A 52 week double blind randomised controlled trial comparing the effect of rosiglitazone versus placebo on the prevention of progression of atherosclerosis in high risk patients without diabetes

ISRCTN ISRCTN54951661
DOI https://doi.org/10.1186/ISRCTN54951661
Secondary identifying numbers P04.232; NTR307
Submission date
20/12/2005
Registration date
20/12/2005
Last edited
05/04/2012
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Circulatory System
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English Summary

Not provided at time of registration

Contact information

Dr R. Alizadeh Dehnavi
Scientific

Leiden University Medical Centre (LUMC)
P.O. Box 9600
Leiden
2300 RC
Netherlands

Email R.Alizadehdehnavi@lumc.nl

Study information

Study designRandomised double blind placebo controlled parallel group trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Other
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific title
Study acronymRUBENS
Study hypothesisThe metabolic syndrome and its visceral adiposity may well be beneficially influenced by peroxisome proliferator-activated receptor (PPAR)-alpha agonist, by redistributing fat mass from central to peripheral stores and improving insulin resistance. The inflammatory atherosclerotic response, as monitored by C-reactive protein (CRP), may also directly be beneficially influenced by PPAR-alpha agonists in human subjects. In addition, we hypothesise that thiazolidinediones will beneficially influence intima-media thickness (IMT) in subjects with the metabolic syndrome as defined by the inclusion criteria.
Ethics approval(s)Received from the local medical ethics committee
ConditionMetabolic syndrome, atherosclerosis
Intervention1. Lifestyle intervention
2. Rosiglitazone 8 mg (4 mg twice daily [bd]) versus placebo
Intervention typeDrug
Pharmaceutical study type(s)
PhaseNot Applicable
Drug / device / biological / vaccine name(s)Rosiglitazone
Primary outcome measure1. Magnetic resonance (MR) assessment of the carotid artery wall
2. MR-measured hepatic, intra-abdominal and peripheral subcutaneous fat stores
Secondary outcome measures1. Assessment of the changes in selected inflammatory and metabolic parameters amongst which changes in insulin resistance and inducible nitric oxide synthase (iNOS)
2. Cross-sectional assessment of the relation between the characteristics of the magnetic resonance image of the carotid arterial wall and circulating endothelial progenitor cells
3. The effect of rosiglitazone on CEPs after one year of treatment in subjects with high cardiovascular risk without diabetes mellitus
4. Optimalisation of MR assessment of (complex) atherosclerotic plaques and other cardiovascular risk markers
Overall study start date26/09/2005
Overall study end date01/04/2007

Eligibility

Participant type(s)Patient
Age groupAdult
SexMale
Target number of participants116
Participant inclusion criteria1. Males
2. Age: males greater than or equal to 50 years
3. Visceral obesity as determined by Wcr: males: greater than 94 cm
4. Two other metabolic syndrome criteria (According to IDF criteria 2005) and/or a positive family history for cardiovascular disease (coronary heart disease [CHD] and/or peripheral arterial disease [PAD] in first degree family member: males less than 55 years; females less than 60 years)
5. CRP greater than 1.8 mg/L
6. Subject who is willing and is able to provide a signed and dated written informed consent
Participant exclusion criteria1. Severe obesity (body mass index [BMI] greater than 35 kg/m^2)
2. Diabetes type 2 defined as fasting venous plasma glucose greater than 70 mmol/L, or HbA1c greater than 65%
3. Primary dyslipidaemia
4. A previous cardiovascular event, including Q-wave infarction on electrocardiography (ECG)
5. QTc time interval on baseline ECG greater than 450 ms
6. Heart failure New York Heart Association (NYHA) class I or higher
7. Hypoglycaemia
8. Presence of clinically significant hepatic disease (i.e., subjects with alanine aminotransferase [ALT], total bilirubin, or alkaline phosphatase greater than 25 times the upper limit of the normal laboratory range)
9. Subjects with creatinine clearance less than 40 mL/min calculated using the Cockcroft-Gault equation adjusted for ideal body weight
10. Contraindication for magnetic resonance imaging (MRI)-assessments
11. Risk of non-compliance
Recruitment start date26/09/2005
Recruitment end date01/04/2007

Locations

Countries of recruitment

  • Netherlands

Study participating centre

Leiden University Medical Centre (LUMC)
Leiden
2300 RC
Netherlands

Sponsor information

Leiden University Medical Centre (LUMC) (Netherlands)
University/education

Albinusdreef 2
P.O. Box 9600
Leiden
2300 RC
Netherlands

Website http://www.lumc.nl/
ROR logo "ROR" https://ror.org/027bh9e22

Funders

Funder type

Industry

GlaxoSmithKline (Netherlands)
Government organisation / For-profit companies (industry)
Alternative name(s)
GlaxoSmithKline plc., GSK plc., GSK
Location
United Kingdom

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 28/10/2011 Yes No