UK Prospective Diabetes Study - post study monitoring (PSM) and cohort follow-up (CFU)

ISRCTN ISRCTN75451837
DOI https://doi.org/10.1186/ISRCTN75451837
Secondary identifying numbers G8109618 (now incorporates G8815630)
Submission date
17/10/2000
Registration date
17/10/2000
Last edited
22/05/2024
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Nutritional, Metabolic, Endocrine
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English Summary

Not provided at time of registration

Study website

Contact information

Dr Rury R Holman
Scientific

Diabetes Trials Unit
OCDEM, Churchill Hospital
Old Road, Headington
Oxford
OX3 7LJ
United Kingdom

Study information

Study designRandomized controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Not specified
Study typeNot Specified
Scientific title-
Study acronymUKPDS
Study hypothesisPlease note that as of 15/08/2008 this record has been extensively updated and now includes a follow-up study. All details pertaining to these updates can be found in the relevant field under the above update date. At this time, the title of this trial was changed to the above; the previous title was: ‘UK prospective diabetes study - post-study monitoring (PSM). Please also note that the anticipated end date of this trial was extended to 31/12/2007; the previous anticipated end date was 30/09/2002.

Current hypothesis as of 15/08/2008:
To determine whether improved blood glucose control will prevent the complications of type 2 diabetes, and whether any mode of therapy, diet, insulin, sulphonylurea or metformin, has specific advantages or disadvantages. The trial showed that improved blood glucose and blood pressure control did lead to a reduction in the incidence of complications of type 2 diabetes. All contactable surviving patients from the trial are being followed up during the post-study monitoring and the cohort follow-up phases, to track any changes in the incidence of complications. There is no further intervention in these phases. Physicians are responsible for each patient's care. The PSM and CFU phases of the study are examining possible legacy effects10 years post-trial of earlier randomised allocation to more intensive blood glucose and/or blood pressure control.

Previous hypothesis:
To determine whether improved blood glucose control will prevent the complications of type 2 diabetes, and whether any mode of therapy, diet, insulin, sulphonylurea or metformin, has specific advantages or disadvantages. The trial showed that improved blood glucose and blood pressure control did lead to a reduction in the incidence of complications of type two diabetes. All contactable surviving patients from the trial are being followed up during the post-study monitoring phase, to track any changes in the incidence of complications. There is no further intervention in this phase. Physicians responsible for each patient's care.
Ethics approval(s)Ethics approval received from the South East Multi-centre Research Ethics Committee on the 20th September 2002 (MREC 02/01/85)
ConditionDiabetes
InterventionDiet/insulin/sulphonylurea/metformin in preventing the complications of type 2 diabetes.
Intervention typeDrug
Pharmaceutical study type(s)
PhaseNot Applicable
Drug / device / biological / vaccine name(s)Insulin/sulphonylurea/metformin
Primary outcome measure1. Diabetes-related mortality: deaths from heart attacks, sudden death, stroke, complications from peripheral vascular disease or amputations, renal failure, hyperglycaemic or hypoglycaemic coma.
2. Total mortality
3. Diabetes-related mortality and major clinical endpoints, including non-fatal myocardial infarct, clinical angina with confirmatory abnormal ECG, heart failure, major stroke, retinal photocoagulation, vitreous haemorrhage, blindness, renal failure
Secondary outcome measuresAdded 15/08/2008:
1. Quality of life
2. Health economic outcomes
3. Cognitive function
Overall study start date01/03/1998
Overall study end date30/09/2002

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit25 Years
Upper age limit65 Years
SexBoth
Target number of participants5102
Participant inclusion criteria1. Newly diagnosed type 2 diabetic patients
2. Aged 25 - 65 years inclusive (median age 52 years)
3. Two fasting plasma glucose concentrations more than 6 mmol/l
Participant exclusion criteria1. Severe vascular disease
2. Accelerated hypertension
3. Proliferative or pre-proliferative retinopathy
4. Renal failure
5. Other life threatening diseases an illness requiring systematic steroids
6. An occupation that precluded insulin therapy
7. Language difficulties
8. Ketouric greater than 3 millimols per litre suggestive of insulin dependent diabetes
Recruitment start date01/03/1998
Recruitment end date30/09/2002

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

Diabetes Trials Unit
Oxford
OX3 7LJ
United Kingdom

Sponsor information

Medical Research Council (MRC) (UK)
Research council

20 Park Crescent
London
W1B 1AL
United Kingdom

Phone +44 (0)20 7636 5422
Email clinical.trial@headoffice.mrc.ac.uk
Website http://www.mrc.ac.uk
University of Oxford Diabetes Trials Unit
University/education

Sponsor for the cohort follow-up
OCDEM
Churchill Hospital
Old Road
Headington
Oxford
OX3 7LJ
England
United Kingdom

Phone +44 (0)1865 857242
Email dtu@dtu.ox.ac.uk

Funders

Funder type

Industry

Medical Research Council (MRC) (UK)
Government organisation / National government
Alternative name(s)
Medical Research Council (United Kingdom), UK Medical Research Council, MRC
Location
United Kingdom
Several pharmaceutical companies

No information available

Other organisations

No information available

For a full list of sources of funding for this trial, please visit the trial website at http://www.dtu.ox.ac.uk/ukpds/funding.php

No information available

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 UKPDS results: 12/09/1998 Yes No
Results article UKPDS results: 12/09/1998 Yes No
Results article UKPDS results: 12/09/1998 Yes No
Results article UKPDS results: 12/09/1998 Yes No
Results article results of 10-year follow-up of intensive glucose control: 09/10/2008 Yes No
Results article results of long-term follow-up after tight control of blood pressure: 09/10/2008 Yes No
Results article results 05/03/2013 Yes No
Results article UKPDS results 01/03/2020 10/02/2020 Yes No
Results article UKPDS 89 results 01/08/2021 04/10/2021 Yes No
Results article UKPDS 91 results 17/05/2024 22/05/2024 Yes No

Editorial Notes

22/05/2024: Publication reference added.
04/10/2021: Publication reference added.
10/02/2020: Publication reference added.