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REFLECT-2

CompletedPhase NAResults posted

Rosiglitazone (Extended Release Tablets) As Adjunctive Therapy For Subjects With Mild To Moderate Alzheimer's Disease

A 54-week, Double-blind, Randomized, Placebo-controlled, Parallel-group Study to Investigate the Effects of Rosiglitazone (Extended Release Tablets) as Adjunctive Therapy to Donepezil on Cognition and Overall Clinical Response in APOE ε4-stratified Subjects With Mild to Moderate Alzheimer's Disease.

Lead sponsor

GlaxoSmithKline

Assets

Donepezil / Rosiglitazone

Listed sites

249

Recruiting sites

-

Enrollment

1,496

actual

Study population

Alzheimer’s disease

Key I/E criteria

mild-to-moderate ADMMSE 10-26Study partner/caregiver required

Primary endpoints

ADAS-CogClinical Dementia Rating-Sum of Boxes (CDR-SB)

Footprint

Where this trial recruits

Site locations as reported to ClinicalTrials.gov. Site count is not enrollment count; per-site enrollment is not available from source.

Identifiers

Registered as

Org study IDAVA102672
NCT IDNCT00348309

Timeline

Milestones

Study first posted2006-07-04estimated
Study start2006-07-06
Primary completion2009-01-01actual
Study completion2009-01-28actual
Last update posted2017-11-28actual
Results first posted2017-11-28actual

Assets

Drug assets

Study populations

Who this study enrolls

Alzheimer’s disease

Eligibility

Who can enroll

Minimum age50 Years
Maximum age90 Years
SexAll
Healthy volunteersNot accepted

Inclusion criteria

A subject will be eligible for inclusion in this study only if all of the following criteria apply:
Male or female subject with a clinical diagnosis of probable Alzheimer's disease in accordance with NINCDS-ADRDA criteria.

(Note: National Institute of Neurological and Communicative Disorders and Stroke (NINCDS) and Alzheimer's Disease and Related Disorders Association (ADRDA).)

Subject has mild to moderate Alzheimer's disease as defined by a MMSE score 10 to 26 inclusive at Screening.
Hachinski Ischemia Score ≤ 4 at Screening.
Age ≥50 and ≤90 years.
At least 6 months of ongoing donepezil therapy for Alzheimer's disease, with stable dosing for at least the last 2 months (and with no intent to change for the duration of the study).
Current use of medication is in accordance with the criteria listed in Table 2 (Permitted Medications,).
Female subjects must be post-menopausal (i.e. >1 year without menstrual period), surgically sterile, or agree to use adequate method of contraception for the duration of the study. Female subjects who are pre-menopausal or who have been post-menopausal for <1 year must undertake pregnancy testing (urine test) at Visit 1, which must be negative.
Brain CT or MRI scan performed within the past 12 months or at Screening, showing no evidence of any other potential cause of dementia other than Alzheimer's disease.

(Note: Questionable CT or MRI scans should be discussed with the medical monitor, using central imaging guidelines.)

Neurological exam without focal changes (excluding changes attributable to AD or peripheral trauma).
Subject has the ability to comply with procedures for cognitive and other testing.
Subject lives with (or has substantial periods of contact with) a regular caregiver who is willing to attend all visits, oversee the subject's compliance with protocol-specified procedures and study medication, and report on subject's status.

Note: A non-cohabiting caregiver must spend sufficient time with the subject so that, in the opinion of the Investigator, the caregiver can reliably assess cognitive function, activities and behavior, and report on the subject's compliance and health. As caregiver time spent with a potential subject is anticipated to be highly variable across countries and cultures, GSK will consider a variety of different measures by which this stipulation may be met, and GSK should be consulted if adequacy of a caregiver situation is in doubt. However, as guidance, the ability for a caregiver to meet his/her expected responsibilities for this study would normally be possible when the caregiver spends no less than 10 hours per week with the subject, divided over multiple days.)

Subject has provided full written informed consent prior to the performance of any protocol-specified procedure; or if unable to provide informed consent due to cognitive status, full written informed consent on behalf of the subject has been provided by a legally acceptable representative.

(Note: Consent by legally acceptable representative is allowed where this is in accordance with local laws, regulations and ethics committee policy.)

Caregiver has provided full written informed consent on his/her own behalf prior to the performance of any protocol-specified procedure.
Subjects considered for enrolment must have a QTc (either QTc B (Bazett's correction) or QTc F (Fridericia's correction)) <450msec at Visit 1, with the exception of subjects with bundle branch block (for whom either QTc B or QTc F must be <480msec).
(Note: For the purposes of these criteria, QTc B is defined as (QT interval [msec]) / (square root of RR interval [seconds]); and QTc F is defined as (QT interval [msec]) / (cube root of RR interval [seconds]).)

Exclusion criteria

A subject will not be eligible for inclusion in this study if any of the following criteria apply:
Diagnosis of possible, probable, or definite vascular dementia in accordance with NINDS-AIREN criteria.

(Note: National Institute of Neurological Disorders and Stroke (NINDS) and Association Internationale pour la Recherche et l'Enseignement en Neurosciences (AIREN).)

History or evidence of any other CNS disorder that could be interpreted as a cause of dementia: e.g. cerebrovascular disease (stroke, hemorrhage), structural abnormality, epilepsy, infectious or inflammatory/demyelinating CNS conditions, Parkinson's disease.
Evidence of the following disorders: current vitamin B12 deficiency, positive syphilis serology, or active thyroid dysfunction (particularly that suggestive of hypothyroidism), including abnormally high or low serum levels of thyroid stimulating hormone (TSH) that are clinically significant in the opinion of the investigator.

(Note: Testing is required for each parameter only when no result is available from previous 12 months.)

