UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000000615
Receipt number R000000745
Scientific Title Aldose Reductase Inhibitor-Diabetes Complications Trial (ADCT)
Date of disclosure of the study information 2007/02/20
Last modified on 2007/02/20 15:04:12

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Basic information

Public title

Aldose Reductase Inhibitor-Diabetes Complications Trial (ADCT)

Acronym

Aldose Reductase Inhibitor-Diabetes Complications Trial (ADCT)

Scientific Title

Aldose Reductase Inhibitor-Diabetes Complications Trial (ADCT)

Scientific Title:Acronym

Aldose Reductase Inhibitor-Diabetes Complications Trial (ADCT)

Region

Japan


Condition

Condition

Diabetic peripheral neuropathy

Classification by specialty

Endocrinology and Metabolism

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Evaluation on the long-term efficacy and safety of epalrestat, an aldose reductase inhibitor, on diabetic peripheral neuropathy

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Phase IV


Assessment

Primary outcomes

Change from baseline in median MNCV at 3 years

Key secondary outcomes

Other somatic nerve function parameters (minimum F-wave latency [MFWL] of the median motor nerve and vibration perception threshold [VPT]), cardiovascular autonomic nerve function and subjective symptoms


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification

YES

Dynamic allocation

YES

Institution consideration

Institution is considered as adjustment factor in dynamic allocation.

Blocking

NO

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Epalrestat(50mg) was orally administered three times daily before each meal (150 mg/day) with conventional therapies

Interventions/Control_2

Conventional therapy (diet treatment, hypoglycemic agents, insulin, and hypotensive agents)

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

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Adults aged =>20 years were diagnosed in each facilities as mild diabetic peripheral neuropathy based on subjective symptoms, no foot ulcer and neurological dysfunctions (at least two parameters; MNCV [indispensable] and VPT or Achilles tendon reflex, etc.). Patients were enrolled for study if they had a median motor nerve conduction velocity (MNCV) =>40 m/s (seemingly reversible) and stable glycemic control (HbA1c <=9%, with +/- 0.5% variation in the previous 3 months).

Key exclusion criteria

Subjects were excluded if their primary cause of neurologic disorder was not diabetes (alcoholic neuropathy, carpal tunnel syndrome, sequelae of cerebrovascular disease, etc.), if they had arteriosclerosis obliterans (ankle brachial pressure index of <=0.8), or severe hepatic or renal disorder, if they were participating in other interventional studies, or if they were receiving other experimental medications for diabetic neuropathy, prostaglandin E1 preparations, or any other medication that affects symptoms of diabetic neuropathy.

Target sample size

600


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Yukio Shigeta

Organization

Shiga University of Medical Science, Otsu, Japan

Division name

Professors Emeritus

Zip code


Address

Seta Tsukinowa-cho, Otsu,Shiga 520-2192 JAPAN

TEL


Email



Public contact

Name of contact person

1st name
Middle name
Last name Nigishi Hotta

Organization

Japan Labour Health and Welfare Organization CHUBU ROSAI HOSPITAL

Division name

Director General

Zip code


Address


TEL


Homepage URL


Email

hotta@chubuh.rofuku.go.jp


Sponsor or person

Institute

The Aldose Reductase Inhibitor-Diabetes Complications Trial (ADCT) Study Group

Institute

Department

Personal name



Funding Source

Organization

Ono Pharmaceutical Co., Ltd

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization

Japan


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

2007 Year 02 Month 20 Day


Related information

URL releasing protocol


Publication of results

Published


Result

URL related to results and publications

http://care.diabetesjournals.org/cgi/content/full/29/7/1538

Number of participants that the trial has enrolled


Results

Over the 3-year period, epalrestat prevented the deterioration of median MNCV, MFWL and VPT seen in the control group.

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

1996 Year 11 Month 14 Day

Date of IRB


Anticipated trial start date

1997 Year 04 Month 01 Day

Last follow-up date

2003 Year 09 Month 01 Day

Date of closure to data entry

2004 Year 02 Month 01 Day

Date trial data considered complete

2004 Year 02 Month 01 Day

Date analysis concluded

2004 Year 05 Month 01 Day


Other

Other related information



Management information

Registered date

2007 Year 02 Month 20 Day

Last modified on

2007 Year 02 Month 20 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000000745


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name