UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000032856
Receipt number R000037467
Scientific Title Glycemic variability from switching to steady state in patients treated with long-acting insulin: randomised crossover study
Date of disclosure of the study information 2018/06/04
Last modified on 2020/01/29 13:55:18

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Basic information

Public title

Glycemic variability from switching to steady state in patients treated with long-acting insulin: randomised crossover study

Acronym

Glycemic variability from switching to steady state in patients treated with long-acting insulin

Scientific Title

Glycemic variability from switching to steady state in patients treated with long-acting insulin: randomised crossover study

Scientific Title:Acronym

Glycemic variability from switching to steady state in patients treated with long-acting insulin

Region

Japan


Condition

Condition

type 2 diabetes

Classification by specialty

Endocrinology and Metabolism

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To investigate the glycemic variability from switching to steady state in patients treated with long-acting insulin (insulin glargine 300 U/ml, next, insulin degludec or insulin degludec, next, insulin glargine 300 U/ml).

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Mean of daily difference 1 (MODD1)

Key secondary outcomes

Multiple continuous overlapping net glycemic action 24 (MCONGA24) (original index)
Standard deviation of daily difference (SDODD) (original index)
Mean of daily difference (MODD) (day before switching vs. first day, second day vs. third day, fifth day vs. sixth day)
continuous overlapping net glycemic action 24 (CONGA24) (day before switching vs. first day, second day vs. third day, fifth day vs. sixth day)
Mean absolute glucose (MAG) during evaluation duration (for 7 days)
Glycemic variability percentage (GVP) during evaluation duration (for 7 days)
Mean glucose level during evaluation duration (for 7 days)
Standard deviation (SD) during evaluation duration (for 7 days)
Coefficient of variation (CV) during evaluation duration (for 7 days)
We investigated the relationship between glycemic diurnal variation (MAG, GVP, mean glucose level, and SD) and glycemic daily variation (MODD and CONGA24) using simulated CGM profiles measured every 15 minute for 24 hours.


Base

Study type

Interventional


Study design

Basic design

Cross-over

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

Upon admission, insulin glargine 300 U/ml is continued for 6 days with the same dose. FreeStyle Libre Pro is worn on fifth day of the same dose insulin glargine 300 U/ml. Insulin glargine 300 U/ml is switched to insulin degludec on day 3 of wearing CGM device with the same dose and is continued for 6 days. Then, Insulin degludec is switched to insulin glargine 300 U/ml on day 9 with the same dose and is continued for 6 days. Evaluation duration are from day 2 to day 8 and from day 8 to day 14.

Interventions/Control_2

Upon admission, insulin degludec is continued for 6 days with the same dose. FreeStyle Libre Pro is worn on fifth day of the same dose insulin degludec. Insulin degludec is switched to insulin glargine 300 U/ml on day 3 of wearing CGM device with the same dose and is continued for 6 days. Then, Insulin glargine 300 U/ml is switched to insulin degludec on day 9 with the same dose and is continued for 6 days. Evaluation duration are from day 2 to day 8 and from day 8 to day 14.

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

90 years-old >=

Gender

Male and Female

Key inclusion criteria

type 2 diabetic patients treated with long-acting insulin in basal insulin therapy for 3 month or longer

Key exclusion criteria

severe renal dysfunction (serum creatinine level over 2.0 mg/dL)
judged to be unsuitable for participation for medical reasons

Target sample size

30


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Soichi Takeishi

Organization

Inuyama Chuo General Hospital

Division name

Diabetes

Zip code


Address

6, Futagozuka, Goromaru, Inuyama-city, Aichi, Japan.

TEL

0568-62-8111

Email

souichi19811225@yahoo.co.jp


Public contact

Name of contact person

1st name
Middle name
Last name Soichi Takeishi

Organization

Inuyama Chuo General Hospital

Division name

Diabetes

Zip code


Address

6, Futagozuka, Goromaru, Inuyama-city, Aichi, Japan.

TEL

0568-62-8111

Homepage URL


Email

souichi19811225@yahoo.co.jp


Sponsor or person

Institute

Inuyama Chuo General Hospital

Institute

Department

Personal name



Funding Source

Organization

Inuyama Chuo General Hospital

Organization

Division

Category of Funding Organization

Self funding

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 06 Month 04 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 06 Month 04 Day

Date of IRB


Anticipated trial start date

2018 Year 07 Month 01 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 06 Month 04 Day

Last modified on

2020 Year 01 Month 29 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000037467


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name