Pioglitazone for the primary and secondary prevention of cardiovascular and renal outcomes in patients with or at high risk of type 2 diabetes mellitus: a meta-analysis
Abstract
Context The goal of the meta-analysis was to evaluate the effect of pioglitazone on the primary and secondary prevention of cardiovascular diseases (CVDs) and renal adverse events in patients with or at high risk of type 2 diabetes mellitus (T2DM). Design Randomized controlled trials (RCTs) comparing pioglitazone with any control were identified through PubMed, Embase, and the Cochrane Library. Cardiovascular outcomes included major adverse cardiovascular events (MACEs, defined as the composite of nonfatal myocardial infarction, nonfatal stroke, and cardiovascular death), hospitalization for heart failure, and all-cause mortality. Renal outcomes included change in urinary albumin to creatinine ratio and 24-hour urinary protein excretion. Weighted mean difference (WMD) and risk ratio (RR) with 95% confidence intervals (CIs) were pooled. Results A total of 26 studies with 19 645 participants were enrolled. Pioglitazone reduced the risk of MACE (RR, 0.8 [95% CI, 0.7-0.9]), with benefit only seen in patients with a history of established CVDs (0.8 [0.7-0.9]) and not in those without (1.0 [0.7-1.3]). Regarding the individual components, pioglitazone reduced the risk of nonfatal myocardial infarction (0.8 [0.6-1.0]) and nonfatal stroke (0.8 [0.7-0.9]), which was confined to patients with a history of established CVDs, whereas no treatment effect was found on cardiovascular death (1.0 [0.7-1.2]) regardless of the presence of established CVDs. Pioglitazone increased the risk of hospi…
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Pioglitazone may have a beneficial effect of stroke reduction.
“There may also be the beneficial effect of stroke reduction”
From 13. Older Adults: Standards of Care in Diabetes—2026 (2026) · cites this paper as [120]
Cites
Quantifying heterogeneity in a meta‐analysis
Higgins, J. P. T., & Thompson, S. G. (2002) · Statistics in Medicine · doi:10.1002/sim.1186 · Cited by 36,763 · see citing works
The Cochrane Collaboration's tool for assessing risk of bias in randomised trials
Higgins, J. P. T., Altman, D. G., Gotzsche, P. C., Juni, P., Moher, D., Oxman, A. D., Savovic, J., Schulz, K. F., Weeks, L., Sterne, J. A. C., et al. (2011) · BMJ · doi:10.1136/bmj.d5928 · Cited by 33,817 · see citing works
Haffner, S. M., Lehto, S., Rönnemaa, T., Pyörälä, K., & Laakso, M. (1998) · New England Journal of Medicine · doi:10.1056/nejm199807233390404 · Cited by 7,000 · see citing works
Dormandy, J. A., Charbonnel, B., Eckland, D. J., Erdmann, E., Massi-Benedetti, M., Moules, I. K., Skene, A. M., Tan, M. H., Lefèbvre, P. J., Murray, G. D., et al. (2005) · The Lancet · doi:10.1016/s0140-6736(05)67528-9 · Cited by 4,129 · see citing works
The peroxisome proliferator-activated receptor-γ is a negative regulator of macrophage activation
Ricote, M., Li, A. C., Willson, T. M., Kelly, C. J., & Glass, C. K. (1998) · Nature · doi:10.1038/34178 · Cited by 3,525 · see citing works
Prediabetes: a high-risk state for diabetes development
Tabák, A. G., Herder, C., Rathmann, W., Brunner, E. J., & Kivimäki, M. (2012) · The Lancet · doi:10.1016/s0140-6736(12)60283-9 · Cited by 2,958 · see citing works
Pioglitazone after Ischemic Stroke or Transient Ischemic Attack
Kernan, W. N., Viscoli, C. M., Furie, K. L., Young, L. H., Inzucchi, S. E., Gorman, M., Guarino, P. D., Lovejoy, A. M., Peduzzi, P. N., Conwit, R., et al. (2016) · New England Journal of Medicine · doi:10.1056/nejmoa1506930 · Cited by 1,127 · see citing works
Nissen, S. E., Nicholls, S. J., Wolski, K., Nesto, R., Kupfer, S., Perez, A., Jure, H., De Larochellière, R., Staniloae, C. S., Mavromatis, K., et al. (2008) · JAMA · doi:10.1001/jama.299.13.1561 · Cited by 850 · see citing works
Thiazolidinedione Use, Fluid Retention, and Congestive Heart Failure
