Unique ID issued by UMIN | UMIN000004716 |
---|---|
Receipt number | R000005612 |
Scientific Title | Comparative study of sitagliptin with pioglitazone in Japanese type 2 diabetic patients |
Date of disclosure of the study information | 2010/12/13 |
Last modified on | 2012/09/03 10:02:24 |
Comparative study of sitagliptin with pioglitazone in Japanese type 2 diabetic patients
the COMPASS randomized controlled trial
Comparative study of sitagliptin with pioglitazone in Japanese type 2 diabetic patients
the COMPASS randomized controlled trial
Japan |
Type 2 Diabetes
Endocrinology and Metabolism |
Others
NO
To compare the efficacy and safety of these two agents and the presence of surrogate markers related to diabetic complications in Japanese type 2 diabetic patients.
Safety,Efficacy
Confirmatory
Pragmatic
The difference in the mean changes in the HbA1c level from baseline at 24 weeks between these two groups.
the levels of fasting blood glucose, fasting insulin, inflammation mediators, N-terminal pro-B-type natriuretic peptide, and markers of lipids, uric acid, liver function and renal function.
Interventional
Parallel
Randomized
Individual
Open -no one is blinded
Active
NO
NO
Institution is not considered as adjustment factor.
YES
Central registration
2
Treatment
Medicine |
Treatment with sitagliptin (50 mg/day). At 16 weeks, if the HbA1c level was > 6.9%, the dose of sitagliptin was increased up to 100 mg/day.The maximum doses of glimepiride, glibenclamide, and gliclazide were 2 mg/day, 1.25 mg/day, and 40 mg/day, respectively. At 8, 16, and 24 weeks, if the FPG was < 70 mg/dL or symptomatic hypoglycemic symptoms were observed by the physicians, the dose of sulfonylurea was decreased gradually as follows: for glimepiride, 2 mg, 1 mg, 0.5 mg, and withdrawal; for glibenclamide, 1.25 mg, 0.625 mg, and withdrawal; and for gliclazide, 40 mg, 20 mg, 10 mg, and withdrawal.
Treatment with piogritazon (15 mg/day). At 16 weeks, if the HbA1c level was > 6.9%, the dose of pioglitazone was increased up to 30 mg/day. At 16 weeks, if the HbA1c level was > 6.9%, the dose of sitagliptin was increased up to 100 mg/day. The range of the metformin dose was 500-1500 mg/day, and the maximum doses of glimepiride, glibenclamide, and gliclazide were 2 mg/day, 1.25 mg/day, and 40 mg/day, respectively. At 8, 16, and 24 weeks, if the FPG was < 70 mg/dL or symptomatic hypoglycemic symptoms were observed by the physicians, the dose of sulfonylurea was decreased gradually as follows: for glimepiride, 2 mg, 1 mg, 0.5 mg, and withdrawal; for glibenclamide, 1.25 mg, 0.625 mg, and withdrawal; and for gliclazide, 40 mg, 20 mg, 10 mg, and withdrawal. If intolerable edema was evoked by treatment with pioglitazone, the dose of pioglitazone was decreased or withdrawn and diuretics were administered by the physicians in charge.
20 | years-old | <= |
75 | years-old | >= |
Male and Female
Type 2 diabetic men and women between the ages of 20-75 years whose diabetes had been inadequately controlled (HbA1c, 6.9%-9.5%) with metformin and/or sulfonylurea.
1) patients with a history of diabetic ketoacidosis or diabetic coma within 6 months prior to study entry
2) patients with a history of cardiac failure
3) patients who underwent a surgical operation during the observation period of this study
4) patients with severe infection or severe trauma
5) patients who were pregnant or lactating
6) patients with renal insufficiency (serum creatinine > 1.5 mg/dL, e-GFR < 30 mL/min)
7) patients with severe liver dysfunction
8) patients who had received insulin therapy
9) patients with a history of a hypersensitive reaction to sitagliptin or pioglitazone
10) patients who were judged as being inappropriate by the physicians in charge.
130
1st name | |
Middle name | |
Last name | Yasuo Terauchi |
Yokohama City Unuversity School of Medicine
Department of Endcrinology & Metabolism
3-9 Fukuura, Kanazawa-Ku, Yokohama City 236-0004
1st name | |
Middle name | |
Last name | Masahiro Takihata |
Yokohama City Unuversity School of Medicine
Department of Endcrinology & Metabolism
3-9 Fukuura, Kanazawa-Ku, Yokohama City 236-0004
0457872800
m_tackey@hotmail.com
Yokohama City Unuversity School of Medicine
the society for diabetes of Japanese.
Other
NO
2010 | Year | 12 | Month | 13 | Day |
Unpublished
Completed
2010 | Year | 11 | Month | 12 | Day |
2011 | Year | 01 | Month | 01 | Day |
2011 | Year | 06 | Month | 01 | Day |
2011 | Year | 12 | Month | 01 | Day |
2012 | Year | 06 | Month | 01 | Day |
2012 | Year | 12 | Month | 01 | Day |
2010 | Year | 12 | Month | 13 | Day |
2012 | Year | 09 | Month | 03 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000005612
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