UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000017861
Receipt number R000020695
Scientific Title assessment in patients with Type 2 diabetes mellitus in addition to cOronary artery disease after Percutaneous coronary intervention with regard to Sitagliptin-induced COronary plaque REgression (TOP-SCORE)
Date of disclosure of the study information 2015/07/01
Last modified on 2017/06/22 19:41:29

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Basic information

Public title

assessment in patients with Type 2 diabetes mellitus in addition to cOronary artery disease after Percutaneous coronary intervention with regard to Sitagliptin-induced COronary plaque REgression (TOP-SCORE)

Acronym

TOP-SCORE study

Scientific Title

assessment in patients with Type 2 diabetes mellitus in addition to cOronary artery disease after Percutaneous coronary intervention with regard to Sitagliptin-induced COronary plaque REgression (TOP-SCORE)

Scientific Title:Acronym

TOP-SCORE study

Region

Japan


Condition

Condition

Coronary artery disease with type 2 diabetes mellitus (T2DM)

Classification by specialty

Cardiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The aim of this study is to evaluate the effect of Sitagliptin on coronary plaque regression using intravasucular ultrasound (IVUS) in patients with T2DM who received percutaneous coronary intervention (PCI) and to investigate various indicators of progression or regression of coronary plaque.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

Nominal change in percent atheroma volume (PAV) from baseline to 8-12 month`s follow-up determined by IVUS after Sitagliptin treatment IVUS

Key secondary outcomes

(1) Percent change in total atheroma volume (TAV) determined by IVUS
(2) Change in levels of low-density lipoprotein cholesterol, triglyceride, high-density lipoprotein cholesterol, hemoglobin A1c, blood sugar and blood pressure
(3) Association between lipid profile and the change in PAV
(4) Association between biomarker and the change in PAV


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification

YES

Dynamic allocation

NO

Institution consideration

Institution is not considered as adjustment factor.

Blocking

YES

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Interventions (sitagliptin group)
The period of intervention: 8-12 months
The dosage of Sitagliptin: 50-100mg/day

Interventions/Control_2

Control (non-sitagliptin group)

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

30 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

(1) T2DM patients 30 years of age or older who needed percutaneous coronary intervention (PCI)
(2) T2DM patients with a baseline hemoglobin A1c (National Glycohemoglobin Standardization Program) level of 6.2% to 9.9% (if taking any hypoglycemic agents) or 6.5% to 9.9% (if receiving no medical treatment)
(3) Patients treated dyslipidemia according to Japan Atherosclerosis Society Guideline for the Diagnosis and Prevention of Atherosclerotic Cardiovascular Diseases 2007 or 2012 version
(4) written consent for participation in the study

Key exclusion criteria

(1) type 1 diabetes mellitus
(2) patients who had experienced ketosis, diabetic coma and/or pre-coma within six months prior to providing consent
(3) moderate to severe heart failure (New York Heart Association class 3 or 4, left ventricular ejection fraction <40%)
(4) severe valvular heart disease
(5) renal dysfunction (creatinine blood level of over 1.5 mg/dL in men and over 1.3 mg/dL in women)
(6) familial hypercholesterolemia
(7) contraindication to antiplatelet agent(8) history of chemical sensitivity to DPP4-I
(9) pregnancy or lactation
(10) severe infection, trauma or recent surgery

Target sample size

60


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Keijiro Saku

Organization

Fukuoka University School of Medicine

Division name

Department of Cardiology

Zip code


Address

7-45-1 Nanakuma, Jonan-Ku, Fukuoka.

TEL

81-92-801-1011

Email

saku-k@fukuoka-u.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Atsushi Iwata

Organization

Fukuoka University School of Medicine

Division name

Department of Cardiology

Zip code


Address

7-45-1 Nanakuma, Jonan-Ku, Fukuoka.

TEL

81-92-801-1011

Homepage URL


Email

iwaiwa@fukuoka-u.ac.jp


Sponsor or person

Institute

Department of Cardiology, Fukuoka University School of Medicine

Institute

Department

Personal name



Funding Source

Organization

The principal investigator had a grant from the Public Interest Incorporated Foundation and an Endowed Department supported by MSD Co., Ltd. and Izumi City, Kagoshima, Japan.

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


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



Other administrative information

Date of disclosure of the study information

2015 Year 07 Month 01 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 addition of sitagliptin to statins did not cause coronary plaque regression in Type 2 diabetes mellitus with coronary artery disease.

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

Completed

Date of protocol fixation

2011 Year 04 Month 08 Day

Date of IRB


Anticipated trial start date

2011 Year 12 Month 01 Day

Last follow-up date

2016 Year 02 Month 28 Day

Date of closure to data entry

2016 Year 03 Month 15 Day

Date trial data considered complete

2016 Year 03 Month 31 Day

Date analysis concluded

2016 Year 04 Month 11 Day


Other

Other related information



Management information

Registered date

2015 Year 06 Month 10 Day

Last modified on

2017 Year 06 Month 22 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000020695