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Excess visceral fat is associated with chronic systemic inflammation and cardiovascular complications. Pioglitazone has been reported to variably influence visceral fat volume, but it its effect on metabolic activity of the visceral fat remains uncharacterized. To evaluate the effect of pioglitazone on glucose metabolism of fat tissue by using 18F-fluorodeoxyglucose (FDG)-positron emission tomography (PET) and computed tomography (CT) imaging.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Active Comparator: 1 | Active Comparator | up to 30 mg pioglitazone, tablet, orally, once daily |
|
| Sham Comparator: 1 | Sham Comparator | up to 4 mg/day glimepiride, tablet, orally, once daily |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Pioglitazone vs Glimepiride | Drug |
|
| Measure | Description | Time Frame |
|---|---|---|
| Effect of treatment on the nominal change in FDG uptake of fat tissue from baseline after 16 weeks of treatment as measured by FDG-PET/CT imaging. | Baseline and 16 weeks after treatment |
| Measure | Description | Time Frame |
|---|---|---|
| Change from baseline in plasma glucose/insulin homeostatic parameters and circulating inflammatory markers | Baseline and 16 weeks after treatment |
| Measure | Description | Time Frame |
|---|---|---|
| All cardiovascular events and all cause death for 5 years | Baseline and 5 years after treatment |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Nobuhiro Tahara, MD, PhD | Contact | +81-942-31-7580 | ntahara@med.kurume-u.ac.jp |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Kurume University | Recruiting | Kurume | 830-0011 | Japan |
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