UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000029169
Receipt number R000012442
Scientific Title Effect of antidiabetic drug on endothelial function
Date of disclosure of the study information 2017/09/16
Last modified on 2018/03/18 12:17:13

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Basic information

Public title

Effect of antidiabetic drug on endothelial function

Acronym

EFFORT

Scientific Title

Effect of antidiabetic drug on endothelial function

Scientific Title:Acronym

EFFORT

Region

Japan


Condition

Condition

Untreated type 2 diabetic patients with ischemic heart disease

Classification by specialty

Cardiology Endocrinology and Metabolism

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To investigate the effect of DPP4 inhibitor and alpha glucosidase inhibitor on vascular endothelial function

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Changes of RHI(Reactive hyperemia index)

Key secondary outcomes

blood glucose, serum insulin level, HbA1c(NGSP), LDL, HDL, Triglyceride, total cholesterol, urine albumin/creatinine ratio, MDA-LDL, hs-CRP, IL-8, MCP-1, periostin, RAGE, HMW adiponectin, NT-pro BNP, active GLP1


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification

NO

Dynamic allocation

NO

Institution consideration

Institution is not considered as adjustment factor.

Blocking

NO

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Linagliptin 5mg once a day for 3 months

Interventions/Control_2

Voglibose 0.3mg three times a day for 3 months

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


Not applicable

Gender

Male and Female

Key inclusion criteria

Patients
1) with ischemic heart disease (old myocardial infarction, stable angina pectoris, silent myocardial ischemia, history of percutaneous transluminal coronary angioplasty, history of coronary artery bypass grafting)
2) with untreated diabetic melitus and HbA1c (NGSP) less than or equal to 6.4%
3) with unchanged medication during latest 1 month
4) aged 20 years old or older

Key exclusion criteria

1. Patients with liver disease (ALT or AST level is over 100IU/L, total Bil level is over 2.5mg/dl).
2. Patients with congenital heart disease.
3. Patients with highly advanced cardiac dysfunction.
4. Patients with endocrine disease.
5. Patients with malignancy or inflammatory disease.
6. Patinets with highly advanced respiratory disease (containing pulmonary arterial pulmonary hypertension.
7. Patients with cranial nerve disease or locomotor apparatus disease, and severely compromised daily life.
8. Patients with severe hypertension.
9. Patients administrated steroid or immune suppressor.
10. Patients with type1 DM or type2 DM and HbA1c (NGSP) 6.5% or more.
11. Patients during pregnancy or with possibility of pregnancy.
12. Patients administrated catecholamine.
13. Patients with symptomatic hypotension.
14. Patients with significant LVOT obstruction (Hypertrophic obstructive cardiomyopathy or aortic stenosis).
15. Patients without written consent.
16. Patients recognized inadequate by primary doctor.

Target sample size

40


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Koichi Node

Organization

Saga university

Division name

Department of cardiovascular medicine

Zip code


Address

5-1-1 Nabeshima Saga-city

TEL

0952(34)2364

Email

node@cc.saga-u.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Taku Koyama

Organization

Chiyukai Fukuoka Wajiro hospital

Division name

Cardiovascular medicine

Zip code


Address

2-2-75 Wajirogaoka Higashi-ku Fukuoka-city

TEL

092(608)0001

Homepage URL


Email

taku-koyama@umin.ac.jp


Sponsor or person

Institute

Chiyukai Fukuoka Wajiro hospital

Institute

Department

Personal name



Funding Source

Organization

none

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor

Division of cardiovascular medicine, Saga university

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

池友会 福岡和白病院


Other administrative information

Date of disclosure of the study information

2017 Year 09 Month 16 Day


Related information

URL releasing protocol


Publication of results

Published


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results

The RH-PAT and laboratory parameters, including 75 g oral glucose tolerance test, were measured at baseline and 3 months. Linagliptin reduced serum levels of glucose and insulin at 2 hours, and increased levels of active glucagon-like peptide-1 and high-molecular-weight adiponectin. Age-, sex-, and baseline-adjusted changes in logarithmic RH-PAT index (LnRHI) after 3 months were significant between groups (linagliptin, 0.135&plusmn;0.097; voglibose, -0.124&plusmn;0.091; P=0.047). In the linagliptin group, change in LnRHI was positively correlated with change in high-density lipoprotein cholesterol and negatively correlated with changes in both urine albumin-to-creatinine ratio and high-sensitivity C-reactive protein.

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

Main results already published

Date of protocol fixation

2013 Year 06 Month 10 Day

Date of IRB


Anticipated trial start date

2013 Year 08 Month 31 Day

Last follow-up date

2017 Year 09 Month 20 Day

Date of closure to data entry

2017 Year 09 Month 20 Day

Date trial data considered complete

2017 Year 09 Month 30 Day

Date analysis concluded

2018 Year 03 Month 17 Day


Other

Other related information



Management information

Registered date

2017 Year 09 Month 16 Day

Last modified on

2018 Year 03 Month 18 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000012442


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name