UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000012068
Receipt number R000014107
Scientific Title DIrect Effect of DPP-4 inhibitor on HbA1c levels and Renal Dysfunction
Date of disclosure of the study information 2013/10/18
Last modified on 2018/09/18 18:07:47

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Basic information

Public title

DIrect Effect of DPP-4 inhibitor on
HbA1c levels and Renal Dysfunction

Acronym

DIrect Effect of DPP-4 inhibitor
and Renal Dysfunction

Scientific Title

DIrect Effect of DPP-4 inhibitor on
HbA1c levels and Renal Dysfunction

Scientific Title:Acronym

DIrect Effect of DPP-4 inhibitor
and Renal Dysfunction

Region

Japan


Condition

Condition

Type 2 diabetes

Classification by specialty

Endocrinology and Metabolism

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Compare the effect on glycemic control and renal protection between two different DPP-4 inhibitors

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase

Not applicable


Assessment

Primary outcomes

Change in HbA1c in 6 months

Key secondary outcomes

1) Change in physical examination(weight, BMI, blood pressure)
2) Change in glycemic control(FPG, GA)
3) Change in Insulin secretion(CPR, IRI, CPI, HOMA-beta, HOMA-R)
4) Renal function amelioration (u-albumin, eGFR, s-creatinine, Cystatin C, u- L-FABP, u-Type-IV collagen)
5) Inflammatory and oxidative stress amelioration (hs-CRP, u-8-OHdG)
6) Vascular disorder marker amelioration (sVCAM-1)
7) Change in incretin related markers(DPP-4 activity, Active GLP-1, Active GIP, Glucagon)
8) Change in serum lipid profile(T-Chol,HDL,TG,LDL)
9) Achievement rate of HbA1c


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -but assessor(s) are blinded

Control

Active

Stratification

YES

Dynamic allocation

YES

Institution consideration

Institution is not considered as adjustment factor.

Blocking

NO

Concealment

No need to know


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Teneligliptin

Interventions/Control_2

Sitagliptin

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

1. Diabetes duration more than 1 year
2. Type 2 diabetes patients treated with dietand or exercise, and or SUs, and or BGs for more than 3 months
3. Diabetic nephropathy stage 2, 3
4. Age 20 - 80
5. Male and female
6. HbA1c 6.0% - 9.0%
7. No improvement of HbA1c over 0.5% in 3 months
8. Informed consent

Key exclusion criteria

1. Pregnancy
2. Patients to whom contraindications in the Package Insert apply
3. Patients whose participation in the study is judged to be difficult for reasons such as reduced ability to understand, unstable mental state, and alcoholism
4. The patients with type 1 diabetes mellitus and secondary diabetes
5. Patients treated with insulin and oral hypoglycemic agents except SUs and BGs for more than 3 months
6. Patients who have concomitant malignant tumors, or who have been treated for malignant tumors within the past 5 years
7. Foreigners, patients belonging to Kyoto University and/or Kyoto University Hospital, patients who is participating clinical trials
8. Other patients whose participation is judged to be inappropriate by the responsible physician

Target sample size

120


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Shinichi Harashima

Organization

Kyoto University

Division name

Diabetes, Endocrinology and Nutrition

Zip code


Address

54 Syogoin Kawaramachi Sakyo-ku Kyoto

TEL

075-751-3560

Email

diehard@sogo-medefi.jp


Public contact

Name of contact person

1st name
Middle name
Last name Syunsuke Yamane

Organization

Kyoto University

Division name

Diabetes, Endocrinology and Nutrition

Zip code


Address

54 Syogoin Kawaramachi Sakyo-ku Kyoto

TEL

075-751-3560

Homepage URL


Email

diehard@sogo-medefi.jp


Sponsor or person

Institute

Department of Diabetes, Endocrinology and Nutrition, Graduate School of Medicine, Kyoto University

Institute

Department

Personal name



Funding Source

Organization

Mitsubishi Tanabe Pharma Corporation

Organization

Division

Category of Funding Organization

Profit organization

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

京都大学医学部附属病院、滋賀県立成人病センター、日本赤十字社 大津赤十字病院、高島市民病院、社会福祉法人 京都社会事業財団 京都桂病院、一般財団法人 日本バプテスト連盟医療団 日本バプテスト病院、社会福祉法人 恩賜財団 大阪府済生会 野江病院、国家公務員共済組合連合会 枚方公済病院、兵庫県立尼崎総合医療センター、公益財団法人 大原記念倉敷中央医療機構 倉敷中央病院、向ヶ丘久保田内科、公益財団法人 田附興風会 医学研究所北野病院、三菱京都病院、医療法人社団洛和会 洛和会音羽病院、とよだ医院


Other administrative information

Date of disclosure of the study information

2013 Year 10 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

HbA1c reduction of teneligliptin and sitagliptin in 24-weeks was -0.69% and -0.65%, respectively, with no significant difference between the two groups.

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

2014 Year 02 Month 13 Day

Date of IRB


Anticipated trial start date

2014 Year 09 Month 01 Day

Last follow-up date

2016 Year 03 Month 31 Day

Date of closure to data entry

2016 Year 04 Month 30 Day

Date trial data considered complete

2016 Year 05 Month 31 Day

Date analysis concluded

2016 Year 07 Month 31 Day


Other

Other related information

Inhibition of DPP-4 activity was stronger in teneligliptin group than that in sitagliptin group (p<0.0001).
Urinary albumin excretion was significantly decreased in the two groups.


Management information

Registered date

2013 Year 10 Month 18 Day

Last modified on

2018 Year 09 Month 18 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000014107


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name