UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000023902
Receipt number R000027514
Scientific Title An exploratory clinical study of the renoprotective effect of empagliflozin and the verification of companion diagnostics in type 2 diabetes patients
Date of disclosure of the study information 2016/09/05
Last modified on 2023/06/20 14:31:57

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Basic information

Public title

An exploratory clinical study of the renoprotective effect of empagliflozin and the verification of companion diagnostics in type 2 diabetes patients

Acronym

Renoprotection and companion diagnostics verification in type 2 diabetes patients treated with empagliflozin (RECOVERY)

Scientific Title

An exploratory clinical study of the renoprotective effect of empagliflozin and the verification of companion diagnostics in type 2 diabetes patients

Scientific Title:Acronym

Renoprotection and companion diagnostics verification in type 2 diabetes patients treated with empagliflozin (RECOVERY)

Region

Japan


Condition

Condition

Type 2 diabetes mellitus

Classification by specialty

Endocrinology and Metabolism Nephrology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To explore the association between the renoprotective effect of empagliflozin and companion diagnostics with urinary biomarkers in adult type 2 diabetes patients with mild or moderate renal dysfunction

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

To evaluate the association between the concentration of urinary megalin and its ligand molecules such as alpha1-microglobulin and beta2-microglobulin and the change in renal function (eGFR)

Key secondary outcomes

1) The change in eGFR
2) Notable adverse effects (hypoglycemia, urinary tract, and genital infection, etc)
3) Serious adverse events (serious hypoglycemia, sepsis, hypovolemia, cerebral infarction, ischemic heart disease, ketoacidosis, acute kidney injury, and serious eruption, etc)
4) Other biomarkers such as urinary podocalyxin
5) Dietary evaluation using self-administered diet history questionnaire (DHQ)
6) Ambulatory blood pressure monitoring (ABPM)


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

To subscribe 10mg or 25mg/day empagliflozin (Jadiance) for 3 years

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

1) Those aged = or >20 and <80
2) HbA1c = or >6.5%
3) Type 2 diabetes mellitus patients with mild (60 = or < eGFR <90 mL/min/1.73m2) or moderate (30 = or <eGFR<60 mL/min/1.73m2) renal dysfunction
4) Those who can cope with dehydration
5) Those who can suspend taking medicine appropriately on sick days with fever, diarrhea, vomiting, or appetite loss
6) Those who have given written informed consent on the use of their data for the study

Key exclusion criteria

1) Those with past histories of hypersensitivity to SGLT2 inhibitors
2) Those with severe ketosis, diabetic coma or precoma
3) Those at perioperative stages, or those with severe infection or serious injury
4) Those with followings:
1. Hypopituitarism or adrenal insufficiency
2. Malnutrition, starvation, irregular or insufficient food intake, or debilitating condition
3. Excessive muscular exercise
4. Excessive alcohol drinker
5 ) Those with urinary tract or genital infection
6) Those with severe liver dysfunction
7) Those who are pregnant or hoping pregnancy
8) Those with a malignant tumor currently or in the past 5 years
9) Those who are treated currently with SGLT2 inhibitors
10) Those who are considered not eligible for the study by attending doctors because of any medical reasons

Target sample size

50


Research contact person

Name of lead principal investigator

1st name Akihiko
Middle name
Last name Saito

Organization

Niigata University Graduate School of Medical and Dental Sciences

Division name

Department of Applied Molecular Medicine

Zip code

951-8510

Address

1-757 Asahimachi-dori, Chuo-ku, Niigata-shi, Niigata-ken

TEL

025-227-0915

Email

akisaito@med.niigata-u.ac.jp


Public contact

Name of contact person

1st name Akihiko
Middle name
Last name Saito

Organization

Niigata University Graduate School of Medical and Dental Sciences

Division name

Department of Applied Molecular Medicine

Zip code

951-8510

Address

1-757 Asahimachi-dori, Chuo-ku, Niigata-shi, Niigata-ken

TEL

025-227-0915

Homepage URL


Email

akisaito@med.niigata-u.ac.jp


Sponsor or person

Institute

Department of Applied Molecular Medicine, Niigata University Graduate School of Medical and Dental Sciences

Institute

Department

Personal name



Funding Source

Organization

Japan Agency for Medical Research and Development

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Institutional Ethics Committee of Niigata University

Address

1-757 Asahimachi-dori, Chuo-ku, Niigata-shi, Niigata-ken

Tel

025-227-2006

Email

shomu@med.niigata-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

新潟大学医歯学総合病院 (新潟県)、信楽園病院 (新潟県)、新潟臨港病院 (新潟県)、長岡赤十字病院 (新潟県)、長岡中央綜合病院 (新潟県)、立川綜合病院 (新潟県)、竹田綜合病院 (福島県)、佐渡総合病院 (新潟県)、えきまえクリニック内科はやし医院((新潟県)、小千谷総合病院(新潟県)、済生会新潟第二病院(新潟県)


Other administrative information

Date of disclosure of the study information

2016 Year 09 Month 05 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

51

Results


Results date posted


Results Delayed

Delay expected

Results Delay Reason

Comparing before and after 3 months, urinary albumin tended to decrease from 247 +- 541 microg/gCr to 206 +- 398 microg/gCr, while urinary alpha1-microglobulin increased from 8.1 +- 8.4 mg/gCr to 11.9 +- 9.2 mg/gCr (P = 0.04).

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

2016 Year 08 Month 30 Day

Date of IRB

2016 Year 06 Month 20 Day

Anticipated trial start date

2016 Year 09 Month 12 Day

Last follow-up date

2021 Year 12 Month 31 Day

Date of closure to data entry

2022 Year 03 Month 31 Day

Date trial data considered complete

2022 Year 05 Month 31 Day

Date analysis concluded

2022 Year 09 Month 30 Day


Other

Other related information



Management information

Registered date

2016 Year 09 Month 02 Day

Last modified on

2023 Year 06 Month 20 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000027514


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name