UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000028438
Receipt number R000032549
Scientific Title Investigation of renal protective effects of SGLT2 inhibitor by using renal doppler ultrasonography
Date of disclosure of the study information 2017/07/29
Last modified on 2020/07/31 13:46:29

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Basic information

Public title

Investigation of renal protective effects of SGLT2 inhibitor by using renal doppler ultrasonography

Acronym

INveStigation of renal Protective effects of SGLT2 Inhibitor by using REnal Doppler ultrasonography/INSPIRED Study

Scientific Title

Investigation of renal protective effects of SGLT2 inhibitor by using renal doppler ultrasonography

Scientific Title:Acronym

INveStigation of renal Protective effects of SGLT2 Inhibitor by using REnal Doppler ultrasonography/INSPIRED Study

Region

Japan


Condition

Condition

Type 2 diabetes

Classification by specialty

Medicine in general Endocrinology and Metabolism

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The purpose of this study is to elucidate renoprotective effects of SGLT2 inhibitor with doppler ultrasonography in patients with type 2 diabetes.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Change in Resistive Index: RI of renal doppler ultrasonography

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)Hematology
WBC, RBC, Hb, Ht, PLT
3)Biochemistry
TC, HDL-C, TG, LDL-C, Cys-C, eGFRcyc, Cr, BUN, UA, Alb, Na, K, Cl, HbA1c, fasting blood glucose
4)plasma renin activity, plasma aldosterone concentration, erythropoietin
5)BNP
6)ketone body in venous blood
7)Urinalysis
urine protein, urine Cr, urine sodium, urine potassium, urine NAG, urine alpha1-MG, urine L-FABP, urine albumin, urine glucose, urine specific gravity
8)Renal doppler ultrasonography
Pulsatility Index: PI, Peak Systolic Velocity: PSV, End-Diastolic Velocity: EDV, Renal Aortic Ratio: RAR, Acceleration Time: AT
9)Abdominal ultrasonography
liver
10)ABI/PWV
11)Adverse events


Base

Study type

Interventional


Study design

Basic design

Cross-over

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Active

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Patients, who take a 50mg of Sitagliptin at the timing of obtained agreement in this study, will be changed to take a 5mg of Dapagliflozin from Sitagliptin. The group of Sitagliptin or Dapagliflozin will be changed the pill to another one at 6 and 12 months, following to keep the medication in each group until 24 months.

Interventions/Control_2

Patients, who take a 5mg of Dapagliflozin at the timing of obtained agreement in this study, will be changed to take a 50mg of Sitagliptin from Dapagliflozin. The group of Dapagliflozin or Sitagliptin will be changed the pill to another one at 6 and 12 months, following to keep the medication in each group until 24 months.

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)Type 2 diabetes
2)Patients with HbA1c 7% and below
3)Patients from 20 years old but less than 80 years old at obtaining consent
4)Patients who are treated with either Dapagliflozin 5mg or Sitagliptin 50mg
5)Patients whose HbA1c is within 1% during the last 3 months
6)Patients whose medicine did not change during the last 3 months

Key exclusion criteria

1)Type 1 diabetes or suspicion of Type 1 diabetes
2)Clinical history of hypersensitivity to SGLT2 inhibitors
3)Severe ketosis, diabetic coma or precoma
4)Severe infectious disease, pre/post-surgery or serious trauma
5)End-stage renal failure under dialysis
6)Clinical history of brain infarction or ischemic cardiac disease
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)Dehydrated patients including those with non-functioning GIT such as diarrhea, vomiting or malignancy
12)Complicated with malignancies
13)Pregnant/ possible pregnant, breastfeeding
14)Inappropriate patients for study participation judged by principal or clinical investigator
15)Dosing of GLP-1 receptor agonist
16)Combined use of Dapagliflozin and Sitagliptin
17)Dosing of SGLT2 inhibitors other than Dapagliflozin
18)Dosing of DPPIV inhibitors other than Sitagliptin

Target sample size

60


Research contact person

Name of lead principal investigator

1st name Takashi
Middle name
Last name Sumita

Organization

Ogawa Red Cross Hospital

Division name

Department of Internal Medicine

Zip code

3550397

Address

1525 Ogawa, Ogawa-machi, Hiki-gun, Saitama Japan

TEL

0493-72-2333

Email

sumi.jp@gmail.com


Public contact

Name of contact person

1st name Takashi
Middle name
Last name Sumita

Organization

Ogawa Red Cross Hospital

Division name

Department of Internal Medicine

Zip code

3550397

Address

1525 Ogawa, Ogawa-machi, Hiki-gun, Saitama Japan

TEL

0493-72-2333

Homepage URL


Email

sumi.jp@gmail.com


Sponsor or person

Institute

Ogawa Red Cross Hospital

Institute

Department

Personal name



Funding Source

Organization

Ogawa Red Cross Hospital

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Ogawa Red Cross Hospital

Address

1525 Ogawa, Ogawa-machi, Hiki-gun, Saitama Japan

Tel

81493722333

Email

sumi.jp@gmail.com


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

2017 Year 07 Month 29 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


Results


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

Enrolling by invitation

Date of protocol fixation

2017 Year 06 Month 16 Day

Date of IRB

2017 Year 06 Month 16 Day

Anticipated trial start date

2017 Year 06 Month 20 Day

Last follow-up date

2023 Year 07 Month 30 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2017 Year 07 Month 29 Day

Last modified on

2020 Year 07 Month 31 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000032549


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name