40 and older, any sex, with Diabetes Mellitus, Type 2, Cancer. Patients with the condition only — healthy volunteers not accepted.
Results — posted to ClinicalTrials.gov
Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.
Hazard Ratio of the 10 Most Common Cancers Associated With Ever Use of PioglitazonePrimary· 15 years 5 months
The hazard ratio of the 10 most common cancers: prostate, female breast, lung/bronchus, endometrial, colon, non-Hodgkin lymphoma, pancreas, kidney/renal pelvis, rectal, and melanoma associated with ever use of pioglitazone. Cox proportional hazards regression modeling was used to provide point and interval estimates of the relative hazard of the 10 most common cancers associated with ever use of pioglitazone. In all regression analyses, these measures of exposure to pioglitazone were treated as time-dependent covariates and time since entry into the cohort was the time scale.
Prostate
Group
Value
95% CI
Full Cohort
1.13
1.02 – 1.26
Breast
Group
Value
95% CI
Full Cohort
1.00
0.88 – 1.13
Lung/Bronchus
Group
Value
95% CI
Full Cohort
1.00
0.87 – 1.15
Colon
Group
Value
95% CI
Full Cohort
0.91
0.78 – 1.05
Non-Hodgkin Lymphoma
Group
Value
95% CI
Full Cohort
1.00
0.81 – 1.23
Corpus Uteri
Group
Value
95% CI
Full Cohort
0.88
0.71 – 1.09
Pancreatic
Group
Value
95% CI
Full Cohort
1.41
1.16 – 1.71
Kidney/Renal Pelvis
Group
Value
95% CI
Full Cohort
0.95
0.76 – 1.18
Number of 10 Most Common Cancers Associated CasesPrimary· 15 years 5 months
Number of 10 most common cancer cases are reported in this measure: prostate, female breast, lung/bronchus, endometrial, colon, non-Hodgkin lymphoma, pancreas, kidney/renal pelvis, rectal, and melanoma.
Prostate
Group
Value
95% CI
Ever User of Pioglitazone
476
Never User of Pioglitazone
3307
Breast
Group
Value
95% CI
Ever User of Pioglitazone
320
Never User of Pioglitazone
2478
Lung/Bronchus
Group
Value
95% CI
Ever User of Pioglitazone
282
Never User of Pioglitazone
2300
Colon
Group
Value
95% CI
Ever User of Pioglitazone
233
Never User of Pioglitazone
1844
Non-Hodgkin Lymphoma
Group
Value
95% CI
Ever User of Pioglitazone
120
Never User of Pioglitazone
839
Corpus Uteri
Group
Value
95% CI
Ever User of Pioglitazone
118
Never User of Pioglitazone
799
Pancreatic
Group
Value
95% CI
Ever User of Pioglitazone
164
Never User of Pioglitazone
648
Kidney/Renal Pelvis
Group
Value
95% CI
Ever User of Pioglitazone
110
Never User of Pioglitazone
690
Hazard Ratio of the 10 Most Common Cancers Associated With Time Since First Use of PioglitazoneSecondary· 15 years 5 months
The hazard ratio of the 10 most common cancers: prostate, female breast, lung/bronchus, endometrial, colon, non-Hodgkin lymphoma, pancreas, kidney/renal pelvis, rectal, and melanoma associated with time since first use of pioglitazone. The various times since initiation include \<12 months ago, 12-23 months ago, 24-35 months ago, 36-47 months ago, 48-83 months ago and 84+ months ago. Cox proportional hazards regression modeling was used to provide point and interval estimates of the time since first use. In all regression analyses, these measures of exposure to pioglitazone were treated as tim
Prostate: <12 months ago
Group
Value
95% CI
Full Cohort
0.92
0.73 – 1.17
Prostate: 12-23 months ago
Group
Value
95% CI
Full Cohort
1.18
0.94 – 1.47
Prostate: 24-35 months ago
Group
Value
95% CI
Full Cohort
1.21
0.96 – 1.52
Prostate: 36-47 months ago
Group
Value
95% CI
Full Cohort
1.36
1.07 – 1.71
Prostate: 48-83 months ago
Group
Value
95% CI
Full Cohort
1.04
0.86 – 1.26
Prostate: 84+ months ago
Group
Value
95% CI
Full Cohort
1.23
0.95 – 1.59
Breast: <12 months ago
Group
Value
95% CI
Full Cohort
1.00
0.76 – 1.31
Breast: 12-23 months ago
Group
Value
95% CI
Full Cohort
0.84
0.62 – 1.14
Number of 10 Most Common Cancers Cases by Time Since First Use of PioglitazoneSecondary· 15 years 5 months
Number of 10 most common cancer cases: prostate, female breast, lung/bronchus, endometrial, colon, non-Hodgkin lymphoma, pancreas, kidney/renal pelvis, rectal, and melanoma associated with time since first use of pioglitazone. Time since initiation of pioglitazone was categorized as \<12 months ago, 12-23 months ago, 24-35 months ago, 36-47 months ago, 48-83 months ago and 84+ months ago.