Nesto, R. W., Bell, D. S. H., Bonow, R. O., Fonseca, V. A., Grundy, S. M., Horton, E. S., Winter, M. L., Porte, D., Semenkovich, C. F., Smith, S. E., et al. (2003) · Circulation · doi:10.1161/01.cir.0000103683.99399.7e · Cited by 831 · see citing works
Knobloch, K., Yoon, U., & Vogt, P. M. (2011) · Journal of Cranio-Maxillofacial Surgery · doi:10.1016/j.jcms.2010.11.001 · Cited by 802 · see citing works
Goldberg, R. B., Kendall, D. M., Deeg, M. A., Buse, J. B., Zagar, A. J., Pinaire, J. A., Tan, M. H., Khan, M. A., Perez, A. T., Jacober, S. J., et al. (2005) · Diabetes Care · doi:10.2337/diacare.28.7.1547 · Cited by 790 · see citing works
Pioglitazone for Diabetes Prevention in Impaired Glucose Tolerance
DeFronzo, R. A., Tripathy, D., Schwenke, D. C., Banerji, M., Bray, G. A., Buchanan, T. A., Clement, S. C., Henry, R. R., Hodis, H. N., Kitabchi, A. E., et al. (2011) · New England Journal of Medicine · doi:10.1056/nejmoa1010949 · Cited by 752 · see citing works
Miyazaki, Y., Mahankali, A., Matsuda, M., Mahankali, S., Hardies, J., Cusi, K., Mandarino, L. J., & DeFronzo, R. A. (2002) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem.87.6.8567 · Cited by 726 · see citing works
Mazzone, T., Meyer, P. M., Feinstein, S. B., Davidson, M. H., Kondos, G. T., D’Agostino, R. B., Perez, A., Provost, J.-C., & Haffner, S. M. (2006) · JAMA · doi:10.1001/jama.296.21.joc60158 · Cited by 674 · see citing works
Vascular complications in diabetes mellitus: the role of endothelial dysfunction
Schalkwijk, C. G., & Stehouwer, C. D. A. (2005) · Clinical Science · doi:10.1042/cs20050025 · Cited by 657 · see citing works
Vaccaro, O., Masulli, M., Nicolucci, A., Bonora, E., Del Prato, S., Maggioni, A. P., Rivellese, A. A., Squatrito, S., Giorda, C. B., Sesti, G., et al. (2017) · The Lancet Diabetes & Endocrinology · doi:10.1016/s2213-8587(17)30317-0 · Cited by 292 · see citing works
Schernthaner, G., Matthews, D. R., Charbonnel, B. H., Markolf Hanefeld, E., & Brunetti, P. (2004) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2003-030861 · Cited by 268 · see citing works
Dose-Response Effect of Pioglitazone on Insulin Sensitivity and Insulin Secretion in Type 2 Diabetes
Miyazaki, Y., Matsuda, M., & DeFronzo, R. A. (2002) · Diabetes Care · doi:10.2337/diacare.25.3.517 · Cited by 236 · see citing works
Hanefeld, M., Brunetti, P., Schernthaner, G. H., Matthews, D. R., Charbonnel, B. H., & on behalf of the QUARTET Study Group (2004) · Diabetes Care · doi:10.2337/diacare.27.1.141 · Cited by 230 · see citing works
Diabetes Mellitus, Prediabetes, and Incidence of Subclinical Myocardial Damage
Selvin, E., Lazo, M., Chen, Y., Shen, L., Rubin, J., McEvoy, J. W., Hoogeveen, R. C., Sharrett, A. R., Ballantyne, C. M., & Coresh, J. (2014) · Circulation · doi:10.1161/circulationaha.114.010815 · Cited by 226 · see citing works
Self-citationProtection of the kidney by thiazolidinediones: An assessment from bench to bedside
Sarafidis, P. A., & Bakris, G. L. (2006) · Kidney International · doi:10.1038/sj.ki.5001620 · Cited by 221 · see citing works
Liao, H.-W., Saver, J. L., Wu, Y.-L., Chen, T.-H., Lee, M., & Ovbiagele, B. (2017) · BMJ Open · doi:10.1136/bmjopen-2016-013927 · Cited by 198 · see citing works
Matthews, D. R., Charbonnel, B. H., Markolf Hanefeld, E., Brunetti, P., & Schernthaner, G. (2004) · Diabetes/Metabolism Research and Reviews · doi:10.1002/dmrr.478 · Cited by 174 · see citing works
The prevalence of multiple diabetes‐related complications
Morgan, C. L., Currie, C. J., Stott, N. C. H., Smithers, M., Butler, C., & Peters, J. R. (2000) · Diabetic Medicine · doi:10.1046/j.1464-5491.2000.00222.x · Cited by 145 · see citing works
The PROactive study: some answers, many questions
Yki‐Järvinen, H. (2005) · The Lancet · doi:10.1016/s0140-6736(05)67504-6 · Cited by 142 · see citing works
Insulin Sensitivity, Insulinemia, and Coronary Artery Disease
Rewers, M., Zaccaro, D. J., D’Agostino, R., Haffner, S. M., Saad, M. F., Selby, J. V., Bergman, R. N., Savage, P. J., & for the Insulin Resistance Atherosclerosis Study Investigators (2004) · Diabetes Care · doi:10.2337/diacare.27.3.781 · Cited by 135 · see citing works
