UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000008815
Receipt number R000010271
Scientific Title The effect of DPP-4 inhibitor on pancreatic beta cell function and renal function in type 2 diabetic patients
Date of disclosure of the study information 2012/08/31
Last modified on 2015/03/30 10:36:15

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Basic information

Public title

The effect of DPP-4 inhibitor on pancreatic beta cell function and renal function in type 2 diabetic patients

Acronym

Kyushu Sitagliptin intervention trial for Preservation of Insulin secretion and Renal function In Type 2 diabetic patients (K-SPIRIT Study)

Scientific Title

The effect of DPP-4 inhibitor on pancreatic beta cell function and renal function in type 2 diabetic patients

Scientific Title:Acronym

Kyushu Sitagliptin intervention trial for Preservation of Insulin secretion and Renal function In Type 2 diabetic patients (K-SPIRIT Study)

Region

Japan


Condition

Condition

Type 2 Diabetes millitus

Classification by specialty

Endocrinology and Metabolism

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To compare the effect of sitagliptin versus glimepiride on pancreatic beta-cell protection and renal function for type 2 diabetic patient inadequately controlled by metformin

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Explanatory

Developmental phase

Not applicable


Assessment

Primary outcomes

the ratio and amount of change of proinsulin/IRI ratio in 12 months from the start of treatment.

the ratio and amount of change of urinary microalbumin in the three-month average of 10,11,12 months after from the start of treatment.

Key secondary outcomes

the amount and rate of change of proinsulin/IRI ratio in 6 months from the start of treatment.

the ratio and amount of change of urinary microalbumin in the three-month average between one and 12 months after from the start of treatment.

the ratio and amount of change between one and 12months from the start treatment
HbA1c
fasting plasma glucose
1,5AG

the ratio and amount of change of eGFR in 3, 6, 9, 12 months from the start of treatment

the ratio and amount of change in 6, 12 months from the start of treatment
hs-CRP
macromolecular adiponectin
8-isoprostan
glucagon
bilirubin level

the ratio and amount of change between one and 12 months from the start of treatment
the period of the starat of insulin treatment
body weight change
frequency of hypoglycemia


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Single blind -participants 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

sitagliptin 50mg/day add to metformin
(the patients with type 2 diabetes (6.2%<= HbA1c(JDS) <=10.0%) taking with metformin 500-750mg for more than 1 month treatments)

Interventions/Control_2

glimepiride 1mg/day add to metformin
(the patients with type 2 diabetes (6.2%<= HbA1c(JDS) <=10.0%) taking with metformin 500-750mg for more than 1 month treatments)

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

1.Patients with type 2 diabetes (6.2%<= HbA1c(JDS) <=10.0%) taking with metformin for more than 1 month treatments.
2.Patients with the age between 20-75 years old
3.Sex: Unquestioned
4.Patients who agreed with the participation in this study with written consent

Key exclusion criteria

1. Diabetic coma, diabetic ketoacidosis and type 1 patients
2.Patients with the severe renal impairment.(Serum creatinine >=1.5mg/dl in men and >=1.3mg/dl in women)
3.Patients with liver disfunction(ALT surpasses 3 times of normal upper limit)
4.Patient who has digestive trouble
5. In emergency cases such as severe infection and surgery
6.Patients with a history of lactic acidosis
7.The patient who has the state of being easy to be accompanied by the patient and hypoxemia which have an advanced obstacle in cardiovascular systems, such as a shock, heart failure, myocardial infarction, and pulmonary embolism, and a pulmonary function.
8.Patient Who Has Dehydration
9.Alcoholic Excessive Ingestion Patient
10.Patient of Poor Nutritional Status, Starvation, Debility State, Hypophysis Malfunction, or Adrenal-Function Insufficiency
11.Pregnant Woman or Woman that May Have Become Pregnant
12.Patients treated with Insulin preparation, alfa-glycosidase inhibitor (alfa-GI), insulin secretagogue (glinide)
13.Patient Who Has Anamnesis of Hypersensitivity to Medicine of Ingredient of Research Medicine, or the Same Action Mechanism of the Research Medicine
14.Patient Whom Family Doctor Made Unsuitable to Research Participation from Medical Rationale

Target sample size

200


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Ryoichi Takayanagi

Organization

Graduate School of Medical Sciences, Kyushu University

Division name

Department of Medicine and Bioregulatory

Zip code


Address

3-1-1, Maidashi, Higashi-ku, Fukuoka City, 812-8582 Japan

TEL

092-642-5284

Email

ehirata11@gmail.com


Public contact

Name of contact person

1st name
Middle name
Last name Toyoshi Inoguchi

Organization

Graduate School of Medical Sciences, Kyushu University

Division name

Department of Medicine and Bioregulatory

Zip code


Address

3-1-1, Maidashi, Higashi-ku, Fukuoka City, 812-8582 Japan

TEL

092-642-5284

Homepage URL


Email

ehirata11@gmail.com


Sponsor or person

Institute

Department of Medicine and Bioregulatory,Graduate School of Medical Sciences, Kyushu University

Institute

Department

Personal name



Funding Source

Organization

The clinical Research Promotion foundation

Organization

Division

Category of Funding Organization

Non profit foundation

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

2012 Year 08 Month 31 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

Open public recruiting

Date of protocol fixation

2011 Year 03 Month 01 Day

Date of IRB


Anticipated trial start date

2011 Year 04 Month 29 Day

Last follow-up date

2014 Year 06 Month 30 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 08 Month 30 Day

Last modified on

2015 Year 03 Month 30 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000010271


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name