UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000019273
Receipt number R000022272
Scientific Title To investigate DPP-4 inhibitors type dependent effects on antifibrotic miRNA and biomarkers.
Date of disclosure of the study information 2015/10/08
Last modified on 2018/02/02 09:40:39

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Basic information

Public title

To investigate DPP-4 inhibitors type dependent effects on antifibrotic miRNA and biomarkers.

Acronym

DPP-4 inhibitors and antifibrotic biomarkers.

Scientific Title

To investigate DPP-4 inhibitors type dependent effects on antifibrotic miRNA and biomarkers.

Scientific Title:Acronym

DPP-4 inhibitors and antifibrotic biomarkers.

Region

Japan


Condition

Condition

Type 2 diabetic patients

Classification by specialty

Endocrinology and Metabolism

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Each DPP4 inhibitors displays its unique pharmacokinetics. In this study we recruit the Diabetic patients with DPP-4 inhibitor treatment and investigate the potential difference in the plasma/urine biomarkers-associated with tissue fibrosis.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

1)Plasma and urine DPP-4 activation
2)Antifibrotic miRNAs
3)Antifibrotic peptides
4)Urine IFN-gamma, IL-1 beta, sTNF-alpha reeptor1/2, IL-6, beta 2microglobulin, NAG, typeIV collagen

0 and 3 month after joining this study

Key secondary outcomes

1)Parameters of blood glucose (HbA1c, fasting blood glucose, glycoalbumin, insulin)
2)Urinary albumin excretion
3)eGFRcreat (calculation by conversion formula of GFRcreat in Japanese),
serum creatinine
4)Urinary L-FABP excretion, serum cystatin C (Cys-C), eGFRcys (calculation by conversion formula of eGFRcys in Japanese)
5) Serum lipid (T-cho, LDL, HDL, TG)
6)Blood pressure, pulse


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

Dose increment of Sitagliptin (50mg to 100mg)

Interventions/Control_2

Change Sitagliptin 50mg to Linagliptin 5mg

Interventions/Control_3

Change Alogliptin 25mg to Linagliptin 5mg

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

80 years-old >

Gender

Male and Female

Key inclusion criteria

(1)More than 20 years to less than 80 years old patient, at the time of obtaining the informed consent, (Gender, outpatient and hospitalization unquestioned)
(2)Type 2 diabetes patients.
(3)Patients with poorly controlled type 2 diabetes who take DPP-4
inhibitors Sitagliptin(50mg), Alogliptin (25) or Linagliptin(5)
(4)Patients whose HbA1c is 7.0% <=
HbA1c < 10.0% at the enrollment
(5)Patients with diabetic
nephropathy whose urinary albumin excretion (UAE) is >= 30 mg/gCr
(6)Patients with diabetic
nephropathy whose eGFRcreat is >= 30 mL/min/1.73m2
(7)Patients without changing the
kind and doses of medications during the last 3 months before the enrollment
(8)Patients who fully understand purpose, contents, anticipated adverse events , and risks of this clinical trial and patients with willingness to comply with the study and sign a written informed consent

Key exclusion criteria

(1)Patient who have a history of allergy to Linagliptin or Sitagliptin.
(2)Patients who have severe ketosis, diabetic coma, diabetic pre-coma, or type 1 diabetes
(3)Patients who have severe infection, surgery, planned surgery, severe trauma.
(4)Women who are pregnant, or possibility of pregnant, or wish to pregnant, or lactating.
(5)Patients with transit disorder in the digestive tract or peptic ulcer and esophageal varix (this product may irritate affected area.) and patients whom physician judges as inappropriate
(6)Patients with a predisposition to severe and habitual constipation (this product may exacerbate constipation) and patients whom physician judges as inappropriate
(7)Patients who are considered unsuitable for inclusion by the attending physician.

Target sample size

60


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Daisuke Koya

Organization

Kanazawa Medical University

Division name

Diabetology and Endocrinology

Zip code


Address

1-1Daigaku,Uchinada,Kahoku-gun, Ishikawa Prefecture, 920-0293

TEL

076-286-2211

Email

koya0516@kanazawa-med.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Yuka Kuroshima

Organization

Kanazawa Medical University

Division name

Diabetology and Endocrinology

Zip code


Address

1-1Daigaku,Uchinada,Kahoku-gun, Ishikawa Prefecture, 920-0293

TEL

076-286-2211

Homepage URL


Email

naipicrc@kanazawa-med.ac.jp


Sponsor or person

Institute

Kanazawa Medical University

Institute

Department

Personal name



Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Self funding

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

金沢医科大学病院 / Kanazawa Medical University Hospital.


Other administrative information

Date of disclosure of the study information

2015 Year 10 Month 08 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 09 Month 01 Day

Date of IRB


Anticipated trial start date

2015 Year 09 Month 10 Day

Last follow-up date

2017 Year 09 Month 01 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 10 Month 08 Day

Last modified on

2018 Year 02 Month 02 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000022272


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name