de Jong, M., van der Worp, H. B., van der Graaf, Y., Visseren, F. L. J., & Westerink, J. (2017) · Cardiovascular Diabetology · doi:10.1186/s12933-017-0617-4 · Cited by 132 · see citing works
Expression and Function of Peroxisome Proliferator–Activated Receptor-γ in Mesangial Cells
Nicholas, S. B., Kawano, Y., Wakino, S., Collins, A. R., & Hsueh, W. A. (2001) · Hypertension · doi:10.1161/01.hyp.37.2.722 · Cited by 126 · see citing works
Guo, B., Koya, D., Isono, M., Sugimoto, T., Kashiwagi, A., & Haneda, M. (2004) · Diabetes · doi:10.2337/diabetes.53.1.200 · Cited by 122 · see citing works
Saremi, A., Schwenke, D. C., Buchanan, T. A., Hodis, H. N., Mack, W. J., Banerji, M., Bray, G. A., Clement, S. C., Henry, R. R., Kitabchi, A. E., et al. (2013) · Arteriosclerosis, Thrombosis, and Vascular Biology · doi:10.1161/atvbaha.112.300346 · Cited by 101 · see citing works
Aljabri, K., Kozak, S. E., & Thompson, D. M. (2004) · The American Journal of Medicine · doi:10.1016/j.amjmed.2003.07.023 · Cited by 98 · see citing works
Nishio, K., Sakurai, M., Kusuyama, T., Shigemitsu, M., Fukui, T., Kawamura, K., Itoh, S., Konno, N., & Katagiri, T. (2006) · Diabetes Care · doi:10.2337/diacare.29.01.06.dc05-1170 · Cited by 97 · see citing works
Hsiao, A., Worrall, D. S., Olefsky, J. M., & Subramaniam, S. (2004) · Bioinformatics · doi:10.1093/bioinformatics/bth371 · Cited by 89 · see citing works
Cerasola, G., Cottone, S., & Mulè, G. (2010) · Journal of Hypertension · doi:10.1097/hjh.0b013e32833ec377 · Cited by 79 · see citing works
Takagi, T., Okura, H., 小林, 芳., Kataoka, T., Taguchi, H., Toda, I., Tamita, K., Yamamuro, A., Sakanoue, Y., Ito, A., et al. (2009) · JACC: Cardiovascular Interventions · doi:10.1016/j.jcin.2009.04.007 · Cited by 65 · see citing works
Tanaka, R., Yamashiro, K., Okuma, Y., Shimura, H., Nakamura, S., Ueno, Y., Tanaka, Y., Miyamoto, N., Tomizawa, Y., Nakahara, T., et al. (2015) · Journal of Atherosclerosis and Thrombosis · doi:10.5551/jat.30007 · Cited by 56 · see citing works
Jain, R., Osei, K., Kupfer, S., Perez, A. T., Zhang, J., & Lannon, M. (2006) · Pharmacotherapy The Journal of Human Pharmacology and Drug Therapy · doi:10.1592/phco.26.10.1388 · Cited by 47 · see citing works
Yoshii, H., Onuma, T., Yamazaki, T., Watada, H., Matsuhisa, M., Matsumoto, M., Kitagawa, K., Kitakaze, M., Yamasaki, Y., & Kawamori, R. (2014) · Journal of Atherosclerosis and Thrombosis · doi:10.5551/jat.21626 · Cited by 47 · see citing works
Biphasic Vasodilator Action of Troglitazone on the Renal Microcirculation
Arima, S., Kohagura, K., Takeuchi, K., Taniyama, Y., Sugawara, A., Ikeda, Y., Abe, M., Omata, K., & Ito, S. (2002) · Journal of the American Society of Nephrology · doi:10.1681/asn.v132342 · Cited by 45 · see citing works
Risk of Stroke with Thiazolidinediones: A Ten-Year Nationwide Population-Based Cohort Study
Lu, C.-J., Sun, Y., Muo, C., Chen, R.-C., Chen, P., & Hsu, C. Y. (2013) · Cerebrovascular Diseases · doi:10.1159/000353679 · Cited by 41 · see citing works
Jin, H. M., & Pan, Y. (2007) · Kidney & Blood Pressure Research · doi:10.1159/000104089 · Cited by 38 · see citing works
Katavetin, P., Eiam‐Ong, S., & Suwanwalaikorn, S. (2006) · PubMed · Cited by 30 · see citing works
Strongman, H., Christopher, S., Majak, M., Williams, R., Bahmanyar, S., Linder, M., Heintjes, E. M., Bennett, D., Korhonen, P. A., & Hoti, F. J. (2018) · BMJ Open Diabetes Research & Care · doi:10.1136/bmjdrc-2017-000481 · Cited by 30 · see citing works
Kaku, K., Daida, H., Kashiwagi, A., Yamashina, A., Yamazaki, T., Momomura, S., Iwase, T., Yamasaki, Y., Nagatsuka, K., Kitagawa, K., et al. (2009) · Current Medical Research and Opinion · doi:10.1185/03007990903328124 · Cited by 27 · see citing works
Sarafidis, P. A., & Lasaridis, A. N. (2008) · Journal of the CardioMetabolic Syndrome · doi:10.1111/j.1559-4572.2008.00009.x · Cited by 25 · see citing works
