Unique ID issued by UMIN | UMIN000000814 |
---|---|
Receipt number | R000000976 |
Scientific Title | Effects of pioglitazone and metformin on mitochondrial function evaluated with 31P MRS in type 2 DM. |
Date of disclosure of the study information | 2007/10/01 |
Last modified on | 2017/09/06 15:01:58 |
Effects of pioglitazone and metformin on mitochondrial function evaluated with 31P MRS in type 2 DM.
31P MRS measurement of mitochondrial function and insulin resistance.
(3M study)
Effects of pioglitazone and metformin on mitochondrial function evaluated with 31P MRS in type 2 DM.
31P MRS measurement of mitochondrial function and insulin resistance.
(3M study)
Japan |
type 2 diabetes
Endocrinology and Metabolism |
Others
YES
1. To evaluate the correlation between the severity of insulin resistance and mitochondrial dysfunction of skeletal muscle in type 2 diabetes in Japan. (cross-sectional study)
Using phosphorous-31 magnetic resonance spectroscopy(31P-MRS), we determine mitochondrial function of skeletal muscle by measuring phosphocreatine recovery half time(Pcr half time) immediately after exercise. We compare mitochondrial function with intramyocellular lipid content(IMCL), hepatic lipid content(HLC) measured with 1H-MRS, Glucose Infusion Rate(GIR) calculated by hyperinsulinemic-euglycemic glucose clamp and the amount of several adipocytokines.
2. To study whether insulin sensitizing agents(thiazolidinediones or biguanide) improve mitochondrial function of skeletal muscle, whether improvement of mitochondrial function correlate with the changes of IMCL, GIR, or adipocytokines.
Efficacy
Exploratory
Pragmatic
Phase IV
Measurement of mitochondrial function of skeletal muscle before and after 24 weeks treatment with different insulin sensitizers.
1. Measurement of the amount of visceral fat, IMCL and HLC before and after 24 weeks treatment.
2. Measurement of GIR before and after 24 weeks treatment.
3. Measurement of FPG, IRI, HbA1c, total-cholesterol, triglyceride, HDL-cholesterol, LDL-cholesterol, FFA, adipocytokines before and after 24 weeks treatment.
4. Measurement of body weight and waist before and after 24 weeks treatment.
Interventional
Parallel
Randomized
Individual
Open -no one is blinded
Active
YES
YES
Institution is not considered as adjustment factor.
NO
Pseudo-randomization
2
Treatment
Medicine |
pioglitazone (15-30mg/day)
metformin (750mg/day)
20 | years-old | <= |
75 | years-old | >= |
Male and Female
type 2 diabetes mellitus Japanese patients not used either thiazolidinediones nor biguanide.
1. Severe renal dysfunction(serum creatinine>2.0mg/dl)
2. Severe liver dysfunction(AST, ALT>50IU/ml)
3. Severe heart failure
4. History of hypersensitivity to pioglitazone or metformin
5. During the pregnancy or nursing
6. Arteriosclerosis obliterans (ASO) (ABI<0.9)
7. Poor control of plasma glucose (FPG>150mg/dl)
8. Inadequate to entry to this study
50
1st name | |
Middle name | |
Last name | Kazuhiko Sakaguchi |
Kobe University Graduate School of Medicine
Division of Diabetes, Metabolism and Endocrinology, Department of Internal Medicine
7-5-1 Kusunoki-cho, Chuo-ku, Kobe 650-0017
078-382-5861
1st name | |
Middle name | |
Last name | Kazuhiko Sakaguchi |
Kobe University Graduate School of Medicine
Division of Diabetes, Metabolism and Endocrinology, Department of Internal Medicine
7-5-1 Kusunoki-cho, Chuo-ku, Kobe 650-0017
078-382-5861
kzhkskgc@med.kobe-u.ac.jp
Kobe University Hospital
None
Self funding
Japan
Kobe University Graduate School of Medicine
Department of radiology
NO
2007 | Year | 10 | Month | 01 | Day |
Unpublished
Terminated
2007 | Year | 08 | Month | 16 | Day |
2007 | Year | 10 | Month | 01 | Day |
2008 | Year | 09 | Month | 01 | Day |
2009 | Year | 09 | Month | 30 | Day |
2007 | Year | 08 | Month | 30 | Day |
2017 | Year | 09 | Month | 06 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000000976