UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000005415
Receipt number R000006425
Scientific Title Japan Prospective Long Term Clinical Trial in Type 2 Diabetes Patients with Sulfonyl Urea and Sitagliptin
Date of disclosure of the study information 2011/04/09
Last modified on 2016/04/09 11:13:33

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Basic information

Public title

Japan Prospective Long Term Clinical Trial in Type 2 Diabetes Patients with Sulfonyl Urea and Sitagliptin

Acronym

J-PLUS

Scientific Title

Japan Prospective Long Term Clinical Trial in Type 2 Diabetes Patients with Sulfonyl Urea and Sitagliptin

Scientific Title:Acronym

J-PLUS

Region

Japan


Condition

Condition

Type 2 diabetes

Classification by specialty

Endocrinology and Metabolism

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To examine the efficacy and safety of Dipeptidyl peptidase-4 inhibitor, sitagliptin, on HbA1c, body weight, beta cell function and occurrence of hypoglycemic attack in uncontrolled type 2 diabetes treated with sulfonylurea, while attempting to reduce or discontinue sulfonylurea.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Change in HbA1c value

Key secondary outcomes

A) changes in value of the following datas from baseline to 12 months after treatment; fasting plasma glucose, total cholesterol, triglyceride, high density lipoprotein cholesterol, calculated low density lipoprotein cholesterol, body weight, C-peptide in the blood, proinsulin/insulin ratio, glucagon in the blood, leptin in the blood, and HOMA-beta, B) change in the dosage of sulfonylurea, C) occurrence of hypoglycemic attack, d) occurrence of adverse event.


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

initiate sitagliptin at dose of 50mg/day under the treatment of sulfonylurea at the following recommended dose (glimepiride, 2mg/day or less; glibenclamide, 1.25mg/day or less; gliclazide, 40mg/day or less)

reduce dose of sulfonylurea or discontinue treatment of sulfonylurea based on the decision by attending physician, whenever the HbA1c value decreases to the targeted level (<6.5% [JDS] or <6.9% [international standard])

increase dose of sitagliptin to 100mg/day when the HbA1c value dose is greater than the targeted level after 3 months of treatment.

increase dose of sulfonylurea when the HbA1c value dose is greater than the targeted level after 6 months of treatment.

not allowed to change the dosage and administration of biguanides or thiazolidine or alpha-glycosidase inhibitors during the follow-up period if patients took these medications at enrollment.

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

80 years-old >

Gender

Male and Female

Key inclusion criteria

1) treated with sulfonylurea or combination of sulfonylurea and biguanides, thiazolidine or alpha-glycosidase inhibitors for more than 3 months and not treated with DPP-4 inhibitors. 2) HbA1c value is between 6.5 and 8.0% [JDS] or between 6.9 and 8.4% [international standard]). 3) outpatients over 20 years old and under 80 regardless of sex. 4) obtained written informed consent and able to start intervention within 2 months.

Key exclusion criteria

1) severe ketosis, diabetic coma or precoma 2) moderate renal dysfunction (male, serum creatinine &#8805;1.5 mg/dL; female, serum creatinine &#8805;1.3 mg/dL ) 3) severe infection , pre- or post-operation, or severe traumatic injury 4) pregnancy, child bearing potential, or nursing 5) history of hypersensitivity to sitagliptin. 6) inadequate due to other reasons by attending physician's judgments

Target sample size

250


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Kiminori HOSODA

Organization

Kyoto University Graduate School of Medicine

Division name

Department of Human Health Science

Zip code


Address

54 Shogoin Kawahara-Cho, Sakyo-ku, Kyoto 606-8507

TEL

075-751-3172

Email

kh@kuhp.kyoto-u.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Department of EBM Research

Organization

Kyoto University Hospital

Division name

iACT

Zip code


Address

54 Shogoin Kawahara-Cho, Sakyo-ku, Kyoto 606-8507

TEL

075-771-5153

Homepage URL


Email

syasuno@kuhp.kyoto-u.ac.jp


Sponsor or person

Institute

Kyoto University Graduate School of Medicine

Institute

Department

Personal name



Funding Source

Organization

Japan Vascular Disease Research Foundation

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


Address


Tel


Email



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

2011 Year 04 Month 09 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

Completed

Date of protocol fixation

2011 Year 08 Month 30 Day

Date of IRB


Anticipated trial start date

2011 Year 10 Month 01 Day

Last follow-up date

2014 Year 12 Month 05 Day

Date of closure to data entry

2015 Year 01 Month 31 Day

Date trial data considered complete

2015 Year 04 Month 30 Day

Date analysis concluded

2015 Year 10 Month 31 Day


Other

Other related information



Management information

Registered date

2011 Year 04 Month 09 Day

Last modified on

2016 Year 04 Month 09 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000006425