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Trial registered on ANZCTR
Registration number
ACTRN12611000351910
Ethics application status
Approved
Date submitted
16/02/2011
Date registered
5/04/2011
Date last updated
12/12/2011
Type of registration
Retrospectively registered
Titles & IDs
Public title
The effect of Pioglitazone on Cardiovascular and Psychiatric status of non-Diabetic Metabolic Syndrome Patients
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Scientific title
The Effect of Pioglitazone on Left Ventricular Mass and Function, Plasma Levels of Inflammatory and Endothelial Biomarkers and Psychiatric Indicators in non-Diabetic Patients with Metabolic Syndrome
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Secondary ID [1]
259627
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IRCT201101023733N2
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Universal Trial Number (UTN)
U1111-1119-4933
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Trial acronym
EPICAMP
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Metabolic Syndrome
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Mental health screening indicators
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Condition category
Condition code
Metabolic and Endocrine
259343
259343
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0
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Other metabolic disorders
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Mental Health
259516
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0
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Other mental health disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
One Pioglitazone 30 mg tablet per day taken orally for 24 weeks
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
One Placebo tablet (identical in taste and appearance to the Pioglitazone Tablet but without the active ingredient) per day taken orally for 24 weeks
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Control group
Placebo
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Outcomes
Primary outcome [1]
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amount of Quantitative CRP, Asymmetric Dimethylarginine and Nitric Oxide reduction measured by ELISA kits
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Assessment method [1]
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Timepoint [1]
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at baseline and then at week 24
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Primary outcome [2]
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Left Ventricular Mass, Left Ventricular End Diastolic Diameter, early (E) and late (A) ventricular filling velocity, Myocardial early diastolic velocity (Em) change measured by 2D and M-Mode, Pulse wave Doppler and Tissue Doppler Echocardiography
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Assessment method [2]
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Timepoint [2]
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at baseline and then at week 24
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Primary outcome [3]
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change of stress level evaluated by General Health Questionnaire (GHQ-12), Severity of Anxiety and Depression evaluated by Hospital Anxiety and Depression Scale (HADS) questionnaire and Quality of Life evaluated by EuroQol (EQ 5-D) questionnaire
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Assessment method [3]
262150
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Timepoint [3]
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at baseline and then at week 24
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Secondary outcome [1]
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Vital signs and General health status evaluated by Medical history taking and/or Physical Examination
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Assessment method [1]
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Timepoint [1]
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at baseline and then at week 6, 12, 18 and 24
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Secondary outcome [2]
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Liver Transaminases change measured by ELISA kit
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Assessment method [2]
273233
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Timepoint [2]
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at baseline and then at week 12 and 24
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Secondary outcome [3]
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Change of Body Mass Index and Waist circumference
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Assessment method [3]
273234
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Timepoint [3]
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at baseline and then at week 12 and 24
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Secondary outcome [4]
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change in Plasma Lipoproteins measured by ELISA kit
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Assessment method [4]
273235
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Timepoint [4]
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at baseline and then at week 24
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Eligibility
Key inclusion criteria
Patients with Metabolic Syndrome (National Cholesterol Education Program/ATP III Criteria), New York Heart Association Functional Class 1 or 2, BMI 25 to 32 kg/m2
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Minimum age
18
Years
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Maximum age
65
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Patients with type 2 diabetes (American Diabetes Association Criteria), Current or prior use of Pioglitazone or Rosiglitazone within the preceding 3 months, Current use of Glucocorticoids, Any history or evidence of ischemic heart disease, Patients with vulvular heart disease, Patients with uncontrolled hypertention (>140/90 mmHg), Patients with LV Systolic dysfunction diagnosed by Doppler Echocardiography (EF < 40%), Patients with Restrictive or Constrictive Cardiomyopathy and/or Pericarditis, Patients with Infectious Endocarditis, Patients with impaired Renal function (plasma creatinine > 1.5 mg/dl) or Hepatic function (ALT > 3 times of upper limit of normal), Chronic systemic inflammatory disease (eg. Rheumatoid disorders), Anemia (Hb < 13 mg/dl in Men & Hb < 12 mg/dl in Women), Pregnancy or Lactating, Alcohol or Drug abuse, Any debilitating medical condition
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 4
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Active, not recruiting
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Date of first participant enrolment
Anticipated
25/02/2011
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
140
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
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Iran, Islamic Republic Of
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State/province [1]
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Isfahan
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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Isfahan Cardiovascular Research Center
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Address [1]
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Seddigheh Tahereh Research and Treatment Hospital, Khorram Ave, Isfahan
Post code: 8187698191
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Country [1]
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Iran, Islamic Republic Of
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Primary sponsor type
Commercial sector/Industry
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Name
Osvah Pharmaceutical Company
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Address
17 Shahrivar St., Shad Abad – 7th Km. Karaj Old Road - Tehran
Post code: 1371845311
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Country
Iran, Islamic Republic Of
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Secondary sponsor category [1]
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University
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Name [1]
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Army University of Medical Sciences
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Address [1]
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Etemad zade St.- West Fatemi Ave. - Tehran
Post code: 1411718541
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Country [1]
257658
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Iran, Islamic Republic Of
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
260491
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Ethics committee of Isfahan Cardiovascular Research Center affiliated to Isfahan University of Medical Sciences
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Ethics committee address [1]
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Seddigheh Tahereh Research and Treatment Hospital, Khorram Ave, Isfahan Post code: 8187698191
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Ethics committee country [1]
260491
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Iran, Islamic Republic Of
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Date submitted for ethics approval [1]
260491
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18/09/2010
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Approval date [1]
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18/10/2010
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Ethics approval number [1]
260491
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89112
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Summary
Brief summary
The objective of this study is to evaluate the effect of pioglitazone on left ventricular mass and function, plasma level of inflammatory and endothelial biomarkers and psychiatric indicators in non-diabetic metabolic syndrome patients. This study is a randomized, double blind, placebo controlled trial. Males and females, aged 18 to 65 year-old with metabolic syndrome will be assigned into two groups of 70 persons each. Intervention group will receive pioglitazone 30 mg once daily and control group will receive matching placebo for 24 weeks. Plasma level of Quantitative C-reactive protein, Total Nitric oxide- Asymmetic Dimethylarginine, echocardiographic indices of left ventricular mass and function, stress level, severity of anxiety and depression and quality of life will be measured at the baseline and at the end of the trial. Patients will be followed up at weeks 6 and 18 by phone and at week 12 by interview and physical examination to evaluate medication tolerance and eventual side effects. Liver enzymes will be checked every 3 months, as well.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Dr. Hamidreza Roohafza
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Address
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Seddigheh Tahereh Research and Treatment Hospital, Khorram Ave, Isfahan
Post code: 8187698191
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Country
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Iran, Islamic Republic Of
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Phone
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00983113359898
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Fax
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00983113373435
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Email
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[email protected]
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Contact person for scientific queries
Name
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Dr. Masoumeh Sadeghi
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Address
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Seddigheh Tahereh Research and Treatment Hospital, Khorram Ave, Isfahan
Post code: 8187698191
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Country
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Iran, Islamic Republic Of
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Phone
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00983113359090
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Fax
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00983113373435
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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