Impact of treatment with pioglitazone on stroke outcomes: A real‐world database analysis
Morgan, C. L., Inzucchi, S. E., Puelles, J., Jenkins‐Jones, S., & Currie, C. J. (2018) · Diabetes Obesity and Metabolism · doi:10.1111/dom.13344 · Cited by 23 · see citing works
Morikawa, A., Ishizeki, K., Iwashima, Y., Yokoyama, H., Muto, E., Oshima, E., SEKIGUCHI, M., Miura, T., Itoh, H., & Haneda, M. (2011) · Clinical and Experimental Nephrology · doi:10.1007/s10157-011-0512-3 · Cited by 21 · see citing works
Effect of pioglitazone on decreasing of proteinuria in type 2 diabetic patients with nephropathy
pourshabanan, P., Momeni, A., Mahmoudnia, L., & Kheiri, S. (2018) · Diabetes & Metabolic Syndrome Clinical Research & Reviews · doi:10.1016/j.dsx.2018.04.013 · Cited by 20 · see citing works
Hong, S. J., Choi, S. C., Cho, J. Y., Joo, H. J., Park, J. H., Yu, C. W., & Lim, D. (2015) · Circulation Journal · doi:10.1253/circj.cj-14-0964 · Cited by 18 · see citing works
Lee, H. W., Lee, H. C., Kim, B. W., Yang, M., Park, J. S., Oh, J. H., Choi, J. H., Cha, K. S., Hong, T. J., Kim, S.-P., et al. (2013) · Yonsei Medical Journal · doi:10.3349/ymj.2013.54.6.1313 · Cited by 16 · see citing works
Kaneda, H., Shiono, T., Miyashita, Y., Takahashi, S., Taketani, Y., Domae, H., Matsumi, J., Mizuno, S., Minami, Y., Sugitatsu, K., et al. (2009) · Heart · doi:10.1136/hrt.2008.162842 · Cited by 15 · see citing works
Wang, Y.-F., Ye, S., Hu, Y., Zhao, L., & Zheng, M. (2012) · Journal of Diabetes and its Complications · doi:10.1016/j.jdiacomp.2012.08.004 · Cited by 12 · see citing works
Self-citationOn behalf of the Pioglitazone Reduce Inflammation and Restenosis with and without Drug Eluting Stent (PRIDE) Study Investigators, Tanaka, A., Komukai, S., Shibata, Y., Yokoi, H., Iwasaki, Y., Kawasaki, T., Horiuchi, K., Nakao, K., Ueno, T., et al. (2018) · Heart and Vessels · doi:10.1007/s00380-018-1143-3 · Cited by 11 · see citing works
Asakura, M., Kim, J., Asanuma, H., Nakama, Y., Tsukahara, K., Higashino, Y., Ishikawa, T., Koba, S., Tsujimoto, M., Himeno, H., et al. (2018) · EClinicalMedicine · doi:10.1016/j.eclinm.2018.09.006 · Cited by 10 · see citing works
Flagged first, then by citations
2 of the 56 references couldn’t be matched to a known paper.
Cited by
Sorted by citations
2023 ESC guidelines for the management of cardiovascular disease in patients with diabetes.
Marx, N., Federici, M., Schütt, K., Müller-Wieland, D., Ajjan, R. A., Antunes, M. J., Christodorescu, R. M., Crawford, C., Di Angelantonio, E., Eliasson, B., et al. (2023) · European Heart Journal · doi:10.1093/eurheartj/ehad192 · Cited by 1,642 · see citing works
The complex link between NAFLD and type 2 diabetes mellitus - mechanisms and treatments
Targher, G., Corey, K. E., Byrne, C. D., & Roden, M. (2021) · Nature Reviews Gastroenterology & Hepatology · doi:10.1038/s41575-021-00448-y · Cited by 850 · see citing works
Blonde, L., Umpierrez, G. E., Reddy, S. S., McGill, J. B., Berga, S. L., Bush, M., Chandrasekaran, S., DeFronzo, R. A., Einhorn, D., Galindo, R. J., et al. (2022) · Endocrine Practice · doi:10.1016/j.eprac.2022.08.002 · Cited by 507 · see citing works
Metabolic liver disease in diabetes – From mechanisms to clinical trials
Dewidar, B., KAHL, S., Pafili, K., & Roden, M. (2020) · Metabolism · doi:10.1016/j.metabol.2020.154299 · Cited by 160 · see citing works
Rethinking pioglitazone as a cardioprotective agent: a new perspective on an overlooked drug
Nesti, L., Tricò, D., Mengozzi, A., & Natali, A. (2021) · Cardiovascular Diabetology · doi:10.1186/s12933-021-01294-7 · Cited by 125 · see citing works
Yoneda, M., Honda, Y., Ogawa, Y., Kessoku, T., Kobayashi, T., Imajo, K., Ozaki, A., Nogami, A., Taguri, M., Yamanaka, T., et al. (2021) · BMJ Open Diabetes Research & Care · doi:10.1136/bmjdrc-2020-001990 · Cited by 100 · see citing works
Antioxidant Phytochemicals as Potential Therapy for Diabetic Complications
