l
Standard Deviation 0.2

SECONDARY outcome

Timeframe: Baseline, 6 month and 1 year

Mean values of the triglyceride levels

Outcome measures

Outcome measures
Measure
Pioglitazone + Standard Care
n=20 Participants
20 patients who received standard medical therapy complex: isosorbide dinitrate 10-20 mg 2 times a day, acetylsalicylic acid 75 mg 1 time a day, bisoprolol 2.5 mg 1 time a day, rosuvastatin 20 mg 1 time a day, ramipril 5 mg 1 time a day. Patients also received recommendations on diet and lifestyle changes. Included pioglitazone 15 mg 1 time per day in the morning for 6 months. Pioglitazone 15 mg Tablet: 1 tablet per day in the morning for 6 months Isosorbide Dinitrate 10Mg Tablet: 1-2 tablets 2 times a day Acetylsalicylic Acid 75Mg Tablet: 1 tablet per a day Bisoprolol Fumarate 2.5 MG Oral Tablet: 1 tablet per a day Rosuvastatin Calcium 20 MG Oral Tablet: 1 tablet per a day ramipril 5 MG: 1 tablet per a day
Standard Care
n=23 Participants
23 patients who received standard medical therapy complex: isosorbide dinitrate 10-20 mg 2 times a day, acetylsalicylic acid 75 mg 1 time a day, bisoprolol 2.5 mg 1 time a day, rosuvastatin 20 mg 1 time a day, ramipril 5 mg 1 time a day. Patients also received recommendations on diet and lifestyle changes. Isosorbide Dinitrate 10Mg Tablet: 1-2 tablets 2 times a day Acetylsalicylic Acid 75Mg Tablet: 1 tablet per a day Bisoprolol Fumarate 2.5 MG Oral Tablet: 1 tablet per a day Rosuvastatin Calcium 20 MG Oral Tablet: 1 tablet per a day ramipril 5 MG: 1 tablet per a day
Lipid Metabolism 2
Mean values of triglyceride baseline
0.69 1 mmol/L
Standard Deviation 0.1
0.61 1 mmol/L
Standard Deviation 0.21
Lipid Metabolism 2
Mean values of triglyceride in 6 month
0.72 1 mmol/L
Standard Deviation 0.40
0.73 1 mmol/L
Standard Deviation 0.25
Lipid Metabolism 2
Mean values of triglyceride in 1 year
0.9 1 mmol/L
Standard Deviation 0.1
0.7 1 mmol/L
Standard Deviation 0.1

SECONDARY outcome

Timeframe: Baseline and 1 year

Lipoproteine fractions:mean values of high-density lipoproteins and low density lipoproteins

Outcome measures

Outcome measures
Measure
Pioglitazone + Standard Care
n=20 Participants
20 patients who received standard medical therapy complex: isosorbide dinitrate 10-20 mg 2 times a day, acetylsalicylic acid 75 mg 1 time a day, bisoprolol 2.5 mg 1 time a day, rosuvastatin 20 mg 1 time a day, ramipril 5 mg 1 time a day. Patients also received recommendations on diet and lifestyle changes. Included pioglitazone 15 mg 1 time per day in the morning for 6 months. Pioglitazone 15 mg Tablet: 1 tablet per day in the morning for 6 months Isosorbide Dinitrate 10Mg Tablet: 1-2 tablets 2 times a day Acetylsalicylic Acid 75Mg Tablet: 1 tablet per a day Bisoprolol Fumarate 2.5 MG Oral Tablet: 1 tablet per a day Rosuvastatin Calcium 20 MG Oral Tablet: 1 tablet per a day ramipril 5 MG: 1 tablet per a day
Standard Care
n=23 Participants
23 patients who received standard medical therapy complex: isosorbide dinitrate 10-20 mg 2 times a day, acetylsalicylic acid 75 mg 1 time a day, bisoprolol 2.5 mg 1 time a day, rosuvastatin 20 mg 1 time a day, ramipril 5 mg 1 time a day. Patients also received recommendations on diet and lifestyle changes. Isosorbide Dinitrate 10Mg Tablet: 1-2 tablets 2 times a day Acetylsalicylic Acid 75Mg Tablet: 1 tablet per a day Bisoprolol Fumarate 2.5 MG Oral Tablet: 1 tablet per a day Rosuvastatin Calcium 20 MG Oral Tablet: 1 tablet per a day ramipril 5 MG: 1 tablet per a day
Lipid Metabolism 3
Mean values of high-density lipoproteins in men in 1 year
1.1 mmol/L
Standard Deviation 0.3
1.0 mmol/L
Standard Deviation 0.3
Lipid Metabolism 3
Mean values of high-density lipoproteins in women baseline
0.9 mmol/L
Standard Deviation 0.3
1.1 mmol/L
Standard Deviation 0.2
Lipid Metabolism 3
Mean values of high-density lipoproteins in women in 1 year
1.2 mmol/L
Standard Deviation 0.2
1.0 mmol/L
Standard Deviation 0.2
Lipid Metabolism 3
Mean values of low density lipoproteins in men baseline
3.9 mmol/L
Standard Deviation 0.7
4.4 mmol/L
Standard Deviation 0.8
Lipid Metabolism 3
Mean values of low density lipoproteins in men in 1 year
2.9 mmol/L
Standard Deviation 0.5
3.0 mmol/L
Standard Deviation 0.6
Lipid Metabolism 3
Mean values of low density lipoproteins in women baseline
4.5 mmol/L
Standard Deviation 0.8
3.5 mmol/L
Standard Deviation 0.8
Lipid Metabolism 3
Mean values of low density lipoproteins in women in 1 year
3.3 mmol/L
Standard Deviation 0.8
2.7 mmol/L
Standard Deviation 0.3
Lipid Metabolism 3
Mean values of high-density lipoproteins in men baseline
0.8 mmol/L
Standard Deviation 0.2
0.9 mmol/L
Standard Deviation 0.4