History of Type 1 diabetes mellitus or secondary diabetes mellitus.
Type 2 diabetes mellitus where the subject is being treated with insulin, a PPARγ agonist, or an insulin secretagogue (e.g. a sulfonylurea or glitinide).
Any patient with an HbA1c ≥8.5%. (See Section 6.3.7.4 for Safety Measures for Enrolled Subjects with Type 2 Diabetes Mellitus.)
History or clinical/investigational evidence of congestive heart failure defined by the New York Heart Association criteria (Class I to IV cardiac status;).
History of cardiovascular event within the last 6 months (i.e. intervention, percutaneous coronary intervention, vascular surgery, acute coronary syndrome [non Q-wave myocardial infarction, Q-wave myocardial infarction, unstable angina] or significant arrhythmia; or major intervention (e.g. cardiac surgery or angiography plus stenting) scheduled).
History of significant psychiatric illness such as schizophrenia or bipolar affective disorder that in the opinion of the Investigator would interfere with participation in the study, major depressive disorder (according to DSM-IV) in the past year, or current active depression requiring initiation of treatment.

(Note: If not currently treated, but active depression is suspected, the Cornell Scale for Depression in Dementia (CSDD) can be used by the Investigator as a guide for deciding whether a prospective subject requires treatment. If the subject has a CSDD score >7, the Investigator should decide if the subject has depression in need of prescribed medication, and a CSDD >12 is considered a strong indicator that treatment is needed. Subjects will be allowed to re-screen after their depression has been adequately managed for >3 months.)

History or presence of gastro-intestinal, hepatic, or renal disease or other condition known to interfere with the absorption, distribution, metabolism, or excretion of drugs, or any other clinically relevant abnormality, medical or psychiatric condition, which, in the opinion of the Investigator, makes the subject unsuitable for inclusion in the study.
Clinically significant peripheral edema at the time of screening.
Current or recent drug or alcohol abuse or dependence (defined by DSM-IV criteria for substance-related disorders), or recent or remote history of the same if that could be a contributing factor to the dementia.
Systolic blood pressure >165 or <90 mmHg or diastolic blood pressure >95 or <60 mmHg at the time of screening.
Clinically significant anemia (i.e. hemoglobin <11 g/dL for males or <10 g/dL for females) or presence of hemoglobinopathies which would prevent accurate assessment of HbA1c.
Abnormal kidney function tests (>1.5 the upper limit of normal (ULN)).
ALT, AST, or alkaline phosphatase values >2.5 times the ULN, total bilirubin values >1.5 times the ULN, or history of severe hepatobiliary disease (e.g. hepatitis B or C, or cirrhosis, Child-Pugh Class B/C).

(Note: For subjects with a diagnosis of Gilberts Syndrome and an isolated increase in total bilirubin >1.5 ULN, fractionation should be performed. If all of the following conditions are met, the patient may enter or remain in the study, even if total bilirubin >1.5 ULN:

an elevated unconjugated (indirect) bilirubin;
the percentage of direct bilirubin <35%;
ALT, AST, and alkaline phosphatase <2.5 ULN if subject is in screening (<2.0 ULN for Canadian subjects only), or ≤3 ULN if subject is already randomized into the study)
History of a bone marrow transplant.
Subject is unable (with assistance, if appropriate) to take study medication as prescribed throughout the study or is at risk of non-compliance with study medication or procedures.
Subject is an immediate family member or employee of the participating Investigator, of any of the participating site staff, or of GSK.
In France, a subject is neither affiliated with nor a beneficiary of a social security category.
The French subject has participated in any study using an investigational drug during the previous 30 days or 5 half-lives (whichever is longer).
Cognitive tasks prescribed for cognitive rehabilitation and performed under medical supervision are prohibited for 6 months prior to Screening, as well as for the duration of the study.

Endpoints (44)

What's being measured

Protocol endpoints and posted registry outcome measures, grouped into outcome categories. Composite endpoints show their component event types. Standard codes (LOINC, SNOMED CT) are shown where available.

Coverage by outcome category

Global cognition
16
Other (unclassified)
14
Behavior / neuropsychiatric
4
Caregiver / quality of life
4
Function / daily living
2
Safety / tolerability / PK
2
Other clinical outcomes
2

Global cognition

16 endpoints
Primary/protocol endpoint

Change From Baseline in Alzheimer's Disease Assessment Scale - Cognitive Subscale (ADAS-Cog) Total Score at Week 48

Time frame:Baseline (Week 0) and Week 48

ADAS-Cog

change from baseline, improvement

Primary/protocol endpoint

Change From Baseline in Clinical Dementia Rating Scale - Sum of Boxes (CDR-SB) at Week 48 for APOE E4

Time frame:Baseline (Week 0) and Week 48

Clinical Dementia Rating-Sum of Boxes (CDR-SB)

change from baseline, improvement

Primary/registry result

Change From Baseline in Alzheimer's Disease Assessment Scale - Cognitive Subscale (ADAS-Cog) Total Score at Week 48

Time frame:Baseline (Week 0) and Week 48

ADAS-Cog

change from baseline, improvement

Posted result

GroupValue (least_squares_mean), Score on a scaleStandard error
PlaceboAPOE4 negativesn=153 Participants2.90.54
All except E4/E4sn=317 Participants3.10.36
Full populationsn=356 Participants3.40.35
2mg Rosiglitazone Extended ReleaseAPOE4 negativesn=172 Participants1.60.42
All except E4/E4sn=350 Participants2.10.29
Full populationsn=391 Participants2.40.30
8mg Rosiglitazone Extended ReleaseAPOE4 negativesn=141 Participants2.70.56
All except E4/E4sn=285 Participants3.10.37
Full populationsn=333 Participants3.20.35
Mean Difference (Final Values)-1.395% CI-2.7 - -0.0p0.049Mixed Models Analysis
Mean Difference (Final Values)-0.295% CI-1.7 - 1.3p0.808Mixed Models Analysis
Mean Difference (Final Values)-1.095% CI-1.9 - -0.1p0.035Mixed Models Analysis
Mean Difference (Final Values)0.095% CI-1.0 - 1.0p0.999Mixed Models Analysis
Mean Difference (Final Values)-1.095% CI-1.9 - -0.2p0.020Mixed Models Analysis
Mean Difference (Final Values)-0.295% CI-1.2 - 0.7p0.661Mixed Models Analysis
Primary/registry result

Change From Baseline in Clinical Dementia Rating Scale - Sum of Boxes (CDR-SB) at Week 48 for APOE E4

