UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000044267
Receipt number R000050537
Scientific Title Verification of benefits by the prevention program for deterioration of diabetic nephropathy in Japan: Effects of medical consultation by public health nurse or registered dietitian using telephone on the rate of hospital/clinic visits for diabetes among patients never having hospital/clinical visits and patients discontinuing hospital/clinical visits
Date of disclosure of the study information 2021/05/19
Last modified on 2021/05/19 17:33:02

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Basic information

Public title

Verification of benefits by the prevention program for deterioration of diabetic nephropathy in Japan: Effects of medical consultation by public health nurse or registered dietitian using telephone on the rate of hospital/clinic visits for diabetes among patients never having hospital/clinical visits and patients discontinuing hospital/clinical visits

Acronym

PPDN-J

Scientific Title

Verification of benefits by the prevention program for deterioration of diabetic nephropathy in Japan: Effects of medical consultation by public health nurse or registered dietitian using telephone on the rate of hospital/clinic visits for diabetes among patients never having hospital/clinical visits and patients discontinuing hospital/clinical visits

Scientific Title:Acronym

PPDN-J

Region

Japan


Condition

Condition

Diabetes

Classification by specialty

Medicine in general Endocrinology and Metabolism Nephrology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

It is important to encourage hospital/clinical visits for diabetes to patients never having hospital/clinical visits and those discontinuing hospital/clinical visits, who are at elevated risk of deterioration of diabetes nephropathy; and engage these patients to appropriate diabetes treatment. To this end, medical consultation by public health nurse or registered dietitian have been promoted through the nationwide prevention program for deterioration of diabetic nephropathy in Japan. The current study was designed to validate effects of medical consultation by public health nurse or registered dietitian using telephone on the rate of hospital/clinic visits for diabetes among patients never having hospital/clinical visits and patients discontinuing hospital/clinical visits.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

the rate of hospital/clinic visits for diabetes

100X[the number of insured patients who visited hospital/clinic visits for diabetes (ICD-10 E10-E14) after medical consultation*] divided by [the number of insured patients who received medical consultation]

*, medical consultation (i.e., notification letter, telephone or home visit) conducted at last

Key secondary outcomes

the rate of hospital/clinic continuous visits for diabetes

100X[the number of insured patients who visited hospital/clinic visits for diabetes (ICD-10 E10-E14) twice or more after medical consultation*] divided by [the number of insured patients who received medical consultation]

*, medical consultation (i.e., notification letter, telephone or home visit) conducted at last


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Cluster

Blinding

Open -no one is blinded

Control

Active

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Educational,Counseling,Training

Type of intervention

Other

Interventions/Control_1

Notification letter plus medical consultation by public health nurse or registered dietician using telephone

Interventions/Control_2

Notification letter

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

40 years-old <=

Age-upper limit

74 years-old >=

Gender

Male and Female

Key inclusion criteria

Insured patients never having hospital/clinical visits and those discontinuing hospital/clinical visits who meet following inclusion criteria:
1) Never having hospital/clinical visits
- With diabetes nephropathy stage 1 or 2 (see below for definition)
- Without no diabetes treatment in interview at medical health checkup
- Without diabetes disease code in health insurance claims (FY2018 to FY2021)
- Without diabetes drug code in health insurance claims (FY2018 to FY2021)

2) Patients discontinuing hospital/clinical visits
2-1) Patients who meet following all criteria with medical health checkup in 2020:
- With diabetes nephropathy stage 1 or 2 (see below for definition)
- Without no diabetes treatment in interview at medical health checkup
- Meeting following all criteria:
# Without diabetes disease code in health insurance claims (January to March, 2022)
# Without diabetes drug code in health insurance claims (January to March, 2022)
# Meeting one of following criteria:
$ With diabetes disease code in health insurance claims (April 2018 to December 2021)
$ Patients with diabetes drug code in health insurance claims (April 2018 to December 2021)

2-2) Patients who meet following all criteria without medical health checkup in 2020:
# Without diabetes disease code in health insurance claims (January to March, 2022)
# Without diabetes drug code in health insurance claims (January to March, 2022)
# Meeting one of following criteria:
$ With diabetes disease code in health insurance claims (April 2018 to December 2021)
$ With diabetes drug code in health insurance claims (April 2018 to December 2021)

(Definition of Patients with diabetes nephropathy stage 1 or 2)
Patients who meet following all criteria:
#HbA1c 6.5% or above; or fasting plasma glucose 126 mg/dL or above (casual plasma glucose 200 mg/dL or above)
#urinary protein (-) or (+/-)

Key exclusion criteria

1) Insured patients never having hospital/clinical visits and those discontinuing hospital/clinical visits who are suspected to have diabetes nephropathy stage 3 or above

(Definition of Patients with diabetes nephropathy stage 1 or 2)
Patients who meet following all criteria:
# HbA1c 6.5% or above; or fasting plasma glucose 126 mg/dL or above (casual plasma glucose 200 mg/dL or above)
# Albuminuria (300 mg/gCre or above), proteinuria (0.5g/gCre or above) or eGFR 30 ml/min/1.73m2 or below

2) Insured patients who show their intention not to participate the current study

Target sample size

3600


Research contact person

Name of lead principal investigator

1st name Daisuke
Middle name
Last name Yabe

Organization

Gifu University, Tokai National Higher Education and Research System

Division name

Department of Diabetes, Endocrinology and Metabolism, Graduate School of Medicine

Zip code

501-1194

Address

1-1 Yanagido, Gifu

TEL

058-230-6377

Email

ydaisuke@gifu-u.ac.jp


Public contact

Name of contact person

1st name Takehiro
Middle name
Last name Kato

Organization

Gifu University, Tokai National Higher Education and Research System

Division name

Department of Diabetes, Endocrinology and Metabolism, Graduate School of Medicine

Zip code

501-1194

Address

1-1 Yanagido, Gifu

TEL

058-230-6377

Homepage URL


Email

t_kato@gifu-u.ac.jp


Sponsor or person

Institute

Gifu University, Tokai National Higher Education and Research System

Institute

Department

Personal name



Funding Source

Organization

Ministry of Health, Labor and Welfare

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

Gifu University, Tokai National Higher Education and Research System

Address

1-1 Yanagido, Gifu

Tel

058-230-6377

Email

ydaisuke@gifu-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

2021 Year 05 Month 19 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

Preinitiation

Date of protocol fixation

2021 Year 01 Month 19 Day

Date of IRB


Anticipated trial start date

2021 Year 03 Month 08 Day

Last follow-up date

2023 Year 09 Month 30 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2021 Year 05 Month 19 Day

Last modified on

2021 Year 05 Month 19 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000050537


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name