Unique ID issued by UMIN | UMIN000021291 |
---|---|
Receipt number | R000021576 |
Scientific Title | The effectiveness of oral hypoglycemic agents in nonalcoholic fatty liver disease patients with type 2 diabetes mellitus. -Multiple comparison, Dapagliflozin, Pioglitazone vs Glimepiride- |
Date of disclosure of the study information | 2016/03/02 |
Last modified on | 2018/10/02 15:38:01 |
The effectiveness of oral hypoglycemic agents in nonalcoholic fatty liver disease patients with type 2 diabetes mellitus. -Multiple comparison, Dapagliflozin, Pioglitazone vs Glimepiride-
The effectiveness of oral hypoglycemic agents in nonalcoholic fatty liver disease patients with type 2 diabetes mellitus. -Multiple comparison, Dapagliflozin, Pioglitazone vs Glimepiride-
The effectiveness of oral hypoglycemic agents in nonalcoholic fatty liver disease patients with type 2 diabetes mellitus. -Multiple comparison, Dapagliflozin, Pioglitazone vs Glimepiride-
The effectiveness of oral hypoglycemic agents in nonalcoholic fatty liver disease patients with type 2 diabetes mellitus. -Multiple comparison, Dapagliflozin, Pioglitazone vs Glimepiride-
Japan |
Nonalcoholic fatty liver disease patients with type 2 diabetes
Hepato-biliary-pancreatic medicine | Endocrinology and Metabolism |
Others
NO
The main condition of type 2 diabetes is impaired insulin secretion and insulin resistance and to maintain good glycemic control over time, the therapeutic strategies base on the pathology of diabetes is important. Therefore we compare the effect of the SGLT2 inhibitor which is a new type 2 diabetes therapeutic drug with sulfonylurea and thiazolidine. We consider an association between type 2 diabetes and NAFLD and compare the influence of these three kinds of diabetes therapeutic drugs on NAFLD. Besides, we examine the influence of these drugs on beta-cell function during an observation period. This study has possibility to bring important information on making a treatment strategy of type 2 diabetes.
Safety,Efficacy
Change of liver function and L/S ratio (CT) six months after the intervention
Change of body weight, visceral fat amount, fasting plasma glucose (FPG), insulin, triacylglycerol (TG), non-esterified fatty acid (NEFA), HDL-cholesterol, LDL-cholesterol, lipoprotein fractionation, adiponectin, hsCPR, TNF-alpha, MCP-, MDA, typIV collagen7S, P-III-P, M2BP, the fibrosis score (NAFLD fibrosis score, FIB-4 index, APRI, BARD score, BAAT score), proinsulin/S-CPR ratio
Interventional
Parallel
Randomized
Individual
Open -no one is blinded
Active
3
Treatment
Medicine |
Dapagliflozin 5mg Sig. 1 or 2 tab po once time a day
Pioglitazone 15mg Sig. 1 or 2 tab po once time a day
Glimepiride 0.5 or 1mg Sig. 1 or 3 tab po once or two times a day
20 | years-old | <= |
Not applicable |
Male and Female
Nonalcoholic fatty liver disease patients with type 2 diabetes mellitus who visit a hospital for treatment in the outpatient department of the facilities concerned.
A) Under 20 years old
B) Treatment with insulin
C) Treatment with SGLT-2 inhibitor, thiazolidinedione or sulfonylurea
D) Diabetic coma
E) Renal dysfunction (eGFR<45mL/min)
F) Cardiac failure
G) Viral hepatitis, alcoholic hepatitis, autoimmune hepatitis, liver cirrhosis
H) Infection
I) During treatment or treatment plan of malignant neoplasm
J) Autoimmune disease
K) Use of Steroid medicine and/or immunosuppressor
L) Pregnant, possibility of pregnancy, nursing or hope to become pregnant during the study period
M) In addition, when principal investigator or researcher deems inappropriate as a study subject
90
1st name | |
Middle name | |
Last name | Masashi Shimoda |
Kawasaki Medical SchoolKawasaki Medical School
Division of Diabetes, Endocrinology and Metabolism
Matushima577, Kurashiki, Okayama
086-462-1111
masashi-s@med.kawasaki-m.ac.jp
1st name | |
Middle name | |
Last name | Masashi Shimoda |
Kawasaki Medical SchoolKawasaki Medical School
Devision of Diabetes, Endocrinology and Metabolism
Matushima577, Kurashiki, Okayama
086-462-1111
masashi-s@med.kawasaki-m.ac.jp
Kawasaki Medical SchoolKawasaki Medical School Devision of Diabetes, Endocrinology and Metabolism
none
Non profit foundation
NO
2016 | Year | 03 | Month | 02 | Day |
Unpublished
Completed
2015 | Year | 10 | Month | 19 | Day |
2015 | Year | 10 | Month | 19 | Day |
2017 | Year | 07 | Month | 19 | Day |
2018 | Year | 05 | Month | 26 | Day |
2016 | Year | 03 | Month | 02 | Day |
2018 | Year | 10 | Month | 02 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000021576