UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000029628
Receipt number R000033848
Scientific Title Study for the effect on blood glucose fluctuation by switching from DPP-4 inhibitor to SGLT2 inhibitor or to DPP-4 inhibitor/SGLT2 inhibitor combination tablet in patients with type 2 diabetes. - multicenter, prospective, randomized, open-label, parallel group, comparison study -
Date of disclosure of the study information 2017/10/19
Last modified on 2019/04/09 16:02:42

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Basic information

Public title

Study for the effect on blood glucose fluctuation by switching from DPP-4 inhibitor to SGLT2 inhibitor or to DPP-4 inhibitor/SGLT2 inhibitor combination tablet in patients with type 2 diabetes.
- multicenter, prospective, randomized, open-label, parallel group, comparison study -

Acronym

The effect on blood glucose fluctuation between DPP-4 inhibitor, SGLT2 inhibitor, and DPP-4 inhibitor/SGLT2 inhibitor combination in patients with type 2 diabetes.

Scientific Title

Study for the effect on blood glucose fluctuation by switching from DPP-4 inhibitor to SGLT2 inhibitor or to DPP-4 inhibitor/SGLT2 inhibitor combination tablet in patients with type 2 diabetes.
- multicenter, prospective, randomized, open-label, parallel group, comparison study -

Scientific Title:Acronym

The effect on blood glucose fluctuation between DPP-4 inhibitor, SGLT2 inhibitor, and DPP-4 inhibitor/SGLT2 inhibitor combination in patients with type 2 diabetes.

Region

Japan


Condition

Condition

type 2 diabetes mellitus

Classification by specialty

Medicine in general Endocrinology and Metabolism

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To assess the effects of switching teneligliptin to canagliflozin or to teneligliptin/ canagliflozin combination tablet on blood glucose fluctuation using continuous glucose monitoring system under meal tolerance test in patients with type 2 diabetes.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Phase IV


Assessment

Primary outcomes

Mean amplitude of glycemic excursions during meal tolerance test

Key secondary outcomes

CGM measurements (M-value, SD, average daily risk range, AUC of blood glucose, MODD, average glucose level during meal tolerance test)
Weight
Blood pressure


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification

NO

Dynamic allocation

YES

Institution consideration

Institution is not considered as adjustment factor.

Blocking

NO

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Switching from teneligliptin to canaglifozin

Interventions/Control_2

Switching from teneligliptin to teneligliptin/canagliflozin combination tablet

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) 20 to 80 years old
2) HbA1c 6.5-9.0% (NGSP)
3) Patients with type 2 diabetes who have been undergoing diet therapy and taking DPP-4 inhibitors for 3 month. Among DPP-4 inhibitors, teneligliptin has to be used for at least 1 week before the entry.
4) Written informed consent

Key exclusion criteria

1) hypersensitivity to canagliflozin or teneligliptin/ canagliflozin combination tablet.
2) uncontrolled diabetic retinopathy
3) severe liver dysfunction, renal dysfunction, or heart failure
4) pregnancy, nursing woman or possibly pregnant woman
5) severe diabetic ketosis, diabetic coma
6) severe infection, pre and post operation
, severe trauma
7) uncontrolled diet therapy
8) deficiency of insulin secretion 9) BMI < 22kg/m2
10) eGFR < 45ml/min
11) patients who thought to be inappropriate to enter this study for some reasons by physician's judgments

Target sample size

98


Research contact person

Name of lead principal investigator

1st name Akinobu
Middle name
Last name Nakamura

Organization

Hokkaido University Hospital

Division name

Department of Medicine II

Zip code

060-8648

Address

N14W5, Kita-ku, Sapporo, Hokkaido, 060-8648, Japan

TEL

011-706-5915

Email

akinbo@huhp.hokudai.ac.jp


Public contact

Name of contact person

1st name Kyu Yong
Middle name
Last name Cho

Organization

Hokkaido University Hospital

Division name

Department of Medicine II/Clinical Research and Medical Innovation Center

Zip code

060-8648

Address

N14W5, Kita-ku, Sapporo, Hokkaido, 060-8648, Japan

TEL

011-706-5915

Homepage URL


Email

kyuyong-cho@med.hokudai.ac.jp


Sponsor or person

Institute

Hokkaido University Hospital

Institute

Department

Personal name



Funding Source

Organization

Mitsubishi Tanabe Pharma Corporation

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Hokkaido University Hospital Division of Clinical Research Administration

Address

n14w5, kita-ku, Sapporo, Hokkaido, Japan

Tel

011-706-7636

Email

crjimu@med.hokudai.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

北海道大学病院(北海道)、青木内科クリニック(北海道)、NTT東日本札幌病院(北海道)、JA北海道厚生連 帯広厚生病院(北海道)、日本赤十字社 釧路赤十字病院(北海道)、栗原内科(北海道)、さっぽろ糖尿病・甲状腺クリニック(北海道)、国家公務員共済組合連合会 斗南病院(北海道)、萬田記念病院(北海道)、横山内科クリニック(北海道)


Other administrative information

Date of disclosure of the study information

2017 Year 10 Month 19 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

101

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

Completed

Date of protocol fixation

2017 Year 10 Month 19 Day

Date of IRB

2017 Year 11 Month 10 Day

Anticipated trial start date

2017 Year 11 Month 20 Day

Last follow-up date

2019 Year 03 Month 22 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 10 Month 19 Day

Last modified on

2019 Year 04 Month 09 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000033848


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name