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TerminatedNCT00787644GLITZUpdated Feb 26, 2015Results posted

Pilot Study of Pioglitazone for the Treatment of Moderate to Severe Asthma in Obese Asthmatics (Glitz Asthma)

A Phase 2 interventional study of Pioglitazone and Placebo in Asthma and Obesity, sponsored by University of Vermont. Terminated at 1 site in United States. Open to participants aged 18 Years to 60 Years. Per ClinicalTrials.gov, last updated 2015-02-26.

Sponsored by University of Vermont · Phase 2, Interventional, and Treatment

Why this study was terminated
new safety concerns which emerged about pioglitazone during the trial
Phase
Phase 2
Study type
Interventional
Enrollment
28
Allocation
Randomized
Ages
18 Years to 60 Years
Sex
All
01

Study summary

Asthmatics who are significantly overweight tend to have more severe symptoms, more flare ups, and are more likely to have poorly-controlled asthma when compared to other asthmatics.

Researchers believe this occurs because excess adipose tissue (fat) in the bosy can cause higher-than-normal levels of leptin and lower levels of adiponectin in the blood.

The researchers of this study are testing a medication called pioglitazone in overweight asthmatics because they believe it can help regulate leptin and adiponectin and that this may improve symptoms of asthma.

Read the detailed description

Participants in this study will be randomly assigned (like the flip of a coin) to pioglitazone or placebo (an inactive pill). They will be given study medication to take every day for 12 weeks (3 months).

Participants will complete a number of asthma-related questionnaires and a variety of pulmonary function tests. Participants will undergo physical exams, an electrocardiogram, and blood sampling to measure leptin, adiponectin, markers of inflammation, blood cell counts, glucose levels, BNP hormone levels, and liver function.

To monitor participants throughout the study, follow-up visits will be done at 2, 6, and 12 weeks after starting study drug. At these visits many of the pulmonary function tests and questionnaires will be repeated.

02

Conditions studied

  • Asthma
  • Obesity

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Keywords

  • Asthma
  • Adipose Tissue
  • Asthmatics
  • Pioglitazone
  • Actos
  • Obesity
  • Exacerbation
  • Fat
  • Overweight
  • Leptin
  • Adiponectin
  • Wheezing
  • Vermont
  • Pulmonary
  • Lung
03

In context

Asthma

3,921 studies on the registry are indexed under Asthma; 507 are open to participants now.

This study's enrollment of 28 is below the median of 83 across 2,752 interventional studies indexed under Asthma.

Browse Asthma studies →

Lead sponsor

University of Vermont is the lead sponsor of 215 studies on the registry; 28 are open to participants now.

Of its 16 completed or terminated interventional studies of FDA-regulated products, 9 (56%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 60 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Asthma diagnosed by a physician at least 1 year prior to study enrollment
  • Poorly-controlled asthma at study enrollment
  • Non smokers (stopped smoking at least 1 year ago) and limited lifetime history of smoking
  • Body mass index 30-60
  • Responds to methacholine challenge test with PC20 of \<16 mg/ml
  • On a stable dose of inhaled corticosteroid for at least 4 weeks prior to study entry
  • FEV1 > 60% predicted
  • Able to obtain weekly weights at home

Exclusion criteria

Exclusion Criteria:

  • Systemic steroids within the past 4 weeks
  • Lung pathology other than asthma
  • Other significant non-pulmonary co-morbidities such as: coronary artery disease, peripheral vascular disease, cerebrovascular disease, congestive heart failure with an ejection fraction \<50%, liver disease or elevated liver enzymes at baseline, malignancy (excluding non-melanoma skin cancers), AIDS, renal failure with serum creatinine >3.0, or disorders requiring steroid treatment such as vasculitis, lupus, rheumatoid arthritis
  • B-type natriuretic peptide (BNP) >400pg/ml
  • Pregnant or lactating
  • Currently taking a beta blocker, a CYP2C8 inhibitor or inducer such as gemfibrozil or rifampin, a TZD (thiazolidinedione), or allergic to TZD
  • Taking antioxidants (if taking a multivitamin must be on a stable regimen prior to enrollment)
  • Illicit drug use within the past year
  • Current/active upper respiratory infection (if active URI, wait until asymptomatic for 1 week to enroll)
  • Asthma exacerbation within the past 4 weeks (includes ER, urgent care, or hospital visits due to asthma resulting in an increase in asthma-related medications)
  • Undergoing evaluation for sleep apnea, or plans to institute treatment for sleep apnea (patients on a stable treatment regimen for sleep apnea for the last 3 months will be allowed to participate)
  • Clinically significant abnormalities present on screening 12-lead electrocardiogram
  • Women of childbearing potential using oral contraceptives who are not willing to use a second method of contraception during the study
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Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
28 participants (actual)

