UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000034866
Receipt number R000020069
Scientific Title Dietary impacts on glucose-lowering effects of sitagliptin in type 2 diabetes; a randomized, prospective, open-label clinical study
Date of disclosure of the study information 2019/01/04
Last modified on 2019/02/26 18:26:59

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Basic information

Public title

Dietary impacts on glucose-lowering effects of sitagliptin in type 2 diabetes; a randomized, prospective, open-label clinical study

Acronym

Dietary impacts on glucose-lowering effects of sitagliptin in type 2 diabetes (DIET)

Scientific Title

Dietary impacts on glucose-lowering effects of sitagliptin in type 2 diabetes; a randomized, prospective, open-label clinical study

Scientific Title:Acronym

Dietary impacts on glucose-lowering effects of sitagliptin in type 2 diabetes (DIET)

Region

Japan


Condition

Condition

Diabetes Mellitus, Type 2

Classification by specialty

Medicine in general Endocrinology and Metabolism

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

In a prospective, randomized case-controlled study, the investigators hope to demonstrate a positive correlation of plasma levels of EPA and DHA as well as fish intake with the HbA1c-lowering effect of sitagliptin but not with the active comparator glimepiride.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase

Phase IV


Assessment

Primary outcomes

Correlation of plasma levels of EPA and DHA with changes in HbA1c levels from baseline to week 16 in each treatment group with sitagliptin and glimepiride

Key secondary outcomes

Correlation of estimated fish intake with changes in HbA1c levels from baseline to week 16 in each treatment group with sitagliptin and glimepiride.

Identification of blood metabolite correlating with changes in HbA1c levels from baseline to week 16 in each treatment group with sitagliptin and glimepiride.


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

Sitagliptin: Januvia 50 mg a day for 16 weeks

Interventions/Control_2

Glimepiride: Amaryl 0.5 mg a day for 16 weeks

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.Japanese T2DM patient
2.OAD naive or receive 4-week wash out of one OAD (glinides, alpha-GI, metformin) before randomization
3. HbA1c 6.0-8.0 %
4. BMI 18 - 30 kg/m2
5. Age 20 - 75 years
8. CrCl 60mL/min or above

Key exclusion criteria

1.Patients on DPP-4 inhibitors or glimepiride
2.Patients treated with pioglitazone within the last 8 weeks
3.Patients with moderate/severe renal impairments (CrCl < 60mL/min)
4. Patients with insulin or GLP-1 receptor agonists
5. Patients with a history ofcerebrovascular disorder or cardiovascular disturbance
Patients with heart failure (NYHA I-IV)
6. Patients with severe hepatic dysfunction
7. Patients with a history of pancreatitis
8. Patients with diabetic retinopathy
9. Patients with a history of gastrointestinal surgery
10. Patients with a history of malignancy within the last 5 yrs
11. Patients with severe infection, severe injury or before/after operation
12. Patients with excessive drinking habit
13. Male Hb < 13.0 g/dl, Female Hb < 12.5 g/dl
14. Patients with a difficulty to follow instructions by investigators
15. Patients participating in any other clinical study
16. Pregnancy
17. Patients judged ineligible by investigators

Target sample size

48


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Yutaka Seino

Organization

Kansai Electric Power Hospital

Division name

Center for Diabetes, Endocrinology and Metabolism

Zip code


Address

2-1-7 Fukushima, Fukushima-ku, Osaka, Japan

TEL

06-6458-5821

Email

seino.yutaka@e2.kepco.co.jp


Public contact

Name of contact person

1st name
Middle name
Last name Daisuke Yabe

Organization

Kansai Electric Power Hospital

Division name

Center for Diabetes, Endocrinology and Metabolism

Zip code


Address

2-1-7 Fukushima, Fukushima-ku, Osaka, Japan

TEL

06-6458-5821

Homepage URL


Email

ydaisuke-kyoto@umin.ac.jp


Sponsor or person

Institute

Kansai Electric Power Hospital

Institute

Department

Personal name



Funding Source

Organization

MSD K.K.

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor

Saiseikai Noe Hospital

Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

YES

Study ID_1

NCT02312063

Org. issuing International ID_1

ClinicalTrials.gov

Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

関西電力病院(大阪府)、大阪府済生会野江病院(大阪府)


Other administrative information

Date of disclosure of the study information

2019 Year 01 Month 04 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

We found that the 16-week HbA1c change in the sitagliptin group, but not in the glimepiride group, was associated with baseline EPA.

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 12 Month 04 Day

Date of IRB


Anticipated trial start date

2015 Year 02 Month 01 Day

Last follow-up date


Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

We found no associations of the HbA1c changes with estimated intake of seafoods, while we found negative associations with intake of potatoes and seaweeds. None of the food categories showed associations with the 16-week HbA1c change in the glimepiride group.


Management information

Registered date

2018 Year 11 Month 12 Day

Last modified on

2019 Year 02 Month 26 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000020069


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name