UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000040424
Receipt number R000045887
Scientific Title Renal protective effect after administration of sodium-glucose cotransporter 2 inhibitors in type 2 diabetes patients and chronic kidney disease with normoalbuminuria
Date of disclosure of the study information 2020/05/19
Last modified on 2021/11/17 12:16:34

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Basic information

Public title

Renal protective effect after administration of sodium-glucose cotransporter 2 inhibitors in type 2 diabetes patients and chronic kidney disease with normoalbuminuria

Acronym

Renal protective effect after administration of SGLT2 inhibitors in atypical DKD

Scientific Title

Renal protective effect after administration of sodium-glucose cotransporter 2 inhibitors in type 2 diabetes patients and chronic kidney disease with normoalbuminuria

Scientific Title:Acronym

Renal protective effect after administration of SGLT2 inhibitors in atypical DKD

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 investigate the renoprotective effects of SGLT2 inhibitor for with type 2 diabetes and CKD with normoalbuminuria

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

to assess the clinical effectiveness of SGLT2is on renal function by analyzing the change in eGFR at 1 years after initiating SGLT2 inhibitor compare with that in conventional antidiabetic medication

Key secondary outcomes

to investigate the variables associated with the change in eGFR at 1 years after initiating SGLT2 inhibitor


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

Patients with type 2 diabetes and CKD (eGFR < 60 mL/min/1.73 m2) with normoalbuminurea (urine albumin to creatinine ratio (UACR) < 30 mg/g Cr and/or urinary protein to creatinine ratio (UPCR) < 150 mg/g Cr)

Key exclusion criteria

1)type 1 diabetes
2)taking glucagon-like peptide-1 receptor agonists for type 2 diabetes
3)endocrine disease
4)taking steroid or immunosuppressant for autoimmune disease
5)dialysis, transplantation
6)liver cirrhosis and malignancy

Target sample size

50


Research contact person

Name of lead principal investigator

1st name Kiyohiko
Middle name
Last name Takahashi

Organization

Obihiro-Kosei General Hospital

Division name

Third Department of Internal Medicine

Zip code

080-0024

Address

1,W14,S10,Obihiro, Hokkaido

TEL

0155-65-0101

Email

kiyopon19840330@yahoo.co.jp


Public contact

Name of contact person

1st name Kiyohiko
Middle name
Last name Takahashi

Organization

Obihiro-Kosei General Hospital

Division name

Third Department of Internal Medicine

Zip code

080-0024

Address

1,W14,S10,Obihiro, Hokkaido

TEL

0155-65-0101

Homepage URL


Email

kiyopon19840330@yahoo.co.jp


Sponsor or person

Institute

Obihiro-Kosei General Hospital

Institute

Department

Personal name



Funding Source

Organization

Obihiro-Kosei 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

Obihiro-Kosei General Hospital

Address

1,W14,S10,Obihiro, Hokkaido

Tel

0155-65-0101

Email

obi.rinris@ja-hokkaidoukouseiren.or.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

2020 Year 05 Month 19 Day


Related information

URL releasing protocol

https://www.dou-kouseiren.com/byouin/obihiro/about/rinri/oputouteord/2020017.pdf

Publication of results

Published


Result

URL related to results and publications

https://doi.org/10.1016/j.jcte.2020.100244

Number of participants that the trial has enrolled

46

Results

21 were treated with SGLT2 group and 25 were treated with other antidiabetic medications control group. Although eGFR was significantly decreased at 1 year in the control group, the decline in eGFR was not observed in the SGLT2 group. The decrease in eGFR was significantly smaller in the SGLT2 group than in the control group. Additionally, multiple linear regression analysis showed that an initial dip was an independent factor associated with the worsening of renal function in the SGLT2 group.

Results date posted

2021 Year 11 Month 17 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

SGLT2 group G3a: 15, G3b: 5, and G4: 1; control group G3a: 18, G3b: 5, and G4: 2

Participant flow

The study was conducted with the approval of the Institutional Review Board of Obihiro Kosei Hospital (2020-017),

Adverse events

nothing

Outcome measures

The study outcome was a comparison of the change in renal function evaluated by eGFR after 1 year between the two groups.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2019 Year 12 Month 01 Day

Date of IRB

2020 Year 05 Month 11 Day

Anticipated trial start date

2020 Year 05 Month 11 Day

Last follow-up date

2020 Year 05 Month 11 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

Renal protective effect after administration of sodium-glucose cotransporter 2 inhibitors in type 2 diabetes patients and chronic kidney disease with normoalbuminuria


Management information

Registered date

2020 Year 05 Month 17 Day

Last modified on

2021 Year 11 Month 17 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000045887


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name