UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000021291
Receipt number R000021576
Scientific Title The effectiveness of oral hypoglycemic agents in nonalcoholic fatty liver disease patients with type 2 diabetes mellitus. -Multiple comparison, Dapagliflozin, Pioglitazone vs Glimepiride-
Date of disclosure of the study information 2016/03/02
Last modified on 2018/10/02 15:38:01

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Basic information

Public title

The effectiveness of oral hypoglycemic agents in nonalcoholic fatty liver disease patients with type 2 diabetes mellitus. -Multiple comparison, Dapagliflozin, Pioglitazone vs Glimepiride-

Acronym

The effectiveness of oral hypoglycemic agents in nonalcoholic fatty liver disease patients with type 2 diabetes mellitus. -Multiple comparison, Dapagliflozin, Pioglitazone vs Glimepiride-

Scientific Title

The effectiveness of oral hypoglycemic agents in nonalcoholic fatty liver disease patients with type 2 diabetes mellitus. -Multiple comparison, Dapagliflozin, Pioglitazone vs Glimepiride-

Scientific Title:Acronym

The effectiveness of oral hypoglycemic agents in nonalcoholic fatty liver disease patients with type 2 diabetes mellitus. -Multiple comparison, Dapagliflozin, Pioglitazone vs Glimepiride-

Region

Japan


Condition

Condition

Nonalcoholic fatty liver disease patients with type 2 diabetes

Classification by specialty

Hepato-biliary-pancreatic medicine Endocrinology and Metabolism

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The main condition of type 2 diabetes is impaired insulin secretion and insulin resistance and to maintain good glycemic control over time, the therapeutic strategies base on the pathology of diabetes is important. Therefore we compare the effect of the SGLT2 inhibitor which is a new type 2 diabetes therapeutic drug with sulfonylurea and thiazolidine. We consider an association between type 2 diabetes and NAFLD and compare the influence of these three kinds of diabetes therapeutic drugs on NAFLD. Besides, we examine the influence of these drugs on beta-cell function during an observation period. This study has possibility to bring important information on making a treatment strategy of type 2 diabetes.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Change of liver function and L/S ratio (CT) six months after the intervention

Key secondary outcomes

Change of body weight, visceral fat amount, fasting plasma glucose (FPG), insulin, triacylglycerol (TG), non-esterified fatty acid (NEFA), HDL-cholesterol, LDL-cholesterol, lipoprotein fractionation, adiponectin, hsCPR, TNF-alpha, MCP-, MDA, typIV collagen7S, P-III-P, M2BP, the fibrosis score (NAFLD fibrosis score, FIB-4 index, APRI, BARD score, BAAT score), proinsulin/S-CPR ratio


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

3

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Dapagliflozin 5mg Sig. 1 or 2 tab po once time a day

Interventions/Control_2

Pioglitazone 15mg Sig. 1 or 2 tab po once time a day

Interventions/Control_3

Glimepiride 0.5 or 1mg Sig. 1 or 3 tab po once or two times a day

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

Nonalcoholic fatty liver disease patients with type 2 diabetes mellitus who visit a hospital for treatment in the outpatient department of the facilities concerned.

Key exclusion criteria

A) Under 20 years old
B) Treatment with insulin
C) Treatment with SGLT-2 inhibitor, thiazolidinedione or sulfonylurea
D) Diabetic coma
E) Renal dysfunction (eGFR<45mL/min)
F) Cardiac failure
G) Viral hepatitis, alcoholic hepatitis, autoimmune hepatitis, liver cirrhosis
H) Infection
I) During treatment or treatment plan of malignant neoplasm
J) Autoimmune disease
K) Use of Steroid medicine and/or immunosuppressor
L) Pregnant, possibility of pregnancy, nursing or hope to become pregnant during the study period
M) In addition, when principal investigator or researcher deems inappropriate as a study subject

Target sample size

90


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Masashi Shimoda

Organization

Kawasaki Medical SchoolKawasaki Medical School

Division name

Division of Diabetes, Endocrinology and Metabolism

Zip code


Address

Matushima577, Kurashiki, Okayama

TEL

086-462-1111

Email

masashi-s@med.kawasaki-m.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Masashi Shimoda

Organization

Kawasaki Medical SchoolKawasaki Medical School

Division name

Devision of Diabetes, Endocrinology and Metabolism

Zip code


Address

Matushima577, Kurashiki, Okayama

TEL

086-462-1111

Homepage URL


Email

masashi-s@med.kawasaki-m.ac.jp


Sponsor or person

Institute

Kawasaki Medical SchoolKawasaki Medical School Devision of Diabetes, Endocrinology and Metabolism

Institute

Department

Personal name



Funding Source

Organization

none

Organization

Division

Category of Funding Organization

Non profit foundation

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



Other administrative information

Date of disclosure of the study information

2016 Year 03 Month 02 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 10 Month 19 Day

Date of IRB


Anticipated trial start date

2015 Year 10 Month 19 Day

Last follow-up date

2017 Year 07 Month 19 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded

2018 Year 05 Month 26 Day


Other

Other related information



Management information

Registered date

2016 Year 03 Month 02 Day

Last modified on

2018 Year 10 Month 02 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000021576


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name