UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000018871
Receipt number R000020114
Scientific Title Effects of Dapagliflozin on Hyperlipidemia, Glycemic Control and Insulin Resistance in Type 2 Diabetic Patients (DAPHNIS study)
Date of disclosure of the study information 2015/09/01
Last modified on 2020/09/09 10:17:06

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Basic information

Public title

Effects of Dapagliflozin on Hyperlipidemia, Glycemic Control and Insulin Resistance in Type 2 Diabetic Patients (DAPHNIS study)

Acronym

Effects of Dapagliflozin on Hyperlipidemia, Glycemic Control and Insulin Resistance in Type 2 Diabetic Patients (DAPHNIS study)

Scientific Title

Effects of Dapagliflozin on Hyperlipidemia, Glycemic Control and Insulin Resistance in Type 2 Diabetic Patients (DAPHNIS study)

Scientific Title:Acronym

Effects of Dapagliflozin on Hyperlipidemia, Glycemic Control and Insulin Resistance in Type 2 Diabetic Patients (DAPHNIS study)

Region

Japan


Condition

Condition

type 2 diabetes mellitus

Classification by specialty

Medicine in general Cardiology Endocrinology and Metabolism

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

In this study, we will investigate whether dapagliflozin (FORXIGA) might improve lipoprotein metabolism as well as hyperglycemia in Japanese patients with type II diabetes mellitus by examining before and 4 and 8 weeks after the administration of dapagliflozin.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Phase IV


Assessment

Primary outcomes

To examine changes of fasting lipoprotein profile by the administration of dapagliflozin; Concentrations of apoB-48 and RemL-C by examining before and 4 and 8 weeks after the administration of dapagliflozin.

Key secondary outcomes

Following points will be examined before and 4 and 8 weeks after the administration of dapagliflozin.
1. To examine changes of fasting glucose and HbA1c (NGSP) level by the administration of dapagliflozin
2. To examine changes of fasting lipid profile by the administration of dapagliflozin; Concentrations of TG, TC, HDL-C and LDL-C
3. To examine changes of fractions of free fatty acids, protein mass of LPL, and lipoprotein profile assessed by the HPLC by the administration of dapagliflozin
4. To examine changes of biomarkers for renal and hepatic function by the administration of dapagliflozin
5. To examine the frequency of adverse effects by the administration of dapagliflozin


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

Dapagliflozin is orally administered for 8 weeks in the dose of 5mg per day if there is no serious event included in termination criteria. If the effect for improving diabetes is insufficient, it is allowed to raise its dose up to 10mg/day.

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

20 years-old <

Age-upper limit

65 years-old >=

Gender

Male and Female

Key inclusion criteria

1. Male or female subjects with type 2 diabetes mellitus of from 20 to 65 years of age.
2. Patients who have not achieve the clinical target of the glycemic control (less than 7.0% in HbA1c).
3. Patients who received the diet therapy, the exercise therapy or the following anti-diabetic drugs in addition to the diet and/or exercise therapy (up to two drugs) with dosage stable for 8 weeks prior to entry.
a. Sulfonylurea (Glymepiride 2mg/day or less, Glibenclamide 1.25mg/day or less, Gliclazide 40mg/day or less)
b. Thiazolidine (Actos)
c. Biganide (Metformin, Buformin)
d. alpha-glucosidase inhibitor (Voglibose, Miglitol, Acarbose)
e. DPP4 inhibitors (Sitagliptin, Linagliptin, Anagliptin, Teneligliptin, Alogliptin, Saxagliptin)
4. Informed consent to participate in the study prior to any study procedures.

Key exclusion criteria

1. Type 1 diabetes mellitus
2. Moderate or severe renal dysfunction (eGFR<45 ml/min/1.73m2 or hemodialysis)
3. Severe hepatic insufficiency (AST and/or ALT >3x upper limit of normal)
4. Adrenal insufficiency or pituitary gland dysfunction
5. Malnourishment, starvation, irregular dietary intake, poor dietary intake, debilitating condition or a severe muscle movement
6. Volume depleted patients; concomitant medication such as loop diuretics.
7. Excessive alcohol intake (>60g daily)
8. SGLT2 inhibitors such as dapagliflozin are already administered
9. Contraindication with dapagliflozin
10. Start a new medication of statins, fibratesm ezetimibe or probucol within a month
11. Females who are likely to be pregnant, during pregnancy or lactating
12. Participants in other clinical trials
13. Inability to communicate and comply with all study requirements.

Target sample size

50


Research contact person

Name of lead principal investigator

1st name Shizuya
Middle name
Last name Yamashita

Organization

Osaka University Graduate School of Medicine

Division name

Department of Community Medicine

Zip code

565-0871

Address

Yamadaoka 2-2, Suita, Osaka, 565-0871 JAPAN

TEL

06-6879-3633

Email

shizu@cardiology.med.osaka-u.ac.jp


Public contact

Name of contact person

1st name Daisaku
Middle name
Last name Masuda

Organization

Osaka University Graduate School of Medicine

Division name

Department of Cardiovascular Medicine

Zip code

565-0871

Address

Yamadaoka 2-2, Suita, Osaka, 565-0871 JAPAN

TEL

06-6879-3633

Homepage URL

http://www.cardiology.med.osaka-u.ac.jp/?post_type=clinical

Email

masuda@cardiology.med.osaka-u.ac.jp


Sponsor or person

Institute

Osaka University

Institute

Department

Personal name



Funding Source

Organization

non-political organization (The Supporting Center for Clinical Research and Education, SCCRE) from Astrazeneca Corp and Ono Pharmaceutical Co., Ltd.

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization

JAPAN


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Osaka University Hospital Institutional Review Board

Address

Yamadaoka 2-2, Suita, Osaka, 565-0871 JAPAN

Tel

06-6210-8296

Email

rinri@hp-crc.osaka-u.ac.jp


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

2015 Year 09 Month 01 Day


Related information

URL releasing protocol

http://www.cardiology.med.osaka-u.ac.jp/?post_type=clinical

Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled

31

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

Completed

Date of protocol fixation

2015 Year 07 Month 09 Day

Date of IRB

2015 Year 07 Month 09 Day

Anticipated trial start date

2015 Year 08 Month 15 Day

Last follow-up date

2017 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded

2018 Year 03 Month 28 Day


Other

Other related information



Management information

Registered date

2015 Year 09 Month 01 Day

Last modified on

2020 Year 09 Month 09 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000020114


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name