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Trial · NCT00542178

Evaluating How the Treatments in the Action to Control Cardiovascular Risk in Diabetes (ACCORD) Study Affect Diabetic Retinopathy (The ACCORD Eye Study)

NCT00542178, Phase 3, Completed, National Heart, Lung, and Blood Institute (NHLBI); results first posted 2013-11-26

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Evaluating How the Treatments in the Action to Control Cardiovascular Risk in Diabetes (ACCORD) Study Affect Diabetic Retinopathy (The ACCORD Eye Study). Trials, record NCT00542178. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT00542178

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Evaluating How the Treatments in the Action to Control Cardiovascular Risk in Diabetes (ACCORD) Study Affect Diabetic Retinopathy (The ACCORD Eye Study)
NCT number
NCT00542178
Status
Completed
Phases
Phase 3
Enrollment
3,472 participants, actual
Lead sponsor
National Heart, Lung, and Blood Institute (NHLBI)
Conditions
Diabetic Retinopathy
Interventions
Hypoglycemic Agents, Standard glycemia control, Intensive BP treatment, Standard BP control, Fenofibrate, Simvastatin, Placebo
First posted
2007-10-10
Last updated
2018-07-24
Results first posted
2013-11-26
Limitations and caveats
The glycemia trial was stopped early, potentially underestimating the reported effect of glycemia treatment on diabetic retinopathy.

Source ClinicalTrials.gov

Registered outcomes4

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
Primary
Number of Participants With Progression of Diabetic Retinopathy of at Least 3 Stages on the Early Treatment Diabetic Retinopathy Study (ETDRS) Scale, or Development of Proliferative Diabetic Retinopathy Necessitating Photocoagulation Therapy or Vitrectomy
Measured at Year 4
Diabetic retinopathy status was defined according to the eye with the highest level on the ETDRS Final Severity Scale for Persons, as follows: no diabetic retinopathy, a level of less than 20; mild diabetic retinopathy, a level of 20; moderate nonproliferative diabetic retinopathy (NPDR), a level above 20 but less than 53; severe diabetic retinopathy, a level of 53 but less than 60; and proliferative diabetic retinopathy (PDR), a level of 60 or higher.
SecondaryLoss of Visual AcuityMeasured at Year 4
SecondaryCataract ExtractionMeasured at Year 4
SecondaryDevelopment or Progression of Macular EdemaMeasured at Year 4

Outcomes4

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARY
Number of Participants With Progression of Diabetic Retinopathy of at Least 3 Stages on the Early Treatment Diabetic Retinopathy Study (ETDRS) Scale, or Development of Proliferative Diabetic Retinopathy Necessitating Photocoagulation Therapy or Vitrectomy
Measured at Year 4The ACCORD Eye study recruited 3472 eligible participants. Of these, 2856 participants had both baseline and year 4 follow-up data available for analyses.participantsNUMBER
SECONDARYLoss of Visual AcuityMeasured at Year 4Subset of Participants from the entire ACCORD cohort (NCT00000620) who provided information about loss in visual acuity.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYCataract ExtractionMeasured at Year 4Subset of Participants from the entire ACCORD cohort (NCT00000620) who provided information regarding whether or not they had a cataract extraction.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYDevelopment or Progression of Macular EdemaMeasured at Year 4ParticipantsCOUNT_OF_PARTICIPANTS

