UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000018084
Receipt number R000020929
Scientific Title SGLT2 Inhibitor, Ipragliflozin, Suglat, Effect on Lipid and Glucose Metabolism Study
Date of disclosure of the study information 2015/06/25
Last modified on 2024/04/19 14:56:45

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Basic information

Public title

SGLT2 Inhibitor, Ipragliflozin, Suglat, Effect on Lipid and Glucose Metabolism Study

Acronym

SUCRE Study

Scientific Title

SGLT2 Inhibitor, Ipragliflozin, Suglat, Effect on Lipid and Glucose Metabolism Study

Scientific Title:Acronym

SUCRE 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

In the type 2 diabetic patients under the insufficient control of diabetes with no-insulin therapy, the glucose and lipid metabolism were studied after treatment with Ipragliflozin (Suglat) or DPP4 inhibitor (Sitagliptin). The each treatment would be kept for 1 year and the differences of clinical conditon would be compared between the two kinds of therapy.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Explanatory

Developmental phase

Phase IV


Assessment

Primary outcomes

The changes of lipids metabolism marker (apolipoproteins including apo B48, AI, AII, B, CII, CIII, E), serum lipids, and the markers of cholesterol synthesis (lathosterol) and aborption (campesterol, sitosterol, and cholestanol) would be compared between SGLT2 inhibitor and DPP4 inhibitor treatment.

Key secondary outcomes

The changes of body weight and BMI.
The changes of glucose control; HbA1c, fasting blood glucose, glycoalbumin (GA), serum insulin).
Miscellaneous; serum ketones, liver function (AST, ALT, ganmma GTP, LDH), electrolytes (Na, K, CL), urate, creatini kinase, sistatin C, fatty acids (EPA and arachidonic acid), complement, and urinary albumn-to-creatinin ratio, leptin, and the peripheral blood cell counts.
The comparison in the frequensy of the cases controled under the target level os HbA1c (<7.0%), and of the cases added with the other agents to get a good control, and of the cases with body weight reduction.


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification

YES

Dynamic allocation

NO

Institution consideration

Institution is not considered as adjustment factor.

Blocking

NO

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Group A- Ipraglifrojin group (n=100); 50mg/day of ipraglifrojin would be administered, and the blood sample was prepared at the start, 1, 3 and 6 months after the treatment. The dose up to 100mg/day would be permitted as the doctors' judgement after 3 months treatment. In the case with hypoglycemia, the drug dose should be decreased as the Doctors' judgement. The other drug would be added by the doctors' judgement.

Interventions/Control_2

Group B-As control sitagliptiin group (n=100); 50mg/day of ipraglifrojin would be administered, and the blood sample was prepared at the start, 1, 3 and 6 months after the treatment. The dose up to 100mg/day would be permitted as the doctors' judgement after 3 months treatment. In the case with hypoglycemia, the drug dose should be decreased as the Doctors' judgement. The other drug would be added by the doctors' judgement.

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

69 years-old >=

Gender

Male and Female

Key inclusion criteria

The type 2 diabetic patients under the not-well dlycemic control even if the diet/excise therapy was addressed more than 1 month.
The HbA1c levels (7-10.5%) would be stable within 1% during the observation term, 2 months.
The eGFR would be maintainedover than 45mL/min.
BMI over than 20. The signature of each patient should be obtained after the written informed consent.

Key exclusion criteria

Type 1 diabetes. The treatment with insulin, GLP-1, DPP4 inhibitors, SGLT2 inhibitors, hypolipidemic agents, diuretics, steroids, or immunosuppressants. The past history of severe ketosis, diabetic pre-coma and coma. The cases complicated with proliferative retinopathy, dysuria, infectious diseases of urinary tract or genitals, severe infectious diseases, perioperative period, severe trauma, pregnant or the chance of pregnancy, lactational phase, severe liver disorder (Child-Pugh Grade Score 10-15), cerebral vascular diseases/unstable angina/myocardial infarction/angioplasty within 6 months, or the past history of severe heart diseases (NYHA Class III-IV). The patients were judged as the inappropriate cases for the study

Target sample size

200


Research contact person

Name of lead principal investigator

1st name Shinichi
Middle name
Last name Oikawa

Organization

Fukujuji Hospital, Japan Anti-Tuberculosis Association

Division name

Diabetes-Lifestyle Disease Center

Zip code

2048522

Address

3-1-24 Matsuyama, Kiyose, Tokyo

TEL

042-491-4111

Email

shinichi@nms.ac.jp


Public contact

Name of contact person

1st name Shinichi
Middle name
Last name Oikawa

Organization

Fukujuji Hospital, Japan Anti-Tuberculosis Association

Division name

Diabetes-Lifestyle Disease Center

Zip code

204-8522

Address

3-1-24 Matsuyama, Kiyose, Tokyo

TEL

042-491-4111

Homepage URL


Email

shinichi@nms.ac.jp


Sponsor or person

Institute

Fukujuji Hospital, Japan Anti-Tuberculosis Association

Institute

Department

Personal name



Funding Source

Organization

Astellas Pharma Inc.

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

Fukujuji Hospital, Japan Anti-Tuberculosis Association

Address

3-1-24 Matsuyama, Kiyose, Tokyo

Tel

042-491-4111

Email

shom@fkujuji.org


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

複十字病院(東京都),日本医科大学付属病院(東京都)、むとう内科医院(北海道)、士別市立病院(北海道)、カレスさっぽろ北光記念病院(北海道)、さの医院(山形県)、中島内科クリニック(東京都)、いしかわ日暮里クリニック(東京都)、医療法人社団亮敬会 板垣医院(東京都)、奥田クリニック(東京都)、かとうクリニック(東京都)、くまのまえ医院(東京都)、森谷医院(東京都)、斉藤医院(東京都)、吉行医院(東京都)、上尾中央総合病院(埼玉)、加藤メディカルクリニック(東京都)、東京慈恵会医科大学(東京都)、御所病院(福岡県)、福岡赤十字病院(福岡県)、乙成内科医院(福岡県)、佐賀記念病院(佐賀県)、大久保病院(大分県)、Tsukasa Health Care Hospital(鹿児島県)


Other administrative information

Date of disclosure of the study information

2015 Year 06 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

175

Results

Ipraglifrozn treatment increased HDL-C, and sitagliptin treatment decreased apo B48 levels. These effects may be a drug effect, because there were no differences in glycemic control between ipraglifrozin and sitagliptin therapy.

Results date posted

2023 Year 12 Month 31 Day

Results Delayed

Delay expected

Results Delay Reason

Now, the manuscript was submitted and major revision was sent. We are going to revise the manuscript.

Date of the first journal publication of results


Baseline Characteristics

generak physician

Participant flow


Adverse events

There are no differences in adverse effects between ipragliflozin and sitagliptin treatment.

Outcome measures

glycemic control , lipid metabolism, renal function, liver function

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2015 Year 03 Month 31 Day

Date of IRB

2015 Year 03 Month 31 Day

Anticipated trial start date

2015 Year 06 Month 30 Day

Last follow-up date

2018 Year 09 Month 30 Day

Date of closure to data entry

2018 Year 12 Month 31 Day

Date trial data considered complete

2019 Year 01 Month 20 Day

Date analysis concluded

2019 Year 05 Month 31 Day


Other

Other related information



Management information

Registered date

2015 Year 06 Month 25 Day

Last modified on

2024 Year 04 Month 19 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000020929


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name