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 |
Japan Prospective Long Term Clinical Trial in Type 2 Diabetes Patients with Sulfonyl Urea and Sitagliptin
J-PLUS
Japan Prospective Long Term Clinical Trial in Type 2 Diabetes Patients with Sulfonyl Urea and Sitagliptin
J-PLUS
Japan |
Type 2 diabetes
Endocrinology and Metabolism |
Others
NO
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.
Safety,Efficacy
Change in HbA1c value
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.
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Medicine |
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.
20 | years-old | <= |
80 | years-old | > |
Male and Female
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.
1) severe ketosis, diabetic coma or precoma 2) moderate renal dysfunction (male, serum creatinine ≥1.5 mg/dL; female, serum creatinine ≥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
250
1st name | |
Middle name | |
Last name | Kiminori HOSODA |
Kyoto University Graduate School of Medicine
Department of Human Health Science
54 Shogoin Kawahara-Cho, Sakyo-ku, Kyoto 606-8507
075-751-3172
kh@kuhp.kyoto-u.ac.jp
1st name | |
Middle name | |
Last name | Department of EBM Research |
Kyoto University Hospital
iACT
54 Shogoin Kawahara-Cho, Sakyo-ku, Kyoto 606-8507
075-771-5153
syasuno@kuhp.kyoto-u.ac.jp
Kyoto University Graduate School of Medicine
Japan Vascular Disease Research Foundation
Non profit foundation
NO
2011 | Year | 04 | Month | 09 | Day |
Unpublished
Completed
2011 | Year | 08 | Month | 30 | Day |
2011 | Year | 10 | Month | 01 | Day |
2014 | Year | 12 | Month | 05 | Day |
2015 | Year | 01 | Month | 31 | Day |
2015 | Year | 04 | Month | 30 | Day |
2015 | Year | 10 | Month | 31 | Day |
2011 | Year | 04 | Month | 09 | Day |
2016 | Year | 04 | Month | 09 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000006425