UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000000733
Receipt number R000000881
Scientific Title Comparison of the effects on BS control, plasma lipid and atherogenesis among pioglitazone and metformin in Japanese type 2 diabetic patients
Date of disclosure of the study information 2008/10/01
Last modified on 2007/12/28 15:08:55

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Basic information

Public title

Comparison of the effects on BS control, plasma lipid and atherogenesis among pioglitazone and metformin in Japanese type 2 diabetic patients

Acronym

Differential effect on arterial stiffness among pioglitazone and metformin in type 2 diabetes mellitus

Scientific Title

Comparison of the effects on BS control, plasma lipid and atherogenesis among pioglitazone and metformin in Japanese type 2 diabetic patients

Scientific Title:Acronym

Differential effect on arterial stiffness among pioglitazone and metformin in type 2 diabetes mellitus

Region

Japan


Condition

Condition

type 2 diabetes mellitus

Classification by specialty

Endocrinology and Metabolism

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The clinically admitted doses of pioglitazine and metformin in Japan are different from those in Western countries, and no clinical trial has been performed in Japan to investigate the differential effects on blood sugar, plasma lipid, markers of oxidative stress and arterial stiffness among pioglitazone and metformin utilizing clinically admitted doses. We aim to clarify these effects utilizing cross-over design.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

HbA1c, PWV, urinary 8-OHdG, PAF acetylhydrolase

Key secondary outcomes

FBS, insulin, total cholesterol, HDL-C,
triglycerides, LDL-C, hsCRP, urinary F2-isoprostanes


Base

Study type

Interventional


Study design

Basic design

Cross-over

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -but assessor(s) are blinded

Control

Active

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Administration of pioglitazone In the first 3 months followed by the administration of metformin for three months.

Interventions/Control_2

Administration of metformin In the first 3 months followed by the administration of pioglitazone for three months.

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

70 years-old >

Gender

Male and Female

Key inclusion criteria

1) Patients who had been treated with diet therapy, exercise therapy, and/or sulfonylurea for more than 3 months.
2) The level of HbA1c:
If not administered with pioglitazone or metformin, 6.5% to 8.4%. If administered with pioglitazone or metformin, 6.0% to 7.9%, and after cessation of pioglitazone or metformin, 6.5% to 8.4%
3) The change in HbA1c level is less than 10% in the last 3 months.
4) SBP less than 140 mmHg.
5) Cigarettes smoking less than 20 per day.
6) no criteria in BMI level.
7) patients followed in outpatient department.
8) Who can understand the protocol and have the ability to agree with this study.

Key exclusion criteria

1) type 1 diabettes patient
2) patient on insulin treatment
3) Diabetic ketoasidosis, diabetic coma or pre-coma
4) Who takes probucol
5) Who takes supplements containing vitamin C or Vitamin E
6) Severe liver dysfunction
7) Who has a history of adverse effect with pioglitazone
8) renal failure (plasma creatinine more than 1.2 mg/dl, daily urine protein more than 1.0g)
9) heart failure
10) history of heart failure and miocardial infarction within 6 months. Who has a abnormal ECG finding.
11) history of cerebrovascular disease.
12) Who needs insulin administration for clinical condition.
13) Who has a history of hypersensitivity against pioglitazone or metformin.
14) Cases which meet the criteria for prohibition of metformin administration
15) patient who is pregnant of brest-feeding. patient who has a possibility of pregnancy.
16) Who suffers from malignant disease.
17) addiction to alcohol or drug
18) Who are enrolled in the other clinical trials.
19) Who is judged by the investigators to be inappropiriate for this study.

Target sample size

30


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Kazuhisa Tsukamoto

Organization

Depatment of Metabolic Diseases, Graduate School of Medicine

Division name

University of Tokyo

Zip code


Address

7-3-1, Hongo, Bunkyo-ku, Tokyo

TEL

03-3815-5411

Email



Public contact

Name of contact person

1st name
Middle name
Last name

Organization

The University of Tokyo

Division name

Clinical Research Center

Zip code


Address

7-3-1, Hongou, Bunkyo-ku, Tokyo

TEL


Homepage URL


Email



Sponsor or person

Institute

Department of Metabolic Diseases, Graduate School of Medicine, University of Tokyo

Institute

Department

Personal name



Funding Source

Organization

self funding

Organization

Division

Category of Funding Organization

Self funding

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

2008 Year 10 Month 01 Day


Related information

URL releasing protocol


Publication of results

Unpublished


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

2003 Year 07 Month 17 Day

Date of IRB


Anticipated trial start date

2003 Year 07 Month 01 Day

Last follow-up date

2007 Year 08 Month 01 Day

Date of closure to data entry

2008 Year 06 Month 01 Day

Date trial data considered complete

2008 Year 06 Month 01 Day

Date analysis concluded

2008 Year 10 Month 01 Day


Other

Other related information



Management information

Registered date

2007 Year 06 Month 05 Day

Last modified on

2007 Year 12 Month 28 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000000881


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name