UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000033261
Receipt number R000037924
Scientific Title Effects of self-supporting ICT system for treating diabetic nephropathy: a randomized controlled trial.
Date of disclosure of the study information 2018/07/04
Last modified on 2021/04/21 11:30:49

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Basic information

Public title

Effects of self-supporting ICT system for treating diabetic nephropathy: a randomized controlled trial.

Acronym

Effects of self-supporting ICT system for treating diabetic nephropathy: a randomized controlled trial.

Scientific Title

Effects of self-supporting ICT system for treating diabetic nephropathy: a randomized controlled trial.

Scientific Title:Acronym

Effects of self-supporting ICT system for treating diabetic nephropathy: a randomized controlled trial.

Region

Japan


Condition

Condition

Type 2 diabetes

Classification by specialty

Endocrinology and Metabolism Nephrology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

This study aims to clarify the effects of the personal health record system "DialBetesPlus" on preventing progeression of diabetic kidney disease.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2


Developmental phase

Not applicable


Assessment

Primary outcomes

reduction of morning urine albumin/creatinine ratio between two points: start and end of intervention.

Key secondary outcomes

Changes in the following items will be compared between the intervention group and the conventional therapy group at the baseline and at 12 months (some items will be evaluated at 6 months and 18 months.)
HbA1c, fasting plasma glucose, albuminuria (except for 12th month), eGFR, BMI, systolic and diastolic blood pressure, HDL-cholesterol, LDL-cholesterol, triglyceride, composite cardiovascular outcomes, all-cause deaths, composite renal end points, diets, self-management scores, medication therapy, QoL, and comparison in the operation of the trial between hospital model and pharmacy model. To ensure safety, we will monitor the number of hypoglycemic events, other adverse events, and troubles with the DialBetesPlus system over the course of the study.


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

YES

Institution consideration

Institution is not considered as adjustment factor.

Blocking

NO

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Other

Interventions/Control_1

160 participants will be randomly classified into two groups, 80 in the DialBetesPlus group and 80 in the non-DialBetesPlus control group. Participants in the DialBetesPlus group will use the system for 12 months, and then will be followed for another 6 months.

Interventions/Control_2

the non-DialBetesPlus control 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

20 years-old <=

Age-upper limit

75 years-old >

Gender

Male and Female

Key inclusion criteria

type 2 diabetes
HbA1c>=6.5%
BMI>=22
DM nephropathy stage 2
(morning urine albumin/creatinine ratio: 30-299mg/gCr)
eGFR>=45 mL/min/1.73m2
BP< 180/110mmHg
Age:20-74y
no previous history of severe hypoglycemia.
without history of suspect of hypoglycemia in the most recent 3 months.
with voluntary written consent for participation in this study.

Key exclusion criteria

Patients with pacemakers.
Patients with hyperthyroidism and under treatment(except for thyroid hormone replacement therapy) in the most recent 1 year.
serum Albumin<3.0g/dl
Hb<10.0g/dl
Patients with preproliferative retinopathy or preproliferative retinopathy in the most recent 1 year.
Patients who are enrolled in other clinical trials.
Patients who have moderate to severe (requiring restriction on exercise therapy) heart disease.
Patients who have moderate to severe (unstable condition and/or requiring restriction on exercise therapy) autoimmune disease, liver disease, digestive disorder, and/or respiratory disease.
Patients who are unable to exercise.
Patients who are under protein restriction therapy
Female patients who are breast-feeding or have possibility or hope of pregnancy.
Patients who are considered ineligible by the doctor.

Target sample size

160


Research contact person

Name of lead principal investigator

1st name Kayo
Middle name
Last name Waki

Organization

the University of Tokyo

Division name

Department of Healthcare Information Management, The University of Tokyo Hospital

Zip code

113-8655

Address

7-3-1, Hongo, Bunkyo-ku, Tokyo

TEL

03-3815-5411

Email

dialbetics-office@umin.ac.jp


Public contact

Name of contact person

1st name Kana
Middle name
Last name Miyake

Organization

the University of Tokyo

Division name

Department of Healthcare Information Management, The University of Tokyo Hospital

Zip code

113-8655

Address

7-3-1, Hongo, Bunkyo-ku, Tokyo

TEL

03-3815-5411

Homepage URL


Email

dialbetics-office@umin.ac.jp


Sponsor or person

Institute

Department of Healthcare Information Management, The University of Tokyo Hospital

Institute

Department

Personal name



Funding Source

Organization

AMED(Japan Agency for Medical Research and Development)

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization



Other related organizations

Co-sponsor

Kawasaki Medical School(Academic juridical person, Kawasaki Gakuen.)

Name of secondary funder(s)

NTT DOCOMO, INC.
Nihon Chouzai Co.,Ltd.


IRB Contact (For public release)

Organization

The Office for Human Research Studies (OHRS), Graduate School of Medicine and Faculty of Medicine, The University of Tokyo

Address

7-3-1, Hongo, Bunkyo-ku, Tokyo

Tel

03-5841-0818

Email

ethics@m.u-tokyo.ac.jp


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

東京大学医学部附属病院(東京都) The University of Tokyo Hospital
横浜市立大学附属病院(神奈川県) Yokohama City University Hospital
横浜市立大学附属市民総合医療センター(神奈川県) Yokohama City University Medical Center
横浜労災病院(神奈川県) Yokohama Rosai Hospital
済生会横浜市南部病院(神奈川県) Saiseikai Yokohamashi Nanbu Hospital
藤沢市民病院(神奈川県)Fujisawa City Hospital
茅ヶ崎市立病院(神奈川県)Chigasaki Municipal Hospital
三井記念病院(東京都)Mitsui Memorial Hospital


Other administrative information

Date of disclosure of the study information

2018 Year 07 Month 04 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

159

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

2018 Year 06 Month 20 Day

Date of IRB

2018 Year 04 Month 27 Day

Anticipated trial start date

2018 Year 07 Month 04 Day

Last follow-up date

2023 Year 04 Month 26 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2018 Year 07 Month 04 Day

Last modified on

2021 Year 04 Month 21 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000037924