Time frame:Baseline (Week 0) and Week 48

Clinical Dementia Rating-Sum of Boxes (CDR-SB)

change from baseline, improvement

Posted result

GroupValue (least_squares_mean), Score on a scaleStandard error
PlaceboAPOE4 negativesn=146 Participants1.30.21
All except E4/E4sn=309 Participants1.50.14
Full populationn=347 Participants1.60.14
2mg Rosiglitazone Extended ReleaseAPOE4 negativesn=169 Participants0.80.16
All except E4/E4sn=343 Participants1.00.12
Full populationn=384 Participants1.00.12
8mg Rosiglitazone Extended ReleaseAPOE4 negativesn=139 Participants1.50.20
All except E4/E4sn=283 Participants1.70.14
Full populationn=331 Participants1.70.13
Mean Difference (Final Values)-0.595% CI-1.0 - 0.0p=0.056Mixed Models Analysis
Mean Difference (Final Values)0.295% CI-0.4 - 0.7p=0.587Mixed Models Analysis
Mean Difference (Final Values)-0.595% CI-0.9 - -0.2p=0.004Mixed Models Analysis
Mean Difference (Final Values)0.295% CI-0.2 - 0.6p=0.402Mixed Models Analysis
Mean Difference (Final Values)-0.595% CI-0.9 - -0.2p=0.002Mixed Models Analysis
Mean Difference (Final Values)0.195% CI-0.2 - 0.5p=0.478Mixed Models Analysis
Secondary/protocol endpoint

Change From Screening in Mini Mental State Examination (MMSE) Total Score

Time frame:Screening (Week -4) and Week 48

Mini-Mental State Examination (MMSE)

concentration, descriptive

Secondary/protocol endpoint

Change From Baseline in ADAS-Cog Total Score for Observed Cases at Weeks 8, 16, 24, 36 and 48

Time frame:Baseline (Week 0), Week 8, 16, 24, 36 and 48

ADAS-Cog

change from baseline, improvement

Secondary/protocol endpoint

Change From Baseline in CDR-SB Score for Observed Cases at Weeks 12, 24, 36 and 48

Time frame:Baseline (Week 0), Week 12, 24, 36 and 48

Clinical Dementia Rating-Sum of Boxes (CDR-SB)

change from baseline, improvement

Secondary/protocol endpoint

Change in ADAS-Cog Total Score for Observed Cases at Week 54 Compared to Week 48

Time frame:Week 48 and 54

ADAS-Cog

change from baseline, improvement

Secondary/protocol endpoint

Change in CDR-SB Total Score at Week 54 Compared to Week 48

Time frame:Week 48 and 54

Clinical Dementia Rating-Sum of Boxes (CDR-SB)

change from baseline, improvement

Secondary/protocol endpoint

Mean Change From Baseline in Short Term Memory Assessment Score

Time frame:Baseline (Week 0), Week 8, 16, 24, 36, 48 and 56

ADAS-Cog

change from baseline, improvement

Secondary/registry result

Change From Screening in Mini Mental State Examination (MMSE) Total Score

Time frame:Screening (Week -4) and Week 48

Mini-Mental State Examination (MMSE)

concentration, descriptive

Posted result

GroupValue (least_squares_mean), Score on a scaleStandard error
Placebon=348 Participants-1.60.21
2mg Rosiglitazone Extended Releasen=388 Participants-1.60.20
8mg Rosiglitazone Extended Releasen=335 Participants-1.70.21
Mean Difference (Final Values)0.095% CI-0.5 - 0.6p0.870ANCOVA
Mean Difference (Final Values)-0.195% CI-0.7 - 0.4p0.617ANCOVA
Secondary/registry result

Change From Baseline in ADAS-Cog Total Score for Observed Cases at Weeks 8, 16, 24, 36 and 48

Time frame:Baseline (Week 0), Week 8, 16, 24, 36 and 48

ADAS-Cog

change from baseline, improvement

Posted result

GroupValue (mean), Score on a scaleStandard deviation
PlaceboWeek 8n=435 Participants-0.24.21
Week 16n=422 Participants-0.15.09
Week 24n=404 Participants1.05.86
Week 36n=378 Participants1.86.08
Week 48n=358 Participants2.96.85
2mg Rosiglitazone Extended ReleaseWeek 8n=457 Participants-0.64.57
Week 16n=441 Participants-0.54.76
Week 24n=425 Participants-0.25.17
Week 36n=402 Participants1.35.79
Week 48n=393 Participants2.16.25
8mg Rosiglitazone Extended ReleaseWeek 8n=437 Participants-0.24.44
Week 16n=411 Participants0.15.13
Week 24n=386 Participants0.85.66
Week 36n=362 Participants2.26.40
Week 48n=333 Participants2.66.76
Mean Difference (Final Values)-0.795% CI-1.6 - 0.2p0.105ANCOVA
Mean Difference (Final Values)-0.395% CI-1.3 - 0.6p0.483ANCOVA
Secondary/registry result

Change From Baseline in CDR-SB Score for Observed Cases at Weeks 12, 24, 36 and 48

Time frame:Baseline (Week 0), Week 12, 24, 36 and 48

Clinical Dementia Rating-Sum of Boxes (CDR-SB)

change from baseline, improvement

Posted result

GroupValue (mean), Score on a scaleStandard deviation
PlaceboWeek 12n=423 Participants0.41.55
Week 24n=402 Participants0.72.01
Week 36n=374 Participants1.02.26
Week 48n=349 Participants1.52.68
2mg Rosiglitazone Extended ReleaseWeek 12n=446 Participants0.31.36
Week 24n=421 Participants0.51.67
Week 36n=400 Participants0.72.06
Week 48n=385 Participants1.02.28
8mg Rosiglitazone Extended ReleaseWeek 12n=414 Participants0.31.40
Week 24n=382 Participants0.81.83
Week 36n=357 Participants1.22.30
Week 48n=331 Participants1.62.56
Mean Difference (Final Values)-0.595% CI-0.9 - -0.2p0.004ANCOVA
Mean Difference (Final Values)0.195% CI-0.3 - 0.5p0.554ANCOVA
Secondary/registry result

