UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000032325
Receipt number R000036396
Scientific Title A prospective observational study to investigate the relationship between glucose fluctuation and a subsequent incidence of cardiovascular events in patients with type 2 diabetes
Date of disclosure of the study information 2018/04/20
Last modified on 2023/04/24 09:07:08

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Basic information

Public title

A prospective observational study to investigate the relationship between glucose fluctuation and a subsequent incidence of cardiovascular events in patients with type 2 diabetes

Acronym

glucose fluctuation and cardiovascular events

Scientific Title

A prospective observational study to investigate the relationship between glucose fluctuation and a subsequent incidence of cardiovascular events in patients with type 2 diabetes

Scientific Title:Acronym

glucose fluctuation and cardiovascular events

Region

Japan


Condition

Condition

type 2 diabetes

Classification by specialty

Endocrinology and Metabolism

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

We aim at investigating the relationship between glucose fluctuation evaluated by continous glucose monitering with use of FreeStyle Libre Pro and the incidence of composite cardiovascular events or the progression of atherosclerosis in T2DM patients who had no apparent history of CVD.

Basic objectives2

Others

Basic objectives -Others

We aim at investigating the relationship between glucose fluctuation evaluated by continous glucose monitering with use of FreeStyle Libre Pro and clinical parameters including atherosclerosis markers in T2DM patients who had no apparent history of CVD in a cross-sectional study.

Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase

Not applicable


Assessment

Primary outcomes

The primary study outcome is to investigate the relationships between fluctuations in glucose levels evaluated by continuous glucose monitoring and the incidence of composite cardiovascular events including cardiovascular death, acute myocardial infarction, unstable angina pectoris, revascularization for the treatment of coronary artery diseases, ischemic stroke, or revascularization for the treatment of arteriosclerosis obliterans.

Key secondary outcomes

1) the relationships between fluctuations in glucose levels evaluated by continuous glucose monitoring and the incidence of composite cardiovascular events (a, b or c, or each of a,b and c)
a)heart diseases (cardiovascular death, acute myocardial infarction, unstable angina pectoris, revascularization for the treatment of coronary artery diseases or hospitalization for heart failure)
b)cerebrovascular diseases (ischemic stroke, hemorrhagic stroke or subarachnoid haemorrhage)
c)artery diseases (arteriosclerosis obliterans, revascularization for the treatment of arteriosclerosis obliterans or lower limb amputation)
2) the relationships between fluctuations in glucose levels evaluated by continuous glucose monitoring and the incidence of malignant tumors,
3) the relationships between fluctuations in glucose levels evaluated by continuous glucose monitoring and all-cause mortality in addition to a) plus b) plus c) as described above.
4) the relationships between fluctuations in glucose levels evaluated by continuous glucose monitoring, and cardiovascular death, myocardial infarction or stroke.
5) the relationships between fluctuations in glucose levels evaluated by continuous glucose monitoring, and cardiovascular death, myocardial infarction, unstable angina, or stroke.
6) the relationships between fluctuations in glucose levels evaluated by continuous glucose monitoring, and development or progression of diabetic retinopathy or nephropathy.
7) the relationships between fluctuations in glucose levels evaluated by continuous glucose monitoring, and changes in mean carotid intima media thickness, max carotid intima media thickness, gray-scale median, or brachial-ankle pulse wave velocity.
8) the relationships between fluctuations in glucose levels evaluated by continuous glucose monitoring, and changes in Diabetes Therapy-Related QOL scores or Pittsburgh Sleep Quality Index scores.
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

30 years-old <=

Age-upper limit

80 years-old >=

Gender

Male and Female

Key inclusion criteria

1)30 years of age or older and 80 years of age or younger(regardless of gender)
2)T2DM patients treated at the outpatient clinic.
3)signing consent form for participation in the study.
4)No changes (including new prescriptions) in their antidiabetic medication for at least 4 weeks before FreeStyle Libre Pro sensors were applied at the back of the upper arm of each participant.

Key exclusion criteria

1)patients with type 1 or secondary diabetes
2)presence of severe infectious disease, before or after surgery, or severe trauma, 3)history of myocardial infarction, angina pectoris, cerebral stroke, or cerebral infarction, or arteriosclerosis obliterans4)patients undergoing artificial dialysis5)moderate liver dysfunction (aspartate aminotransferase 100 IU/l or more)
6)moderate or severe heart failure (NYHA/New York Heart Association stage III or severer)
7)patients with pregnant, lactating, or possibly pregnant women, or those planning to become pregnant during the study period
8) Present or past history of a malignant tumor (exception: those not on medication for malignant tumor and with no recurrence of the disease to date and without recurrence risks during this study were allowed to participate.)
9) patients with use of Sensor Augmented Pump
10) patients judged as ineligible by the clinical investigators.

Target sample size

1000


Research contact person

Name of lead principal investigator

1st name ohmura
Middle name H,
Last name mita tomoya

Organization

Juntendo University Graduate School of Medicine

Division name

Department of Metabolism & Endocrinology

Zip code

113-8421

Address

Hongo 2-1-1, Bunkyo-ku, Tokyo

TEL

+81358021579

Email

tom-m@juntendo.ac.jp


Public contact

Name of contact person

1st name ohmura
Middle name H,
Last name mita tomoya

Organization

Juntendo University Graduate School of Medicine

Division name

Department of Metabolism & Endocrinology

Zip code

113-8421

Address

Hongo 2-1-1, Bunkyo-ku, Tokyo

TEL

+81358021579

Homepage URL


Email

tom-m@juntendo.ac.jp


Sponsor or person

Institute

Juntendo University Graduate School of Medicine

Institute

Department

Personal name



Funding Source

Organization

Japan Agency for Medical Research and Development

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

juntendo Hospital ethics committee

Address

Hongo 2-1-1, Bunkyo-ku, Tokyo

Tel

03-3813-3111

Email

kenkyu58585@juntendo.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 04 Month 20 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

Preinitiation

Date of protocol fixation

2018 Year 04 Month 16 Day

Date of IRB


Anticipated trial start date

2018 Year 04 Month 21 Day

Last follow-up date

2024 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

This is as observational study.


Management information

Registered date

2018 Year 04 Month 20 Day

Last modified on

2023 Year 04 Month 24 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000036396


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name