Diabetes REduction Approaches with ramipril and rosiglitazone Medications

ISRCTN ISRCTN61497824
DOI https://doi.org/10.1186/ISRCTN61497824
ClinicalTrials.gov number NCT00095654
Secondary identifying numbers MCT-41548
Submission date
26/09/2005
Registration date
26/09/2005
Last edited
21/12/2009
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Nutritional, Metabolic, Endocrine
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Study website

Contact information

Dr Hertzel G Gerstein
Scientific

McMaster University
1200 Main Street West
Room 3V38
Hamilton
L8N 3Z5
Canada

Phone +1 905-521-2100 (73371)
Email gerstein@mcmaster.ca

Study information

Study designInternational multicentre randomised double-blind controlled 2 x 2 factorial trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Scientific titleA large, international, multi-centre, randomised double-blind controlled trial designed to determine if treatment with either ramipril and/or rosiglitazone will prevent or reduce the incidence of diabetes in people with impaired glucose tolerance (IGT) or impaired fasting glucose (IFG)
Study acronymDREAM
Study objectivesDoes the addition of either ramipril (up to 15 mg/day) or rosiglitazone (8 mg/day) prevent the composite outcome of either type 2 diabetes or all-cause mortality in non-diabetic people with impaired glucose tolerance (IGT) or impaired fasting glucose (IFG)?
Ethics approval(s)The Research Ethics Board of McMaster University, Hamilton, Ontario gave approval on the 21st February 2001.
Health condition(s) or problem(s) studiedImpaired glucose tolerance (IGT) and isolated impaired fasting glucose (IFG)
InterventionGroup 1: ramipril titrated to 15 mg/day or highest tolerated dose for a minimum of 3 and up to 5 years
Group 2: placebo titrated to 15 mg/day or highest tolerated dose for a minimum of 3 and up to 5 years
Group 3: rosiglitazone titrated to 8 mg
Group 4: placebo titrated to 8 mg

Trial details received: 12 Sept 2005
Intervention typeDrug
Pharmaceutical study type(s)
PhaseNot Applicable
Drug / device / biological / vaccine name(s)Ramipril, rosiglitazone
Primary outcome measureDiabetes mellitus or death (any cause) determined within 5 years.
Secondary outcome measures1. Q wave MI
2. Non-Q wave MI
3. MI and no electrocardiogram (ECG) change
4. Ischaemic stroke
5. Haemorrhagic stroke
6. Uncertain stroke
7. Cardiovascular (CV) death
8. Heart failure
9. CV revascularisation
10. Angina
11. Ventricular tachyarrhythmia
12. Creatinine clearance
13. Albuminuria progression determined within 5 years
Overall study start date01/10/2000
Completion date31/10/2006

Eligibility

Participant type(s)Patient
Age groupAdult
SexBoth
Target number of participants5000
Key inclusion criteria1. Women and men of any ethnic background and age greater than or equal to 30 years
2. A fasting plasma glucose value less than 7 mmol/l and a two-hour plasma glucose 7.8 - 11.0 mmol/l after a 75 g oral glucose tolerance test (OGTT) or fasting plasma glucose 6.1 - 6.9 mmol/l and a two-hour plasma glucose less than 7.8 mmol/l
Key exclusion criteria1. Current use of an angiotensive converting enzyme (ACE) inhibitor, thiazolidinedione
2. Known hypersensitivity to ACE inhibitors or use of systemic glucocorticoids or niacin
3. Cardiovascular disease (previous myocardial infarction (MI), stroke, angina, congestive heart failure or previous coronary or peripheral angioplasty or bypass, or uncontrolled hypertension)
4. Previous diagnosis of diabetes, renal or hepatic disease, disease that affects glucose tolerance or major psychiatric disorder
Date of first enrolment01/10/2000
Date of final enrolment31/10/2006

Locations

Countries of recruitment

  • Canada

Study participating centre

McMaster University
Hamilton
L8N 3Z5
Canada

Sponsor information

McMaster University (Canada)
University/education

Office of the Associate Dean
Research
McMaster University
Faculty of Health Sciences
1200 Main St. W., Room HSC-3N8
Hamilton
L8N 3Z5
Canada

Website http://www.mcmaster.ca/
ROR logo "ROR" https://ror.org/02fa3aq29

Funders

Funder type

Research organisation

Canadian Institutes of Health Research (CIHR) (Canada) - http://www.cihr-irsc.gc.ca (ref: MCT-41548)

No information available

Sanofi-Aventis

No information available

King Pharmaceuticals
Private sector organisation / For-profit companies (industry)
Alternative name(s)
King Pharmaceuticals, Inc.
Location
United States of America
GlaxoSmithKline
Government organisation / For-profit companies (industry)
Alternative name(s)
GlaxoSmithKline plc., GSK plc., GSK
Location
United Kingdom

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/10/2006 Yes No
Results article results 01/05/2008 Yes No
Results article results 01/03/2010 Yes No