Unique ID issued by UMIN | UMIN000012068 |
---|---|
Receipt number | R000014107 |
Scientific Title | DIrect Effect of DPP-4 inhibitor on HbA1c levels and Renal Dysfunction |
Date of disclosure of the study information | 2013/10/18 |
Last modified on | 2018/09/18 18:07:47 |
DIrect Effect of DPP-4 inhibitor on
HbA1c levels and Renal Dysfunction
DIrect Effect of DPP-4 inhibitor
and Renal Dysfunction
DIrect Effect of DPP-4 inhibitor on
HbA1c levels and Renal Dysfunction
DIrect Effect of DPP-4 inhibitor
and Renal Dysfunction
Japan |
Type 2 diabetes
Endocrinology and Metabolism |
Others
NO
Compare the effect on glycemic control and renal protection between two different DPP-4 inhibitors
Efficacy
Exploratory
Not applicable
Change in HbA1c in 6 months
1) Change in physical examination(weight, BMI, blood pressure)
2) Change in glycemic control(FPG, GA)
3) Change in Insulin secretion(CPR, IRI, CPI, HOMA-beta, HOMA-R)
4) Renal function amelioration (u-albumin, eGFR, s-creatinine, Cystatin C, u- L-FABP, u-Type-IV collagen)
5) Inflammatory and oxidative stress amelioration (hs-CRP, u-8-OHdG)
6) Vascular disorder marker amelioration (sVCAM-1)
7) Change in incretin related markers(DPP-4 activity, Active GLP-1, Active GIP, Glucagon)
8) Change in serum lipid profile(T-Chol,HDL,TG,LDL)
9) Achievement rate of HbA1c
Interventional
Parallel
Randomized
Individual
Open -but assessor(s) are blinded
Active
YES
YES
Institution is not considered as adjustment factor.
NO
No need to know
2
Treatment
Medicine |
Teneligliptin
Sitagliptin
20 | years-old | <= |
80 | years-old | >= |
Male and Female
1. Diabetes duration more than 1 year
2. Type 2 diabetes patients treated with dietand or exercise, and or SUs, and or BGs for more than 3 months
3. Diabetic nephropathy stage 2, 3
4. Age 20 - 80
5. Male and female
6. HbA1c 6.0% - 9.0%
7. No improvement of HbA1c over 0.5% in 3 months
8. Informed consent
1. Pregnancy
2. Patients to whom contraindications in the Package Insert apply
3. Patients whose participation in the study is judged to be difficult for reasons such as reduced ability to understand, unstable mental state, and alcoholism
4. The patients with type 1 diabetes mellitus and secondary diabetes
5. Patients treated with insulin and oral hypoglycemic agents except SUs and BGs for more than 3 months
6. Patients who have concomitant malignant tumors, or who have been treated for malignant tumors within the past 5 years
7. Foreigners, patients belonging to Kyoto University and/or Kyoto University Hospital, patients who is participating clinical trials
8. Other patients whose participation is judged to be inappropriate by the responsible physician
120
1st name | |
Middle name | |
Last name | Shinichi Harashima |
Kyoto University
Diabetes, Endocrinology and Nutrition
54 Syogoin Kawaramachi Sakyo-ku Kyoto
075-751-3560
diehard@sogo-medefi.jp
1st name | |
Middle name | |
Last name | Syunsuke Yamane |
Kyoto University
Diabetes, Endocrinology and Nutrition
54 Syogoin Kawaramachi Sakyo-ku Kyoto
075-751-3560
diehard@sogo-medefi.jp
Department of Diabetes, Endocrinology and Nutrition, Graduate School of Medicine, Kyoto University
Mitsubishi Tanabe Pharma Corporation
Profit organization
NO
京都大学医学部附属病院、滋賀県立成人病センター、日本赤十字社 大津赤十字病院、高島市民病院、社会福祉法人 京都社会事業財団 京都桂病院、一般財団法人 日本バプテスト連盟医療団 日本バプテスト病院、社会福祉法人 恩賜財団 大阪府済生会 野江病院、国家公務員共済組合連合会 枚方公済病院、兵庫県立尼崎総合医療センター、公益財団法人 大原記念倉敷中央医療機構 倉敷中央病院、向ヶ丘久保田内科、公益財団法人 田附興風会 医学研究所北野病院、三菱京都病院、医療法人社団洛和会 洛和会音羽病院、とよだ医院
2013 | Year | 10 | Month | 18 | Day |
Unpublished
HbA1c reduction of teneligliptin and sitagliptin in 24-weeks was -0.69% and -0.65%, respectively, with no significant difference between the two groups.
Completed
2014 | Year | 02 | Month | 13 | Day |
2014 | Year | 09 | Month | 01 | Day |
2016 | Year | 03 | Month | 31 | Day |
2016 | Year | 04 | Month | 30 | Day |
2016 | Year | 05 | Month | 31 | Day |
2016 | Year | 07 | Month | 31 | Day |
Inhibition of DPP-4 activity was stronger in teneligliptin group than that in sitagliptin group (p<0.0001).
Urinary albumin excretion was significantly decreased in the two groups.
2013 | Year | 10 | Month | 18 | Day |
2018 | Year | 09 | Month | 18 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000014107