Prostate: <12 months ago
Group
Value
95% CI
Ever User of Pioglitazone
55
Prostate: 12-23 months ago
Group
Value
95% CI
Ever User of Pioglitazone
82
Prostate: 24-35 months ago
Group
Value
95% CI
Ever User of Pioglitazone
76
Prostate: 36-47 months ago
Group
Value
95% CI
Ever User of Pioglitazone
75
Prostate: 48-83 months ago
Group
Value
95% CI
Ever User of Pioglitazone
119
Prostate: 84+ months ago
Group
Value
95% CI
Ever User of Pioglitazone
69
Breast: <12 months ago
Group
Value
95% CI
Ever User of Pioglitazone
42
Breast: 12-23 months ago
Group
Value
95% CI
Ever User of Pioglitazone
42
Hazard Ratio of the 10 Most Common Cancers Associated With Duration of PioglitazoneSecondary· 15 years 5 months
The hazard ratio of the 10 most common cancers: prostate, female breast, lung/bronchus, endometrial, colon, non-Hodgkin lymphoma, pancreas, kidney/renal pelvis, rectal, and melanoma associated with duration of pioglitazone. The duration of pioglitazone was categorized as \<12 months, 12-23 months, 24-35 months, 36-59 months, 60+ months. Cox proportional hazards regression modeling was used to provide point and interval estimates of the cumulative duration. In all regression analyses, these measures of exposure to pioglitazone were treated as time-dependent covariates and time since entry into
Prostate: <12 months
Group
Value
95% CI
Full Cohort
1.00
0.84 – 1.19
Prostate: 12-23 months
Group
Value
95% CI
Full Cohort
1.30
1.08 – 1.57
Prostate: 24-35 months
Group
Value
95% CI
Full Cohort
1.07
0.84 – 1.35
Prostate: 36-59 months
Group
Value
95% CI
Full Cohort
1.18
0.96 – 1.45
Prostate: 60+ months
Group
Value
95% CI
Full Cohort
1.16
0.90 – 1.50
Breast: <12 months
Group
Value
95% CI
Full Cohort
0.84
0.69 – 1.03
Breast: 12-23 months
Group
Value
95% CI
Full Cohort
1.07
0.84 – 1.35
Breast: 24-35 months
Group
Value
95% CI
Full Cohort
1.01
0.75 – 1.35
Number of 10 Most Common Cancer Cases by Duration of PioglitazoneSecondary· 15 years 5 months
The 10 most common cancer cases included: prostate, female breast, lung/bronchus, endometrial, colon, non-Hodgkin lymphoma, pancreas, kidney/renal pelvis, rectal, and melanoma associated with duration of pioglitazone. The duration of pioglitazone was categorized as \<12 months, 12-23 months, 24-35 months, 36-59 months, 60+ months.
