Unique ID issued by UMIN | UMIN000019273 |
---|---|
Receipt number | R000022272 |
Scientific Title | To investigate DPP-4 inhibitors type dependent effects on antifibrotic miRNA and biomarkers. |
Date of disclosure of the study information | 2015/10/08 |
Last modified on | 2018/02/02 09:40:39 |
To investigate DPP-4 inhibitors type dependent effects on antifibrotic miRNA and biomarkers.
DPP-4 inhibitors and antifibrotic biomarkers.
To investigate DPP-4 inhibitors type dependent effects on antifibrotic miRNA and biomarkers.
DPP-4 inhibitors and antifibrotic biomarkers.
Japan |
Type 2 diabetic patients
Endocrinology and Metabolism |
Others
NO
Each DPP4 inhibitors displays its unique pharmacokinetics. In this study we recruit the Diabetic patients with DPP-4 inhibitor treatment and investigate the potential difference in the plasma/urine biomarkers-associated with tissue fibrosis.
Safety,Efficacy
Confirmatory
Pragmatic
Not applicable
1)Plasma and urine DPP-4 activation
2)Antifibrotic miRNAs
3)Antifibrotic peptides
4)Urine IFN-gamma, IL-1 beta, sTNF-alpha reeptor1/2, IL-6, beta 2microglobulin, NAG, typeIV collagen
0 and 3 month after joining this study
1)Parameters of blood glucose (HbA1c, fasting blood glucose, glycoalbumin, insulin)
2)Urinary albumin excretion
3)eGFRcreat (calculation by conversion formula of GFRcreat in Japanese),
serum creatinine
4)Urinary L-FABP excretion, serum cystatin C (Cys-C), eGFRcys (calculation by conversion formula of eGFRcys in Japanese)
5) Serum lipid (T-cho, LDL, HDL, TG)
6)Blood pressure, pulse
Interventional
Parallel
Randomized
Individual
Open -no one is blinded
Active
3
Treatment
Medicine |
Dose increment of Sitagliptin (50mg to 100mg)
Change Sitagliptin 50mg to Linagliptin 5mg
Change Alogliptin 25mg to Linagliptin 5mg
20 | years-old | <= |
80 | years-old | > |
Male and Female
(1)More than 20 years to less than 80 years old patient, at the time of obtaining the informed consent, (Gender, outpatient and hospitalization unquestioned)
(2)Type 2 diabetes patients.
(3)Patients with poorly controlled type 2 diabetes who take DPP-4
inhibitors Sitagliptin(50mg), Alogliptin (25) or Linagliptin(5)
(4)Patients whose HbA1c is 7.0% <=
HbA1c < 10.0% at the enrollment
(5)Patients with diabetic
nephropathy whose urinary albumin excretion (UAE) is >= 30 mg/gCr
(6)Patients with diabetic
nephropathy whose eGFRcreat is >= 30 mL/min/1.73m2
(7)Patients without changing the
kind and doses of medications during the last 3 months before the enrollment
(8)Patients who fully understand purpose, contents, anticipated adverse events , and risks of this clinical trial and patients with willingness to comply with the study and sign a written informed consent
(1)Patient who have a history of allergy to Linagliptin or Sitagliptin.
(2)Patients who have severe ketosis, diabetic coma, diabetic pre-coma, or type 1 diabetes
(3)Patients who have severe infection, surgery, planned surgery, severe trauma.
(4)Women who are pregnant, or possibility of pregnant, or wish to pregnant, or lactating.
(5)Patients with transit disorder in the digestive tract or peptic ulcer and esophageal varix (this product may irritate affected area.) and patients whom physician judges as inappropriate
(6)Patients with a predisposition to severe and habitual constipation (this product may exacerbate constipation) and patients whom physician judges as inappropriate
(7)Patients who are considered unsuitable for inclusion by the attending physician.
60
1st name | |
Middle name | |
Last name | Daisuke Koya |
Kanazawa Medical University
Diabetology and Endocrinology
1-1Daigaku,Uchinada,Kahoku-gun, Ishikawa Prefecture, 920-0293
076-286-2211
koya0516@kanazawa-med.ac.jp
1st name | |
Middle name | |
Last name | Yuka Kuroshima |
Kanazawa Medical University
Diabetology and Endocrinology
1-1Daigaku,Uchinada,Kahoku-gun, Ishikawa Prefecture, 920-0293
076-286-2211
naipicrc@kanazawa-med.ac.jp
Kanazawa Medical University
None
Self funding
NO
金沢医科大学病院 / Kanazawa Medical University Hospital.
2015 | Year | 10 | Month | 08 | Day |
Unpublished
Completed
2015 | Year | 09 | Month | 01 | Day |
2015 | Year | 09 | Month | 10 | Day |
2017 | Year | 09 | Month | 01 | Day |
2015 | Year | 10 | Month | 08 | Day |
2018 | Year | 02 | Month | 02 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000022272