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Not yet recruitingNCT05875675Updated May 25, 2023

Effects of Pioglitazone in Calcific Aortic Valve Disease

A Phase 2 interventional study of Drug: Pioglitazone Oral Tablet and Placebo in Calcification of Aortic Valve and Aortic Valve Stenosis, sponsored by Wuhan Union Hospital, China. Not yet recruiting. Open to participants aged 35 Years and older. Per ClinicalTrials.gov, last updated 2023-05-25.

Sponsored by Wuhan Union Hospital, China · Phase 2, Interventional, and Prevention

From the registry’s dates

  • Primary completion was expected by Jul 2025, 1 year 4 months ago, but the record still lists the study as not yet recruiting.
Phase
Phase 2
Study type
Interventional
Enrollment
100
Allocation
Randomized
Ages
35 Years and older
Sex
All
01

Study summary

This is a prospective, randomized, comparative, clinical trial conducted by Wuhan Union Hospital that aims to evaluate the efficacy and safety of pioglitazone compared to placebo in patients with calcific aortic valve disease with mild aortic valve stenosis.

Read the detailed description

Pioglitazone is an oral drug for the treatment of type 2 diabetes that improves the utilization of glucose by the body by inhibiting hepatic gluconeogenesis, and has anti-inflammatory and antioxidant effects that may improve vascular endothelial cell injury and prevent cardiovascular disease. This study is to slow the process of aortic valve calcification by pioglitazone intervention with the aim of reducing the risk of aortic valve stenosis. Participants were randomized into two groups: one group was given oral pioglitazone treatment and the other group was given placebo control. Patients in both groups were observed for aortic valve calcification during the follow-up period, and changes in aortic valve thickness, degree of calcification, and flow were recorded by cardiac ultrasonography, while the incidence of cardiovascular events and adverse effects were assessed.

02

Conditions studied

  • Calcification of Aortic Valve
  • Aortic Valve Stenosis

Keywords

  • Calcification of Aortic Valve
  • Aortic Valve Stenosis
  • Pioglitazone
03

In context

Aortic Valve, Calcification of

44 studies on the registry are indexed under Aortic Valve, Calcification of; 15 are open to participants now.

This study's planned enrollment of 100 is close to the median of 100 across 23 interventional studies indexed under Aortic Valve, Calcification of.

Browse Aortic Valve, Calcification of studies →

Lead sponsor

Wuhan Union Hospital, China is the lead sponsor of 229 studies on the registry; 103 are open to participants now.

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

04

Who can participate

Ages eligible
35 Years and older
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

  • Male or female adult ≥ 35 years of age at the time of rescruiting.
  • Subject has calcific aortic valve disease with mild to moderate aortic valve stenosis as defined by Doppler echocardiography results: Aortic Valve mean pressure gradient between 10-30 mmHg and Aortic Valve Area ≥ 1.2 and ≤ 2.0 cm2 on TTE within 2 weeks prior to randomization and Cardiac Compute Tomography (CT) test results: aortic valve calcium score (Agatston score) ≥ 200 AU at baseline cardiac CT within 1 month prior to randomization
  • Subject provides written prior to initiation of any study procedures.
  • Subject understands and agrees to comply with planned study procedures.

Exclusion criteria

Exclusion Criteria:

  • Subject has concomitant moderate or severe mitral or tricuspid valve disease.
  • Subject has \< 50%.
  • Subject previous history of aortic valve surgery, pancreatitis, malignant tumor, drug or alcohol abuse.
  • Subjects whose (ALT) and aspartate aminotransferase (AST) > 2.5 times the .
  • Subjects who cannot undergo Cardiac CT.
  • Pregnant or lactating women.
  • Consideration by the investigator, for safety reasons, that the subject is an unsuitable candidate to receive study treatment.
Terms in these criteria, in plain language(4)

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.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

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.

05

Study design

Phase
Phase 2
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
100 participants (estimated)

Study arms

  • Experimental
    Drug group

    Dietary Supplement: Pioglitazone 30 mg by mouth daily

    Drug: Drug: Pioglitazone Oral Tablet

  • Placebo comparator
    Control group

    Dietary Supplement: Placebo

    Dietary Supplement: Placebo

Interventions

06

What researchers measure

Primary outcomes

  1. overall survival

    overall survival (OS)

    Time frame: 3 years

Secondary outcomes

  1. Time-to-major adverse cardiovascular events

    Time-to-major adverse cardiovascular events of cardiac death, non- fatal myocardial infarction, heart failure hospitalization and stroke

    Time frame: 104 weeks

  2. Change in aortic valve stenosis severity

    Change in aortic valve stenosis severity as measured by peak transaortic velocity using echocardiography at week 104 as compared to baseline

    Time frame: at week 104

  3. HbA1c

    Metabolic control

    Time frame: 104 weeks

  4. Glucose level

    Metabolic control

    Time frame: 104 weeks

07

Study locations

No study locations are listed for this record.

08

References and documents

Publications

  • Chu Y, Lund DD, Weiss RM, Brooks RM, Doshi H, Hajj GP, Sigmund CD, Heistad DD. Pioglitazone attenuates valvular calcification induced by hypercholesterolemia. Arterioscler Thromb Vasc Biol. 2013 Mar;33(3):523-32. doi: 10.1161/ATVBAHA.112.300794. Epub 2013 Jan 3. PubMed 23288158 ↗
  • Greenberg HZE, Zhao G, Shah AM, Zhang M. Role of oxidative stress in calcific aortic valve disease and its therapeutic implications. Cardiovasc Res. 2022 May 6;118(6):1433-1451. doi: 10.1093/cvr/cvab142. PubMed 33881501 ↗
  • Hajj GP, Chu Y, Lund DD, Magida JA, Funk ND, Brooks RM, Baumbach GL, Zimmerman KA, Davis MK, El Accaoui RN, Hameed T, Doshi H, Chen B, Leinwand LA, Song LS, Heistad DD, Weiss RM. Spontaneous Aortic Regurgitation and Valvular Cardiomyopathy in Mice. Arterioscler Thromb Vasc Biol. 2015 Jul;35(7):1653-62. doi: 10.1161/ATVBAHA.115.305729. Epub 2015 May 21. PubMed 25997932 ↗
  • Weiss RM, Miller JD, Heistad DD. Fibrocalcific aortic valve disease: opportunity to understand disease mechanisms using mouse models. Circ Res. 2013 Jul 5;113(2):209-22. doi: 10.1161/CIRCRESAHA.113.300153. PubMed 23833295 ↗

Individual participant data

Plan to share: Yes — we would like to share IPD with other researchers 1 years after the trial completely finished

Supporting information: Study protocol, Informed consent form, Clinical study report

Time frame: All data should only be used for academic research.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Start is estimated for Jul 2023; primary completion for Jul 2025, 24 months later.

How these figures are worked out, and which studies are left out of them.

Registered
May 4, 2023
First posted
May 25, 2023
StartEst.
Jul 1, 2023
Primary completionEst.
Jul 1, 2025
CompletionEst.
Jul 1, 2028
Last update
May 25, 2023
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on May 25, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05875675
Responsible party
Sponsor
First posted
May 25, 2023
Start date
Jul 1, 2023 (estimated)
Primary completion
Jul 1, 2025 (estimated)
Completion
Jul 1, 2028 (estimated)
Last update
May 25, 2023

Study contacts

Fei Li, MD
Contact
lifei_union@hust.edu.cn
15972969897 ext. +86
Li Xu
Contact
unionxuli@hust.edu.cn
15387030212 ext. +86

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Apr 2023. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Pioglitazone

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