Change in ADAS-Cog Total Score for Observed Cases at Week 54 Compared to Week 48

Time frame:Week 48 and 54

ADAS-Cog

change from baseline, improvement

Posted result

GroupValue (least_squares_mean), Score on a scaleStandard error
Placebon=332 Participants0.70.28
2mg Rosiglitazone Extended Releasen=366 Participants1.10.27
8mg Rosiglitazone Extended Releasen=305 Participants1.10.29
Mean Difference (Final Values)0.495% CI-0.3 - 1.1p0.292ANCOVA
Mean Difference (Final Values)0.495% CI-0.3 - 1.1p0.297ANCOVA
Secondary/registry result

Change in CDR-SB Total Score at Week 54 Compared to Week 48

Time frame:Week 48 and 54

Clinical Dementia Rating-Sum of Boxes (CDR-SB)

change from baseline, improvement

Posted result

GroupValue (least_squares_mean), Score on a scaleStandard error
Placebon=328 Participants0.20.07
2mg Rosiglitazone Extended Releasen=364 Participants0.20.07
8mg Rosiglitazone Extended Releasen=302 Participants0.10.07
Mean Difference (Final Values)0.095% CI-0.2 - 0.1p0.598ANCOVA
Mean Difference (Final Values)-0.295% CI-0.4 - 0.0p0.073ANCOVA
Secondary/registry result

Mean Change From Baseline in Short Term Memory Assessment Score

Time frame:Baseline (Week 0), Week 8, 16, 24, 36, 48 and 56

ADAS-Cog

change from baseline, improvement

Posted result

GroupValue (mean), Score on a scaleStandard deviation
PlaceboWeek 8n=430 Participants-0.32.71
Week 16n=416 Participants-0.42.93
Week 24n=402 Participants0.12.96
Week 36n=372 Participants0.42.79
Week 48n=356 Participants0.63.01
Week 54n=333 Participants1.12.96
2mg Rosiglitazone Extended ReleaseWeek 8n=455 Participants-0.43.03
Week 16n=433 Participants-0.72.92
Week 24n=418 Participants-0.43.03
Week 36n=393 Participants0.33.18
Week 48n=383 Participants0.33.07
Week 54n=367 Participants0.83.10
8mg Rosiglitazone Extended ReleaseWeek 8n=431 Participants-0.32.76
Week 16n=404 Participants-0.43.07
Week 24n=377 Participants-0.13.06
Week 36n=358 Participants0.73.04
Week 48n=329 Participants0.43.06
Week 54n=305 Participants0.93.17

Function / daily living

2 endpoints
Secondary/protocol endpoint

Change From Baseline in Disability Assessment for Dementia Scale (DAD) Total Score

Time frame:Baseline (Week 0), Week 8, 16, 24 and 48

change from baseline, improvement

Secondary/registry result

Change From Baseline in Disability Assessment for Dementia Scale (DAD) Total Score

Time frame:Baseline (Week 0), Week 8, 16, 24 and 48

change from baseline, improvement

Posted result

GroupValue (least_squares_mean), Scores on a scaleStandard error
PlaceboAt Week 8n=436 Participants0.10.56
At Week 16n=436 Participants-1.60.62
At Week 24n=436 Participants-3.50.69
At Week 48n=436 Participants-7.80.82
2mg Rosiglitazone Extended ReleaseAt Week 8n=458 Participants-0.50.48
At Week 16n=458 Participants-1.60.59
At Week 24n=458 Participants-2.20.64
At Week 48n=458 Participants-5.70.78
8mg Rosiglitazone Extended ReleaseAt Week 8n=441 Participants-1.10.47
At Week 16n=441 Participants-2.10.56
At Week 24n=441 Participants-3.30.69
At Week 48n=441 Participants-8.40.84
Mean Difference (Final Values)-0.695% CI-2.0 - 0.7p=0.340Mixed Models Analysis
Mean Difference (Final Values)-1.295% CI-2.5 - 0.1p=0.079Mixed Models Analysis
Mean Difference (Final Values)-0.195% CI-1.7 - 1.5p=0.910Mixed Models Analysis
Mean Difference (Final Values)-0.595% CI-2.1 - 1.0p0.521Mixed Models Analysis
Mean Difference (Final Values)1.395% CI-0.5 - 3.0p=0.154Mixed Models Analysis
Mean Difference (Final Values)0.295% CI-1.6 - 2.0p=0.836Mixed Models Analysis
Mean Difference (Final Values)2.195% CI-0.1 - 4.2p0.061Mixed Models Analysis
Mean Difference (Final Values)-0.795% CI-2.9 - 1.6p=0.566Mixed Models Analysis

Behavior / neuropsychiatric

4 endpoints
Secondary/protocol endpoint

Change From Baseline in Neuropsychiatric Inventory (NPI) Total Score

Time frame:Baseline (Week 0), Week 8, 16, 24 and 48

Neuropsychiatric Inventory (NPI)

change from baseline, improvement

Secondary/protocol endpoint

Change From Baseline in European Quality of Life-5 Dimensions Proxy Version (EQ-5D Proxy) Scale Total Score Assessed by Thermometer (Visual Analog Scale [VAS]) and Utility

Time frame:Baseline (Week 0), Week 12, 36 and 48

change from baseline, improvement

Secondary/registry result

Change From Baseline in Neuropsychiatric Inventory (NPI) Total Score

Time frame:Baseline (Week 0), Week 8, 16, 24 and 48

Neuropsychiatric Inventory (NPI)

change from baseline, improvement

Posted result

GroupValue (least_squares_mean), Score on a scaleStandard error
PlaceboAt Week 8n=440 Participants-0.30.39
At Week 16n=425 Participants-0.30.43
At Week 24n=411 Participants0.40.47
At Week 48n=359 Participants1.60.61
2mg Rosiglitazone Extended ReleaseAt Week 8n=458 Participants-0.70.32
At Week 16n=442 Participants-0.60.36
At Week 24n=425 Participants-0.20.39
At Week 48n=395 Participants0.10.44
8mg Rosiglitazone Extended ReleaseAt Week 8n=442 Participants-0.30.39
At Week 16n=415 Participants0.10.43
At Week 24n=390 Participants0.20.48
At Week 48n=345 Participants1.80.55
Mean Difference (Final Values)-0.495% CI-1.3 - 0.5p=0.414Mixed Models Analysis
Mean Difference (Final Values)0.095% CI-1.0 - 1.1p0.931Mixed Models Analysis
Mean Difference (Final Values)-0.495% CI-1.4 - 0.7p0.485Mixed Models Analysis
Mean Difference (Final Values)0.395% CI-0.8 - 1.5p0.550Mixed Models Analysis
Mean Difference (Final Values)-0.695% CI-1.8 - 0.5p0.264Mixed Models Analysis
Mean Difference (Final Values)-0.295% CI-1.5 - 1.0p0.732Mixed Models Analysis
Mean Difference (Final Values)-1.595% CI-2.9 - -0.0p0.043Mixed Models Analysis
Mean Difference (Final Values)0.295% CI-1.4 - 1.8p0.814Mixed Models Analysis
Secondary/registry result

