UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000018814
Receipt number R000021434
Scientific Title Effects of canagliflozin on the hepatic steatosis, adipose tissue and skeletal muscle in patients with type 2 diabetes mellitus and non-alcoholic fatty liver disease / non-alcoholic steatohepatitis
Date of disclosure of the study information 2015/08/28
Last modified on 2017/06/29 14:05:02

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Basic information

Public title

Effects of canagliflozin on the hepatic steatosis, adipose tissue and skeletal muscle in patients with type 2 diabetes mellitus and non-alcoholic fatty liver disease / non-alcoholic steatohepatitis

Acronym

Effects of canagliflozin on hepatic steatosis, adipose tissue and skeletal muscle in patients with Type 2 diabetes mellitus with NAFLD/NASH

Scientific Title

Effects of canagliflozin on the hepatic steatosis, adipose tissue and skeletal muscle in patients with type 2 diabetes mellitus and non-alcoholic fatty liver disease / non-alcoholic steatohepatitis

Scientific Title:Acronym

Effects of canagliflozin on hepatic steatosis, adipose tissue and skeletal muscle in patients with Type 2 diabetes mellitus with NAFLD/NASH

Region

Japan


Condition

Condition

Type 2 diabetes mellitus with NAFLD/NASH

Classification by specialty

Medicine in general Hepato-biliary-pancreatic medicine Endocrinology and Metabolism

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Evaluation of the ameliorating effect of a canagliflozin on hepatic steatosis and examination of changes in the areas of visceral/subcutaneous fat and skeletal muscle.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase

Not applicable


Assessment

Primary outcomes

A change in liver fat fraction after administrating a canagliflozin using MRI

Key secondary outcomes

-A change in hepatic CT HU using CT
-A change in visceral and subcutaneous fat cross sectional area using CT.
-A change in cross sectional area, CT HU and ratio of fat infiltration of skeletal muscles using CT.
-A change in CAP and liver stiffness
measurements by FibroScan.
-Evaluation of the degree of FDG accumulation of liver, brain, skeletal muscles using FDGPETCT.
-Changes of blood pressure, body weight, blood glucose(HbA1c,fasting plasma glucose),GA,HOMAbeta,CPRindex,insulin resistance(HOMAIR), NAFIC score, FIB4 index.


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

Prevention

Type of intervention

Other

Interventions/Control_1

Implementation of FDG-PET/CT.
Plain CT, plain MRI,FDG-PET/CT and Fibroscan are performed twice for six months.

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

Patients with type 2 diabetes who fulfilled the following criteria.
1) Patients with HbA1c equal to or greater than 6.0% and lesser than 9.0%.
2) Patients treated with diet, exercise or antidiabetic medications except SGLT2 inhibitor.
3) Patients with a BMI more than 20.
4) Patients with fatty liver diagnosed by abdominal US, and who have a diagnosis of NAFLD or NASH based on the definition of the medical treatment guide of NASH, NAFLD of the Japan society of hepatology.
5) Patients that blood pressure and lipids are well controlled.
6)Having provided voluntary written consent for participation in this study.

Key exclusion criteria

-Patients corresponding to any of the following are inapplicable
-Patients with a history of allergy to any component of the study medications
-Patients with severe ketosis or diabetic coma.
-Patients with severe infections, perioperative status, or severe trauma
-Patients with severe complications( liver disease, renal disease, mental disorder, cancer)
-Patients that we may be running out of plasticity of enforcement for image or analysis of the examination, for example, remarkable spinal column scoliosis
-Patients who has difficulty in MRI study implementation including having a Implantable cardioverter-defibrillator and internal metal et al
-Pregnancy or lactation in women
-Inadequacy of usingig this therapy

Target sample size

20


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Yasuo Terauchi

Organization

Yokohama City University Graduate School of Medicine

Division name

Department of Endocrinology and Metabolism

Zip code


Address

3-9 Fukuura, Kanazawa-ku, Yokohama, Kanagawa

TEL

045-787-2639

Email

terauchi@yokohama-cu.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Kazuki Tajima

Organization

Yokohama City University Graduate School of Medicine

Division name

Department of Endocrinology and Metabolism

Zip code


Address

3-9 Fukuura, Kanazawa-ku, Yokohama, Kanagawa

TEL

045-787-2639

Homepage URL


Email

kztajima@yokohama-cu.ac.jp


Sponsor or person

Institute

Yokohama City University Graduate School of Medicine

Institute

Department

Personal name



Funding Source

Organization

Mitsubishi Tanabe Pharma Corporation

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


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

横浜市立大学附属病院(神奈川県)


Other administrative information

Date of disclosure of the study information

2015 Year 08 Month 28 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


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 15 Day

Date of IRB


Anticipated trial start date

2015 Year 09 Month 01 Day

Last follow-up date

2017 Year 06 Month 30 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2015 Year 08 Month 26 Day

Last modified on

2017 Year 06 Month 29 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000021434


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name