UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000043519
Receipt number R000049693
Scientific Title Effects of the SGLT2 inhibitor on erythropoiesis and iron homeostasis in patients with type 2 diabetes and chronic kidney disease
Date of disclosure of the study information 2021/03/04
Last modified on 2023/01/16 11:58:56

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Basic information

Public title

Effects of the SGLT2 inhibitor on erythropoiesis and iron homeostasis in patients with type 2 diabetes and chronic kidney disease

Acronym

Effects of the SGLT2 inhibitor on erythropoiesis and iron homeostasis in patients with type 2 diabetes and chronic kidney disease

Scientific Title

Effects of the SGLT2 inhibitor on erythropoiesis and iron homeostasis in patients with type 2 diabetes and chronic kidney disease

Scientific Title:Acronym

Effects of the SGLT2 inhibitor on erythropoiesis and iron homeostasis in patients with type 2 diabetes and chronic kidney disease

Region

Japan


Condition

Condition

Type 2 Diabetes Mellitus

Classification by specialty

Endocrinology and Metabolism

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The aim of this study is to investigate the effects of dapagliflozin administration for 12 weeks on erythropoiesis and iron homeostasis as compared with baseline levels in patients with type 2 diabetes and chronic kidney disease

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase

Not applicable


Assessment

Primary outcomes

Changes of parameters of the erythropoiesis (RBCs, Hb, Hct, CHr, EPO, MCV) and iron homeostasis (ferritin, TSAT, hepcidin) at 12 weeks after dapagliflozin administration

Key secondary outcomes

Changes of several parameters at 12 weeks after dapagliflozin administration
1.BIA and body composition analysis
2.HbA1c and BMI
3.Uric acid, Cre, eGFR, UACR, and urine sodium
4.AST, ALT, and gamma-GTP
5.Total, HDL, and LDL cholesterol, and TG
6.Severe adverse events


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

60 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Participants in the study must have insufficient glycemic control under diet and exercise and/or treatment with hypoglycemic drugs other than SGLT2 inhibitors. Patients will be considered eligible for the study if they fulfil all the inclusion criteria and none of the exclusion criteria as defined below.
1.Patients providing written informed consent to participate in the study
2.Aged >=60 years (irrespective of sex)
3.HbA1c level >6.5, <10.0 mg/dL within 8 weeks before consent (patient receiving insulin, sulfonylureas or glinides: >=7.0%)
4.eGFR level >30, <60 mL/min/1.73m2 before consent
5.anemia of chronic kidney disease defined as hemoglobin < 12.0 g/dL without iron deficiency defined as serum ferritin levels > 50 ng/mL before consent
6.patients who have not change dosage and administration of drugs for hypoglycemic drugs, ESA, and iron from at least 8 weeks before the date of consent

Key exclusion criteria

1.Type 1 diabetes
2.Patients with severe ketosis, diabetic coma or pre-coma, severe infection, perioperative, or severe trauma
3.Patients with severe renal dysfunction or treated with hemodialysis for end-stage renal disease
4.History of acute coronary syndrome, cerebrovascular disease, myocarditis, contractile pericarditis, or severe valvular disease within 12 weeks before consent
5.NYHA cardiac function classification of IV
6.BMI <18.5 kg/m2
7.Pregnant, breast-feeding, or possibly pregnant women
8.Diagnosed or suspected malignant tumors (patients who do not have a treatment history of anticancer therapy within 1 year before consent, and have no plan to do so will not be excluded)
9.Patients in the study is judged by the investigator or sub-investigator as inappropriate for any other reason

Target sample size

15


Research contact person

Name of lead principal investigator

1st name Takeshi
Middle name
Last name Osonoi

Organization

Naka Kinen Clinic

Division name

Director

Zip code

311-0113

Address

745-5 Nakadai, Naka-shi, Ibaraki

TEL

029-353-2800

Email

t-osonoi@kensei-kai.com


Public contact

Name of contact person

1st name Kensuke
Middle name
Last name Ofuchi

Organization

Naka Kinen Clinic

Division name

Clinical Labratory

Zip code

311-0113

Address

745-5 Nakadai, Naka-shi, Ibaraki

TEL

029-353-2800

Homepage URL


Email

k-ofuchi@kensei-kai.com


Sponsor or person

Institute

Naka Kinen Clinic

Institute

Department

Personal name



Funding Source

Organization

The Kidney Foundation, Japan

Organization

Division

Category of Funding Organization

Non profit foundation

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Ethics committee of Nakakinen clinic

Address

745-5 Nakadai, Naka-shi, Ibaraki

Tel

029-353-2800

Email

t-osonoi@kensei-kai.com


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

那珂記念クリニック(茨城県)


Other administrative information

Date of disclosure of the study information

2021 Year 03 Month 04 Day


Related information

URL releasing protocol


Publication of results

Published


Result

URL related to results and publications

http://www.jinzouzaidan.or.jp/jigyou/pdf/2021_summary_rpg/JKFB20-9.pdf

Number of participants that the trial has enrolled

14

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

2020 Year 07 Month 20 Day

Date of IRB

2020 Year 08 Month 27 Day

Anticipated trial start date

2021 Year 04 Month 05 Day

Last follow-up date

2022 Year 03 Month 31 Day

Date of closure to data entry

2022 Year 04 Month 30 Day

Date trial data considered complete

2022 Year 05 Month 31 Day

Date analysis concluded

2022 Year 06 Month 30 Day


Other

Other related information

Dapagliflozin-induced SGLT2 inhibition for 12 weeks is associated with small increases in hematocrit, hemoglobin, serum erythropoietin concentrations, and reticulocytes.


Management information

Registered date

2021 Year 03 Month 04 Day

Last modified on

2023 Year 01 Month 16 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000049693


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name