Review Article

Peroxisome Proliferator-Activated Receptors in Diabetic Nephropathy

Table 2

Human clinical studies.

Authorssubjects (Type 2 DM)nregimensDurationEffect on UAE (%)Effect on BP (mmHg)

Sironi et al. [65]hyp40200 mg toroglitazone versus plb8 weeks+11%−4/−3

Imano et al. [66]mA, hyp30400 mg toroglitazone versus 500 mg metformin12 weeks−39%a−3/0

Nakamura et al. [67]mA or MA32400 mg toroglitazone versus 5 mg glibenclamide12 months−67%ain mA 0% in MA−6c

Nakamura et al. [68]mA4530 mg Pio versus 5 mg glibenclamide versus 0.6 mg Vog3 months−66%a−6/−4

Nakamura et al. [69] mA2830 mg Pio versus plb6 months−59%a−4c

Aljabri et al. [70]mA, hyp6230–45 mg Pio versus isophane insulin16 weeks−44%−8/−5

Yanagawa et al. [71]mA, hyp40Pio versus Met or glibenclamide12 weeks−45%aNA

Hanefeld et al. [72]mA, hyp63915–45 mg Pio versus 850–2550 mg metformin12 months−15%aNA

Schernthaner et al. [73]hyp119915–45 mg Pio versus 850–2550 mg metformin12 months−19%aNA

Matthews et al. [74]hyp63015–45 mg Pio versus 80–320 mg glibenclamide12 months−10%aNA

Agarwal et al. [75]MA, hyp44Pio versus Glip4 months−7%+3.7/+2.2

Lebovitz et al. [76]mA, hyp4934 or 8 mg Rosi versus plb26 weeks4 mg group: −14% 8 mg group: −22%aNA

Sarafidis et al. [77]hyp, mA204 mg Rosi6 months−35%a−5.4a/−4.1a

Pistrosch et al. [78]mA, hyp19non-mA patients: Rosi versus Nat, mA patients: Rosi versus plb12 weeksnon-mA patients: +18%b, mA patients: −66%a,b,NA

ificant changes from baseline levels or other groups;
bchange versus the group compared;
cmean change for systolic BP versus baseline in patients treated with the TZD.
DM, diabetes mellitus; hyp, hypertension; mA, microalbuminuria; MA, macroalbuminuria; Glip, glipizide; Nat, nateglinide; plb, placebo; Pio, pioglitazone; Vog, voglibose; UAE, urine albumin excretion; NA, changes in blood pressure levels not applicable.