Akpoveso, O.-O. P., Ubah, E. E., & Obasanmi, G. (2023) · Antioxidants · doi:10.3390/antiox12010123 · Cited by 90 · see citing works
13. Older Adults: Standards of Care in Diabetes—2026
American Diabetes Association Professional Practice Committee for Diabetes*, Bajaj, M., McCoy, R. G., Balapattabi, K., Bannuru, R. R., Bellini, N. J., Bennett, A. K., Beverly, E. A., Briggs Early, K., ChallaSivaKanaka, S., et al. (2026) · Diabetes Care · doi:10.2337/dc26-s013 · Cited by 87 · see citing works
Pharmacological Approaches to Nonalcoholic Fatty Liver Disease: Current and Future Therapies
Genua, I., & Cusi, K. J. (2024) · Diabetes Spectrum · doi:10.2337/dsi23-0012 · Cited by 74 · see citing works
Dongiovanni, P., Paolini, E., Corsini, A., Sirtori, C. R., & Ruscica, M. (2021) · European Journal of Clinical Investigation · doi:10.1111/eci.13519 · Cited by 70 · see citing works
Effect of Glucose Levels on Cardiovascular Risk
Poznyak, A. V., Litvinova, L. S., Poggio, P., Sukhorukov, V. N., & Orekhov, A. N. (2022) · Cells · doi:10.3390/cells11193034 · Cited by 73 · see citing works
Nuclear receptors in podocyte biology and glomerular disease
Agrawal, S., He, C., & Tharaux, P. (2020) · Nature Reviews Nephrology · doi:10.1038/s41581-020-00339-6 · Cited by 57 · see citing works
MASLD treatment—a shift in the paradigm is imminent
Machado, M. V. (2023) · Frontiers in Medicine · doi:10.3389/fmed.2023.1316284 · Cited by 51 · see citing works
Mannucci, E., Gallo, M., Giaccari, A., Candido, R., Pintaudi, B., Targher, G., Monami, M., & Diabetes, T. S. J. P. F. I. G. O. T. O. T. 2. (2022) · Diabetes Obesity and Metabolism · doi:10.1111/dom.14888 · Cited by 44 · see citing works
Kounatidis, D. C., Vallianou, N. G., Rebelos, E., Kouveletsou, M., Kontrafouri, P., Eleftheriadou, I., Diakoumopoulou, E., Karampela, Ι., Tentolouris, N., & Dalamaga, Μ. (2025) · Current Obesity Reports · doi:10.1007/s13679-025-00612-4 · Cited by 35 · see citing works
Dutta, D., Bhattacharya, S., Kumar, M., Datta, P. K., Mohindra, R., & Sharma, M. (2022) · Diabetes & Metabolic Syndrome Clinical Research & Reviews · doi:10.1016/j.dsx.2022.102697 · Cited by 33 · see citing works
Hasni, S., Temesgen‐Oyelakin, Y., Davis, M., Chu, J., Poncio, E., Naqi, M., Gupta, S., Wang, X., Oliveira, C. B., Claybaugh, D., et al. (2022) · Annals of the Rheumatic Diseases · doi:10.1136/ard-2022-222658 · Cited by 24 · see citing works
Self-citationDalem, J. D. R.-V., Driessen, J. H. M., Burden, A. M., Stehouwer, C. D. A., Klungel, O. H., de Vries, F., & Brouwers, M. C. G. J. (2021) · Hepatology · doi:10.1002/hep.32012 · Cited by 23 · see citing works
Mannucci, E., Giaccari, A., Gallo, M., Targher, G., Pintaudi, B., Candido, R., & Monami, M. (2021) · Nutrition Metabolism and Cardiovascular Diseases · doi:10.1016/j.numecd.2021.12.006 · Cited by 21 · see citing works
Lo, S., Kornelius, E., Liao, P., Huang, J., Yang, Y., & Huang, C. (2023) · Diabetes Research and Clinical Practice · doi:10.1016/j.diabres.2023.110685 · Cited by 21 · see citing works
Sheikh, I. M., Hassan, O. A., Adam, S. M., Ali, A. I., Ogedegbe, O. J., Tabowei, G., Barbarawi, A., Yussuf, F. M., & Nor, M. A. (2023) · Cureus · doi:10.7759/cureus.46911 · Cited by 28 · see citing works
Golmohammadi, M., Ivraghi, M. S., Hasan, E. K., Huldani, H., Zamanian, M. Y., Rouzbahani, S., Mustafa, Y. F., Al-Hasnawi, S. S., Alazbjee, A. A. A., Khalajimoqim, F., et al. (2024) · Clinical and Experimental Nephrology · doi:10.1007/s10157-024-02525-3 · Cited by 24 · see citing works
Manka, P. P., Kaya, E., Canbay, A. E., & Syn, W. (2021) · Digestive Diseases and Sciences · doi:10.1007/s10620-021-07206-9 · Cited by 20 · see citing works
Yoo, J., Jeon, J., Baik, M., & Kim, J. (2023) · Cardiovascular Diabetology · doi:10.1186/s12933-023-01841-4 · Cited by 19 · see citing works
Diabetes and cardiovascular disease in older adults
Bilal, A., & Pratley, R. E. (2024) · Annals of the New York Academy of Sciences · doi:10.1111/nyas.15259 · Cited by 18 · see citing works
