UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000010261
Receipt number R000012010
Scientific Title Multi-center cooperative clinical study on the renoprotective effect of DPP-4 inhibitor (Vildagliptin) in Diabetic nephropathy patients
Date of disclosure of the study information 2013/03/25
Last modified on 2013/03/17 15:33:06

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Basic information

Public title

Multi-center cooperative clinical study on the renoprotective effect of DPP-4 inhibitor (Vildagliptin) in Diabetic nephropathy patients

Acronym

Clinical study on the renoprotective effect of DPP-4 inhibitor (Vildagliptin) in Diabetic nephropathy patients

Scientific Title

Multi-center cooperative clinical study on the renoprotective effect of DPP-4 inhibitor (Vildagliptin) in Diabetic nephropathy patients

Scientific Title:Acronym

Clinical study on the renoprotective effect of DPP-4 inhibitor (Vildagliptin) in Diabetic nephropathy patients

Region

Japan


Condition

Condition

Diabetic nephropathy

Classification by specialty

Medicine in general Endocrinology and Metabolism Nephrology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To examine the renoprotective effect (by changes in eGFR and urinary albumin) of new or additional doses of Vildagliptin in type 2 Diabetic nephropathy patients who are under a diet/exercise treatment or other medical treatment and still show insufficient glycemic control.

Basic objectives2

Safety

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

Changes in HbA1c (NGSP) value at 12 weeks after administration.
Changes in eGFR and urinary albumin level at 12 weeks after administration.

Key secondary outcomes

(Only in patients who give consent)
Changes in fasting or 1~2-hour-postprandial blood glucose concentration.
Changes in urinary protein at 12 weeks after administration.
Changes in the following biomarkers at 12 weeks after administration. (urinary 8-OHdG, plasma/urinary Angiotensinogen, urinary NGA, glycoalbumin only at eligible institutions)
Changes in 24-hour blood pressure at 24 weeks after administration.
Adverse events are to be investigated by doctors' oral consultation.
Evaluation of the effectiveness and the safety of Vildagliptin .


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Type 2 diabetic patients with HbA1c more than 6.9% and less than 10.0% (NSGP value) having been under a diet/exercise treatment or under treatment of a same hypoglycemic agent for at least three months or more.
Vildagliptin 50 mg is to be administered orally twice a day, once in the morning and once in the evening. Depending on the patient's condition, 50 mg may be administered only once a day in the morning.
Observation period for 4 weeks, and drug administration period for 24 weeks, totaling 28 weeks of duration.

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


Not applicable

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Type 2 Diabetic nephropathy patients who do not show sufficient therapeutic effects by any of the following treatments.
They should meet all the standards shown below.
1) HbA1c is more than 6.9% and less than 10.0% (NSGP value)
2) Under a diet/exercise treatment or medical treatment for at least three months or more. The kind of the oral hypoglycemic agent used is not asked.
The patient should be administered with a same Sulfonylurea, if any, at the dosage less than the daily dose shown below for three months or more.
# 2.5 mg/day for Glibenclamide
# 60 mg/day for Gliclazide
# 3 mg/day for Glimepiride
3) eGFR is more than 50 ml/min.

Key exclusion criteria

1) Patients with contraindications for Vildagliptin
2) Patients participating in other clinical trials
3) Women during pregnancy, after childbirth, on breastfeeding, or with the possibility of being pregnant.
4) Patients with other severe complications
5) Patients judged inadequate for other reasons by doctors

Target sample size

40


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Masakazu Kohno

Organization

Faculty of Medicine, Kagawa University

Division name

Cardiorenal and Cerebrovascular Medicine

Zip code


Address

1750-1, Ikenobe, Miki, Kita, Kagawa

TEL

087-898-5111

Email



Public contact

Name of contact person

1st name
Middle name
Last name Yoko Nishijima

Organization

Faculty of Medicine, Kagawa University

Division name

Cardiorenal and Cerebrovascular Medicine

Zip code


Address

1750-1, Ikenobe, Miki, Kita, Kagawa

TEL

087-898-5111

Homepage URL


Email

youko.n@med.kagawa-u.ac.jp


Sponsor or person

Institute

Faculty of Medicine, Kagawa University

Institute

Department

Personal name



Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor

Shionoe Branch of Takamatsu Municipal Hospital
Takamatsu Medical Center

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

香川大学医学部附属病院(香川県)、高松市民病院 塩江分院(香川県)、高松医療センター(香川県)


Other administrative information

Date of disclosure of the study information

2013 Year 03 Month 25 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

Preinitiation

Date of protocol fixation

2013 Year 03 Month 04 Day

Date of IRB


Anticipated trial start date

2013 Year 03 Month 25 Day

Last follow-up date

2015 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2013 Year 03 Month 17 Day

Last modified on

2013 Year 03 Month 17 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000012010


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name