Notes
Slide Show
Outline
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PROactive Study
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PRESIDENT OF THE EASD
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PROactive Study
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Duality of Interest Declaration
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Programme
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RATIONALE
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Global Projections for the Diabetes Epidemic: 2003-2025 (millions)
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Reduction in Life Expectancy of Patients with Type 2 Diabetes by Age at Diagnosis
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Fatal and Non-fatal Myocardial Infarction and Stroke in Patients with Type 2 Diabetes (adjusted to age 60)
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Cardiovascular Events in Patients with Type 2 Diabetes Compared to General Population
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Annual Macrovascular Event Rates
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Summary
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Current glucose-lowering agents
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Pioglitazone
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Pioglitazone
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PROactive Study Objectives
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Participating Countries
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Committees
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National Principal Investigators
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Committees
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Role of NCRL and ICON
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STUDY DESIGN
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PROactive Study Design
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PROactive Study Design
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Allocation to Treatment
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Inclusion Criteria (1)
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Inclusion Criteria (2)
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Principal Exclusion Criteria
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Titration of Study Medication
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Primary Endpoint
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Principal Secondary Endpoint
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Secondary Endpoints Pre-Defined in Statistical Analysis Plan
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Secondary Endpoints Pre-Defined in Statistical Analysis Plan
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Secondary Endpoints Pre-Defined in Statistical Analysis Plan
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BASELINE CHARACTERISTICS
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PROactive Study
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Recruitment
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Recruitment
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Baseline (1)
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Baseline (2)
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Entry Criteria: Evidence of Macrovascular Disease
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Overlap of Previous Macrovascular Events
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Overlap of Previous Macrovascular Events
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Overlap of Previous Macrovascular Events
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Other History
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Glucose-Lowering Medication at Baseline
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Cardiovascular Medication at Baseline (1)
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Cardiovascular Medication at Baseline (2)
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Baseline Laboratory Values
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Summary: Baseline Characteristics
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CARDIOVASCULAR RESULTS
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5602 patients screened(a)
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5602 patients screened(b)
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5602 patients screened(c)
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5602 patients screened(d)
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5602 patients screened(e)
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Study Quality
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Pattern of Dose Titration
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Primary Endpoint
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Time to Primary Composite Endpoint
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Principal Secondary Endpoint
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Time to Death, MI (Excluding Silent) or Stroke
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Summary of Results
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Numbers of First Events Contributing to the Primary Composite Endpoint
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Numbers of First Events Contributing to the Principal Secondary Endpoint
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Numbers of First Events Contributing to the Primary Composite and Principal Secondary Endpoints
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Numbers of First Events Contributing to the Primary Composite and Principal Secondary Endpoints
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Numbers of First Events Contributing to the Primary Composite and Principal Secondary Endpoints
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Total Numbers of Events for each Component of the Primary Endpoint
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Demographic Subgroups
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Entry Criteria Subgroups
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Metabolic Subgroups
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Baseline Medication Subgroups
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Other Variables with p >0.05
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Multivariate Analysis (Significance p < 0.05)
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Summary: PROactive Cardiovascular Results
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METABOLIC RESULTS
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Change in Concomitant Medication Use to Final Visit
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Time to Permanent Insulin Use
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Time Course of HbA1c
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Time Course of Triglycerides
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Time Course of HDL Cholesterol
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Time Course of LDL/HDL
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Change in Laboratory Data from Baseline to Final Visit
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Blood Pressure
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Factors Possibly Contributing to the Beneficial Effect of Pioglitazone
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Summary of PROactive Metabolic Results
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SAFETY
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Safety Data Collected
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Definition of a Serious Adverse Event
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Summary of Serious Adverse Events
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Serious Adverse Events Occurring in >1% of Patients (Excluding Endpoints)
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Heart Failure
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Malignant Neoplasms
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Bladder Cancer
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Other Pre-defined Adverse Events of Interest
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Time Course of ALT
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Summary: PROactive Safety Conclusions
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STUDY CONCLUSIONS
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Summary of Results
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Summary of Results
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PROactive Study Conclusions