UMIN-CTR Clinical Trial

Unique ID issued by UMIN C000000216
Receipt number R000000284
Scientific Title Establishment of evidences for treatment of pediatric patients with Type 2 diabetes-Particularly optimal doses, effectiveness and safety of treatment with Metoformin.
Date of disclosure of the study information 2005/09/15
Last modified on 2008/06/19 12:52:43

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Basic information

Public title

Establishment of evidences for treatment of pediatric patients with Type 2 diabetes-Particularly optimal doses, effectiveness and safety of treatment with Metoformin.

Acronym

Efficacy and safety of Metoformin treatment in pediatric patients with Type 2 diabetes.

Scientific Title

Establishment of evidences for treatment of pediatric patients with Type 2 diabetes-Particularly optimal doses, effectiveness and safety of treatment with Metoformin.

Scientific Title:Acronym

Efficacy and safety of Metoformin treatment in pediatric patients with Type 2 diabetes.

Region

Japan


Condition

Condition

Pediatric patients with Type 2 diabetes

Classification by specialty

Endocrinology and Metabolism Pediatrics

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

This study evaluates the efficacy of metoformin in pediatric patients with Type 2 diabetes. 24-week treatment period is consisting of a titration period of 12 week and a 12 week maintenance period. Primary endpoint is to evaluate the mean change of HbA1c from 12 week titration period to end of 24 week period. The secondary endpoints are BMI, west size, glycoalbumin, FBG, serum lipid levels and the safety variables.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase

Phase II


Assessment

Primary outcomes

HbA1c

Key secondary outcomes

BMI, west size, glycoalbumine, FBG, serum lipids levels and safety


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

oral administration of Metformin Hydrochloride

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

10 years-old <=

Age-upper limit

20 years-old >=

Gender

Male and Female

Key inclusion criteria

1)Patients with Type 2 diabetes treated with diet and exercise for at least 4 weeks or more.
2)Ages 10 or older, but 20 or younger.
3)Following inclusion criteria at 7days before start of treatment.
A)Percentage overweight(POW) over 0%
B)HbA1c over 5.8%
C)Patients who have no sever diabetic complications and no cardiac, liver and kidney functions abnormalities within 7 days before starting treatment (liver function data abnormality due to fatty liver is included)
4)Patients who can be control able with Metoformin mono-therapy.
5)Patients who signed the informed consent by the patient and patients' parent or legal guardian after reading the informed content document.
6)Criteria for previous treatment
A)Fresh case: Patients who have no history of medical treatment for diabetes within 28 days prior to the protocol treatment.
B)Treated case:
(1)Patients who received Metoformin less than 750mg/day,
(2) No current treatment with sulfonylurea and less than two hypoglycemic agents at the registration.

Key exclusion criteria

1)Previous treatment with insulin within 28 days before screening visit.
2) Known past history of lactic acidosis.
3) Clinically significant renal disease.
4) On hemodialysis.
5) Clinically significant liver disease (ALT, AST > 2 X ULN) . The patient is eligible if elevated ALT and/or AST is due to fatty liver.
6) On shock, cardiac failure, cardiac or pulmonary infarction and have significant chronic cardiovascular, pulmonary insufficiency and hypoxia.
7) On dehydration.
8) With gastrointestinal disorders such as vomiting or diarrhea.
9) On diabetic ketoacidosis or diabetic coma or precoma.
10) On sever infections, surgery or severe trauma.
11) On malnutrition, starvation, collapse and pituitary or adrenal insufficiency.
12) Pregnant or intend to pregnant during treatment period.
13) History of hypersensitivity to biguanides.
14) Complicated with endocrine disorders such as hyperthyroidism, gigantism, Cushing syndrome, growth hormone deficiency or pheochromocytoma.
15) Complicated with or past history of malignant disorders.
16) History of asymptomatic severs hypoglycemia.
17) History of noncompliance with regards to follow-up medical care.
18) The attending physician's judgement of the patient to be inappropriate for the protocol treatment.

Target sample size

50


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Nobuo Matsuura ,MD

Organization

SEITOKU University

Division name

Faculty of Humanities, Department of Early Childhood Education, Seitoku University

Zip code


Address

550 Iwase, Matsudo, Chiba, 271-8555 Japan

TEL

047-365-1711

Email



Public contact

Name of contact person

1st name
Middle name
Last name Nobuo Matsuura ,MD

Organization

SEITOKU University

Division name

Faculty of Humanities, Department of Childhood Education, Seitoku University

Zip code


Address

550 Iwase, Matsudo, Chiba, 271-8555 Japan

TEL

047-365-1711

Homepage URL


Email



Sponsor or person

Institute

Establishment of evidences for treatment of pediatric patients with Type 2 diabetes-Particularly optimal doses, effectiveness and safety of treatment with Metoformin study groups.

Institute

Department

Personal name



Funding Source

Organization

Health and Labour Science Research Grants for Clinical Research on Pediatric disease

Organization

Division

Category of Funding Organization

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2005 Year 09 Month 15 Day


Related information

URL releasing protocol


Publication of results

Published


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2004 Year 07 Month 14 Day

Date of IRB


Anticipated trial start date

2004 Year 10 Month 01 Day

Last follow-up date

2006 Year 07 Month 01 Day

Date of closure to data entry

2006 Year 11 Month 01 Day

Date trial data considered complete

2006 Year 12 Month 01 Day

Date analysis concluded

2007 Year 03 Month 01 Day


Other

Other related information



Management information

Registered date

2005 Year 09 Month 13 Day

Last modified on

2008 Year 06 Month 19 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000000284


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name