UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000030766
Receipt number R000035130
Scientific Title The multifaceted investigation for the beneficial effect of improvement of postprandial hyperglycemia on development of frailty or sarcopenia
Date of disclosure of the study information 2018/02/01
Last modified on 2021/07/16 11:04:58

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Basic information

Public title

The multifaceted investigation for the beneficial effect of improvement of postprandial hyperglycemia on development of frailty or sarcopenia

Acronym

The beneficial effect of improvement of postprandial hyperglycemia on frailty or sarcopenia

Scientific Title

The multifaceted investigation for the beneficial effect of improvement of postprandial hyperglycemia on development of frailty or sarcopenia

Scientific Title:Acronym

The beneficial effect of improvement of postprandial hyperglycemia on frailty or sarcopenia

Region

Japan


Condition

Condition

type 2 diabetes mellitus

Classification by specialty

Endocrinology and Metabolism Geriatrics

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To clarify the association between glycemic variability and frailty or sarcopenia and if improving postprandial hyperglycemia can prevent decreasing muscle mass and strength, physical functions and cognitive or psychological functions

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

The changes of phenotypes related to frailty or sarcopenia according to the interventions for improvement of postprandial hyperglycemia 6 months after initiation of interventions

Key secondary outcomes

1) the relationship between the indexes of glycemic variability (SD, MAGE(Mean Amplitude Glycemic Excursions), MODD(Mean of Daily Difference of Blood Glucose)) and phenotypes related to frailty or sarcopenia
2) changes of HbA1c and fasting blood glucose level
3) changes of the indexes of glycemic variability (SD, MAGE, MODD)
4) changes of values of comprehensive geriatric assessments associated with improvement of postprandial hyperglycemia
5) changes of balancing abilities associated with improvement of postprandial hyperglycemia
6) changes of muscle thickness and echo intensity by muscle ultrasonography associated with improvement of postprandial hyperglycemia
7) changes of serum concentrations of myokines (IGF-1, IL-6) associated with improvement of postprandial hyperglycemia
8) changes of urine concentrations of pentosidine and 8-OhdG associated with improvement of postprandial hyperglycemia
9) falls during this investigation
10) adverse events and side effects


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -but assessor(s) are blinded

Control

No treatment

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Prevention

Type of intervention

Medicine Behavior,custom

Interventions/Control_1

Dietary & Exercise intervention
Dietary:Eating vegetables or proteins before cardohydrates or taking unsaturated fatty acid
Exercise:Resistance training for 20 minutes about 45 minutes after every meal

Interventions/Control_2

Drug intervention:GLUBES combination tablet, 3times a day just before every meals)

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

65 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1) the subjects aged 65 years or older with type 2 diabetes treated with DPP-4 inhibitors
2) the subjects diagnosed as 'pre-fraility' by CHS classification of frailty
3) the subjects treated without or can stop treatment with the drugs as follows:sulfonylureas, glinides, alpha-glucosidases and GLP-1 analogs
4) the subjects with 200mg/dl or over of adlib blood glucose level (>twice a week)

Key exclusion criteria

1) the subjects with type 1 diabetes
2) the subjects with HbA1c less than 7.5%
3) the subjects with uncontrolled hypertension (SBP >= 160mmHg)
4) the subjects with effort angina, chronic heart failure and tachyarrhythmia
5) the subjects with chronic respiratory failure
6) the subjects not able to walk by themselves
7) the subjects with chronic kidney disease
8) the subjects with severe hepatic dysfunction
9) the subjects not preserved basic ADL and instrumental ADL
10) the subjects with cognitive impairment
11) the subjects with gastrointestinal surgery
12) the subjects participating other clinical investigations

Target sample size

30


Research contact person

Name of lead principal investigator

1st name Ken
Middle name
Last name Sugimoto

Organization

Osaka University Graduate School of Medicine

Division name

Geriatric and General Medicine

Zip code

565-0871

Address

2-2, Yamada-oka, Suita, Osaka

TEL

06-6879-3852

Email

sugimoto@geriat.med.osaka-u.ac.jp


Public contact

Name of contact person

1st name Hiroshi
Middle name
Last name Akasaka

Organization

Osaka University Graduate School of Medicine

Division name

Geriatric and General Medicine

Zip code

565-0871

Address

2-2, Yamada-oka, Suita, Osaka

TEL

06-6879-3852

Homepage URL

http://www.med.osaka-u.ac.jp/pub/geriat/www/jmeder.html

Email

akasaka@geriat.med.osaka-u.ac.jp


Sponsor or person

Institute

Geriatric and General Medicine, Osaka University Graduate School of Medicine

Institute

Department

Personal name



Funding Source

Organization

Kissei 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

Institutional Review Board, Osaka University Hospital

Address

2-2, Yamadaoka, Suita, Osaka

Tel

06-6210-8296

Email

rinri@hp-crc.med.osaka-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

2018 Year 02 Month 01 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

Completed

Date of protocol fixation

2018 Year 01 Month 11 Day

Date of IRB

2018 Year 12 Month 17 Day

Anticipated trial start date

2018 Year 02 Month 01 Day

Last follow-up date

2021 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2018 Year 01 Month 11 Day

Last modified on

2021 Year 07 Month 16 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000035130


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name