UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000035263
Receipt number R000040173
Scientific Title Study for the effect of SGLT2 inhibitors in high risk patients of dialysis with type 2 diabetes
Date of disclosure of the study information 2018/12/15
Last modified on 2021/05/25 22:00:39

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Basic information

Public title

Study for the effect of SGLT2 inhibitors in high risk patients of dialysis with type 2 diabetes

Acronym

The effect of SGLT2 inhibitors in patients with renal dysfunction

Scientific Title

Study for the effect of SGLT2 inhibitors in high risk patients of dialysis with type 2 diabetes

Scientific Title:Acronym

The effect of SGLT2 inhibitors in patients with renal dysfunction

Region

Japan


Condition

Condition

type 2 diabetes

Classification by specialty

Endocrinology and Metabolism Nephrology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To assess the effects of SGLT2 inhibitors on preventing the progression of eGFR decline in patients with type 2 diabetes.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase

Phase IV


Assessment

Primary outcomes

Change in eGFR decline rate between before and after 2 years of SGLT2 inhibitors administration

Key secondary outcomes

Glycemic control
Weight
Blood pressure
Blood and Urine test (Liver, Kidney function, lipid, UA)
Characteristics of patients who well responded to SGLT2 inhibitors
Comparison of eGFR decline change with that in non-SGLT2 inhibitors users who were matched background


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


Not applicable

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1) Continuing SGLT2 inhibitors concomitant with diet therapy for more than 2 years
2) eGFR < 60ml/min/1.73m2 at starting SGLT2 inhibitors
3) There are eGFR data for more than 2 years both before and after starting SGLT2 inhibitors

Key exclusion criteria

1) type 1 diabetes
2) severe liver dysfunction
3) pregnancy, nursing woman or possibly pregnant woman
4) severe diabetic ketosis, diabetic coma
5) severe infection, pre and post operation
, severe trauma
7) uncontrolled diet therapy
8) poor adherence for medication
9) patients who thought to be inappropriate to enter this study for some reasons by physician's judgments

Target sample size

50


Research contact person

Name of lead principal investigator

1st name Yoshio
Middle name
Last name Kurihara

Organization

Kurihara Naika Clinic

Division name

Internal Medicine

Zip code

004-0053

Address

7-28,3-jo 5-chome, Atsubetsu-Chuo, Atsubetsu-ku, Sapporo, Hokkaido, Japan

TEL

011-892-3522

Email

ykuri@yg7.so-net.ne.jp


Public contact

Name of contact person

1st name Yoshio
Middle name
Last name Kurihara

Organization

Kurihara Naika Clinic

Division name

Internal Medicine

Zip code

004-0053

Address

7-28,3-jo 5-chome, Atsubetsu-Chuo, Atsubetsu-ku, Sapporo, Hokkaido, Japan

TEL

011-892-3522

Homepage URL


Email

ykuri@yg7.so-net.ne.jp


Sponsor or person

Institute

Kurihara Naika Clinic

Institute

Department

Personal name



Funding Source

Organization

Kurihara Naika Clinic

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

National Association of Clinical Diabetes Physicians Ethical Review Committee

Address

Nakasone 1-13-6, Oguraminami-ku, Kitakyusyu, Fukuoka

Tel

011-706-8192

Email

ykuri@yg7.so-net.ne.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 12 Month 15 Day


Related information

URL releasing protocol

n/a

Publication of results

Published


Result

URL related to results and publications

https://onlinelibrary.wiley.com/doi/full/10.1111/jdi.13064

Number of participants that the trial has enrolled

75

Results

%DeGFR+2y in patients who were treated with SGLT2i was significantly increased compared with the patients not treated with SGLT2i (2.3 and -21.7%, respectively; P < 0.0001).
There was no increase in serious adverse events including acute kidney injury.
SGLT2i was safe, and prevented further eGFR decline in patients with type 2 diabetes and advanced renal dysfunction.

Results date posted

2021 Year 05 Month 25 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

patients with type 2 diabetes who were treated with SGLT2i, and whose eGFR was <60 mL/min/1.73 m2 and had declined >20% over 2 years before initiating SGLT2i

Participant flow

from medical records

Adverse events

none

Outcome measures

clinical effectiveness of SGLT2i on renal function by analyzing the change in eGFR
at 2 years after initiating SGLT2i (%DeGFR+2y) compared with that at 2 years before its initiation (%DeGFR-2y)

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2018 Year 10 Month 20 Day

Date of IRB

2018 Year 10 Month 20 Day

Anticipated trial start date

2018 Year 12 Month 20 Day

Last follow-up date

2019 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

retrospective cohort study to assess the effects of SGLT2 inhibitors on preventing the progression of eGFR decline (%delta eGFR2years) in patients with type 2 diabetes


Management information

Registered date

2018 Year 12 Month 14 Day

Last modified on

2021 Year 05 Month 25 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000040173


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name