Study arms

  • Active comparator
    1

    Drug: Pioglitazone

  • Placebo comparator
    2

    Drug: Placebo

Interventions

  • DrugPioglitazone

    Pioglitazone tablets; 30 mg/day for 2 weeks; then increased to 45 mg/day until week 12 (approximately 3 months)

  • DrugPlacebo

    Matching placebo (inert tablet)

06

What researchers measure

Primary outcomes

  1. PC20

    Airway reactivity will be measured with methacholine challenge testing following ATS guidelines. This is the concentration of methacholine that produces a 20% decrease in lung function (measured by forced expiratory volume in 1 second)

    Time frame: 12 weeks

07

Results

Posted Feb 26, 2015
Limitations and caveats
Early termination leading to small numbers of subjects analyzed

Participant flow

Participant flow — Overall Study
Milestone1. Pioglitazone2. Placebo
Started1211
Completed109
Not completed22
Withdrew: Lost to follow-up11
Withdrew: Withdrawal by subject11

Outcome measures

PrimaryPC20

Airway reactivity will be measured with methacholine challenge testing following ATS guidelines. This is the concentration of methacholine that produces a 20% decrease in lung function (measured by forced expiratory volume in 1 second)

Time frame:
12 weeks
Reported as:
Median · mg/ml
PC20
mg/ml1. Pioglitazone2. Placebo
PC205.08 ± 7.422.37 ± 15.22

Adverse events

Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
1. Pioglitazone—0/12 (0%)0/12 (0%)
2. Placebo—0/11 (0%)0/11 (0%)

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)1. Pioglitazone2. PlaceboTotal
<=18 years000
Between 18 and 65 years121123
>=65 years000
Sex: Female, Male
Sex: Female, Male(Participants)1. Pioglitazone2. PlaceboTotal
Female7815
Male538
Race (NIH/OMB)
Race (NIH/OMB)(Participants)1. Pioglitazone2. PlaceboTotal
American Indian or Alaska Native000
Asian000
Native Hawaiian or Other Pacific Islander000
Black or African American426
White8917
More than one race000
Unknown or Not Reported000
Region of Enrollment
Region of Enrollment(participants)1. Pioglitazone2. PlaceboTotal
United States121123
PC20
PC20(mg/ml)1. Pioglitazone2. PlaceboTotal
Median1.60 ± 5.911.99 ± 3.081.90 ± 3.08
08

Study locations

1 site
  • The Vermont Lung Center at the University of Vermont
    Colchester, Vermont 05446, United States
09

References and documents

Publications

  • Hashimoto Y, Nakahara K. Improvement of asthma after administration of pioglitazone. Diabetes Care. 2002 Feb;25(2):401. doi: 10.2337/diacare.25.2.401. No abstract available. PubMed 11815521 ↗
  • Lee KS, Kim SR, Park SJ, Park HS, Min KH, Jin SM, Lee MK, Kim UH, Lee YC. Peroxisome proliferator activated receptor-gamma modulates reactive oxygen species generation and activation of nuclear factor-kappaB and hypoxia-inducible factor 1alpha in allergic airway disease of mice. J Allergy Clin Immunol. 2006 Jul;118(1):120-7. doi: 10.1016/j.jaci.2006.03.021. Epub 2006 May 19. PubMed 16815147 ↗
10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 26, 2015, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00787644
Lead sponsor
University of Vermont
Collaborators
American Lung Association, University of Pittsburgh
Responsible party
Anne Dixon (M.D., University of Vermont) — Principal investigator
First posted
Nov 7, 2008
Start date
Jan 2009
Primary completion
Jun 2013
Completion
Dec 2013
Results posted
Feb 26, 2015
Last update
Feb 26, 2015

Study contacts

Anne E Dixon, MD
principal investigator · The Vermont Lung Center at the University of Vermont

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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