Change From Baseline in European Quality of Life-5 Dimensions Proxy Version (EQ-5D Proxy) Scale Total Score Assessed by Thermometer (Visual Analog Scale [VAS]) and Utility

Time frame:Baseline (Week 0), Week 12, 36 and 48

change from baseline, improvement

Posted result

GroupValue (least_squares_mean), Score on a scaleStandard error
PlaceboThermometer: Week 12n=425 Participants0.50.84
Thermometer: Week 36n=381 Participants0.80.95
Thermometer: Week 48n=352 Participants-1.51.05
Utility: Week 12n=425 Participants0.010.009
Utility: Week 36n=381 Participants-0.020.011
Utility: Week 48n=351 Participants-0.040.012
2mg Rosiglitazone Extended ReleaseThermometer: Week 12n=449 Participants0.30.82
Thermometer: Week 36n=404 Participants-1.60.97
Thermometer: Week 48n=389 Participants-0.30.96
Utility: Week 12n=448 Participants0.020.009
Utility: Week 36n=403 Participants-0.010.010
Utility: Week 48n=389 Participants-0.020.011
8mg Rosiglitazone Extended ReleaseThermometer: Week 12n=413 Participants-0.50.94
Thermometer: Week 36n=362 Participants-2.11.03
Thermometer: Week 48n=337 Participants-2.41.08
Utility: Week 12n=414 Participants-0.010.010
Utility: Week 36n=363 Participants-0.040.012
Utility: Week 48n=337 Participants-0.050.013
Mean Difference (Final Values)-0.195% CI-2.3 - 2.0p0.914Mixed Models Analysis
Mean Difference (Final Values)-1.095% CI-3.3 - 1.4p0.415Mixed Models Analysis
Mean Difference (Final Values)-2.495% CI-4.9 - 0.1p0.063Mixed Models Analysis
Mean Difference (Final Values)-2.995% CI-5.6 - -0.3p0.030Mixed Models Analysis
Mean Difference (Final Values)1.295% CI-1.5 - 3.8p0.392Mixed Models Analysis
Mean Difference (Final Values)-0.995% CI-3.7 - 2.0p0.557Mixed Models Analysis
Mean Difference (Final Values)0.0195% CI-0.01 - 0.03p0.320Mixed Models Analysis
Mean Difference (Final Values)-0.0295% CI-0.04 - 0.01p0.180Mixed Models Analysis
Mean Difference (Final Values)0.0195% CI-0.02 - 0.04p0.498Mixed Models Analysis
Mean Difference (Final Values)-0.0395% CI-0.06 - 0.00p0.081Mixed Models Analysis
Mean Difference (Final Values)0.0395% CI-0.00 - 0.06p0.077Mixed Models Analysis
Mean Difference (Final Values)-0.0195% CI-0.04 - 0.03p0.640Mixed Models Analysis

Caregiver / quality of life

4 endpoints
Secondary/protocol endpoint

Change From Baseline in the Domains of the Resource Utilization in Dementia Scale (RUD)

Time frame:Baseline (Week 0), Week 12, 24, 36 and 48

change from baseline, improvement

Secondary/protocol endpoint

Change From Baseline in Alzheimer's Carer Quality of Life Instrument (ACQLI) Total Score

Time frame:Baseline (Week 0), Week 12, 36 and 48

change from baseline, improvement

Secondary/registry result

Change From Baseline in the Domains of the Resource Utilization in Dementia Scale (RUD)

Time frame:Baseline (Week 0), Week 12, 24, 36 and 48

change from baseline, improvement

Posted result

GroupValue (least_squares_mean), hoursStandard error
PlaceboQ1: Week 12n=386 Participants1.62.25
Q1: Week 24n=386 Participants10.73.52
Q1: Week 36n=342 Participants16.33.60
Q1: Week 48n=320 Participants21.74.16
Q2: Week 12n=171 Participants-6.44.64
Q2: Week 24n=162 Participants0.34.89
Q2: Week 36n=153 Participants5.05.34
Q2: Week 48n=139 Participants10.85.51
2mg Rosiglitazone Extended ReleaseQ1: Week 12n=408 Participants2.42.50
Q1: Week 24n=380 Participants3.41.84
Q1: Week 36n=361 Participants10.03.43
Q1: Week 48n=351 Participants17.04.17
Q2: Week 12n=183 Participants2.44.16
Q2: Week 24n=170 Participants1.64.17
Q2: Week 36n=162 Participants4.64.44
Q2: Week 48n=157 Participants8.44.88
8mg Rosiglitazone Extended ReleaseQ1: Week 12n=379 Participants-0.13.18
Q1: Week 24n=347 Participants7.04.06
Q1: Week 36n=327 Participants15.24.95
Q1: Week 48n=310 Participants18.14.72
Q2: Week 12n=162 Participants1.54.50
Q2: Week 24n=150 Participants6.54.88
Q2: Week 36n=141 Participants13.35.35
Q2: Week 48n=137 Participants27.06.24
Mean Difference (Final Values)0.895% CI-5.2 - 6.9p0.789Mixed Models Analysis