OTHER_PRE_SPECIFIED outcome

Timeframe: 6 months

Oral glucose tolerance test: number of Participants with impaired glucose tolerance

Outcome measures

Outcome measures
Measure
Pioglitazone + Standard Care
n=20 Participants
20 patients who received standard medical therapy complex: isosorbide dinitrate 10-20 mg 2 times a day, acetylsalicylic acid 75 mg 1 time a day, bisoprolol 2.5 mg 1 time a day, rosuvastatin 20 mg 1 time a day, ramipril 5 mg 1 time a day. Patients also received recommendations on diet and lifestyle changes. Included pioglitazone 15 mg 1 time per day in the morning for 6 months. Pioglitazone 15 mg Tablet: 1 tablet per day in the morning for 6 months Isosorbide Dinitrate 10Mg Tablet: 1-2 tablets 2 times a day Acetylsalicylic Acid 75Mg Tablet: 1 tablet per a day Bisoprolol Fumarate 2.5 MG Oral Tablet: 1 tablet per a day Rosuvastatin Calcium 20 MG Oral Tablet: 1 tablet per a day ramipril 5 MG: 1 tablet per a day
Standard Care
n=23 Participants
23 patients who received standard medical therapy complex: isosorbide dinitrate 10-20 mg 2 times a day, acetylsalicylic acid 75 mg 1 time a day, bisoprolol 2.5 mg 1 time a day, rosuvastatin 20 mg 1 time a day, ramipril 5 mg 1 time a day. Patients also received recommendations on diet and lifestyle changes. Isosorbide Dinitrate 10Mg Tablet: 1-2 tablets 2 times a day Acetylsalicylic Acid 75Mg Tablet: 1 tablet per a day Bisoprolol Fumarate 2.5 MG Oral Tablet: 1 tablet per a day Rosuvastatin Calcium 20 MG Oral Tablet: 1 tablet per a day ramipril 5 MG: 1 tablet per a day
Level of Insulin Resistance 1
Number of Participants with glucose level in the range of 7.8 to 11 mmol/L baseline
7 Participants
14 Participants
Level of Insulin Resistance 1
Number of Participants with glucose level in the range of 7.8 to 11 mmol/L in 6 month
13 Participants
16 Participants
Level of Insulin Resistance 1
Number of Participants with glucose level above 11 mmol/L baseline
10 Participants
4 Participants
Level of Insulin Resistance 1
Number of Participants with glucose level above 11 mmol/L in 6 month
5 Participants
3 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline and 6 months

Mean levels of blood glucose

Outcome measures

Outcome measures
Measure
Pioglitazone + Standard Care
n=20 Participants
20 patients who received standard medical therapy complex: isosorbide dinitrate 10-20 mg 2 times a day, acetylsalicylic acid 75 mg 1 time a day, bisoprolol 2.5 mg 1 time a day, rosuvastatin 20 mg 1 time a day, ramipril 5 mg 1 time a day. Patients also received recommendations on diet and lifestyle changes. Included pioglitazone 15 mg 1 time per day in the morning for 6 months. Pioglitazone 15 mg Tablet: 1 tablet per day in the morning for 6 months Isosorbide Dinitrate 10Mg Tablet: 1-2 tablets 2 times a day Acetylsalicylic Acid 75Mg Tablet: 1 tablet per a day Bisoprolol Fumarate 2.5 MG Oral Tablet: 1 tablet per a day Rosuvastatin Calcium 20 MG Oral Tablet: 1 tablet per a day ramipril 5 MG: 1 tablet per a day
Standard Care
n=23 Participants
23 patients who received standard medical therapy complex: isosorbide dinitrate 10-20 mg 2 times a day, acetylsalicylic acid 75 mg 1 time a day, bisoprolol 2.5 mg 1 time a day, rosuvastatin 20 mg 1 time a day, ramipril 5 mg 1 time a day. Patients also received recommendations on diet and lifestyle changes. Isosorbide Dinitrate 10Mg Tablet: 1-2 tablets 2 times a day Acetylsalicylic Acid 75Mg Tablet: 1 tablet per a day Bisoprolol Fumarate 2.5 MG Oral Tablet: 1 tablet per a day Rosuvastatin Calcium 20 MG Oral Tablet: 1 tablet per a day ramipril 5 MG: 1 tablet per a day
Level of Insulin Resistance 2
Baseline
6.0 mmol/L
Standard Deviation 0.1
5.9 mmol/L
Standard Deviation 0.54
Level of Insulin Resistance 2
In 6 month
5.97 mmol/L
Standard Deviation 0.20
5.60 mmol/L
Standard Deviation 0.79

Adverse Events

Pioglitazone + Standard Care

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

Standard Care

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Prof. Igor Kaidashev

Ukrainian Medical Stomatological Academy

Phone: +380505858953

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place