This trial is active, not recruiting.

Conditions impaired glucose tolerance, type 2 diabetes
Treatment pioglitazone
Phase phase 3
Sponsor Texas Diabetes Institute
Collaborator University of Texas
Start date January 2004
End date May 2007
Trial size 600 participants
Trial identifier NCT00220961, 02-062A


The purpose of this study is to examine whether pioglitazone versus placebo can reduce the conversion rate of impaired glucose tolerance (IGT) to type 2 diabetes mellitus

United States No locations recruiting
Other countries No locations recruiting

Study Design

Allocation randomized
Endpoint classification safety/efficacy study
Intervention model parallel assignment
Masking double-blind
Primary purpose prevention

Primary Outcomes

Prevention of Type 2 Diabetes
time frame:

Secondary Outcomes

Improvement in glycemic control
time frame:
Change in insulin secretion
time frame:
Change in insulin sensitivity
time frame:
Improvement in cardiovascular risk factors
time frame:
Change in blood pressure
time frame:
Change in atherosclerosis
time frame:
Occurrence of cardiovascular morbidity and mortality
time frame:
Change in body composition
time frame:
Change in adipocytokines
time frame:
Change in plasma sex steroids
time frame:
Change in renal function
time frame:
Adverse events
time frame:

Eligibility Criteria

Male or female participants at least 18 years old.

Inclusion Criteria: - Men and women - All ethnic groups - 18 years of age and older - Impaired glucose tolerance by glucose tolerance test (fasting glucose 95-125 mg/dl and 2 hr glucose of 140-199 mg/dl) - At least one of the following: - One or more components of the insulin resistance syndrome (HDL < 40 mg/dl in females and <35 mg/dl in males, fasting triglycerides > 150 mg/dl, blood pressure > 135/85 mmHg, BMI > 24 kg/m2, waist circumference > 102 cm in men and > 88 cm in women) - One or more first degree relatives with type 2 diabetes - History of gestational diabetes - Polycystic ovarian disease - Minority ethnic background (Mexican American, African American, Asian and Pacific Islanders, Native American) Exclusion Criteria: - Type 2 diabetes - Previously treated with thiazolidinediones (ever) or metformin (within one year) - Previously treated with a sulfonylurea, a meglitinide, an alpha glucosidase inhibitor for more than a week within last year or within the 3 months prior to randomization - Previously treated with insulin (other than during pregnancy) for more than one week within the last year or within the 3 months prior to randomization - Cardiovascular disease - Hospitalization for treatment of heart disease or stroke in past 6 months - New York Heart Association Functional Class > 2 - Left bundle branch block or third degree AV block - Aortic stenosis - SBP > 180 mmHg or DBP > 105 mmHg - Renal disease - Anemia - Hepatitis - GI diseases (pancreatitis, inflammatory bowel disease) - Recent or significant abdominal surgery - Advanced pulmonary disease - Chronic infections - Weight loss > 10% in past 6 months - Pregnancy and childbearing - Major psychiatric disorders - Excessive alcohol intake - Thiazide use > 25 mg per day - Non-selective beta blockers - Niacin - Systemic glucocorticoids - Weight loss or weight gain medication - Thyroid disease-suboptimally treated - Active endocrine diseases (Cushing's, acromegaly) - Plasma triglycerides over 400 mg/dl (despite treatment) - History bladder cancer - Hematuria

Additional Information

Official title Actos Now for Prevention of Diabetes (ACT NOW)
Principal investigator Ralph A. DeFronzo, M.D.
Description IGT is a prediabetic state. If IGT can be prevented from progressing to overt diabetes, the hyperglycemia-related complications of this devastating disease can be prevented. Subjects with IGT will be identified with an oral glucose tolerance test (OGTT). Eligible subjects also will have a measurement of first phase insulin secretion and insulin sensitivity using the frequently sampled intravenous glucose tolerance test (FSIVGTT) and carotid intimal media thickness using carotid ultrasound. Following these measurements subjects will be randomized to receive pioglitazone or placebo and they will return every 3 months for determination of fasting plasma glucose (FPG) concentration and interim medical history. Recruitment will take place over 15 months. From the time that the recruitment period ends, subjects will be followed for a total of 24 months on pioglitazone or placebo. The OGTT will be repeated at 15,27, and 39 months, or if the FPG is ≥ 126 mg/dl on the 3-month follow up visits. If the diagnosis of diabetes is established before month 39 or at month 39, the FSIVGTT and carotid ultrasound will be repeated. At 39 months, subjects will be washed out of pioglitazone or placebo and the OGTT, FSIVGTT, and carotid ultrasound will be repeated at month 45.
Trial information was received from ClinicalTrials.gov and was last updated in May 2010.
Information provided to ClinicalTrials.gov by Texas Diabetes Institute.