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RecruitingType 2 Diabetes Mellitus in ObeseHeart Failure With Preserved Ejection Fraction

Pioglitazone on Heart Failure in Type-2 Diabetes Mellitus Participants

Eligible age

30–70 yrs

Accepts

All genders

Locations

1 state

Healthy volunteers

Yes

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About this study

Our goal of the study is to learn the effects of the diabetes medication named Pioglitazone, in type-2 diabetic obese participants with Heart failure. The main question it aims to answer are: 1. To demonstrate that impaired mitochondrial function leading to reduced ATP generation plays a key pathophysiologic role in the development of heart failure with preserved ejection fraction (HFpEF) in obese type 2 diabetic (T2D) individuals. 2. To demonstrate that pioglitazone, improves diastolic (as well as systolic) function by improving myocardial insulin sensitivity and by reducing both myocardial and epicardial fat content.

Sponsor: The University of Texas Health Science Center at San Antonio

You may qualify if…

  • 1. Provision of signed and dated informed consent form
  • 2. Stated willingness to comply with all study procedures and availability for the duration of the study
  • 3. Male or female, aged 30-70 years
  • 4. Body Mass Index (BMI) of 27.5-40kg/m²
  • 5. HbA1c of 6.5 to 10%
  • 6. Blood pressure of less than or equal to 145/65mmHg
  • 7. eGFR greater than 45 ml/min/1.73m²
  • 8. Subject must have HFpEF (EF \> 50% by ECHO screening)

You may not qualify if…

  • 1. Subjects with history of osteoporosis or proliferative diabetic retinopathy
  • 2. Subjects with Heart failure due to restrictive or infiltrative cardiomyopathy, active myocarditis, constrictive pericarditis, severe valvular heart disease, etc. will be excluded
  • 3. Patients with symptomatic coronary artery disease.
  • 4. Subjects with significant change in diuretic management during the month prior to screening (defined by doubling of diuretic dose, or addition of another HF medication).
  • 5. Subjects treated with a GLP-1 RA or thiazolidinedione.
  • 6. Subjects treated with a SGLT2i
  • 7. Pregnancy or lactation
  • 8. Known allergic reactions to components of the study interventions.

Where it's recruiting

Texas

San Antonio

Source: ClinicalTrials.gov · NCT05838287 · last updated 2025-08-27

Pioglitazone on Heart Failure in Type-2 Diabetes Mellitus Participants · TrialPath