Week 12 Q1

Mean Difference (Final Values)-1.795% CI-9.0 - 5.6p0.643Mixed Models Analysis
Mean Difference (Final Values)-7.395% CI-14.7 - 0.1p0.052Mixed Models Analysis
Mean Difference (Final Values)-3.795% CI-14.0 - 6.6p0.481Mixed Models Analysis
Mean Difference (Final Values)-6.295% CI-15.6 - 3.2p0.195Mixed Models Analysis
Mean Difference (Final Values)-1.195% CI-12.9 - 10.7p0.857Mixed Models Analysis
Mean Difference (Final Values)-4.695% CI-15.9 - 6.7p0.422Mixed Models Analysis
Mean Difference (Final Values)-3.695% CI-15.7 - 8.6p0.562Mixed Models Analysis
Mean Difference (Final Values)8.895% CI-2.6 - 20.2p0.129Mixed Models Analysis
Mean Difference (Final Values)7.995% CI-4.0 - 19.9p0.194Mixed Models Analysis
Mean Difference (Final Values)1.395% CI-10.5 - 13.1p0.832Mixed Models Analysis
Mean Difference (Final Values)6.195% CI-6.8 - 19.1p0.351Mixed Models Analysis
Mean Difference (Final Values)-0.495% CI-13.3 - 12.5p0.949Mixed Models Analysis
Mean Difference (Final Values)8.395% CI-6.0 - 22.6p0.253Mixed Models Analysis
Mean Difference (Final Values)-2.495% CI-16.2 - 11.4p0.735Mixed Models Analysis
Mean Difference (Final Values)16.295% CI0.3 - 32.0p0.046Mixed Models Analysis
Secondary/registry result

Change From Baseline in Alzheimer's Carer Quality of Life Instrument (ACQLI) Total Score

Time frame:Baseline (Week 0), Week 12, 36 and 48

change from baseline, improvement

Posted result

GroupValue (least_squares_mean), Score on a scaleStandard error
PlaceboWeek 12n=387 Participants0.50.23
Week 36n=341 Participants1.00.28
Week 48n=315 Participants1.20.30
2mg Rosiglitazone Extended ReleaseWeek 12n=405 Participants-0.20.23
Week 36n=363 Participants0.60.27
Week 48n=350 Participants0.30.28
8mg Rosiglitazone Extended ReleaseWeek 12n=377 Participants-0.00.22
Week 36n=327 Participants0.60.26
Week 48n=309 Participants1.10.31
Mean Difference (Final Values)-0.795% CI-1.2 - -0.1p0.027Mixed Models Analysis
Mean Difference (Final Values)-0.595% CI-1.1 - 0.1p0.091Mixed Models Analysis
Mean Difference (Final Values)-0.495% CI-1.1 - 0.3p0.268Mixed Models Analysis
Mean Difference (Final Values)-0.495% CI-1.1 - 0.4p0.318Mixed Models Analysis
Mean Difference (Final Values)-0.995% CI-1.6 - -0.1p0.030Mixed Models Analysis
Mean Difference (Final Values)-0.195% CI-0.9 - 0.7p0.797Mixed Models Analysis

Safety / tolerability / PK

2 endpoints
Secondary/protocol endpoint

Number of Participants With Treatment Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)

Time frame:Up to Week 54

event count, event

Secondary/registry result

Number of Participants With Treatment Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)

Time frame:Up to Week 54

event count, event

Posted result

GroupValue (number), ParticipantsReported bounds
PlaceboAny TEAEsn=496 Participants304-
Any SAEsn=496 Participants62-
2mg Rosiglitazone Extended ReleaseAny TEAEsn=494 Participants273-
Any SAEsn=494 Participants45-
8mg Rosiglitazone Extended ReleaseAny TEAEsn=489 Participants327-
Any SAEsn=489 Participants50-

Other clinical outcomes

2 endpoints
Secondary/protocol endpoint

Mean Change From Baseline in Systolic and Diastolic Blood Pressure (BP)

Time frame:Baseline (Week 0), Week 4, 8, 12, 16, 24, 36, 48 and 56

change from baseline, improvement

Secondary/registry result

Mean Change From Baseline in Systolic and Diastolic Blood Pressure (BP)

Time frame:Baseline (Week 0), Week 4, 8, 12, 16, 24, 36, 48 and 56

change from baseline, improvement

Posted result

GroupValue (mean), Millimeter of mercury (mmHg)Standard deviation
PlaceboSystolic BP Week 4n=457 Participants-0.715.21
Systolic BP Week 8n=436 Participants-0.315.49
Systolic BP Week 12n=431 Participants-0.516.48
Systolic BP Week 16n=425 Participants-0.815.80
Systolic BP Week 24n=413 Participants-1.215.95
Systolic BP Week 36n=384 Participants-1.616.65
Systolic BP Week 48n=363 Participants-1.017.08
Systolic BP Week 54n=345 Participants0.017.24
Diastolic BP Week 4n=457 Participants-0.49.54
Diastolic BP Week 8n=436 Participants-0.09.55
Diastolic BP Week 12n=431 Participants0.09.63
Diastolic BP Week 16n=425 Participants-0.79.78
Diastolic BP Week 24n=413 Participants-1.19.87
Diastolic BP Week 36n=384 Participants-1.210.27
Diastolic BP Week 48n=363 Participants-0.810.85
Diastolic BP Week 54n=345 Participants-0.910.35
2mg Rosiglitazone Extended ReleaseSystolic BP Week 4n=469 Participants-1.013.21
Systolic BP Week 8n=460 Participants-0.714.55
Systolic BP Week 12n=454 Participants-2.514.49
Systolic BP Week 16n=442 Participants-1.714.80
Systolic BP Week 24n=431 Participants-1.015.22
Systolic BP Week 36n=406 Participants-0.315.79
Systolic BP Week 48n=397 Participants-0.615.05
Systolic BP Week 54n=385 Participants-1.114.95
Diastolic BP Week 4n=469 Participants-0.79.21
Diastolic BP Week 8n=460 Participants-0.99.20
Diastolic BP Week 12n=454 Participants-1.39.25
Diastolic BP Week 16n=442 Participants-1.39.16
Diastolic BP Week 24n=431 Participants-1.29.55
Diastolic BP Week 36n=406 Participants-0.69.94
Diastolic BP Week 48n=397 Participants-0.510.02
Diastolic BP Week 54n=385 Participants-0.49.62
8mg Rosiglitazone Extended ReleaseSystolic BP Week 4n=457 Participants-2.313.43
Systolic BP Week 8n=434 Participants-2.914.49
Systolic BP Week 12n=415 Participants-4.215.25
Systolic BP Week 16n=411 Participants-3.715.75
Systolic BP Week 24n=392 Participants-3.514.74
Systolic BP Week 36n=367 Participants-2.715.97
Systolic BP Week 48n=345 Participants-2.516.55
Systolic BP Week 54n=321 Participants-2.315.56
Diastolic BP Week 4n=457 Participants-1.28.51
Diastolic BP Week 8n=434 Participants-2.19.21
Diastolic BP Week 12n=415 Participants-2.59.49
Diastolic BP Week 16n=411 Participants-3.09.62
Diastolic BP Week 24n=392 Participants-2.69.48
Diastolic BP Week 36n=367 Participants-3.310.68
Diastolic BP Week 48n=345 Participants-1.911.07
Diastolic BP Week 54n=321 Participants-1.810.04

