UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000002810
Receipt number R000003406
Scientific Title The establishment of a reference standard value for lower-extremity strength in patients with type 2 diabetes to clinically evaluate both the degree of diabetic complications and the effectiveness of exercise therapy
Date of disclosure of the study information 2009/11/30
Last modified on 2019/09/30 21:20:15

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Basic information

Public title

The establishment of a reference standard value for lower-extremity strength in patients with type 2 diabetes to clinically evaluate both the degree of diabetic complications and the effectiveness of exercise therapy

Acronym

Multicenter survey of the isometric lower-extremity strength in type 2 diabetes (MUSCLE-std)

Scientific Title

The establishment of a reference standard value for lower-extremity strength in patients with type 2 diabetes to clinically evaluate both the degree of diabetic complications and the effectiveness of exercise therapy

Scientific Title:Acronym

Multicenter survey of the isometric lower-extremity strength in type 2 diabetes (MUSCLE-std)

Region

Japan


Condition

Condition

Type 2 diabetes mellitus

Classification by specialty

Endocrinology and Metabolism Rehabilitation medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To measure the knee extension force of type 2 diabetes patients in a multicenter study and establish a reference standard value, using a general method in which the reliability and the validity have been established.

Basic objectives2

Others

Basic objectives -Others

To provide a reference standard value of knee extension force and thereby contribute to the evaluation of diabetic polyneuropathy (DP), and to develop appropriate exercise intervention strategies and the determination of its treatment effects for individuals with type 2 diabetes mellitus.

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Knee extension force

Key secondary outcomes

1. Characteristics: body weight, length of lower leg, height, age, and a non-dominant leg. 2. Diabetes treatment-related information: Duration of diabetes, fasting plasma glucose (or postprandial plasma glucose), HbA1c, LDL cholesterol, HDL cholesterol, total cholesterol, trygriceride, serum creatinine, fasting insulin, the administration of diet therapy and the details of such diet therapy, the use of drug therapy and the details of drug therapy.
3. Diabetic polyneuropathy by a simple diagnosis standard neuropathy test: achilles' tendon reflex, vibratory sense on medial malleolus, subjective symptoms.
4. Complications associated with diabetes, complications not related to diabetes.
5. Clarify and evaluate the patient's normal exercise patterns, drinking habit, and smoking habit.


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


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

30 years-old <=

Age-upper limit

89 years-old >=

Gender

Male and Female

Key inclusion criteria

Inpatients and/or outpatients with type 2 diabetes, who give written informed consent to participate in the study.

Key exclusion criteria

1. Patients who could not adapt to the exercise therapy.
2. Independent walking is impossible.
3. Significant limitations in their activities of daily of living.
4. Severe heart and/or respiratory diseases.
5. Severe liver dysfunction and/or renal failure (serum creatinine over 2.0 mg/dL).
6. Patients having acute and/or chronic orthopedic disease, and who were presently receiving medical treatment.
7. Patients having non-symmetry of bilateral lower-extremity muscular atrophy.
8. Patients having an impairment of the lower-extremities.
9. Patients having severe infectious disease.
10. Patients requiring surgical treatment.
11. Other conditions that resulted in the patients being considered to be ineligible by the researcher.

Target sample size

1200


Research contact person

Name of lead principal investigator

1st name Takuo
Middle name
Last name Nomura

Organization

Kansai University of Welfare Sciences

Division name

Department of Rehabilitation Sciences, Faculty of Allied Health Sciences

Zip code

582-0026

Address

3-11-1, Asahigaoka, Kashiwara, Osaka 582-0026, Japan

TEL

072-978-0088

Email

tnomura@tamateyama.ac.jp


Public contact

Name of contact person

1st name Takuo
Middle name
Last name Nomura

Organization

Kansai University of Welfare Sciences

Division name

Department of Rehabilitation Sciences, Faculty of Allied Health Sciences

Zip code

582-0026

Address

3-11-1, Asahigaoka, Kashiwara, Osaka 582-0026, Japan

TEL

072-978-0088

Homepage URL


Email

tnomura@tamateyama.ac.jp


Sponsor or person

Institute

Kansai University of Welfare Sciences

Institute

Department

Personal name



Funding Source

Organization

Japan Society for the Promotion of Science

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Kansai University of Welfare Sciences

