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Trials / Recruiting

RecruitingNCT05838287

Pioglitazone on Heart Failure in Type-2 Diabetes Mellitus Participants

Pioglitazone, Lipotoxicity, and Heart Failure With Preserved Ejection Fraction (HFpEF)

Status
Recruiting
Phase
Phase 4
Study type
Interventional
Enrollment
78 (estimated)
Sponsor
The University of Texas Health Science Center at San Antonio · Academic / Other
Sex
All
Age
30 Years – 70 Years
Healthy volunteers
Accepted

Summary

Our goal of the study is to learn the effects of the diabetes medication named Pioglitazone, in type-2 diabetic obese participants with Heart failure. The main question it aims to answer are: 1. To demonstrate that impaired mitochondrial function leading to reduced ATP generation plays a key pathophysiologic role in the development of heart failure with preserved ejection fraction (HFpEF) in obese type 2 diabetic (T2D) individuals. 2. To demonstrate that pioglitazone, improves diastolic (as well as systolic) function by improving myocardial insulin sensitivity and by reducing both myocardial and epicardial fat content.

Detailed description

Either Pioglitazone or Placebo Pioglitazone will be administered during this study in this Type 2 Diabetic population with Heart Failure to examine if there are any beneficial effects on diastolic and systolic function. Myocardial blood flow (MBF) is measured using a PET scan, then participants will be randomized to pioglitazone or a placebo to examine the effects of the study drug on the effects on the systolic and diastolic function of the heart. In addition, myocardial insulin sensitivity change will be measured as well as myocardial fat content. The ratio of ATP: PCr will also be measured.

Conditions

Interventions

TypeNameDescription
DRUGPioglitazoneParticipants will be taking Pioglitazone tablets 1/day for 24 weeks.
DRUGPlaceboPlacebo for Pioglitazone

Timeline

Start date
2023-07-10
Primary completion
2029-08-01
Completion
2030-01-01
First posted
2023-05-01
Last updated
2025-08-27

Locations

1 site across 1 country: United States

Regulatory

Source: ClinicalTrials.gov record NCT05838287. Inclusion in this directory is not an endorsement.