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. 2007 Jul 18;2007(3):CD006063. doi: 10.1002/14651858.CD006063.pub2

Hanefeld 2007.

Methods DURATION OF INTERVENTION: 
 52 weeks 
 DURATION OF FOLLOW‐UP: 
 52 weeks 
 RUN‐IN PERIOD: 
 eligible patients on oral antidiabetic medication stopped treatment 2 weeks before starting a 4‐week, single‐blind placebo run‐in period 
 LANGUAGE OF PUBLICATION: 
 English
Participants WHO PARTCIPATED: 
 patients with type 2 diabetes 
 INCLUSION CRITERIA: 
 FPG = 7.0 ‐ 15.0 mmol/L C‐peptide >= 27 nmol/L; BMI = 22 ‐ 38 
 EXCLUSION CRITERIA: 
 patients on insulin therapy or those with diabetic complications requiring treatment, heart failure NYHA III/IV, or serious renal, hepatic (liver function tests > 2.5 times the upper limit of normal). haematologic impairment or women of childbearing potential 
 DIAGNOSTIC CRITERIA: 
 see above 
 CO‐MORBIDITIES: 
 not stated 
 CO‐MEDICATIONS: 
 not stated
Interventions NUMBER OF STUDY CENTRES: 
 71 
 COUNTRY/ LOCATION: 
 8 European countries 
 SETTING: 
 not stated 
 INTERVENTION (DOSE/DAY): 
 rosiglitazone as two equal daily doses (i.e. 2 mg bid or 4 mg bid) + placebo 
 CONTROL (DOSE/DAY): 
 glibenclamide once daily + placebo 
 TREATMENT BEFORE STUDY: 
 patients on monotherapy, combination therapy or diet and exercise only 
 TITRATION PERIOD: 
 over the first 12 weeks of treatment, the glibenclamide dose was titrated in 2.5 mg increments (final dose 
 range = 2.5 ‐ 15 mg) to achieve optimal glycaemic 
 control
a double‐dummy system allowed ‘‘titration’’ 
 of rosiglitazone without a change of dose
concomitant medications with potential effects on glucose or lipid metabolism were kept at constant dose 
 throughout the study
Outcomes PRIMARY OUTCOMES: 
 difference between rosiglitazone 8 mg/day and glibenclamide treatment groups with respect to change from baseline in HbA1c after 52 weeks of treatment 
 SECONDARY OUTCOMES: 
 (not stated) 
 lipids, insulin resistance (HOMA), insulin, proinsulin, 32‐33 split proinsulin, safety, adverse effects
Notes AIM OF STUDY: 
 to compare the efficacy, tolerability and safety of rosiglitazone with that of 
 glibenclamide as monotherapy for patientswith type 2 diabetes over a 12‐month treatment period
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Unclear risk B ‐ Unclear