UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000021693
Receipt number R000025024
Scientific Title Efficacy of switching to Basal-supported GLP-1RA therapy(BGT) in type 2 diabetes patients treated with multiple daily insulin injections
Date of disclosure of the study information 2016/03/30
Last modified on 2018/10/08 20:13:19

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Basic information

Public title

Efficacy of switching to Basal-supported GLP-1RA therapy(BGT) in type 2 diabetes patients treated with multiple daily insulin injections

Acronym

Efficacy of BGT in type 2 diabetes

Scientific Title

Efficacy of switching to Basal-supported GLP-1RA therapy(BGT) in type 2 diabetes patients treated with multiple daily insulin injections

Scientific Title:Acronym

Efficacy of BGT in type 2 diabetes

Region

Japan


Condition

Condition

type 2 diabetes

Classification by specialty

Endocrinology and Metabolism

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the marker in the efficacy of switching to BGT in type 2 diabetes treated with multiple daily insulin injections

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

We judge the case that the period when HbA1c < 7.0% was able to maintain it came across more than six months with a BGT effective case.

Key secondary outcomes



Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


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

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

A type 2 diabetes patient treated with multiple daily insulin injections, whose HbA1c level > 8.0%.

Key exclusion criteria

Type 1 diabetes;
Suspicios for type 1 diabetes because of positiveness of GAD, IA-2 or ZnT8 antibodies in their sera;
Serum C-peptide level < 0.6 ng/ml;
Other type diabetes(Seconday diabetes, Steroid induced diabetes, ect.);
Pregnant women

Target sample size

50


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Ichiro Horie

Organization

Nagasaki Univ. Hospital

Division name

Endocrinology and Metabolism

Zip code


Address

1-7-1 Sakamoto, Nagasaki

TEL

0958197262

Email

holy197741@me.com


Public contact

Name of contact person

1st name
Middle name
Last name Ichiro Horie

Organization

Nagasaki Univ. Hospital

Division name

Endocrinology and Metabolism

Zip code


Address

1-7-1 Sakamoto, Nagasaki

TEL

0958197262

Homepage URL


Email

holy197741@me.com


Sponsor or person

Institute

First Dep. of Internal Medicine, Nagasaki Univ. Hospital

Institute

Department

Personal name



Funding Source

Organization

First Dep. of Internal Medicine, Nagasaki Univ. Hospital

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



Other administrative information

Date of disclosure of the study information

2016 Year 03 Month 30 Day


Related information

URL releasing protocol


Publication of results

Published


Result

URL related to results and publications

https://doi.org/10.1016/j.diabres.2018.08.015

Number of participants that the trial has enrolled


Results

Results: Twenty-eight patients (68.3%) were identified as good-responders. No differences
were found in baseline characteristics including insulin/glucagon responses during 1st-
OGTT between the groups. 2nd-OGTT revealed that paradoxical hyperglucagonemia were
significantly improved in both groups, but significant increases in insulin secretory
response were observed only in good-responders. Logistic regression analyses revealed that
the improvement of the insulin-response during 2nd-OGTT compared to that during 1st-
OGTT is associated with the good-responder.Conclusions: Enhancement of glucose-dependent insulin-response under liraglutide administration
is a potential predictor of long-term glycaemic control after switching the
therapies.

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 02 Month 06 Day

Date of IRB


Anticipated trial start date

2015 Year 04 Month 01 Day

Last follow-up date

2018 Year 08 Month 01 Day

Date of closure to data entry

2018 Year 08 Month 01 Day

Date trial data considered complete

2018 Year 08 Month 01 Day

Date analysis concluded

2018 Year 09 Month 01 Day


Other

Other related information

The complete data is published on the journal of Diabetes Res Clin Pract as the title of "Predictive factors of efficacy of combination therapy with basal insulin and liraglutide in type 2 diabetes when switched from longstanding basal-bolus insulin: Association between the responses of beta- and alpha-cells to GLP-1 stimulation and the glycaemic control at 6?months after switching therapy".


Management information

Registered date

2016 Year 03 Month 30 Day

Last modified on

2018 Year 10 Month 08 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000025024


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name