UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000048743
Receipt number R000055533
Scientific Title Research on factors that determine the effectiveness of diabetes treatment
Date of disclosure of the study information 2023/01/30
Last modified on 2023/03/28 08:49:36

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Basic information

Public title

Research to explore the causes of individual differences in the effectiveness of diabetes treatment

Acronym

Individual differences in diabetes treatment

Scientific Title

Research on factors that determine the effectiveness of diabetes treatment

Scientific Title:Acronym

Factors determining the effectiveness of diabetes treatment

Region

Japan


Condition

Condition

Diabetes mellitus

Classification by specialty

Endocrinology and Metabolism

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

In outpatient care, the degree of decrease in HbA1c varies from individual to individual even when the same diabetes treatment is used. The purpose of this study is to clarify whether this difference is due to the materials used or psychological factors of individual patients.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

Hemoglobin A1c
BSCS-J scale score
Scores on the HOPE Scale
Self-stigma scale score

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Non-randomized

Randomization unit


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

Behavior,custom

Interventions/Control_1

1. The degree of decrease in HbA1c is calculated after 6 months of nutritional guidance and other treatments. Meanwhile, CGM records will be used to create a teaching material summarizing the relationship between blood glucose fluctuations and daily life. Using this educational material as well, the degree of decrease in HbA1c will be calculated after 6 months of nutritional guidance and other treatments.The degree of decrease in HbA1c will be compared between these two groups.

Interventions/Control_2

2. We will examine the relationship between the degree of decline in HbA1c and the scores on the three scales (Japanese version of the Self-Stigma Scale, Japanese version of the Hope Scale, and a shortened version of the Self-Control Scale).

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

18 years-old <=

Age-upper limit

76 years-old >=

Gender

Male and Female

Key inclusion criteria

Patients with diabetes who were attending our diabetes center and whose average HbA1c over 3 months was less than 7.1% and more than 6.3% without changing the treatment plan.

Key exclusion criteria

Patients over 76 years old
Patients undergoing psychosomatic treatment

Target sample size

30


Research contact person

Name of lead principal investigator

1st name Masamichi
Middle name
Last name Kuwajima

Organization

The Taijyu-kai Foundation(Social medical corporation) Kaisei General Hospital

Division name

Diabetes Medicine

Zip code

762-0007

Address

Muromachi 3chome5-28,Sakaide City Kagawa Prefecture,Japan

TEL

+81-877-46-1011

Email

kuwajima@kaisei.or.jp


Public contact

Name of contact person

1st name Masamichi
Middle name
Last name Kuwajima

Organization

The Taijyu-kai Foundation(Social medical corporation) Kaisei General Hospital

Division name

Diabetes Medicine

Zip code

762-0007

Address

Muromachi 3chome5-28,Sakaide City Kagawa Prefecture,Japan

TEL

+81-877-46-1011

Homepage URL


Email

kuwajima@kaisei.or.jp


Sponsor or person

Institute

The Taijyu-kai Foundation(Social medical corporation) Kaisei General Hospital
Diabetes Medicine

Institute

Department

Personal name



Funding Source

Organization

The Taijyu-kai Foundation(Social medical corporation) Kaisei 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

The Taijyu-kai Foundation(Social medical corporation) Kaisei General Hospital,ethics review committee

Address

Muromachi 3chome5-28,Sakaide City Kagawa Prefecture,Japan

Tel

+81-877-46-1011

Email

mail00@kaisei.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

2023 Year 01 Month 30 Day


Related information

URL releasing protocol


Publication of results

Partially published


Result

URL related to results and publications


Number of participants that the trial has enrolled

20

Results

HbA1c In the CGM group, pre-intervention value was 6.6. The post-intervention value was 6.5. There was significant decrease between two values(p=0.049).In the control group, pre-intervention value was 6.7. The post-intervention value was 6.5. There was significant decrease between two values (p=0.008).The difference between pre-and post- intervention value was 0.2 in the CGM group. In the control group the value was 0.2. There was no difference between two groups (p=0.840).

Results date posted

2023 Year 03 Month 23 Day

Results Delayed


Results Delay Reason

Lead principal investigator has been sick.

Date of the first journal publication of results


Baseline Characteristics

There was no difference in age, sex, disease duration, BMI, eGFR, and retinopathy between the CGM group and the control group.

Participant flow

Patients who had not yet established appropriate lifestyle habits and who accepted the CGM equipment within 4 months prior to intervention were considered to be in the CGM group (n=8), while those who did not accept the CGM equipment were considered to be in the control group (n=12). Oral hypoglycemic agents and insulin were not changed during the entire course of the study (3 months before intervention, intervention for 6 months, and 2 months after intervention). Patients visited the hospital once a month. Nutritional and lifestyle guidance was given every month for 6 times. The difference between pre-and post-intervention value was defined as the primary end point. The mean HbA1c value for 3 months before intervention and the first day of intervention was used as the pre-intervention value, and the HbA1c value one month after the sixth guidance session was used as the post-intervention value.

Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Terminated

Date of protocol fixation

2019 Year 10 Month 01 Day

Date of IRB

2022 Year 05 Month 13 Day

Anticipated trial start date

2019 Year 12 Month 25 Day

Last follow-up date

2022 Year 11 Month 15 Day

Date of closure to data entry

2022 Year 11 Month 30 Day

Date trial data considered complete

2022 Year 12 Month 10 Day

Date analysis concluded

2022 Year 12 Month 20 Day


Other

Other related information



Management information

Registered date

2022 Year 08 Month 24 Day

Last modified on

2023 Year 03 Month 28 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000055533


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name