UMIN-CTR Clinical Trial

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

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Basic information

Public title

Comparative study of sitagliptin with pioglitazone in Japanese type 2 diabetic patients

Acronym

the COMPASS randomized controlled trial

Scientific Title

Comparative study of sitagliptin with pioglitazone in Japanese type 2 diabetic patients

Scientific Title:Acronym

the COMPASS randomized controlled trial

Region

Japan


Condition

Condition

Type 2 Diabetes

Classification by specialty

Endocrinology and Metabolism

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

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.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase



Assessment

Primary outcomes

The difference in the mean changes in the HbA1c level from baseline at 24 weeks between these two groups.

Key secondary outcomes

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.


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification

NO

Dynamic allocation

NO

Institution consideration

Institution is not considered as adjustment factor.

Blocking

YES

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

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.

Interventions/Control_2

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.

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

75 years-old >=

Gender

Male and Female

Key inclusion criteria

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.

Key exclusion criteria

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.

Target sample size

130


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Yasuo Terauchi

Organization

Yokohama City Unuversity School of Medicine

Division name

Department of Endcrinology & Metabolism

Zip code


Address

3-9 Fukuura, Kanazawa-Ku, Yokohama City 236-0004

TEL


Email



Public contact

Name of contact person

1st name
Middle name
Last name Masahiro Takihata

Organization

Yokohama City Unuversity School of Medicine

Division name

Department of Endcrinology & Metabolism

Zip code


Address

3-9 Fukuura, Kanazawa-Ku, Yokohama City 236-0004

TEL

0457872800

Homepage URL


Email

m_tackey@hotmail.com


Sponsor or person

Institute

Yokohama City Unuversity School of Medicine

Institute

Department

Personal name



Funding Source

Organization

the society for diabetes of Japanese.

Organization

Division

Category of Funding Organization

Other

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

2010 Year 12 Month 13 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

2010 Year 11 Month 12 Day

Date of IRB


Anticipated trial start date

2011 Year 01 Month 01 Day

Last follow-up date

2011 Year 06 Month 01 Day

Date of closure to data entry

2011 Year 12 Month 01 Day

Date trial data considered complete

2012 Year 06 Month 01 Day

Date analysis concluded

2012 Year 12 Month 01 Day


Other

Other related information



Management information

Registered date

2010 Year 12 Month 13 Day

Last modified on

2012 Year 09 Month 03 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000005612


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name