UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000025662
Receipt number R000029522
Scientific Title Study of hepatic insulin resistance measured using fasting 13C-glucose breath test in patients with ischemic heart disease.
Date of disclosure of the study information 2017/01/17
Last modified on 2020/01/17 15:59:32

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Basic information

Public title

Study of hepatic insulin resistance measured using fasting 13C-glucose breath test in patients with ischemic heart disease.

Acronym

Effects of hepatic insulin resistance on ischemic heart disease.

Scientific Title

Study of hepatic insulin resistance measured using fasting 13C-glucose breath test in patients with ischemic heart disease.

Scientific Title:Acronym

Effects of hepatic insulin resistance on ischemic heart disease.

Region

Japan


Condition

Condition

Ischemic heart disease

Classification by specialty

Medicine in general Cardiology Endocrinology and Metabolism
Laboratory medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To examine the relationship between hepatic insulin resistance and pathogenesis of ischemic heart disease.

Basic objectives2

Others

Basic objectives -Others

To explore novel risk factors for the diseases

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Hepatic insulin resistance measured using the fasting 13C-glucose breath test; 13C excretion rate at 2 hours.

Key secondary outcomes

Insulin resistance calculated using HOMA-IR,
High density lipoprotein(HDL) function, the relationship between 13C excretion rate and HDL function, and Blood analyses including Hemoglobin A1c levels, Plasma glucose levels, Immunoreactive insulin levels, Lipid profile,
Markers indicating obesity (e.g. adiponectin), inflammation (high sensitive CRP), oxidative stress (8-OHdG/ MDA-LDL), etc.


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

20 years-old <=

Age-upper limit

85 years-old >

Gender

Male and Female

Key inclusion criteria

1) Patients with ischemic heart disease who have significant stenotic lesions on coronary arteries.
2) Patients with heart disease without ischemic heart disease.
3) Healthy volunteers without heart disease.
4) Patients who gave written informed consent

Key exclusion criteria

1) Less than 20 years old, 85 years old or older.
2) Acute coronary syndrome
3) End-stage renal disease (eGFR<30 ml/min) including patients under hemodialysis
4) Type1 diabetes mellitus
5) Subjects who are pregnant or possible to be pregnant
6) Shock
7) Subjects who are planned to have surgical operation or endoscopic therapy in 3 months which needs to stop antiplatelet therapy
8) Subjects whose doctor in charge do not agree to join the trial

Target sample size

200


Research contact person

Name of lead principal investigator

1st name Masami
Middle name
Last name Sakurada

Organization

Tokorozawa Heart Center

Division name

Department of Cardiology

Zip code

359-1142

Address

2-61-11 Kamiarai, Tokorozawa, Saitama, JAPAN 359-1142

TEL

04-2940-8611

Email

ayaori@ba2.so-net.ne.jp


Public contact

Name of contact person

1st name Hirotaka
Middle name
Last name Ezaki

Organization

Tokorozawa Heart Center

Division name

Department of Cardiology

Zip code

359-1142

Address

2-61-11 Kamiarai, Tokorozawa, Saitama, JAPAN 359-1142

TEL

04-2940-8611

Homepage URL


Email

hirotakaezaki@gmail.com


Sponsor or person

Institute

Tokorozawa Heart Center

Institute

Department

Personal name



Funding Source

Organization

Foundation for Promotion of Defense Medicine

Organization

Division

Category of Funding Organization

Non profit foundation

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor

1) The Jikei University School of Medicine, the Department of Laboratory Medicine.
2) National Defense Medical Collage, the Division of Anti-aging, Department of Internal Medicine.

Name of secondary funder(s)

The Jikei University School of Medicine, the Department of Laboratory Medicine.


IRB Contact (For public release)

Organization

The Ethics Committee of Tokorozawa Heart Center

Address

2-61-11 Kamiarai, Tokorozawa, Saitama, JAPAN 359-1142

Tel

04-2940-8611

Email

cs.thc@oukai.or.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

所沢ハートセンター
防衛医科大学校病院
東京慈恵会医科大学


Other administrative information

Date of disclosure of the study information

2017 Year 01 Month 17 Day


Related information

URL releasing protocol


Publication of results

Published


Result

URL related to results and publications


Number of participants that the trial has enrolled

200

Results

The value of C120 in each disease group was significantly lower than in HV, but the HOMA-IR in the IHD and NCD groups was not significantly different from that in HV. The value of C120 significantly correlated with known cardiovascular risk factors.
These results indicated the FGBT is more sensitive than HOMA-IR for evaluating hepatic IR as a cardiovascular risk factor and is likely useful for managing patients to prevent cardiovascular disease.

Results date posted

2020 Year 01 Month 17 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

Main results already published

Date of protocol fixation

2016 Year 09 Month 16 Day

Date of IRB

2016 Year 01 Month 18 Day

Anticipated trial start date

2017 Year 01 Month 17 Day

Last follow-up date

2020 Year 01 Month 16 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

Objective;
100 patients with ischemic heart disease, 50 patients with non-ischemic heart disease (arrhythmia, dilated cardiomyopathy, or so on) and 50 healthy volunteer. Patients who gave written informed consent.

Measurements;
13C excretion rate at 2hours using the fasting 13C-glucose breath test, HDL function (the ability of cholesterol efflux, antioxidant effects, anti-inflammatory effects, endothelial function), and Blood analyses including Hemoglobin A1c levels, Plasma glucose levels, Immunoreactive insulin levels, Lipid profile,
Markers indicating obesity (e.g. adiponectin), inflammation (high sensitive CRP), oxidative stress (8-OHdG/ MDA-LDL), etc.


Management information

Registered date

2017 Year 01 Month 13 Day

Last modified on

2020 Year 01 Month 17 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000029522


Research Plan
Registered date File name

Research case data specifications
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Research case data
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