Unique ID issued by UMIN | UMIN000013285 |
---|---|
Receipt number | R000015395 |
Scientific Title | Two-way crossover comparison of insulin glargine and insulin degludec in basal-bolus therapy using continuous glucose monitoring. |
Date of disclosure of the study information | 2014/03/01 |
Last modified on | 2018/05/29 09:40:40 |
Two-way crossover comparison of insulin glargine and insulin degludec in basal-bolus therapy using continuous glucose monitoring.
Two-way crossover comparison of insulin glargine and insulin degludec in basal-bolus therapy using continuous glucose monitoring.
Two-way crossover comparison of insulin glargine and insulin degludec in basal-bolus therapy using continuous glucose monitoring.
Two-way crossover comparison of insulin glargine and insulin degludec in basal-bolus therapy using continuous glucose monitoring.
Japan |
type 1 diabetes or type 2 diabetes
Endocrinology and Metabolism |
Others
NO
To compare the glucose-lowering effect and glycemic variability of insulin glargine with those of insulin degludec using continuous glucose monitoring (CGM).
Bio-equivalence
Confirmatory
Pragmatic
Glycemic control is estimated as the mean blood glucose (MBG), the area under the glucose curve above 10.0 mmol/L (area under the curve [AUC]>10), and the percentage of time above 10.0mmol/L (t>10). The AUC is calculated using the trapezoidal method.
Intraday glycemic variability is assessed as the standard deviation (SD) and the mean amplitude of glycemic excursions (MAGE).
Day-to-day glycemic variability is assessed as the mean of daily difference (MODD).
Hypoglycemia, which is defined as a sensor value of <3.9 mmol/L, was also calculated as a total time at <3.9 mmol/L. Severe hypoglycemia is defined as a sensor value of <2.8 mmol/L.
Interventional
Cross-over
Non-randomized
Open -no one is blinded
Active
2
Treatment
Medicine |
The patient's prior long-acting insulin analog is discontinued and replaced with insulin glargine. The CGM examination is carried out at least 14 days after switching insulin. Insulin glargine is changed to insulin degludec when the first CGM examination end. Basically, the dose of insulin degludec is the same as that of insulin glargine.
The patient's prior long-acting insulin analog is discontinued and replaced with insulin degludec. The CGM examination is carried out at least 14 days after switching insulin. Insulin degludec is changed to insulin glargine when the first CGM examination end. Basically, the dose of insulin glargine is the same as that of insulin degludec.
20 | years-old | <= |
Not applicable |
Male and Female
Diabetic patients who were prescribed basal-bolus insulin therapy with long-acting insulin analog as basal insulin.
Patients with diabetic nephropathy more than stage 3 (urinary albumin 300mg/gCr or urinary protein 0.5g/gCr) or with abnormal aspartate aminotransferase/alanine aminotransferase elevation (3 X the upper limit of normal) were excluded from this study.
50
1st name | |
Middle name | |
Last name | Yamada Satoru |
Kitasato University Kitasato Institute Hospital
Diabetes Center
5-9-1 Shirokane, Minato-ku, Tokyo, Japan
03-3444-6161
yamada-s@insti.kitasato-u.ac.jp
1st name | |
Middle name | |
Last name | Inoue Gaku |
Kitasato University School of Pharmacy
Center for Clinical Pharmacy and Clinical Sciences
5-9-1 Shirokane, Minato-ku, Tokyo, Japan
03-5791-6359
inoueg@pharm.kitasato-u.ac.jp
Kitasato University Kitasato Institute Hospital
Kitasato University School of Pharmacy
Other
NO
2014 | Year | 03 | Month | 01 | Day |
Partially published
http://journals.sagepub.com/doi/10.1177/1932296814564396
Completed
2013 | Year | 02 | Month | 15 | Day |
2013 | Year | 05 | Month | 21 | Day |
2016 | Year | 03 | Month | 11 | Day |
2016 | Year | 03 | Month | 11 | Day |
2016 | Year | 03 | Month | 11 | Day |
2016 | Year | 05 | Month | 24 | Day |
2014 | Year | 02 | Month | 26 | Day |
2018 | Year | 05 | Month | 29 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000015395