Adeghate, E. A., Kalász, H., Jaberi, S. A., Adeghate, J. O., & Tekes, K. (2020) · Expert Opinion on Investigational Drugs · doi:10.1080/13543784.2021.1865914 · Cited by 19 · see citing works
Pioglitazone in diabetic kidney disease: forgotten but not gone
Papaetis, G. S. (2022) · Archives of Medical Science - Atherosclerotic Diseases · doi:10.5114/amsad/151046 · Cited by 15 · see citing works
Instituting a successful discharge plan for patients with type 2 diabetes: challenges and solutions
Demidowich, A. P., Batty, K., & Zilbermint, M. (2022) · Diabetes Spectrum · doi:10.2337/dsi22-0013 · Cited by 15 · see citing works
Role of anti-diabetic medications in the management of MASLD
Isaacs, S. D., Farrelly, F. V., & Brennan, P. (2025) · Frontline Gastroenterology · doi:10.1136/flgastro-2024-102856 · Cited by 17 · see citing works
The efficacy of pioglitazone for renal protection in diabetic kidney disease
Ho, C.-C., Yang, Y., Huang, C., Lo, S., Wang, Y., & Kornelius, E. (2022) · PLoS ONE · doi:10.1371/journal.pone.0264129 · Cited by 15 · see citing works
Self-citationHung, Y., Chiu, L., Huang, H., & Bau, D. (2020) · Cardiovascular Diabetology · doi:10.1186/s12933-020-01056-x · Cited by 13 · see citing works
Myerson, M. L., Paparodis, R. D., Block, R., Karalis, D. G., Mintz, G. L., Brinton, E. A., & Wild, R. A. (2024) · Journal of clinical lipidology · doi:10.1016/j.jacl.2024.04.131 · Cited by 12 · see citing works
Shah, M. U., Roebuck, A., Srinivasan, B., Ward, J. K., Squires, P. E., Hills, C. E., & Lee, K. (2025) · Frontiers in Endocrinology · doi:10.3389/fendo.2024.1499681 · Cited by 13 · see citing works
Sönmez, A., Sabbour, H. M., Echtay, A. S., Rahmah, A. M., Alhozali, A. M., Sabaan, F. S. A., Haddad, F., Iraqi, H., Elebrashy, I., Assaad, S. N., et al. (2022) · Journal of Diabetes · doi:10.1111/1753-0407.13266 · Cited by 14 · see citing works
Cardiovascular Outcome Trials with Glucose-Lowering Drugs
Thethi, T. K., Bilal, A., & Pratley, R. E. (2021) · Current Cardiology Reports · doi:10.1007/s11886-021-01505-3 · Cited by 11 · see citing works
Genetics and Clinical Characteristics of PPARγ Variant-Induced Diabetes in a Chinese Han Population
Gong, S., Han, X., Li, M., Cai, X., Liu, W., Luo, Y., Zhang, S.-M., Zhou, L., Ma, Y., Huang, X., et al. (2021) · Frontiers in Endocrinology · doi:10.3389/fendo.2021.677130 · Cited by 10 · see citing works
Al-Sultan, A., Rattray, Z., & Rattray, N. J. W. (2024) · Journal of Applied Toxicology · doi:10.1002/jat.4613 · Cited by 9 · see citing works
Zhao, L., Kang, S., & Kang, H. (2024) · Scientific Reports · doi:10.1038/s41598-024-71904-3 · Cited by 9 · see citing works
Rethinking the role of pioglitazone in modern diabetology as a cardiorenoprotective agent
Салухов, В. В., & Анатольевна, К. Е. (2022) · Meditsinskiy sovet = Medical Council · doi:10.21518/2079-701x-2022-16-10-10-21 · Cited by 10 · see citing works
Introduction of Diabetes Mellitus and Future Prospects of Natural Products on Diabetes Mellitus
Chen, H., & Li, R. (2021) · Springer eBooks · doi:10.1007/978-981-15-8791-7_1 · Cited by 7 · see citing works
Li, Y., Wang, C., Liu, C., Yen, C., Wu, V. C., Huang, E. J.-C., Lee, C., & Hsiao, C.-C. (2024) · Frontiers in Endocrinology · doi:10.3389/fendo.2024.1420485 · Cited by 6 · see citing works
Panchal, R., Nguyen, D. T., Ghule, P., Li, N., Giannouchos, T. V., Pan, R. J., BISKUPIAK, J. E., Britton, L., Nohavec, R., Slager, S. L., et al. (2023) · Journal of Managed Care & Specialty Pharmacy · doi:10.18553/jmcp.2023.29.2.139 · Cited by 6 · see citing works
Jung, C., Park, S., & Kim, H. (2023) · PLoS ONE · doi:10.1371/journal.pone.0294423 · Cited by 6 · see citing works
Prediabetes and CKD: Does a causal relationship exist
Rico-Fontalvo, J. E., Soler, M. J., Daza-Arnedo, R., Navarro‐Blackaller, G., Medina-González, R., Yánez, T. R., Cardona-Blanco, M., Cabrales, J., Uparrela-Gulfo, I., & Chavez-Iñiguez, J. S. (2024) · Nefrología · doi:10.1016/j.nefro.2024.06.008 · Cited by 5 · see citing works
Is fluid retention a cardiovascular risk factor?
