UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000008469
Receipt number R000009959
Scientific Title Effects of beraprost sodium sustained-release tablet on improvement of insulin resistance in patients with type 2 diabetes with obesity in a Double-Blinded, Randomized, Placebo-Controlled, Crossover Trial.
Date of disclosure of the study information 2012/07/18
Last modified on 2012/07/18 17:09:11

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Basic information

Public title

Effects of beraprost sodium sustained-release tablet on improvement of insulin resistance in patients with type 2 diabetes with obesity in a Double-Blinded, Randomized, Placebo-Controlled, Crossover Trial.

Acronym

Effects of beraprost sodium sustained-release tablet on improvement of insulin resistance in patients with type 2 diabetes with obesity.

Scientific Title

Effects of beraprost sodium sustained-release tablet on improvement of insulin resistance in patients with type 2 diabetes with obesity in a Double-Blinded, Randomized, Placebo-Controlled, Crossover Trial.

Scientific Title:Acronym

Effects of beraprost sodium sustained-release tablet on improvement of insulin resistance in patients with type 2 diabetes with obesity.

Region

Japan


Condition

Condition

Patients with type 2 diabetes and obesity

Classification by specialty

Cardiology Endocrinology and Metabolism Vascular surgery

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the effect of beraprost sodium sustained-release tablets on improvement of insulin resistance during euglycemic hyperinsulinemic clamp, vascular endothelial function and glycemic control in patients with type 2 diabetes and obesity

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Explanatory

Developmental phase

Not applicable


Assessment

Primary outcomes

To evaluate the effects of beraprost sodium sustained-release tablets and placebo on the insulin resistance by glucose infusion rate on euglycemic hyperinsulinemic clamp

Key secondary outcomes

1. HOMA-IR (Homeostasis model assessment-Insulin Resistance)
To evaluate the effects on the insulin resistance.
2. Fasting blood glucose, Glycoalbumin, HbA1c
To evaluate the effects on the glycemic control.
3.ADMA, %FMD
To evaluate the effects on the vascular endotherial function.


Base

Study type

Interventional


Study design

Basic design

Cross-over

Randomization

Randomized

Randomization unit

Individual

Blinding

Double blind -all involved are blinded

Control

Placebo

Stratification

YES

Dynamic allocation

YES

Institution consideration

Institution is not considered as adjustment factor.

Blocking


Concealment

No need to know


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Each subject will be followed for a run-in period of 4 weeks before being chosen at random for daily administration of ether beraprost sodium or a placebo with the same appearance of an alternative drug.
Each treatment period will last 8 weeks. The first 2 weeks consisted of 120ug/day beraprost sodium(2 sustained-release tablets)administered. The following 6 weeks consisted of 240ug/day beraprost sodium (4 sustained-release tablets) administered. There was a washout period of 4 weeks between placebo and beraprost sodium.
After 4 weeks of drug withdrawal, the The first 2 weeks of treatment consisted of placebo (2 tablets)administered. The following 6 weeks consisted of placebo(4 tablets) administered.
In last week of each treatment period, euglycemichyperinsulinemic
clamp (EHC)and Flow mediated dilation(FMD) will be performed.

Interventions/Control_2

Each subject will be followed for a run-in period of 4 weeks before being chosen at random for daily administration of ether beraprost sodium or a placebo with the same appearance of an alternative drug.
Each treatment period will last 8 weeks. The first 2 weeks consisted of placebo (2 tablets) administered. The following 6 weeks consisted of 240ug/day beraprost sodium (4 tablets) administered. There was a washout period of 4 weeks between placebo and beraprost sodium.
After 4 weeks of drug withdrawal, the The first 2 weeks of treatment consisted of 120ug/day beraprost sodium(2 sustained-release tablets)administered. The following 6 weeks consisted of 240ug/day beraprost sodium (4 sustained-release tablets) administered.
In last week of each treatment period, euglycemichyperinsulinemic
clamp (EHC)and Flow mediated dilation(FMD) will be performed.

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

80 years-old >

Gender

Male and Female

Key inclusion criteria

Type 2 diabetes
HbA1c<8.4%
BMI>25

Key exclusion criteria

Patients with bleeding tendency
Patients with Type 1 diabetes or secondary diabetes
Patients with severe renal dysfunction
Patients with liver dysfunction
Patients with a past history if drug hypersensitivity
Pregnant women or women with breast-feeding
Patients who took prostaglandin derivatives within 3 months
Patients whose prescription drugs were changed within 3 months
All Patients who is unsuitable for this trial at a physician's discretion

Target sample size

40


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Naoto Kubota

Organization

Graduate School of Medicine, University of Tokyo

Division name

Department of Metabolic Diseases

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 Mikiko Haraguchi

Organization

Graduate School of Medicine, University of Tokyo

Division name

Department of Metabolic Diseases

Zip code


Address

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

TEL

03-3815-5411

Homepage URL


Email

mikiko.haraguchi@gmail.com


Sponsor or person

Institute

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

Institute

Department

Personal name



Funding Source

Organization

Ministry of Education, Culture, Sports, Science & Technology

Organization

Division

Category of Funding 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

2012 Year 07 Month 18 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

Enrolling by invitation

Date of protocol fixation

2012 Year 03 Month 15 Day

Date of IRB


Anticipated trial start date

2012 Year 08 Month 01 Day

Last follow-up date

2016 Year 03 Month 01 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2012 Year 07 Month 18 Day

Last modified on

2012 Year 07 Month 18 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000009959


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name