UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000012224
Receipt number R000014284
Scientific Title The examination of effects of switching to GLP-1 analog liraglutide or adding on insulin glargine once daily for type 2 diabetes controlled insufficiently by DPP-4 inhibitors and other oral anti-diabetic agents combination (multicenter study).
Date of disclosure of the study information 2013/11/06
Last modified on 2018/08/31 18:00:06

* This page includes information on clinical trials registered in UMIN clinical trial registed system.
* We don't aim to advertise certain products or treatments


Basic information

Public title

The examination of effects of switching to GLP-1 analog liraglutide or adding on insulin glargine once daily for type 2 diabetes controlled insufficiently by DPP-4 inhibitors and other oral anti-diabetic agents combination (multicenter study).

Acronym

Basal-supported Oral therapy Or Switching to GLP-1 receptor agonist for Type 2 diabetes (BOOST2) study

Scientific Title

The examination of effects of switching to GLP-1 analog liraglutide or adding on insulin glargine once daily for type 2 diabetes controlled insufficiently by DPP-4 inhibitors and other oral anti-diabetic agents combination (multicenter study).

Scientific Title:Acronym

Basal-supported Oral therapy Or Switching to GLP-1 receptor agonist for Type 2 diabetes (BOOST2) study

Region

Japan


Condition

Condition

type 2 diabetes mellitus

Classification by specialty

Endocrinology and Metabolism

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

For type 2 diabetes patients controlled inadequately with HbA1c 7.0 to 10.0%, taking oral anti-diabetic drugs including the DPP-4 inhibitors in addition to diet and exercise therapy for 12 weeks or more, to perform switching to human GLP-1 analog liraglutide or adding on long-acting insulin glargine once daily.
It is intended to be compared the incidence of adverse events such as hypoglycemia and usefulness in glycemic control between two groups in a multicenter.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

1. an achievement rate of less than HbA1c7.0%.
2. a reduction degree of the HbA1c.

Key secondary outcomes

3.the comparison of the HbA1c reduction degree by having combination or not of the sulfonylureas (SUs).
4.incidence of hypoglycemia
5.changes of body weight


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Until December 2015 (1 year extended).
Dose of liraglutide group starts at 0.3mg, the attending physician increased to 0.9mg by 0.3mg within 12 weeks by the increase done at the discretion of him at intervals of one week or more.
The subcutaneous injection once a day both groups.

Interventions/Control_2

Dose of glargine group starts from weight*0.1U/kg, the attending physician dose adjusted according to the algorithm.

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


Not applicable

Gender

Male and Female

Key inclusion criteria

(1) Patients with HbA1c 7.0 to 10%
(2) Patients being treated for more than 12 weeks Diet and exercise therapy
(3) Patients who is given oral anti-diabetic agents including the DPP-4 inhibitor more than 12 weeks
(4) Patients who does not use human GLP-1 analog or insulin
(5) Adalts who are 20 years or older
(6) Patients who can understand consent brief and other explanation documents having the ability of the agreement about participation in this examination

Key exclusion criteria

(1) Type 1 diabetes mellitus patients
(2) Patients with severe liver disease
(3) Patients with severe renal disease
(4) Patients who had myocardial infarction within 3 months, or obvious heart failure case
(5) Patients with severe pancreas disease
(6) Patients having a cancer
(7) Patients with hemoglobin (Hb) less than 11 g/dL
(8) Patients that the number of the platelets is less than 100,000 /mm3
(9) Patients with high diabetic neuropathy
(10) Patients having a proliferative retinopathy
(11) Patients with a serious infectious disease or a serious injury
(12) Patients with bowel disease or ileus factors
(13) Chronic enteropathy patients with the digestion and absorption abnormality
(14) Excessive common custom drinker
(15) A pregnant woman or the woman who may be pregnant
(16) Patients who was infected with hepatitis B virus or hepatitis C virus
(17) In addition, the patient who judged inappropriate by an attendant physician

Target sample size

60


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Masahiko Miyagi

Organization

Toho University School of Medicine

Division name

Division of diabetes, metabolism and endocrinology

Zip code


Address

6-11-1 Omori-nishi, Ota-ku, Tokyo 143-8541, Japan

TEL

03-3762-4151

Email

miyagi-m@med.toho-u.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Masahiko Miyagi

Organization

Toho University School of Medicine

Division name

Division of diabetes, metabolism and endocrinology

Zip code


Address

6-11-1 Omori-nishi, Ota-ku, Tokyo 143-8541, Japan

TEL

03-3762-4151

Homepage URL


Email

miyagi-m@med.toho-u.ac.jp


Sponsor or person

Institute

Toho University School of Medicine, Division of diabetes, metabolism and endocrinology

Institute

Department

Personal name



Funding Source

Organization

Toho University School of Medicine

Organization

Division

Category of Funding Organization

Self funding

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

大森赤十字病院内科(東京都),済生会横浜市東部病院糖尿病内分泌内科(神奈川県),ささもとクリニック(東京都),しんクリニック(東京都),たまき青空病院(徳島県),徳島県立中央病院糖尿病・代謝内科(徳島県),徳島大学糖尿病臨床・研究開発センター(徳島県)


Other administrative information

Date of disclosure of the study information

2013 Year 11 Month 06 Day


Related information

URL releasing protocol


Publication of results

Published


Result

URL related to results and publications

https://doi.org/10.1007/s13300-018-0486-1

Number of participants that the trial has enrolled


Results

For poorly controlled T2DM on DPP-4i-based OAD therapy, switching to single-dose liraglutide to enhance incretin signaling is as effective as dose-titrated basal IGlar, but significant BW reduction was only seen in the liraglutide group.

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

2013 Year 06 Month 01 Day

Date of IRB


Anticipated trial start date

2013 Year 11 Month 06 Day

Last follow-up date

2016 Year 07 Month 31 Day

Date of closure to data entry

2017 Year 01 Month 31 Day

Date trial data considered complete

2017 Year 01 Month 31 Day

Date analysis concluded

2017 Year 12 Month 31 Day


Other

Other related information



Management information

Registered date

2013 Year 11 Month 06 Day

Last modified on

2018 Year 08 Month 31 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000014284


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name
2018/11/14 G-Lstudy_Analysis.xlsx