UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000030840
Receipt number R000035208
Scientific Title Observation of using GLP-1 receptor agonist for wellness of brain activity in type 2 diabetes patients with mild cognitive impairment
Date of disclosure of the study information 2018/01/16
Last modified on 2018/01/16 19:49:22

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Basic information

Public title

Observation of using GLP-1 receptor agonist for wellness of brain activity in type 2 diabetes patients with mild cognitive impairment

Acronym

Observation of using GLP-1 receptor Agonist for Wellness of brain Activity in type 2 diabetes patients with Mild Cognitive Impairment / OGAWA-MCI Study

Scientific Title

Observation of using GLP-1 receptor agonist for wellness of brain activity in type 2 diabetes patients with mild cognitive impairment

Scientific Title:Acronym

Observation of using GLP-1 receptor Agonist for Wellness of brain Activity in type 2 diabetes patients with Mild Cognitive Impairment / OGAWA-MCI Study

Region

Japan


Condition

Condition

Type 2 diabetes
mild cognitive impairment

Classification by specialty

Medicine in general Neurology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The purpose of this study is to elucidate the
efficacy of GLP-1 receptor agonist, dulaglutide, to cognitive function in type 2 diabetes patients with mild cognitive impairment.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Change in Japanese version of Montreal Cognitive Assessment (MoCA-J) and Mini Mental State Examination (MMSE)

Key secondary outcomes

Group comparison of the following parameters before and after treatment
1)Physical examination
Body weight, BMI, blood pressure, pulse rate and grip strength
2)Presence of symptomatic hypoglycemia
3)Hematology
WBC, RBC, Hb, Ht, PLT
4)Biochemistry
AST, ALT, LDH, gamma-GTP, TC, HDL-C, TG, LDL-C, Cyc-C, eGFRcyc, Cr, BUN, UA, Alb, Na, K, Cl, HbA1c, fasting blood glucose, fasting serum insulin, fasting serum C-peptide
5)vitamin B12, folic acid
6)TSH, FT3, FT4
7)Inflammatory markers
IL-6, TNF-alpha, high sensitivity CRP
8)BNP
9)Urinalysis
urine Cr, urine sodium, urine potassium, urine protein, urine albumin
10)Physiological test
electrocardiogram (including CVR-R), ABI/PWV
11)Imaging study
carotid duplex, head MRI, head MRA, VSRAD, cerebral blood flow scintigraphy
12)Adverse event


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

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

DPP-4 inhibitors and Sulfonylureas or Meglitinides will switch to Dulaglutide 0.75mg once weekly at the timing of obtained agreement in this study.

Interventions/Control_2

Treatment at obtaining consent is continued.

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)Type 2 diabetes
2)Patients with HbA1c 8.0% and below
3)Patients with mild cognitive impairment (MoCA-J score is from 18 to 25 and/or MMSE score is from 24 to 27)
4)Patients who are treated with DPP-4 inhibitors and Sulfonylureas or Meglitinides
5)Patient age is 65 years old or more at the timing of obtained agreement in this study
6)Patients having no dosing history of GLP-1 receptor agonist within 6 months
7)Patients whose medicine did not change during the last 3 months
8)Patients with BMI of 22.0 kg/m2 or higher

Key exclusion criteria

1)Type 1 diabetes or suspicion of Type 1 diabetes
2)Dosing of insulin injection
3)Suspicion of dementia (MoCA-J score is 17 and below and/or MMSE score is 23 and below)
4)Dosing of weekly DPP-4 inhibitor
5)Severe ketosis, diabetic coma or precoma
6)Clinical history of pancreatitis
7)Severe infectious disease, pre/post-surgery or serious trauma
8)Severe hepatic dysfunction
9)Pituitary or adrenal gland dysfunction
10)Status of dystrophy/starvation, irregular meal intake, dietary intake deficiency or hyposthenia
11)Excessive alcohol intake
12)Clinical history of allergy or hypersensitivity to GLP-1 receptor agonists
13)Pregnant/ possible pregnant, breastfeeding
14)Psychiatric disorder
15)Inappropriate patients for study participation judged by principal or clinical investigator

Target sample size

50


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Takashi Sumita

Organization

Ogawa Red Cross Hospital

Division name

Department of Internal Medicine

Zip code


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
Middle name
Last name Takashi Sumita

Organization

Ogawa Red Cross Hospital

Division name

Department of Internal Medicine

Zip code


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


Address


Tel


Email



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 01 Month 16 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 12 Month 25 Day

Date of IRB


Anticipated trial start date

2018 Year 01 Month 16 Day

Last follow-up date


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 16 Day

Last modified on

2018 Year 01 Month 16 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000035208


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name