Prostate: <12 months
Group
Value
95% CI
Ever User of Pioglitazone
118
Prostate: 12-23 months
Group
Value
95% CI
Ever User of Pioglitazone
121
Prostate: 24-35 months
Group
Value
95% CI
Ever User of Pioglitazone
72
Prostate: 36-59 months
Group
Value
95% CI
Ever User of Pioglitazone
99
Prostate: 60+ months
Group
Value
95% CI
Ever User of Pioglitazone
66
Breast: <12 months
Group
Value
95% CI
Ever User of Pioglitazone
88
Breast: 12-23 months
Group
Value
95% CI
Ever User of Pioglitazone
75
Breast: 24-35 months
Group
Value
95% CI
Ever User of Pioglitazone
47
Hazard Ratio of the 10 Most Common Cancers Associated With Cumulative Dose of PioglitazoneSecondary· 15 years 5 months
The hazard ratio of the 10 most common cancers: prostate, female breast, lung/bronchus, endometrial, colon, non-Hodgkin lymphoma, pancreas, kidney/renal pelvis, rectal, and melanoma associated with dose of pioglitazone. The various doses include 1-9000 mg, 9001-25000 mg, 25001-50000 milligram (mg) and greater than or equal to (\>=) 50001 mg. Cox proportional hazards regression modeling was used to provide point and interval estimates of the dose. In all regression analyses, these measures of exposure to pioglitazone were treated as time-dependent covariates and time since entry into the cohort
Prostate: 1-9000 mg
Group
Value
95% CI
Full Cohort
1.08
0.91 – 1.27
Prostate: 9001-25000 mg
Group
Value
95% CI
Full Cohort
1.24
1.06 – 1.46
Prostate: 25001-50000 mg
Group
Value
95% CI
Full Cohort
1.12
0.92 – 1.37
Prostate: >=50001 mg
Group
Value
95% CI
Full Cohort
1.00
0.78 – 1.28
Breast: 1-9000 mg
Group
Value
95% CI
Full Cohort
0.89
0.73 – 1.08
Breast: 9001-25000 mg
Group
Value
95% CI
Full Cohort
0.95
0.77 – 1.17
Breast: 25001-50000 mg
Group
Value
95% CI
Full Cohort
1.15
0.91 – 1.46
Breast: >=50001 mg
Group
Value
95% CI
Full Cohort
1.19
0.89 – 1.57
Number of 10 Most Common Cancer Cases By Dose of PioglitazoneSecondary· 15 years 5 months
The 10 most common cancer cases included: prostate, female breast, lung/bronchus, endometrial, colon, non-Hodgkin lymphoma, pancreas, kidney/renal pelvis, rectal, and melanoma associated with dose of pioglitazone. The various doses include 1-9000 mg, 9001-25000 mg, 25001-50000 mg and \>=50001 mg.
Prostate: 1-9000 mg
Group
Value
95% CI
Ever User of Pioglitazone
129
Prostate: 9001-25000 mg
Group
Value
95% CI
Ever User of Pioglitazone
167
Prostate: 25001-50000 mg
Group
Value
95% CI
Ever User of Pioglitazone
109
Prostate: >=50001 mg
Group
Value
95% CI
Ever User of Pioglitazone
71
Breast: 1-9000 mg
Group
Value
95% CI
Ever User of Pioglitazone
92
Breast: 9001-25000 mg
Group
Value
95% CI
Ever User of Pioglitazone
98
Breast: 25001-50000 mg
Group
Value
95% CI
Ever User of Pioglitazone
77
Breast: >=50001 mg
Group
Value
95% CI
Ever User of Pioglitazone
53
Sponsor's own description
The purpose of this study was to evaluate whether treatment with pioglitazone is associated with risk of incident cancer at the 10 most common sites in a cohort of participants with recognized diabetes.
Publications & conference data
No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.
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Sponsor: as reported to ClinicalTrials.gov by Takeda
Last refreshed: 7 March 2018
Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT02958956.