UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000018364
Receipt number R000021261
Scientific Title Randomized comparative study of ipragliflozin combination therapy and sitagliptin combination therapy in patients with type 2 diabetes administrating metformin
Date of disclosure of the study information 2015/07/21
Last modified on 2020/02/14 13:34:36

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Basic information

Public title

Randomized comparative study of ipragliflozin combination therapy and sitagliptin combination therapy in patients with type 2 diabetes administrating metformin

Acronym

Randomized comparative study of ipragliflozin combination therapy and sitagliptin combination therapy in patients with type 2 diabetes administrating metformin

Scientific Title

Randomized comparative study of ipragliflozin combination therapy and sitagliptin combination therapy in patients with type 2 diabetes administrating metformin

Scientific Title:Acronym

Randomized comparative study of ipragliflozin combination therapy and sitagliptin combination therapy in patients with type 2 diabetes administrating metformin

Region

Japan


Condition

Condition

Type 2 diabetes

Classification by specialty

Endocrinology and Metabolism

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To investigate the proper choice of hypoglycemic agents in combination with metformin in Japanese patients with type 2 diabetes by comparing the efficacy of ipragliflozin and sitagliptin with special reference to patients' lifestyle.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Comparison of percentage of patients who achieve the following items 52 weeks after randomization
1) Decreased HbA1c values by 0.5% or more
2) No increase of body weight

Key secondary outcomes

1) Comparison of percentage of patients achieved following items after 12, 24 and 36 weeks from randomization
1. Decrease of >= 0.5% HbA1c
2. No increase of body weight

2) Comparison of change or percent change of following items after 4, 12, 24, 36 and 52 weeks from randomization
1. HbA1c, fasting plasma glucose, blood insulin/serum C-pepitide (Fasting)
2. Body weight, BMI, waist circumference
3. Serum lipid (Fasting TG, TC, LDL-C, HDL-C)
4. SBP/DBP (Casual blood pressure)
5. Urinary albumin, transferrin, NAG, electrolyte (Na, K, Cl) (Spot urine)
6. Target level achievement rate (HbA1c, blood pressure, lipid etc.)
7. JJ risk engine score

Above data are summarized and analysed stratified by patient characteristics such as occupation, employment situation and lifestyle (Diet and exercise).


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Sitagliptin 50 mg
Orally administration once a day

Interventions/Control_2

Ipragliflozin 50 mg
Orally administration once a day, pre or post breakfast

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

80 years-old >=

Gender

Male and Female

Key inclusion criteria

[Inclusion criteria before initiation of metformin monotherapy ]
1) Type 2 diabetes
2) Aged from 20 to 80 years at providing consent
3) With poorly glycemic controlled, nevertheless undergo diet and exercise therapy or administrated oral hypoglycemic agents
4) HbA1c >= 6.5% and <10.0%
5) Provided written informed consent
[Inclusion criteria at randomization]
6) Patients who are only administrated identical dose of metformin (>= 500 mg/day) for 8 weeks or more
7) HbA1c >= 6.5% and <10.0%

Key exclusion criteria

1) Type 1 diabetes
2) With severe ketosis, diabetic coma, or precoma within 6 months from the day of providing consent
3) With severe infection, pre or post surgery, and serious trauma
4) With moderate or severe renal dysfunction (Serum Creatinine male: >= 1.3 mg/dL, female: >= 1.2 mg/dL)
5) With severe hepatic disorder
6) Has history of stroke, myocardial infarction, or other serious cardiovascular complications requiring hospitalization
7) Has history of lactic acidosis
8) Patients who drink excessive alcohol
9) Has urinary tract infection, genital infection and dehydration at providing consent
10) Administrated insulin, GLP-1 receptor agonist within 1 year
11) Is pregnant, nursing, possibly pregnant and planned to become pregnant
12) Has history of hypersensitivity to SGLT-2 inhibitors, DDP-4 inhibitors and BG
13) Considered as inadequate by the investigator

Target sample size

166


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Hirohito Sone

Organization

Niigata University Fuculty of Medicine

Division name

Department of Hematology,Endocrinology and Metabolism

Zip code


Address

1-754, Asahimachi-Dori, Chuo-ku, Niigata

TEL

025-368-9026

Email

sone@med.niigata-u.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Naoto Sano

Organization

Niigata University Medical and Dental Sciences

Division name

Administration Division

Zip code


Address

1-754, Asahimachi-Dori, Chuo-ku, Niigata

TEL

025-368-9026

Homepage URL


Email

sanonao@adm.niigata-u.ac.jp


Sponsor or person

Institute

Niigata University Fuculty of Medicine

Institute

Department

Personal name



Funding Source

Organization

Astellas Pharma Inc.

Organization

Division

Category of Funding Organization

Profit organization

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 21 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


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

2015 Year 02 Month 12 Day

Date of IRB


Anticipated trial start date

2015 Year 08 Month 17 Day

Last follow-up date


Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2015 Year 07 Month 21 Day

Last modified on

2020 Year 02 Month 14 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000021261


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name