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CompletedNCT00926341Updated Jun 24, 2009

The Effects of Peroxisome Proliferators Activated Receptor-Gamma (PPAR-γ) Agonists on Certain Biochemical and Inflammatory Markers in Metabolic Syndrome

A Phase 4 interventional study of Pioglitazone and Telmisartan in Metabolic Syndrome, sponsored by Aligarh Muslim University. Completed at 1 site in India. Open to participants aged 30 Years to 70 Years. Per ClinicalTrials.gov, last updated 2009-06-24.

Sponsored by Aligarh Muslim University · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
110
Allocation
Randomized
Ages
30 Years to 70 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 15 studies testing pioglitazone in Metabolic Syndrome — none open to participants now, none under way, none of them phase 3. Pioglitazone · Metabolic Syndrome.

Enrollment
Largest of 15
110 · median 40
Started
2006
with 1 other
Phase 4
7 of 15
none open now
Registered
12th of 15
by date
Lead sponsor
1 of 15
Aligarh Muslim University

Among the 15 studies testing pioglitazone in Metabolic Syndrome, this one has the largest enrollment, is one of 2 that started in 2006, is one of 7 in phase 4, and was the 12th registered.

By phase

15 studies; the count open now beside each. This study's row is marked.

Phase 4this study7 · 0 open
Phase 24 · 0 open
No phase2 · 0 open
Phase 11 · 0 open
Phase 31 · 0 open

By the year they started

First in 2003; this study’s year is marked. 2 started in 2006.

Size and results

Median enrollment 40 across the 15 interventional studies. Of the 14 that completed or were terminated, 10 (71%) have results posted.

Download CSVWith an account: the 15 studies testing pioglitazone in Metabolic Syndrome as a file.
02

Study summary

Metabolic syndrome, labeled as the world's latest epidemic, is the force behind the global epidemic of Type 2 Diabetes Mellitus and Cardio Vascular Diseases. This emerging epidemic is an important public health problem for South Asians in their homeland and worldwide.

Pharmacological therapy is a critical step in the management of patients with metabolic syndrome. In general, treatment for metabolic syndrome, that targets all or most of the components of metabolic syndrome is either deficient or non-existent. The study presented here is the pioneering work in the management of metabolic syndrome, the emerging global epidemic.

Read the detailed description

Our understanding of the metabolic syndrome has been improved by the discovery nuclear peroxisome proliferator-activated receptors (PPARs). PPAR-γ is a nuclear receptor that influences the expression of multiples gene involved in carbohydrate and lipid metabolism. At the crossroads of obesity, insulin resistance, and cardiovascular disease is the nuclear receptor PPAR-γ. At present, metabolic syndrome can be described as a 'PPAR-γ agonist resistance syndrome.' The modulation of PPAR-gamma activity is an interesting therapeutic approach to address multi-component metabolic syndrome and its consequent cardiovascular events.

Recent studies have indicated that in addition to anti diabetic properties, PPAR-γ agonists (TZD)-Pioglitazone, provides protection against atherosclerotic cardiovascular disease. Further, the identification of ARBs-Telmisartan and Irbesartan, as capable of activating PPAR - γ, has provided a novel approach in treating hypertension, insulin resistance, hyperlipidemia, and inflammation.

Emerging evidence suggests that PPAR-γ agonist: Thiazolidinediones (TZD)-Pioglitazone is an insulin sensitizer and modulator of metabolic syndrome, through its pleiotropic effects on vascular risk and have beneficial effects on systemic inflammatory markers. Despite the beneficial effects of full PPAR- agonists like the TZDs, recent evidence suggests that full PPAR- agonists are less than optimal agents in patients with metabolic syndrome. TZDs promote adipo-genesis and fluid retention, causing weight gain and precipitate congestive heart failure. The adverse effects of full PPAR- agonists like the TZDs have reinforced the need to identify additional therapies with insulin-sensitizing properties. The recent discovery that telmisartan, an angiotensin II type 1 receptor (AT1-R) blockers (ARBs), is uniquely capable of selective PPAR- -modulating activities, have the potential to treat both hemodynamic and biochemical features of insulin resistance and metabolic Syndrome.

