UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000015744
Receipt number R000018320
Scientific Title Asahi Diabetes Complications Study
Date of disclosure of the study information 2014/11/26
Last modified on 2024/12/12 11:20:04

* This page includes information on clinical trials registered in UMIN clinical trial registed system.
* We don't aim to advertise certain products or treatments


Basic information

Public title

Asahi Diabetes Complications Study

Acronym

Asahi Diabetes Complications Study
(Asahi study)

Scientific Title

Asahi Diabetes Complications Study

Scientific Title:Acronym

Asahi Diabetes Complications Study
(Asahi study)

Region

Japan


Condition

Condition

Diabetes mellitus

Classification by specialty

Endocrinology and Metabolism

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The aim of this study is to investigate the reality of diabetic complications and to elucidate the effect of diabetes care on the incidence and progression of diabetic complications, particularly in the urban area.
Furthermore, this study investigates the relationship between blood glucose fluctuation patterns and onset and progression of diabetic complications.

Basic objectives2

Others

Basic objectives -Others

Observational epidemiological study

Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

1.Nephropathy
The first period: consecutive 2 measured albuminuria in patients without microalbuminuria (urinary albumin/ creatinine ratio, 30mg/g Cr or greater)
The second period: appearance of overt proteinuria (urinary albumin/ creatinine ratio, 300mg/g Cr or greater), > 2-fold increases in serum creatinine, eGFR 30 ~ 40% reduction, or initiation of dialysis in those with microalbuminuria.
2. Retinopathy
Development of retinopathy or progression of disease from simple, non-proliferative retinopathy to proliferative retinopathy or blindness.
3. Macroangiopathy
Ischemic heart disease (e.g. cardiac revascularization, myocardial infraction), heart failure requiring hospitalization, cerebrovascular disease (e.g. cerebral hemorrhage or cerebral infarction requiring hospitalization) except transient cerebral ischemic attack.
Lower extremity amputation, peripheral revascularization.
4. Malignancy
Mortality from malignant tumor (hepatocellular carcinoma, pancreatic carcinoma, colorectal cancer etc.)
5. Mild cognitive impairment
Appearance of mild cognitive impairment (MOCA-J score of 25 or less)
6.Sarcopenia
Appearance of sarcopenia (AGWS: Diagnostic criteria for sarcopenia in Asians)
7. Decline in ADL
DASC8 (Category 1: 10 points or less, Category 2: 11-16 points, Category 3: 17 points or more)

Key secondary outcomes

1.all-cause mortality
2.complication
retinopathy: photocoagulation, vitreous surgery, blindness
neuropathy: ulcer or gangrene
malignancy: incidence of malignancy
3.medical expenses


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


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


Not applicable

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Type 1 and type 2 diabetes mellitus

Key exclusion criteria

1)Patient without diabetes
2)Impaired glucose tolerance
3)Other types of diabetes mellitus due to specific causes
4)Gestational diabetes mellitus
5)Overt diabetes in pregnancy
6)Patients who are difficult to judge whether to participate in the study
7)Patient judged inappropriate for the doctor in charge

Target sample size

2000


Research contact person

Name of lead principal investigator

1st name Masato
Middle name
Last name Kasuga

Organization

The Institute of Medical Science, Asahi Life Foundation

Division name

Director

Zip code

1030002

Address

2-2-6, Nihonbashi Bakurocho, Chuo-ku, Tokyo

TEL

03-3639-5501

Email

m-kasuga@asahi-life.or.jp


Public contact

Name of contact person

1st name Yoko
Middle name
Last name Yoshida

Organization

The Institute of Medical Science, Asahi Life Foundation

Division name

Division of Diabetes and Metabolism

Zip code

1030002

Address

2-2-6, Nihonbashi Bakurocho, Chuo-ku, Tokyo

TEL

03-3639-5501

Homepage URL


Email

y-yoshida@asahi-life.or.jp


Sponsor or person

Institute

The Institute of Medical Science, Asahi Life Foundation

Institute

Department

Personal name



Funding Source

Organization

The Institute of Medical Science, Asahi Life 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

Research ethics committee , the Institute of Medical Science, Asahi Life Foundation

Address

2-2-6, Nihonbashi Bakurocho, Chuo-ku, Tokyo

Tel

0336395501

Email

s-nakayama@asahi-life.or.jp


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

公益財団法人朝日生命成人病研究所附属医院(東京都)


Other administrative information

Date of disclosure of the study information

2014 Year 11 Month 26 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

858

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

No longer recruiting

Date of protocol fixation

2014 Year 11 Month 10 Day

Date of IRB

2013 Year 10 Month 15 Day

Anticipated trial start date

2014 Year 11 Month 27 Day

Last follow-up date

2026 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

The aim of this study is to investigate the reality of diabetic complications and to elucidate the effect of diabetes care on the incidence and progression of retinopathy, nephropathy, neuropathy, and arteriosclerotic diseases, particularly in the urban area. In addition to diabetic complications, we will investigate the relationship between diabetes care and malignancy or death is investigated.
Additional studies on cognitive dysfunction and sarcopenia and assessment of blood glucose patterns by Is CGM are being added in January 2020.

The extension of the study period for this research was registered separately as a follow-up study. However, as it was an extension of the Asahi Study, it was thought that it should be the same, so the registration for the follow-up study was withdrawn and the end date of the follow-up for this study was changed to the final day of the extension of the study period (December 12, 2024 entry).


Management information

Registered date

2014 Year 11 Month 23 Day

Last modified on

2024 Year 12 Month 12 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000018320