Results by group24

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Number of Participants With Progression of Diabetic Retinopathy of at Least 3 Stages on the Early Treatment Diabetic Retinopathy Study (ETDRS) Scale, or Development of Proliferative Diabetic Retinopathy Necessitating Photocoagulation Therapy or Vitrectomy
Intensive Glycemia Control104participants
Number of Participants With Progression of Diabetic Retinopathy of at Least 3 Stages on the Early Treatment Diabetic Retinopathy Study (ETDRS) Scale, or Development of Proliferative Diabetic Retinopathy Necessitating Photocoagulation Therapy or Vitrectomy
Standard Glycemia Control149participants
Number of Participants With Progression of Diabetic Retinopathy of at Least 3 Stages on the Early Treatment Diabetic Retinopathy Study (ETDRS) Scale, or Development of Proliferative Diabetic Retinopathy Necessitating Photocoagulation Therapy or Vitrectomy
Intensive Blood Pressure Control67participants
Number of Participants With Progression of Diabetic Retinopathy of at Least 3 Stages on the Early Treatment Diabetic Retinopathy Study (ETDRS) Scale, or Development of Proliferative Diabetic Retinopathy Necessitating Photocoagulation Therapy or Vitrectomy
Standard Blood Pressure Control54participants
Number of Participants With Progression of Diabetic Retinopathy of at Least 3 Stages on the Early Treatment Diabetic Retinopathy Study (ETDRS) Scale, or Development of Proliferative Diabetic Retinopathy Necessitating Photocoagulation Therapy or Vitrectomy
Fenofibrate + Simvastatin Therapy52participants
Number of Participants With Progression of Diabetic Retinopathy of at Least 3 Stages on the Early Treatment Diabetic Retinopathy Study (ETDRS) Scale, or Development of Proliferative Diabetic Retinopathy Necessitating Photocoagulation Therapy or Vitrectomy
Placebo + Simvastatin Therapy80participants
Loss of Visual AcuityIntensive Glycemia Control744Participants
Loss of Visual AcuityStandard Glycemia Control752Participants
Loss of Visual AcuityIntensive Blood Pressure Control367Participants
Loss of Visual AcuityStandard Blood Pressure Control382Participants

Participant flow24

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDIntensive Glycemia Control & Intensive Blood Pressure Control390
Overall StudySTARTEDStandard Glycemia Control & Intensive Blood Pressure Control412
Overall StudySTARTEDIntensive Glycemia Control & Standard Blood Pressure Control382
Overall StudySTARTEDStandard Glycemia Control & Standard Blood Pressure Control370
Overall StudySTARTEDIntensive Glycemia Control & Fibrate464
Overall StudySTARTEDStandard Glycemia Control & Fibrate495
Overall StudySTARTEDIntensive Glycemia Control & Fibrate Placebo493
Overall StudySTARTEDStandard Glycemia Control & Fibrate Placebo466
Overall StudyCOMPLETEDIntensive Glycemia Control & Intensive Blood Pressure Control315
Overall StudyCOMPLETEDStandard Glycemia Control & Intensive Blood Pressure Control332

Adverse events0

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

None in this release.

Adverse event totals18

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityIntensive Glycemia Control
Total, all-cause mortalityStandard Glycemia Control
Total, all-cause mortalityIntensive BP Control
Total, all-cause mortalityStandard BP Control
Total, all-cause mortalityFibrate
Total, all-cause mortalityFibrate Placebo
Total, other adverse eventsIntensive Glycemia Control00
Total, other adverse eventsStandard Glycemia Control00
Total, other adverse eventsIntensive BP Control00
Total, other adverse eventsStandard BP Control00

Papers7

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
17599420BACKGROUNDPubMed
20212201DERIVEDPubMed
20587587RESULTPubMed
22709833DERIVEDPubMed
25172198DERIVEDPubMed
27289122DERIVEDPubMed
36975019DERIVEDPubMed

Grants1

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

ProjectTitlePrincipal investigatorsOrganizationFunderFiscal years
N01HC095178PREVENTION OF CARDIOVASCULAR DISEASE IN DIABETES MELLITU-268995178-268095178BYINGTON, ROBERTWAKE FOREST UNIVERSITY HEALTH SCIENCESDIVISION OF EPIDEMIOLOGY AND CLINICAL APPLICATIONS1999 to 2006

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT00542178

GET https://conductscience.org/api/trials/v1/NCT00542178/results?page=2