Other (unclassified)

14 endpoints
Secondary/protocol endpoint/low confidence

Change From Baseline in Glycosylated Hemoglobin (HbA1c) at Week 48

Time frame:Baseline (Week 0) and Week 48

change from baseline, improvement

Secondary/protocol endpoint/low confidence

Mean Change From Baseline in Heart Rate

Time frame:Baseline (Week 0), Week 4, 8, 12, 16, 24, 36, 48 and 56

change from baseline, improvement

Secondary/protocol endpoint/low confidence

Mean Change From Baseline in Weight

Time frame:Baseline (Week 0), Week 4, 8, 12, 16, 24, 36, 48 and 56

change from baseline, improvement

Secondary/protocol endpoint/low confidence

Change From Baseline in Hemoglobin Values

Time frame:Baseline (Week 0), Week 4, 16, 36 and 48

change from baseline, improvement

Secondary/protocol endpoint/low confidence

Change From Baseline in Hematocrit Values

Time frame:Baseline (Week 0), Week 4, 8, 12, 16, 36 and 48

change from baseline, improvement

Secondary/protocol endpoint/low confidence

Change From Baseline in HbA1c at Week 12, Week 24 and Week 36

Time frame:Baseline (Week 0) and Week 12, 24 and 36

change from baseline, improvement

Secondary/protocol endpoint/low confidence

Number of Participants With Laboratory Potential Clinical Concern (PCC) Values

Time frame:Baseline (Week 0), Week 4, 8, 12, 16, 24, 36, 48 and 56

event count, event

Secondary/registry result/low confidence

Change From Baseline in Glycosylated Hemoglobin (HbA1c) at Week 48

Time frame:Baseline (Week 0) and Week 48

change from baseline, improvement

Posted result

GroupValue (least_squares_mean), Percentage of total hemoglobinStandard error
Placebon=321 Participants0.140.020
2mg Rosiglitazone Extended Releasen=352 Participants0.210.020
8mg Rosiglitazone Extended Releasen=313 Participants0.180.020
Mean Difference (Final Values)0.0795% CI0.02 - 0.12p0.006ANCOVA
Mean Difference (Final Values)0.0495% CI-0.01 - 0.09p0.140ANCOVA
Secondary/registry result/low confidence

Mean Change From Baseline in Heart Rate

Time frame:Baseline (Week 0), Week 4, 8, 12, 16, 24, 36, 48 and 56

change from baseline, improvement

Posted result

GroupValue (mean), beats per min (bpm)Standard deviation
PlaceboWeek 4n=457 Participants0.88.42
Week 8n=435 Participants1.58.98
Week 12n=430 Participants1.69.06
Week 16n=425 Participants1.09.23
Week 24n=413 Participants0.99.41
Week 36n=382 Participants0.99.30
Week 48n=361 Participants1.29.10
Week 54n=344 Participants0.510.10
2mg Rosiglitazone Extended ReleaseWeek 4n=468 Participants1.17.95
Week 8n=459 Participants1.39.19
Week 12n=453 Participants1.89.04
Week 16n=441 Participants1.39.18
Week 24n=431 Participants1.38.70
Week 36n=406 Participants1.89.42
Week 48n=397 Participants1.48.92
Week 54n=384 Participants1.49.55
8mg Rosiglitazone Extended ReleaseWeek 4n=457 Participants0.68.36
Week 8n=434 Participants1.08.91
Week 12n=414 Participants0.79.68
Week 16n=411 Participants0.89.52
Week 24n=392 Participants0.810.19
Week 36n=367 Participants1.19.58
Week 48n=344 Participants0.79.43
Week 54n=321 Participants0.011.05
Secondary/registry result/low confidence

Mean Change From Baseline in Weight

Time frame:Baseline (Week 0), Week 4, 8, 12, 16, 24, 36, 48 and 56

change from baseline, improvement

Posted result

GroupValue (mean), kilogram (kg)Standard deviation
PlaceboWeek 4n=456 Participants0.12.04
Week 8n=436 Participants0.22.35
Week 12n=430 Participants0.22.50
Week 16n=425 Participants0.12.88
Week 24n=413 Participants0.12.88
Week 36n=384 Participants0.03.37
Week 48n=363 Participants0.43.54
Week 54n=346 Participants0.33.74
2mg Rosiglitazone Extended ReleaseWeek 4n=471 Participants0.21.66
Week 8n=460 Participants0.31.95
Week 12n=453 Participants0.32.09
Week 16n=441 Participants0.32.44
Week 24n=430 Participants0.62.77
Week 36n=405 Participants0.73.00
Week 48n=396 Participants0.83.47
Week 54n=384 Participants0.73.69
8mg Rosiglitazone Extended ReleaseWeek 4n=458 Participants0.31.88
Week 8n=435 Participants0.72.37
Week 12n=414 Participants0.92.33
Week 16n=412 Participants1.02.56
Week 24n=391 Participants0.93.26
Week 36n=367 Participants1.33.92
Week 48n=346 Participants1.34.13
Week 54n=322 Participants0.84.53
Secondary/registry result/low confidence

