UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000021977
Receipt number R000025234
Scientific Title Alternation in glucagon secretion by dietary intake after administration of sodium glucose transporter-2 inhibitor.
Date of disclosure of the study information 2016/05/01
Last modified on 2022/10/24 11:31:46

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Basic information

Public title

Alternation in glucagon secretion by dietary intake after administration of sodium glucose transporter-2 inhibitor.

Acronym

Alternation in glucagon secretion by Sodium glucose transporter-2 inhibitor

Scientific Title

Alternation in glucagon secretion by dietary intake after administration of sodium glucose transporter-2 inhibitor.

Scientific Title:Acronym

Alternation in glucagon secretion by Sodium glucose transporter-2 inhibitor

Region

Japan


Condition

Condition

Type 2(non-insulin dependent) diabetes mellitus

Classification by specialty

Endocrinology and Metabolism

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To examine the alternation in glucagon secretion pattern by dietary intake before and after 12 weeks administration of sodium glucose transporter-2(SGLT-2) inhibitor.

Basic objectives2

Others

Basic objectives -Others

We design meal tolerance test to compare the alternation in glucagon secretion before and after administration of sodium glucose transporter-2(SGLT-2) inhibitor.

Trial characteristics_1


Trial characteristics_2


Developmental phase

Not applicable


Assessment

Primary outcomes

The alternation in glucagon secretion pattern by dietary intake before and after 12 weeks administration of sodium glucose transporter-2(SGLT-2) inhibitor.

Key secondary outcomes



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

Treatment

Type of intervention

Medicine

Interventions/Control_1

Administration of sodium glucose transporter-2(SGLT-2) inhibitor, Luseogliflozin, and dose of Luseogliflozin is 25mg once a daily before breakfast, administration period of Luseogliflozin is 12wweks.

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

80 years-old >

Gender

Male and Female

Key inclusion criteria

Type 2 (non-insulin dependent) diabetes patients who are controlled in diet and exercise,
and glycated Hb(HbA1c) is 7.0% or above and 10.0% or below.

Key exclusion criteria

1. A patient suffering from acute disease
2. In case of malignacy
3. Renal dysfunction (estimeted GFR <60ml/min)
4. Liver dysfunction (AST >100U/l, ALT >100U/l)
5. Pregnant or possibility of pregnant
6. Lactating mothers
7. A patient suffering from endocrine disorders
8. A patient administrated any drugs affect glucose metabolism
9. Diabetic patients who have taken any hypoglycemic agents include SGLT-2 inhibitor in proximate 6 months
10.A patient undergoing or having history of treatment for ischemic heart disease
11.Chronic heart failure (NYHA class 2 or worse)
12.A patient undergoing or having history of treatment for cerebro-vascular disease
13.A patient undergoing or multiple (3 times or more) history of urinary or genital tract infection
14.A patient accompanied with severe diabetic retinopathy, nephropathy, neuropathy
15.A patient in hyperglycemic crisis or accompanied with marked symptom of hyperglycemia
16.Taking diuretics
17.Correspond to contraindication of Luseogliflozin

Target sample size

20


Research contact person

Name of lead principal investigator

1st name Raishi
Middle name
Last name Ichikawa

Organization

Kitasato University, School of Medicine

Division name

Department of diabetes, endocrinology and metabolism

Zip code

252-0374

Address

1-15-1, Kitasato, Minami-ku, Sagamihara, Kanagawa-Pref, Japan

TEL

042-778-8111

Email

raizo@med.kitasato-u.ac.jp


Public contact

Name of contact person

1st name Raishi
Middle name
Last name Ichikawa

Organization

Kitasato University, School of Medicine

Division name

Department of diabetes , endocrinology and metabolism

Zip code

252-0374

Address

1-15-1, Kitasato, Minami-ku, Sagamihara, Kanagawa-Pref, japan

TEL

042-778-8111

Homepage URL


Email

raizo@med.kitasato-u.ac.jp


Sponsor or person

Institute

Kitasato University, School of Medicine

Institute

Department

Personal name



Funding Source

Organization

This research is carried out with funding from Taisho Pharmaceutical Co., Ltd.

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

The Kitasato Institute, Clinical Research Revies Board

Address

1-15-1, Kitasato, Minami-ku, Sagamihara, Kanagawa-Pref, Japan

Tel

042-778-8273

Email

rinri-n@kitasato-u.ac.jp


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 05 Month 01 Day


Related information

URL releasing protocol

https://www.jstage.jst.go.jp/article/endocrj/advpub/0/advpub_EJ21-0696/_article/-char/en

Publication of results

Unpublished


Result

URL related to results and publications

https://www.jstage.jst.go.jp/article/endocrj/advpub/0/advpub_EJ21-0696/_article/-char/en

Number of participants that the trial has enrolled

19

Results

Primary endpoint
There was no significant change in glucagon fluctuation before and after Luseogliflozin administration.
Secondary endpoint
1. GLP-1 secretion during meal tolerance test increased after Luseogliflozin administration but GIP secretion did not change.
2. The secretion ratio of glucagon to insulin, GLP-1, and GIP during meal tolerance test were not changed.
3. HOMA-R and Matsuda index were both improved, as were HOMA-beta and Disposition index.

Results date posted

2022 Year 01 Month 24 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

Total 20 participants (14 males and 6 females) were administrated Luseogliflozin, and one female participants dropped out during research because of her own will, not adverse event. Their age, duration of diabetes, body mass index (BMI) and HbA1c before administrated Luseogliflozin ware 53+-14 year-old (range 33-78), 5+-5 years (range 1-16), 28.6+-5.9 kg/m2 (range 17.5-43.6) and 8.2+-0.8% (range 7.1-9.9) respectively.

Participant flow

The first participant was enrolled on May 6, 2016.By June 2018, 12 participants were registered. In addition, 4 additional participants were registered by June 2019 and other 4 additional participants were registered by June 2020. The last participant data was collected on July 10, 2020.

Adverse events

No adverse events were observed during the course of this research.

Outcome measures

Primary endpoint
Comparison of changes in blood glucose levels and glucagon secretion level during meal tolerance test before and 12 weeks after Luseogliflozin administration
Secondary endpoint
1.Comparison of alteration in GLP-1 and GIP scretion during meal tolerance test before and after Luseogliflozin administration
2.Comparison of alteration in secretion ratio of glucagon to insulin, GLP-1 and GIP
3.Comparison of changes in insulin sensitivity index (HOMA-R, Matsuda index) and index of beta-cell function (HOMA-beta, Disposition index) before and 12 weeks after Luseogliflozin administration during meal tolerance test

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Main results already published

Date of protocol fixation

2016 Year 04 Month 11 Day

Date of IRB

2016 Year 04 Month 11 Day

Anticipated trial start date

2016 Year 05 Month 01 Day

Last follow-up date

2020 Year 07 Month 10 Day

Date of closure to data entry

2020 Year 08 Month 31 Day

Date trial data considered complete

2021 Year 02 Month 12 Day

Date analysis concluded

2021 Year 03 Month 09 Day


Other

Other related information



Management information

Registered date

2016 Year 04 Month 19 Day

Last modified on

2022 Year 10 Month 24 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000025234


Research Plan
Registered date File name
2022/01/24 5_研究計画書最終版.docx

Research case data specifications
Registered date File name

Research case data
Registered date File name