UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000047441
Receipt number R000054091
Scientific Title Real-world study on the efficacy of an adjunctive use of ipragliflozin for prevention of chronic kidney disease in patients with type 1 diabetes
Date of disclosure of the study information 2023/06/01
Last modified on 2022/08/23 13:29:38

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Basic information

Public title

Real-world study on the efficacy of an adjunctive use of ipragliflozin for prevention of chronic kidney disease in patients with type 1 diabetes

Acronym

Study on the efficacy of ipragliflozin for prevention of chronic kidney disease in type 1 diabetes

Scientific Title

Real-world study on the efficacy of an adjunctive use of ipragliflozin for prevention of chronic kidney disease in patients with type 1 diabetes

Scientific Title:Acronym

Study on the efficacy of ipragliflozin for prevention of chronic kidney disease in type 1 diabetes

Region

Japan


Condition

Condition

Type 1 diabetes

Classification by specialty

Endocrinology and Metabolism

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The aim of study is to investigate the effects of ipragliflozin on kidney outcomes as an adjunctive treatment to insulin therapy in Japanese patients with T1D.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase

Not applicable


Assessment

Primary outcomes

The primary outcome will be determined by the annual rate of change in eGFR (mL/min/1.73 m2) from the initiation of ipragliflozin in the ipragliflozin group compared to those during 24 months equivalent to the period in the control group.

Key secondary outcomes

The secondary outcome will be determined by the composite end point of a sustained reduction in eGFR of > 50 %, or severe impairment of kidney function which was defined as an eGFR <30 mL/min/1.73 m2 (i.e. CKD stage G4 and G5), or doubling time of urinary albumin (protein) per creatine.


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

75 years-old >

Gender

Male and Female

Key inclusion criteria

Patients will be recruited to meet all of the following criteria:

1) Diagnosed type 1 diabetes by diabetologists and had more than 5 years history of type 1 diabetes

2) A)Ipragliflozin group (n=120): Patients who administered ipragliflozin more than 24 months before enrollment.
B) Control group (n=240): Patients who have not administered any SGLT2 inhibitors more than 60 months before enrollment.

3) Age of between 20 and 75 years.

4) Any sexes

5) Outpatients

6) Willingness to provide informed consent

Key exclusion criteria

Patients with any of the following will be excluded:

1)Patients administered any SGLT2 inhibitors except for ipragliflozin during 24 months after index date.

2)Patients who administered ipragliflozin inadequately.

3) Patients who had previous history of malignancy within 5 years before enrollment or 2 years before/after index date.

4) Alcohol abuse or alcohol consumption > 20g per day

5) Patients who underwent hemodialysis within 5 years before enrollment or 2 years before/after index date.

6) Patients who had a history of pregnancy and/or breastfeeding within 5 years before enrollment or 2 years before/after index date.

7) Willingness not to provide informed consent.

8) Judged inappropriate to participate by the study investigator.

Target sample size

360


Research contact person

Name of lead principal investigator

1st name Ichiro
Middle name
Last name Horie

Organization

Nagasaki University Hospital

Division name

Endocrinology and Metabolism

Zip code

852-8501

Address

1-7-1 Sakamoto, Nagasaki, Japan

TEL

0958197262

Email

horie@nagasaki-u.ac.jp


Public contact

Name of contact person

1st name Ichiro
Middle name
Last name Horie

Organization

Nagasaki University Hospital

Division name

Endocrinology and Metabolism

Zip code

8528501

Address

1-7-1 Sakamoto, Nagasaki, Japan

TEL

0958197262

Homepage URL


Email

horie@nagasaki-u.ac.jp


Sponsor or person

Institute

Nagasaki University

Institute

Department

Personal name



Funding Source

Organization

Astellas Pharma Inc.

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization



Other related organizations

Co-sponsor

Hokkaido University
Hyogo College of Medicine
Showa University School of Medicine
Kobe University Graduate School of Medicine
Minami Diabetes Clinical Research Center
Kumamoto Central Hospital
Sasebo City General Hospital
Sasebo Chuo Hospital
National Hospital Organization Nagasaki Medical Center
Midori Clinic

Name of secondary funder(s)



IRB Contact (For public release)

Organization

Nagasaki University Hospital

Address

1-7-1 Sakamoto, Nagasaki, Japan

Tel

0958197262

Email

horie@nagasaki-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

2023 Year 06 Month 01 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

Enrolling by invitation

Date of protocol fixation

2022 Year 04 Month 07 Day

Date of IRB

2022 Year 06 Month 20 Day

Anticipated trial start date

2022 Year 08 Month 23 Day

Last follow-up date

2023 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

This study is two-arm, multicenter, open-label (non-blinded), observational cohort study to assess the association between an adjunctive treatment of ipragliflozin and longitudinal kidney function in Japanese patients with T1D.


Management information

Registered date

2022 Year 04 Month 08 Day

Last modified on

2022 Year 08 Month 23 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000054091


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name