UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000021177
Receipt number R000024418
Scientific Title Renin Observed with Added Dapagliflozin - an Evaluation under Unexceptional RAS Inhibitor Administration.
Date of disclosure of the study information 2016/04/01
Last modified on 2019/04/16 09:06:33

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Basic information

Public title

Renin Observed with Added Dapagliflozin - an Evaluation under Unexceptional RAS Inhibitor Administration.

Acronym

Effect of Dapagliflozin on Renin-Angiotensin-Aldosterone System(ROAD-EURASIA)

Scientific Title

Renin Observed with Added Dapagliflozin - an Evaluation under Unexceptional RAS Inhibitor Administration.

Scientific Title:Acronym

Effect of Dapagliflozin on Renin-Angiotensin-Aldosterone System(ROAD-EURASIA)

Region

Japan


Condition

Condition

Adults with type 2 diabetes

Classification by specialty

Medicine in general Endocrinology and Metabolism

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The objective of the study is to elucidate the effect of dapagliflozin on RAA system of Type 2 diabetes patients complicated with hypertension.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Phase IV


Assessment

Primary outcomes

plasma renin activity (PRA)

Key secondary outcomes

Group comparison of the following parameters before and after treatment
1) Physical examination
Body weight, BMI, blood pressure, and pulse rate
2) Electrocardiogram
3) Hematology
WBC, RBC, Hb, Ht, PLT
4) Biochemistry
TC, HDL-C, TG, Cys-C, eGFRcys, Cr, BUN, UA,Na, K, Cl, HbA1c, and fasting blood sugar
5) Plasma aldosterone concentration (PAC)
6) AVP, BNP
7) Urinalysis
Urine protein, urine sugar, specific gravity urine, urine sodium, urine potassium and urine chromium
8) Adverse events


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

YES

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

Treatment at obtaining consent is continued and 5 mg of dapagliflozin is orally administered once daily. In addition to everyday water intake, water or tea is taken in amount of 100 mL after each meal and before going to bed, i.e., 400 mL/day in total.

Interventions/Control_2

Treatment at obtaining consent is continued.

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

75 years-old >

Gender

Male and Female

Key inclusion criteria

1) Type 2 diabetic patients
2) Patients with HbA1c of 6.5% to 8.4%
3) Patients whose HbA1c is within 1% during the last 3 months
4) Hypertension patients who are treated with renin-angiotensin system inhibitor (referred as RAS inhibitor) from 8 weeks before screening or earlier (concomitant use of a direct renin inhibitor, an angiotensin-converting enzyme inhibitor or an angiotensin II receptor antagonist is to be prohibited)
5) Patients with BMI of 22.0 kg/m2 or higher
6) Patients from 20 years old but less than 75 years old at obtaining consent
7) Patients with eGFRcys of 45 mL/min/1.73m2 or higher
8) Patients having no dosing history of SGLT2 inhibitor within 4 months

Key exclusion criteria

1. Type 1 diabetes, 2. Class III hypertension (SBP180 mmHg or more and/or DBP110 mmHg or more), 3. Clinical history (CH) of hypersensitivity to SGLT2 inhibitors, 4. Severe ketosis, diabetic coma or precoma, 5. Severe infectious disease, pre/post-surgery or serious trauma, 6. Severe renal dysfunction or end-stage renal failure under dialysis, 7. Pulmonary embolus or severe pulmonary function impediment, 8. Pituitary or adrenal gland dysfunction, 9. Status of dystrophy/starvation, irregular meal intake, dietary intake deficiency or hyposthenia. 10, Excessive alcohol intake. 11. CH of the following severe liver dysfunctions: AST and/or ALT100 U/L or more, total bilirubin 2.0 mg/dL (34.2 micromol/L)or more, 12. Dehydrated patients including those with non-functioning GIT such as diarrhea, vomiting or malignancy, 13. Complicated with malignancies, 14. Pregnant/ possible pregnant, breast-feeding, 15. Inappropriate patients for study participation judged by principal or clinical investigator, 16. Dosing of direct renin inhibitor, 17. Combined use of angiotensin-convertase inhibitor/ angiotensin II receptor antagonists, 18. Dosing of beta- or alpha,beta-blocking agent or its dosing history (DH) within 4 months, 19. Dosing of diuretic drugs or its DH within 2 months

Target sample size

140


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Mitsuhiko Noda

Organization

Saitama Medical University Hospital

Division name

Department of Endocrinology and Diabetes

Zip code


Address

Morohongo 38, Moroyamamachi, Iruma-gun, Saitama Japan,

TEL

049-276-1111

Email

noda_m@saitama-med.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Naohide Noumi

Organization

IBEC Co., Ltd.

Division name

CEO Office

Zip code


Address

Tanaka Jun Build. 3F, 2-5-14 Teradacho, Tennohji-ku, Osaka-shi, 5430045, Japan

TEL

06-7172-1751

Homepage URL


Email

research@ibec-jp.com


Sponsor or person

Institute

Nonprofit Organization Hokkaido Health-Science Institute

Institute

Department

Personal name



Funding Source

Organization

AstraZeneca K.K.
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


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

天理よろづ相談所病院(奈良県)
国立病院機構京都医療センター(京都府)
埼玉医科大学病院(埼玉県)
関西医科大学附属病院(大阪府)
日本赤十字社大森赤十字病院(東京都)
社会医療法人社団カレスサッポロ北光記念クリニック(北海道)
自治医科大学附属さいたま医療センター(埼玉県)
日本赤十字社小川赤十字病院(東京都)


Other administrative information

Date of disclosure of the study information

2016 Year 04 Month 01 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

114

Results

The study has been ceased to be registered to the UMIN because specific categories of clinical research are changed to be registered in the jRCT due to Clinical Research Law enforcement.

Results date posted

2019 Year 03 Month 27 Day

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

Terminated

Date of protocol fixation

2016 Year 02 Month 16 Day

Date of IRB

2016 Year 05 Month 02 Day

Anticipated trial start date

2016 Year 07 Month 04 Day

Last follow-up date

2019 Year 02 Month 06 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2016 Year 02 Month 24 Day

Last modified on

2019 Year 04 Month 16 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000024418


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name