UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000038377
Receipt number R000043676
Scientific Title Which should be given first, DPP-4 inhibitor or SGLT2 inhibitor, in combination therapy of these two anti-diabetic drugs?
Date of disclosure of the study information 2019/10/26
Last modified on 2019/10/24 15:22:33

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Basic information

Public title

Which should be given first, DPP-4 inhibitor or SGLT2 inhibitor, in combination therapy of these two anti-diabetic drugs?

Acronym

Which should be given first, DPP-4 inhibitor or SGLT2 inhibitor, in combination therapy of these two anti-diabetic drugs?

Scientific Title

Which should be given first, DPP-4 inhibitor or SGLT2 inhibitor, in combination therapy of these two anti-diabetic drugs?

Scientific Title:Acronym

Which should be given first, DPP-4 inhibitor or SGLT2 inhibitor, in combination therapy of these two anti-diabetic drugs?

Region

Japan


Condition

Condition

type 2 diabetes

Classification by specialty

Endocrinology and Metabolism

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The aim of this study is to investigate which should be given first, DPP-4 inhibitor or SGLT2 inhibitor, to obtain more effective glycemic control on combination therapy of these two anti-diabetic drugs in Japanese patients with type 2 diabetes.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Change from baseline in HbA1c (after 6 months)

Key secondary outcomes

Hemoglobin, hematocrit, erythropoietin, AST, ALT, gamma GTP, Cre, eGFR, Na, K, Cl, glucose, total cholesterol, LDL cholesterol, HDL cholesterol, triglyceride, RLP cholesterol, uric acid, BNP, cystatin C, CRP, hydroxybutyric acid, glucagon, KIM1, LFABP, 25(OD)VitD, leptin , IL-6, ApoB48, Treg, Th17, HMW adiponectin, FGF21, folic acid ,urinary glucose, urinary protein, urinary keton, urinary albumin, visceral fat area, BMI, blood-pressure, pulse, rate, DPP4 concentration and DPP4 activity.
(3 months and 6 months after treatment)


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

First, linagliptin 5mg is administered for 3 months. Then, add canagliflozin 100mg and administer 2 drugs in combination for 3 months.

Interventions/Control_2

First, canagliflozin 100mg is administered for 3 months. Then, add linagliptin 5mg and administer 2 drugs in combination for 3 months.

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

80 years-old >

Gender

Male and Female

Key inclusion criteria

1)type 2 diabetes who have inadequate glycemic control (HbA1c more than 7%) under medical treatment by dieting and exercise cure and/or drug treatment
2)patients who have no history of cardiovascular disease
3)no treatment or treatment with stable doses of antihypertensive agents for at least 3 months prior to randomization.
4)no treatment or treatment with stable doses of antiplatelet agents for at least 3 months prior to randomization.
5)patients who give a written informed.

Key exclusion criteria

1)type 1 diabetes
2)patients with severe renal dysfunction (eGFR < 30 ml/min/1.73m2)
3)patients with liver dysfunction (hepatic enzymes more than three times the upper limit of normal ranges)
4)a pregnant woman and/or a woman under breast-feeding
5)patients who have diabetic proliferative retinopathy.
6)patients who have an anamnesis of hypersensitivity to the ingredient of a trial drugs.
7)patients who reciving GLP-1 recepter agonist.
8)patients who thought to be inappropriate to enter this study for some medical reasons by physician's judgments.

Target sample size

70


Research contact person

Name of lead principal investigator

1st name YOSHIMASA
Middle name
Last name ASO

Organization

Dokkyo Medical University

Division name

Department of Endocrinology and Metabolism

Zip code

321-0293

Address

880 Kitakobayashi, Mibu,Tocigi, 321-0293, Japan

TEL

0282-87-2150

Email

yaso@dokkyomed.ac.jp


Public contact

Name of contact person

1st name TOSHIE
Middle name
Last name IIJIMA

Organization

Dokkyo Medical University

Division name

Department of Endocrinology and Metabolism

Zip code

321-0293

Address

880 Kitakobayashi, Mibu,Tocigi, 321-0293, Japan

TEL

0282-87-2150

Homepage URL


Email

toshie@dokkyomed.ac.jp


Sponsor or person

Institute

Dokkyo Medical University

Institute

Department

Personal name



Funding Source

Organization

self funding

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

Dokkyo Medical University

Address

880 Kitakobayashi, Mibu,Tocigi, Japan

Tel

0282-87-2275

Email

r-kenkyu@dokkyomed.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 10 Month 26 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

Open public recruiting

Date of protocol fixation

2019 Year 05 Month 10 Day

Date of IRB

2019 Year 06 Month 11 Day

Anticipated trial start date

2019 Year 09 Month 01 Day

Last follow-up date

2024 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2019 Year 10 Month 24 Day

Last modified on

2019 Year 10 Month 24 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000043676


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name