Change From Baseline in Hemoglobin Values

Time frame:Baseline (Week 0), Week 4, 16, 36 and 48

change from baseline, improvement

Posted result

GroupValue (mean), grams per litre (g/L)Standard deviation
PlaceboWeek 4n=453 Participants-0.46.45
Week 16n=423 Participants-0.67.01
Week 36n=382 Participants-2.07.25
Week 48n=346 Participants-1.97.86
2mg Rosiglitazone Extended ReleaseWeek 4n=457 Participants-2.56.92
Week 16n=444 Participants-6.27.76
Week 36n=398 Participants-6.48.04
Week 48n=377 Participants-6.58.45
8mg Rosiglitazone Extended ReleaseWeek 4n=457 Participants-3.76.19
Week 16n=407 Participants-11.98.65
Week 36n=363 Participants-12.59.38
Week 48n=334 Participants-12.210.62
Secondary/registry result/low confidence

Change From Baseline in Hematocrit Values

Time frame:Baseline (Week 0), Week 4, 8, 12, 16, 36 and 48

change from baseline, improvement

Posted result

GroupValue (mean), litreStandard deviation
PlaceboWeek 4n=453 Participants-0.00070.02133
Week 16n=423 Participants-0.00030.02318
Week 36n=382 Participants-0.00370.02246
Week 48n=346 Participants-0.00290.02447
2mg Rosiglitazone Extended ReleaseWeek 4n=457 Participants-0.00680.02189
Week 16n=444 Participants-0.01740.02460
Week 36n=398 Participants-0.01670.02471
Week 48n=377 Participants-0.01770.02658
8mg Rosiglitazone Extended ReleaseWeek 4n=457 Participants-0.01150.01994
Week 16n=407 Participants-0.03390.02697
Week 36n=363 Participants-0.03520.02834
Week 48n=334 Participants-0.03460.03177
Secondary/registry result/low confidence

Change From Baseline in HbA1c at Week 12, Week 24 and Week 36

Time frame:Baseline (Week 0) and Week 12, 24 and 36

change from baseline, improvement

Posted result

GroupValue (mean), Percent of total hemoglobinStandard deviation
PlaceboWeek 12n=82 Participants0.010.336
Week 24n=145 Participants0.070.401
Week 36n=140 Participants0.200.400
2mg Rosiglitazone Extended ReleaseWeek 12n=78 Participants0.140.634
Week 24n=150 Participants0.120.422
Week 36n=145 Participants0.190.430
8mg Rosiglitazone Extended ReleaseWeek 12n=81 Participants0.160.407
Week 24n=124 Participants0.060.551
Week 36n=127 Participants0.150.526
Secondary/registry result/low confidence

Number of Participants With Laboratory Potential Clinical Concern (PCC) Values

Time frame:Baseline (Week 0), Week 4, 8, 12, 16, 24, 36, 48 and 56

event count, event

Posted result

GroupValue (number), participantsReported bounds
PlaceboEosinophils highn=471 Participants0-
Hematocrit lown=471 Participants2-
Hemoglobin highn=471 Participants2-
Hemoglobin lown=471 Participants8-
Lymphocytes highn=471 Participants0-
Lymphocytes lown=471 Participants8-
Mean CH highn=471 Participants0-
Mean CH lown=471 Participants2-
Mean CV highn=471 Participants0-
Mean CV lown=471 Participants2-
Monocytes lown=471 Participants81-
Platelet count highn=471 Participants4-
Platelet count lown=471 Participants1-
RDW highn=471 Participants18-
RBC highn=471 Participants0-
RBC lown=471 Participants0-
SN highn=471 Participants8-
SN lown=471 Participants2-
TN highn=471 Participants4-
TN lown=471 Participants2-
WBC highn=471 Participants4-
WBC lown=471 Participants1-
2mg Rosiglitazone Extended ReleaseEosinophils highn=486 Participants3-
Hematocrit lown=486 Participants2-
Hemoglobin highn=486 Participants0-
Hemoglobin lown=486 Participants11-
Lymphocytes highn=486 Participants1-
Lymphocytes lown=486 Participants10-
Mean CH highn=486 Participants0-
Mean CH lown=486 Participants2-
Mean CV highn=486 Participants0-
Mean CV lown=486 Participants1-
Monocytes lown=486 Participants55-
Platelet count highn=486 Participants2-
Platelet count lown=486 Participants2-
RDW highn=486 Participants31-
RBC highn=486 Participants1-
RBC lown=486 Participants1-
SN highn=486 Participants2-
SN lown=486 Participants6-
TN highn=486 Participants1-
TN lown=486 Participants6-
WBC highn=486 Participants1-
WBC lown=486 Participants5-
8mg Rosiglitazone Extended ReleaseEosinophils highn=477 Participants0-
Hematocrit lown=477 Participants5-
Hemoglobin highn=477 Participants0-
Hemoglobin lown=477 Participants31-
Lymphocytes highn=477 Participants2-
Lymphocytes lown=477 Participants13-
Mean CH highn=477 Participants1-
Mean CH lown=477 Participants0-
Mean CV highn=477 Participants1-
Mean CV lown=477 Participants0-
Monocytes lown=477 Participants65-
Platelet count highn=475 Participants7-
Platelet count lown=475 Participants4-
RDW highn=475 Participants86-
RBC highn=477 Participants0-
RBC lown=477 Participants8-
SN highn=477 Participants4-
SN lown=477 Participants13-
TN highn=477 Participants2-
TN lown=477 Participants13-
WBC highn=477 Participants3-
WBC lown=477 Participants12-

Publications (1)

Bibliography

Records linked to this trial through ClinicalTrials.gov references, PubMed NCT search, and curated study seeds. 'Canonical' marks design/result papers; others are registry references or candidates.

Provenance

Sources

Trial identity, design, statusClinicalTrials.gov API v2
Snapshot dateJuly 21, 2026
Endpoint classificationDelfa ADRD endpoint taxonomy
Results tableClinicalTrials.gov results section

Trial facts come from public ClinicalTrials.gov records. Endpoint categories are Delfa's classification of those records, not a ClinicalTrials.gov field. All figures reflect the July 21, 2026 snapshot.