UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000037936
Receipt number R000043234
Scientific Title Three dimensions mapping of the subcutaneous tissue by using shear wave elastography
Date of disclosure of the study information 2019/09/05
Last modified on 2023/09/15 16:35:05

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Basic information

Public title

Three dimensions mapping of the subcutaneous tissue by using shear
wave elastography

Acronym

Three dimensions mapping of the subcutaneous tissue by using shear
wave elastography

Scientific Title

Three dimensions mapping of the subcutaneous tissue by using shear
wave elastography

Scientific Title:Acronym

Three dimensions mapping of the subcutaneous tissue by using shear
wave elastography

Region

Japan


Condition

Condition

Diabetes

Classification by specialty

Endocrinology and Metabolism Dermatology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The purpose of this study is to quantitate and visualize
the subcutaneous mass constructed at the insulin injection site and to
reveal the character of the mass.

Basic objectives2

Pharmacokinetics

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Others

Developmental phase

Not applicable


Assessment

Primary outcomes

Quantification of the subcutaneous mass

Key secondary outcomes

Serum insulin level
Measurement of the insulin-related peptides of the mass


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

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Patients who meet all of the following criteria are included
in this study:

1.Patients who use insulin
2.Patients with a subcutaneous mass at the insulin
injection site

Key exclusion criteria

Patients who fall into any of the following criteria are excluded from
participating in the study:

1.Patients with heart failure or medical history of heart failure
2.Patients with medical history of hypersensitivity for the used drug
3.Patients with severe ketosis, diabetic coma or pre-coma
4.Patients with severe liver dysfunction
5.Patients with severe renal dysfunction
6.Patients with serious infectious disease, pre or post-operative state or serious injury
7.Patients during cancer treatment

Target sample size

7


Research contact person

Name of lead principal investigator

1st name Hiroshi
Middle name
Last name Uchino

Organization

Toho University School of Medicine

Division name

Division of Diabetes, Metabolism and Endocrinology

Zip code

143-8541

Address

6-11-1 Omori-nishi, Ota-ku, Tokyo 143-8541, Japan

TEL

03-3762-4151

Email

h.uchino@med.toho-u.ac.jp


Public contact

Name of contact person

1st name Hiroshi
Middle name
Last name Uchino

Organization

Toho University School of Medicine

Division name

Division of Diabetes, Metabolism and Endocrinology

Zip code

143-8541

Address

6-11-1 Omori-nishi, Ota-ku, Tokyo 143-8541, Japan

TEL

03-3762-4151

Homepage URL


Email

h.uchino@med.toho-u.ac.jp


Sponsor or person

Institute

Division of Diabetes, Metabolism and Endocrinology,
Department of Internal Medicine, Toho University Omori
Medical Center

Institute

Department

Personal name



Funding Source

Organization

The Ministry of Education, Culture, Sports, Science and Technology
(MEXT)

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

Toho University School of Medicine

Address

6-11-1 Omori-nishi, Ota-ku, Tokyo 143-8541, Japan

Tel

03-3762-4151

Email

h.uchino@med.toho-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

2019 Year 09 Month 05 Day


Related information

URL releasing protocol

https://onlinelibrary.wiley.com/doi/10.1111/jdi.13762

Publication of results

Published


Result

URL related to results and publications

https://onlinelibrary.wiley.com/doi/10.1111/jdi.13762

Number of participants that the trial has enrolled

7

Results

The shear wave velocity in subcutaneous dystrophic tissue (DT) was significantly higher than that in the control tissue. The proportion of the DT volume was 0.67% and 5.21% for two individuals from the entire abdominal subcutaneous tissue volume. The area under the curve for the subcutaneously injected insulin aspart concentration at the DT sites was lower than that of the control tissue.

Results date posted

2023 Year 09 Month 15 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

The study population comprised four men and three women, with a median age of 64 years. The body mass index was 29.4 kg/m2, and the HbA1c was 7.9%. The duration of diabetes was 22 years, and the duration of insulin therapy was 9 years. All patients had been using insulin analogs for multiple daily insulin injections, and the total daily insulin dose was 64 U/day.

Participant flow

Seven patients who met the inclusion criteria were enrolled in this study. Written informed consent was obtained from all the participants.

Adverse events

Not Applicable.

Outcome measures

The shear wave velocity (SWV) of dystrophic tissue and control (normal subcutaneous tissue)
The proportion of dystrophic tissue
The area under the curve for the subcutaneously injected insulin aspart concentration in both the DT and control tissues

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2017 Year 04 Month 01 Day

Date of IRB

2018 Year 04 Month 12 Day

Anticipated trial start date

2018 Year 12 Month 26 Day

Last follow-up date

2019 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

Long-term, repeated and same site insulin injection leads
to constructing a subcutaneous mass. However, details of
the mass are not known for sure.
In order to collect data about patients with the
subcutaneous mass, we enroll 7 patients who are able to
meet the inclusion criteria.


Management information

Registered date

2019 Year 09 Month 05 Day

Last modified on

2023 Year 09 Month 15 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000043234


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name