Blankfield, R. P. (2024) · Clinical Hemorheology and Microcirculation · doi:10.3233/ch-242128 · Cited by 5 · see citing works
Pioglitazone enhances proteinuria reduction in complicated pediatric nephrotic syndrome
Hunley, T. E., Hidalgo, G., Ng, K. H., Shirai, Y., Miura, K., Beng, H. M., Wu, Q. E., Hattori, M., & Smoyer, W. E. (2022) · Pediatric Nephrology · doi:10.1007/s00467-022-05637-8 · Cited by 5 · see citing works
Contemporary choice of glucose lowering agents in heart failure patients with type 2 diabetes
Katsiki, N., Kazakos, K., & Triposkiadis, F. K. (2022) · Expert Opinion on Pharmacotherapy · doi:10.1080/14656566.2022.2143263 · Cited by 6 · see citing works
A Saudi Heart Association Position Statement on Cardiovascular Diseases and Diabetes Mellitus
AlHabeeb, W., Elasfar, A., Kinsara, A. J., Aljizeeri, A. H., Jelaidan, I., Alghalayini, K. W., AlKheraiji., M. F., Akbar, M. A. J., Lawand, S., Alyousif, S. M., et al. (2024) · Journal of the Saudi Heart Association · doi:10.37616/2212-5043.1407 · Cited by 6 · see citing works
Bhayana, S., Dougherty, J. A., Kamigaki, Y., Agrawal, S., Wijeratne, S., Fitch, J., Waller, A. P., Wolfgang, K. J., White, P., Kerlin, B. A., et al. (2023) · iScience · doi:10.1016/j.isci.2023.108631 · Cited by 4 · see citing works
Liu, B., Jin, Q., Sun, Y., Yang, Z. M., Meng, P., Zhang, X., Chen, Q., Gan, P., Zhao, T., He, J., et al. (2025) · Frontiers in Endocrinology · doi:10.3389/fendo.2025.1563362 · Cited by 7 · see citing works
Cardioprotective Effects of Pioglitazone in Type 2 Diabetes
Tripathy, D., Solis‐Herrera, C., & Ryder, R. E. J. (2021) · Diabetes Spectrum · doi:10.2337/ds20-0078 · Cited by 5 · see citing works
Thiazolidinediones for people with chronic kidney disease and diabetes
Natale, P., Green, S. C., Tunnicliffe, D. J., Pellegrino, G., Toyama, T., Sarafidis, P. A., Strippoli, G. F., & Transplant, S. B. C. K. A. (2025) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd015907.pub2 · Cited by 3 · see citing works
Silverii, G. A., Velardi, V., Marinelli, C., Lax, A., Monami, M., & Mannucci, E. (2026) · Diabetes Obesity and Metabolism · doi:10.1111/dom.71128 · Cited by 3 · see citing works
A nem alkoholos zsírmájbetegség és a 2-es típusú cukorbetegség.
Pár, A., Wittmann, I., & Pár, G. (2022) · Orvosi Hetilap · doi:10.1556/650.2022.32480 · Cited by 3 · see citing works
Biomarkers and therapies to target endothelial dysfunction in type 2 diabetes: moving a step forward
Chee, Y. J., Loh, W. J., & Dalan, R. (2025) · Current Opinion in Endocrinology Diabetes and Obesity · doi:10.1097/med.0000000000000933 · Cited by 2 · see citing works
Bahit, M. C., Agudo-Quílez, P., Zamorano, J. L., & Gibson, C. M. (2026) · European Heart Journal - Cardiovascular Pharmacotherapy · doi:10.1093/ehjcvp/pvag007 · Cited by 2 · see citing works
Prevention of Cardiovascular Disease in Patients with Chronic Kidney Disease
Lo, R. H., & Glassock, R. J. (2020) · Contemporary cardiology · doi:10.1007/978-3-030-56279-3_25 · Cited by 2 · see citing works
Cardiovascular disease in metabolic-associated fatty liver disease
Adams, L. A. (2023) · Current Opinion in Endocrinology Diabetes and Obesity · doi:10.1097/med.0000000000000803 · Cited by 2 · see citing works
Гришаев, С. Л., Cherkashin, D. V., Салухов, В. В., & Alanichev, A. E. (2024) · Russian Journal of Cardiology · doi:10.15829/1560-4071-2024-5689 · Cited by 2 · see citing works
Cytotoxicity and Toxicoproteomic Analysis of Pioglitazone Exposure in Human-derived CardiomyocytesPreprint
Sultan, A. A., Rattray, Z., & Rattray, N. J. W. (2023) · Research Square · doi:10.21203/rs.3.rs-3410461/v1 · Cited by 2 · see citing works
Prediabetes and CKD: Does a causal relationship exist
Rico-Fontalvo, J. E., Soler, M. J., Daza-Arnedo, R., Navarro‐Blackaller, G., Medina-González, R., Yánez, T. R., Cardona-Blanco, M., Cabrales, J., Uparrela-Gulfo, I., & Chavez-Iñiguez, J. S. (2024) · Nefrología (English Edition) · doi:10.1016/j.nefroe.2024.11.005 · Cited by 1 · see citing works
Yang, J., Zhao, H., Yan, M.-M., Xiang, Z., Zhang, Q., Chen, H.-Y., & Qiu, X. (2025) · Expert Opinion on Drug Safety · doi:10.1080/14740338.2025.2492744 · Cited by 1 · see citing works
Butranova, O. I., Zyryanov, S. K., Melnikova, A. R., & Matsepuro, A. E. (2025) · Terapevticheskii arkhiv · doi:10.26442/00403660.2025.08.203345 · Cited by 1 · see citing works
Cholesterol efflux in HIV-associated atherosclerosis: mechanisms and targets
Lu, E., Chidambaram, V., Kumar, A., Aparicio, H. C., Golzar, Y., Pyslar, N., Mehta, J. L., & Karakousis, P. C. (2025) · Trends in Molecular Medicine · doi:10.1016/j.molmed.2025.08.003 · Cited by 1 · see citing works
Scheen, A. J. (2023) · Diabetes Epidemiology and Management · doi:10.1016/j.deman.2023.100179 · Cited by 1 · see citing works
To Conduct a Prospective Study on Pioglitazone Induced Kidney Injury in Tertiary Care Hospital
Archana, B., Vishwada, P., Charani, Y. S. S., & Shri, D. S. (2024) · Journal of Drug Delivery and Therapeutics · doi:10.22270/jddt.v14i1.6183 · Cited by 1 · see citing works
Advances in Cardiology in 2023
Bendiab, N. T., Khedim, N., Kazi-Tani, D., Bensalah, M., Sari, A., & Djafour, S. (2024) · International Journal of Medical Science and Clinical Research Studies · doi:10.47191/ijmscrs/v4-i01-15 · Cited by 1 · see citing works
What is the role of pioglitazone for patients with type 2 diabetes in value-based care settings?