03

Conditions studied

  • Metabolic Syndrome

Browse trials for

Keywords

  • Metabolic syndrome
  • inflammatory markers
  • Thiazolidinediones
  • Angiotensin receptor blockers
04

Who can participate

Ages eligible
30 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Patients with at least 3 out of 5 criteria of metabolic syndrome of NCEP-ATP III (Asian-Pacific) guideline:

    1. Waist circumference of > 90 cm in men or > 80 cm in women;
    2. Serum triglycerides of >= 150 mg/dl;
    3. High-density lipoprotein-cholesterol (HDL-C) levels of \< 40 mg/dl in men and \< 50 mg/dl in women;
    4. Fasting glucose of 6.1/ m.mol (≥l00 mg/dl)
    5. Systolic blood pressure > = 130 mmHg or Diastolic blood pressure >= 85 mmHg or OR on anti-hypertensive therapy
  • Ability to perform all tasks related to glycemic control and risk factor management.
  • Written .
  • Between 30 and 70 years of age of either sex.

Exclusion criteria

Exclusion Criteria:

  • Concomitant use of ACE inhibitor or ARB in the last 3 months. Or angioedema with ACE I / ARB or uncontrolled hypertension (SBP >=160 mmHg and/or DBP >=100 mmHg) or known case of secondary hypertension.
  • Patients already taking any thiazolidinediones or having for the same.
  • Class III or IV heart failure
  • Renal dysfunction as defined by serum creatinine > 130umol/L (> 2.0 mg/dl)
  • Concomitant use of statin or fenofibrate.
  • Hepatic dysfunction as defined by (ALT)> 3 times the
  • Taking Anti-obesity medications/metformin
  • History of drug or alcohol dependency within six months.
  • History of active , chronic,inflammatory disorder, or chronic infections which would interfere with protocol completion.
  • Use of systemic glucocorticosteroids/aspirin/anti-inflammatory drugs.
Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
110 participants (actual)

Study arms

  • No intervention
    Active control

    1. Active Control: (n=20), intervention: no intervention

  • Active comparator
    PIO arm

    PIO arm (n=30), Pioglitazone 30 mg/day, given for 24 weeks.

    Drug: Pioglitazone

  • Active comparator
    Telmi arm

    Telmia arm (n=30): Tab. Telmisartan 40 mg/day given for 2 weeks.

    Drug: Telmisartan

Interventions

  • Tab. Pioglitazone-30 mg/day, oral, 24 weeks

  • Tab. Telmisartan- 40 mg/day, oral, 24 weeks

06

What researchers measure

Primary outcomes

  1. Control of blood pressure and decline in triglycerides level

    Time frame: 24 weeks

Secondary outcomes

  1. Improvement in Inflammatory markers Hs-CRP, TNF-alpha, IL-6 and visceral obesity

    Time frame: 24 weeks

07

Study locations

1 site
  • Department of Medicine, J.N.Medical,College, AMU,Aligarh
    Aligarh, Uttar Pradesh 202002, India
08

References and documents

Publications

  • Szapary PO, Bloedon LT, Samaha FF, Duffy D, Wolfe ML, Soffer D, Reilly MP, Chittams J, Rader DJ. Effects of pioglitazone on lipoproteins, inflammatory markers, and adipokines in nondiabetic patients with metabolic syndrome. Arterioscler Thromb Vasc Biol. 2006 Jan;26(1):182-8. doi: 10.1161/01.ATV.0000195790.24531.4f. Epub 2005 Nov 10. PubMed 16284192 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 24, 2009, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00926341
Lead sponsor
Aligarh Muslim University
First posted
Jun 23, 2009
Start date
Oct 2006
Primary completion
Jun 2008
Completion
Sep 2008
Last update
Jun 24, 2009

Study contacts

Shahzad F HAQUE, MBBS.MD
principal investigator · Department of medicine,JNMC, AMU, ALIGARH

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jun 2009. You cannot join it, but the record below documents what was studied.

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Studies of the drugs tested here: Pioglitazone · Telmisartan

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