UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000029905
Receipt number R000033599
Scientific Title Effect of canagliflozin in type 2 diabetic patients with microalbuminuria in Japanese population
Date of disclosure of the study information 2017/11/21
Last modified on 2020/05/14 13:43:32

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Basic information

Public title

Effect of canagliflozin in type 2 diabetic patients with microalbuminuria in Japanese population

Acronym

CANPIONE study

Scientific Title

Effect of canagliflozin in type 2 diabetic patients with microalbuminuria in Japanese population

Scientific Title:Acronym

CANPIONE study

Region

Japan


Condition

Condition

Type 2 diabetes with microalbuminuria

Classification by specialty

Endocrinology and Metabolism Nephrology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The aim of the study is to assess the renoprotective effect of canagliflozin compared with treatment with drugs other than SGLT2 inhibitor on early stage of diabetic nephropathy in patients with type 2 diabetes mellitus.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

1. Change in urinary albumin to creatinine ratio (ACR) from baseline to week 52 in the intervention period
2. Change in eGFR slope

Key secondary outcomes

1. Change in eGFR from baseline to the end of the washout period
2. Progression to macroalbuminuria
3. Regression to normoalbuminuria
4. Change in eGFR from week 52 to the end of washout period
5. Change in urinary ACR from baseline to each visit in the intervention period
6. Comparison of change in urinary ACR by canagliflozin between participants taking ACE inhibitor and/or ARB and participants taking neither ACE inhibitor nor ARB
7. Changes in HbA1c, body mass index, and blood pressure
8. Occurrence of cardiovascular event


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 considered as a block.

Blocking

YES

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Canagliflozin treatment group:
Participants assigned to canagliflozin treatment will take a canagliflozin 100 mg tablet once daily for 52 weeks

Interventions/Control_2

Control group:
Participants assigned to the control group will receive treatment with drugs other than SGLT2 inhibitor for 52 weeks

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

75 years-old >

Gender

Male and Female

Key inclusion criteria

1. Man or woman with a diagnosis of type 2 diabetes
2. Age >= 20 to < 75 years at time of informed consent
3. Glycated hemoglobin (HbA1c) >= 7.0 % and < 11.0% at visit 1
4. Geometric mean of 2 first morning voided urinary albumin-to-creatinine ratio >= 50 to < 300 mg/gCr at visit 2 and visit 3
5. Estimated glomerular filtration rate (eGFR) >= 45 mL/min per 1.73m2 at visit 1
6. All subjects are required to have signed an informed consent document indicating that they understood the purpose of and procedures required for the study and are willing to participate in the study

Key exclusion criteria

1. Use of SGLT2 inhibitor <= 12 weeks prior to informed consent
2. Known allergies or hypersensitivity to canagliflozin or other SGLT2 inhibitors
3. History of severe diabetic ketosis (including ketoacidosis), diabetic coma or pre-coma
4. Severe infection, pre- or post-surgery (ie, requiring general anesthesia) or severe trauma at time of informed consent or visit 3
5. Urinary tract infection or genital infection at time of informed consent or visit 3
6. Underlying renal disease other than diabetic nephropathy at time of informed consent or visit 3
7. New York Heart Association Class IV cardiac disease at time of informed consent or visit 3
8. Severe hypertension (systolic blood pressure >= 180 mmHg and/or diastolic blood pressure >= 110 mmHg) at time of informed consent or visit 3
9. History of arteriosclerosis obliterans and/or foot ulcer and/or limb amputation
10. Pregnant, possibly pregnant, breast-feeding or planning to become pregnant during the study
11. Medical history of cancer and/or treatment for cancer within the last 5 years at time of informed consent or visit 3
12. Severe liver disease at time of informed consent or visit 3
13. Treatment with systemic steroids at time of informed consent or visit 3
14. Treatment with nonsteroidal anti-inflammatory drugs (NSAIDs) at time of informed consent or visit 3
15. Reduction in eGFR >= 30% from visit 1 to visit 3
16. Any condition that, in the opinion of the investigator, would compromise the subject's well-being or ability to perform the study requirements

Target sample size

300


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Kenichi Shikata

Organization

Okayama University Hospital

Division name

Center for Innovative Clinical Medicine

Zip code


Address

2-5-1 Shikata-cho, Kita-ku, Okayama 700-8558, Japan

TEL

086-235-6508

Email

shikata@md.okayama-u.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Satoshi Miyamoto

Organization

Okayama University Hospital

Division name

Center for Innovative Clinical Medicine

Zip code


Address

2-5-1 Shikata-cho, Kita-ku, Okayama 700-8558, Japan

TEL

086-235-6510

Homepage URL


Email

s1miyamoto@okayama-u.ac.jp


Sponsor or person

Institute

Okayama University Hospital

Institute

Department

Personal name



Funding Source

Organization

Mitsubishi Tanabe Pharma

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

岡山大学病院(岡山県)


Other administrative information

Date of disclosure of the study information

2017 Year 11 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

Terminated

Date of protocol fixation

2017 Year 11 Month 21 Day

Date of IRB

2017 Year 11 Month 21 Day

Anticipated trial start date

2018 Year 08 Month 21 Day

Last follow-up date

2019 Year 03 Month 12 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

This study was registered to Japan Registry of Clinical Trials (jRCT) and released on March 12, 2019 in accordance with the Clinical Trial Act. For latest information about the study, please refer to the the information in jRCT (jRCTs061180047).


Management information

Registered date

2017 Year 11 Month 10 Day

Last modified on

2020 Year 05 Month 14 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000033599


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name