Bush, A., Benny, T., Hale, G. M., & Seamon, M. J. (2024) · Drugs & Therapy Perspectives · doi:10.1007/s40267-024-01052-1 · Cited by 1 · see citing works
Pioglitazone - the forgotten drug with multidirectional action
Aab, A., & Zarańska, J. (2023) · Journal of Education Health and Sport · doi:10.12775/jehs.2023.24.01.001
Hejazian, S. M., Vahed, S. Z., Haghighi, N. K., Niknafs, B., & Farnood, F. (2023) · Journal of Renal Injury Prevention · doi:10.34172/jrip.2023.32186
Efficacy and Safety of Novel Thiazolidinedione Rivoglitazone in Type-2 Diabetes a Meta-Analysis
Dutta, D., Kadian, J., Maisnam, I., Kumar, A., Bhattacharya, S., & Sharma, M. (2023) · Indian Journal of Endocrinology and Metabolism · doi:10.4103/ijem.ijem_17_23
Nonalcoholic fatty liver disease is a risk factor for cardiovascular disease
Li, Q. I. N., JunRu, W. U., YuQing, L. I. U., YingXuan, G. O. N. G., & JingJing, C. A. I. (2024) · Scientia Sinica Vitae · doi:10.1360/ssv-2024-0098
Diabetes-Induced Cardiomyopathy: Updates in Epidemiology, Prevention, and Management
Adeghate, E. A., Mohsin, S., Amar, A., AlAmry, S., Alotaiba, M. K., Oyeleye, O. A., & Singh, J. (2024) · IntechOpen eBooks · doi:10.5772/intechopen.1006679
Kim, K., Ko, S., Yun, J., Lee, K. W., Kim, E., Jeong, I., Kim, J. H., Kim, S. Y., Won, K. C., Kim, M.-K., et al. (2025) · Scientific Reports · doi:10.1038/s41598-025-30882-w
Bogomolov, A. N., Николаевна, К. О., Kozlov, K. L., & Golikova, E. N. (2025) · Russian Journal of Geriatric Medicine · doi:10.37586/2686-8636-4-2025-546-556
Yoo, J., Jeon, J., Baik, M., & Kim, J. (2024) · Figshare · doi:10.6084/m9.figshare.26587449
Antihyperglycemic Medications With Proven Cardiovascular Safety
Green, J. B. (2026) · Elsevier eBooks · doi:10.1016/b978-0-323-87862-3.00014-8
Choi, Y. S., Jeon, J., Baik, M., Yoo, J., & Kim, J. (2026) · Journal of Diabetes Investigation · doi:10.1111/jdi.70341
Demidov, N. A. D., Demidova, T. Y., & Antsiferov, M. B. (2026) · FOCUS Endocrinology · doi:10.62751/2713-0177-2026-7-2-03
Oral Hypoglycemic Therapy in Metabolic Dysfunction-Associated Fatty Liver Disease
Karshina, O. O., Sabirov, I. S., & Mohammad, E. A. (2026) · Экспериментальная и клиническая гастроэнтерология · doi:10.31146/1682-8658-ecg-240-8-110-118
Kuilya, M., Chowdhury, S., Chakraborty, P., & Kar, K. (2026) · Next research. · doi:10.1016/j.nexres.2026.102525
- Authors
- Zhou, Y., Huang, Y., Ji, X., Wang, X., Shen, L., & Wang, Y.
- Affiliations
- Qingdao University (CN)
- Corresponding author
- Shen, Liyan
- Wang, Yangang
- Venue
- The Journal of Clinical Endocrinology & Metabolism
- Publisher
- The Endocrine Society
- Published
- 2019-12-10
- Volume
- 105
- Issue
- 5
- Pages
- 1670-1681
- ISSN
- 0021-972X (ISSN-L)
- 1945-7197
- OpenAlex
- W2996104596
- Cited by
- 81
- References
- 56
- Citations by year
- 2026: 7 · 2025: 12 · 2024: 18 · 2023: 15 · 2022: 13 · 2021: 11 · 2020: 5
- FWCI
- 1.11
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model (vor)
- Locations
- The Journal of Clinical Endocrinology & Metabolism (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Health Sciences › Medicine › Nephrology › Chronic Kidney Disease and Diabetes
- Keywords
- pioglitazone, type 2 diabetes, major adverse cardiovascular events, cardiovascular disease prevention, heart failure hospitalization, all-cause mortality, albuminuria, proteinuria, renal outcomes, myocardial infarction, stroke, cardiovascular mortality, thiazolidinediones, drug safety and efficacy, renal function, high-risk patients
- MeSH terms
- Pioglitazone, Adult, Aged, Aged, 80 and over, Cardiovascular Diseases, Diabetes Mellitus, Type 2, Diabetic Angiopathies, Diabetic Nephropathies, Female, Humans, Kidney Diseases, Male, Middle Aged, Primary Prevention, Randomized Controlled Trials as Topic, Treatment Outcome, Chemoprevention, Secondary Prevention
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review