Address

3-11-1, Asahigaoka, Kashiwara, Osaka 582-0026, Japan

Tel

072-978-0088

Email

umin-kfk@tamateyama.ac.jp


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

石川県立中央病院(石川県)、公立豊岡病院日高医療センター(兵庫県)、公立八鹿病院(兵庫県)、KKR高松病院(香川県)、キナシ大林病院(香川県)、四万十市立市民病院(高知県)、高知大学医学部附属病院(高知県)、社会医療法人愛仁会千船病院(大阪府)、高知県立あき総合病院(高知県)、市立伊丹病院(兵庫県)、市立吹田市民病院(大阪府)、東京医科大学八王子医療センター(東京都)、医療法人仁寿会石川病院(兵庫県)、聖マリアンナ医科大学病院(神奈川県)、公立甲賀病院(滋賀県)、総合病院南生協病院(愛知県)、公立陶生病院(愛知県)、大阪労災病院治療就労両立支援センター(大阪府)、春日井市民病院(愛知県)、金沢赤十字病院(石川県)、広島大学病院(広島県)、恒昭会藍野病院(大阪府)、長野医療生活協同組合長野中央病院(長野県)、北里大学病院(神奈川県)、京都南病院(京都府)、製鉄記念八幡病院(福岡県)、岡崎市民病院(愛知県)、さいたま市民医療センター(埼玉県)、総合大雄会病院(愛知県)、丸子中央総合病院(長野県)


Other administrative information

Date of disclosure of the study information

2009 Year 11 Month 30 Day


Related information

URL releasing protocol

http://www.scirp.org/journal/JDM/

Publication of results

Published


Result

URL related to results and publications

http://kaken.nii.ac.jp/d/r/30423479.ja.html

Number of participants that the trial has enrolled

1704

Results

1) https://www.growkudos.com/publications/10.1111%25252Fjdi.12658/reader

2) http://ptdm.jp/muscle/

Results date posted

2019 Year 09 Month 30 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

Inclusion criteria consisted of type 2 diabetes patients aged 30 to 89 years visiting a hospital on either an inpatient or outpatient basis. Exclusion criteria included the following: inability to adapt to exercise therapy, inability to walk independently, significant limitations in activities of daily of living, severe heart and/or respiratory diseases, severe liver dysfunction and/or renal failure (serum creatinine >2.0 mg/dL), patients with acute or chronic orthopedic disease who were presently receiving medical treatment, nonsymmetry of bilateral lower extremity muscular atrophy, impairment of the lower extremities, severe infectious disease, or patients requiring surgical treatment.

Participant flow

In the Multicenter Survey of the Isometric Lower Extremity Strength in Type 2 Diabetes Study, we collected data from 30 hospitals in Japan between April 2010 and March 2015.

Adverse events

None.

Outcome measures

Diabetes assessment (diabetes duration, HbA1c, diabetic complications, etc.); Knee extension force assessment (maximum isometric force); Habitual behavior assessment (exercise behavior, smoked and alcohol drinkers)

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2009 Year 10 Month 21 Day

Date of IRB

2009 Year 10 Month 21 Day

Anticipated trial start date

2010 Year 04 Month 01 Day

Last follow-up date

2015 Year 03 Month 31 Day

Date of closure to data entry

2015 Year 09 Month 30 Day

Date trial data considered complete

2015 Year 12 Month 31 Day

Date analysis concluded

2016 Year 03 Month 31 Day


Other

Other related information

1) Nomura T, Ishiguro T, Ohira M, Ikeda Y. Diabetic polyneuropathy is a risk factor for decline of lower extremity strength in patients with type 2 diabetes. J Diabetes Investig. 2018 Jan;9(1):186-192. doi: 10.1111/jdi.12658. Epub 2017 May 6.

2) Nomura T, Ishiguro T, Ohira M, Ikeda Y. Regular exercise behavior is related to lower extremity muscle strength in patients with type 2 diabetes: data from the MUSCLE-std study. J Diabetes Investig. 2018 Mar;9(2):426-429. doi: 10.1111/jdi.12703. Epub 2017 Jul 23.

3) Nomura T, et al.: Isometric knee extension force in Japanese type 2 diabetic patients without apparent diabetic polyneuropathy: data from the Multicenter Survey of the Isometric Lower Extremity Strength in Type 2 Diabetes study. SAGE Open Medicine 2019 7:1-8. doi: 10.1177/2050312118823412. First Published January 8, 2019


Management information

Registered date

2009 Year 11 Month 29 Day

Last modified on

2019 Year 09 Month 30 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000003406


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
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