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NCT02958956

Cohort Study of Pioglitazone and Cancer Incidence in Participants With Diabetes Mellitus.

Completed Results posted Last updated 7 March 2018
What this trial tests

trial testing Pioglitazone in Diabetes Mellitus, Type 2, Cancer in 236,507 participants. Completed in 29 May 2015.

Timeline
1 January 1997
Primary endpoint
29 May 2015
29 May 2015

Quick facts

Lead sponsorTakeda
StatusCompleted
Study typeOBSERVATIONAL
Enrollment236,507
Start date1 January 1997
Primary completion29 May 2015
Estimated completion29 May 2015

Drugs / interventions tested

Conditions studied

Sponsor

Takeda — full company profile →

Who can join

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 Pioglitazone Primary · 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
GroupValue95% CI
Full Cohort1.131.02 – 1.26
Breast
GroupValue95% CI
Full Cohort1.000.88 – 1.13
Lung/Bronchus
GroupValue95% CI
Full Cohort1.000.87 – 1.15
Colon
GroupValue95% CI
Full Cohort0.910.78 – 1.05
Non-Hodgkin Lymphoma
GroupValue95% CI
Full Cohort1.000.81 – 1.23
Corpus Uteri
GroupValue95% CI
Full Cohort0.880.71 – 1.09
Pancreatic
GroupValue95% CI
Full Cohort1.411.16 – 1.71
Kidney/Renal Pelvis
GroupValue95% CI
Full Cohort0.950.76 – 1.18
Number of 10 Most Common Cancers Associated Cases Primary · 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
GroupValue95% CI
Ever User of Pioglitazone476
Never User of Pioglitazone3307
Breast
GroupValue95% CI
Ever User of Pioglitazone320
Never User of Pioglitazone2478
Lung/Bronchus
GroupValue95% CI
Ever User of Pioglitazone282
Never User of Pioglitazone2300
Colon
GroupValue95% CI
Ever User of Pioglitazone233
Never User of Pioglitazone1844
Non-Hodgkin Lymphoma
GroupValue95% CI
Ever User of Pioglitazone120
Never User of Pioglitazone839
Corpus Uteri
GroupValue95% CI
Ever User of Pioglitazone118
Never User of Pioglitazone799
Pancreatic
GroupValue95% CI
Ever User of Pioglitazone164
Never User of Pioglitazone648
Kidney/Renal Pelvis
GroupValue95% CI
Ever User of Pioglitazone110
Never User of Pioglitazone690
Hazard Ratio of the 10 Most Common Cancers Associated With Time Since First Use of Pioglitazone Secondary · 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
GroupValue95% CI
Full Cohort0.920.73 – 1.17
Prostate: 12-23 months ago
GroupValue95% CI
Full Cohort1.180.94 – 1.47
Prostate: 24-35 months ago
GroupValue95% CI
Full Cohort1.210.96 – 1.52
Prostate: 36-47 months ago
GroupValue95% CI
Full Cohort1.361.07 – 1.71
Prostate: 48-83 months ago
GroupValue95% CI
Full Cohort1.040.86 – 1.26
Prostate: 84+ months ago
GroupValue95% CI
Full Cohort1.230.95 – 1.59
Breast: <12 months ago
GroupValue95% CI
Full Cohort1.000.76 – 1.31
Breast: 12-23 months ago
GroupValue95% CI
Full Cohort0.840.62 – 1.14
Number of 10 Most Common Cancers Cases by Time Since First Use of Pioglitazone Secondary · 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
GroupValue95% CI
Ever User of Pioglitazone55
Prostate: 12-23 months ago
GroupValue95% CI
Ever User of Pioglitazone82
Prostate: 24-35 months ago
GroupValue95% CI
Ever User of Pioglitazone76
Prostate: 36-47 months ago
GroupValue95% CI
Ever User of Pioglitazone75
Prostate: 48-83 months ago
GroupValue95% CI
Ever User of Pioglitazone119
Prostate: 84+ months ago
GroupValue95% CI
Ever User of Pioglitazone69
Breast: <12 months ago
GroupValue95% CI
Ever User of Pioglitazone42
Breast: 12-23 months ago
GroupValue95% CI
Ever User of Pioglitazone42
Hazard Ratio of the 10 Most Common Cancers Associated With Duration of Pioglitazone Secondary · 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
GroupValue95% CI
Full Cohort1.000.84 – 1.19
Prostate: 12-23 months
GroupValue95% CI
Full Cohort1.301.08 – 1.57
Prostate: 24-35 months
GroupValue95% CI
Full Cohort1.070.84 – 1.35
Prostate: 36-59 months
GroupValue95% CI
Full Cohort1.180.96 – 1.45
Prostate: 60+ months
GroupValue95% CI
Full Cohort1.160.90 – 1.50
Breast: <12 months
GroupValue95% CI
Full Cohort0.840.69 – 1.03
Breast: 12-23 months
GroupValue95% CI
Full Cohort1.070.84 – 1.35
Breast: 24-35 months
GroupValue95% CI
Full Cohort1.010.75 – 1.35
Number of 10 Most Common Cancer Cases by Duration of Pioglitazone Secondary · 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
GroupValue95% CI
Ever User of Pioglitazone118
Prostate: 12-23 months
GroupValue95% CI
Ever User of Pioglitazone121
Prostate: 24-35 months
GroupValue95% CI
Ever User of Pioglitazone72
Prostate: 36-59 months
GroupValue95% CI
Ever User of Pioglitazone99
Prostate: 60+ months
GroupValue95% CI
Ever User of Pioglitazone66
Breast: <12 months
GroupValue95% CI
Ever User of Pioglitazone88
Breast: 12-23 months
GroupValue95% CI
Ever User of Pioglitazone75
Breast: 24-35 months
GroupValue95% CI
Ever User of Pioglitazone47
Hazard Ratio of the 10 Most Common Cancers Associated With Cumulative Dose of Pioglitazone Secondary · 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
GroupValue95% CI
Full Cohort1.080.91 – 1.27
Prostate: 9001-25000 mg
GroupValue95% CI
Full Cohort1.241.06 – 1.46
Prostate: 25001-50000 mg
GroupValue95% CI
Full Cohort1.120.92 – 1.37
Prostate: >=50001 mg
GroupValue95% CI
Full Cohort1.000.78 – 1.28
Breast: 1-9000 mg
GroupValue95% CI
Full Cohort0.890.73 – 1.08
Breast: 9001-25000 mg
GroupValue95% CI
Full Cohort0.950.77 – 1.17
Breast: 25001-50000 mg
GroupValue95% CI
Full Cohort1.150.91 – 1.46
Breast: >=50001 mg
GroupValue95% CI
Full Cohort1.190.89 – 1.57
Number of 10 Most Common Cancer Cases By Dose of Pioglitazone Secondary · 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
GroupValue95% CI
Ever User of Pioglitazone129
Prostate: 9001-25000 mg
GroupValue95% CI
Ever User of Pioglitazone167
Prostate: 25001-50000 mg
GroupValue95% CI
Ever User of Pioglitazone109
Prostate: >=50001 mg
GroupValue95% CI
Ever User of Pioglitazone71
Breast: 1-9000 mg
GroupValue95% CI
Ever User of Pioglitazone92
Breast: 9001-25000 mg
GroupValue95% CI
Ever User of Pioglitazone98
Breast: 25001-50000 mg
GroupValue95% CI
Ever User of Pioglitazone77
Breast: >=50001 mg
GroupValue95% CI
Ever User of Pioglitazone53

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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Data sources for this page

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.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing