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Trial registered on ANZCTR
Registration number
ACTRN12607000135415
Ethics application status
Approved
Date submitted
19/02/2007
Date registered
19/02/2007
Date last updated
25/07/2008
Type of registration
Prospectively registered
Titles & IDs
Public title
A randomised trial of pioglitazone versus metformin monotherapy in Indigenous Australians with Type 2 Diabetes: effects on metabolic and cardiovascular parameters
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Scientific title
Drug naïve Indigenous Australians with Type 2 Diabetes, enrolled in a randomised controlled trial of pioglitazone versus metformin monotherapy to assess the effects on metabolic and cardiovascular parameters
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Type 2 Diabetes
1628
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Condition category
Condition code
Metabolic and Endocrine
1736
1736
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0
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Diabetes
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Pioglitazone 15mg taken orally (Intervention) once a day for 4weeks if tolerated increased to 15mg oral twice a day taken for 6 months by Indigenous Australians with Type 2 Diabetes
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Intervention code [1]
1610
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Treatment: Drugs
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Comparator / control treatment
Metformin 500mg oral (Control) twice a day for 4 weeks if tolerated increased to 1g oral twice a day taken for 6 months by Indigenous Australians with Type 2 Diabetes
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Control group
Active
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Outcomes
Primary outcome [1]
2413
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HbA1c values
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Assessment method [1]
2413
0
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Timepoint [1]
2413
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Baseline and at 2, 4 and 6 months after intervention commencement
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Primary outcome [2]
2414
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Weight gain
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Assessment method [2]
2414
0
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Timepoint [2]
2414
0
Baseline and at 2, 4 and 6 months after intervention commencement
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Primary outcome [3]
2415
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Weight distribution
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Assessment method [3]
2415
0
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Timepoint [3]
2415
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Baseline and at 2, 4 and 6 months after intervention commencement
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Primary outcome [4]
2416
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Medication side effects
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Assessment method [4]
2416
0
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Timepoint [4]
2416
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Baseline and at 2, 4 and 6 months after intervention commencement
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Secondary outcome [1]
4189
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Medication compliance, side effects, lipids, endothelial dysfunction.
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Assessment method [1]
4189
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Timepoint [1]
4189
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2,3,4,5 and 6 months after intervention commencement
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Eligibility
Key inclusion criteria
Residential: Permanent resident of Darwin for at least 1 year immediately before and expected to be for at least 1 year after study commencesConsent: Participants must be able to give informed voluntary consent.
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Minimum age
18
Years
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Maximum age
No limit
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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
Women not on a reliable means of contraceptionIndividuals who are unable to give voluntary informed consentIndividual’s permanently living outside of Darwin during the study period.
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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)
Double Blinded Randomised Controlled Trial- Simple randomisation by using a randomisation table created by a computer software (i.e. computerised sequence generation)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Sequence generation by computer-generated random numbers
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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
Subjects and assessors are blinded
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Phase
Phase 3 / 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
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/08/2008
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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
60
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
1886
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Charities/Societies/Foundations
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Name [1]
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Diabetes Australia Research Trust
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Address [1]
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Diabetes Australia Research Trust
GPO Box 3156
Canberra ACT 2600
Australia
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Country [1]
1886
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Australia
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Primary sponsor type
Charities/Societies/Foundations
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Name
Menzies School of Health Research
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Address
Menzies School of Health Research
PO Box 41096
CASUARINA NT 0811
Building 58
Royal Darwin Hospital Campus
Rocklands Drive
CASUARINA NT 0810
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Country
Australia
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Secondary sponsor category [1]
1700
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None
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Name [1]
1700
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nil
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Address [1]
1700
0
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Country [1]
1700
0
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
3510
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Human Research Ethics Committee of Northern Territory Department of Health & Community Services and Menzies School of Health Research
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Ethics committee address [1]
3510
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Ethics committee country [1]
3510
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Australia
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Date submitted for ethics approval [1]
3510
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Approval date [1]
3510
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Ethics approval number [1]
3510
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06/29
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Summary
Brief summary
This study compares metformin (current first-line medication) to rosiglitazone (a newer diabetic medication currently approved for combination use). Whilst there is good evidence for the benefits of rosiglitazone use in other populations, in light of the known weight gain effects of pioglitazone we believe further assessment is required in Indigenous Australians (in whom there is a strong predisposition for central fat deposition). This study will provide evidence regarding the medication appropirate for first line medication in Type 2 diabetes in this high risk population. This study will assist clinicians to make evidenced-based decisions regarding initial medical management of those with Type 2 diabetes (where there is currently a gap in evidence).
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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
27544
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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
10799
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Mr Suresh Sharma
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Address
10799
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Menzies School of Health Research
PO Box 41096
CASUARINA NT 0811
Building 54
Royal Darwin Hospital Campus
Rocklands Drive
CASUARINA NT 0810
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Country
10799
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Australia
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Phone
10799
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08 8922 8673
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Fax
10799
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0889275187
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Email
10799
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[email protected]
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Contact person for scientific queries
Name
1727
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Dr Louise Maple Brown
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Address
1727
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Menzies School of Health Research
PO Box 41096
CASUARINA NT 0811
Building 54
Royal Darwin Hospital Campus
Rocklands Drive
CASUARINA NT 0810
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Country
1727
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Australia
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Phone
1727
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0889228196
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Fax
1727
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0889275187
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Email
1727
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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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