UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000035278
Receipt number R000040193
Scientific Title A retrospective study: Effects of additional SGLT2-inhibitor therapy on renal functions in patients with type 2 diabetes mellitus and stage 3b and 4 chronic kidney disease
Date of disclosure of the study information 2018/12/18
Last modified on 2019/06/19 09:38:06

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Basic information

Public title

A retrospective study: Effects of additional SGLT2-inhibitor therapy on renal functions in patients with type 2 diabetes mellitus and stage 3b and 4 chronic kidney disease

Acronym

Renal benefits of SGLT2-inhibitors in advanced CKD

Scientific Title

A retrospective study: Effects of additional SGLT2-inhibitor therapy on renal functions in patients with type 2 diabetes mellitus and stage 3b and 4 chronic kidney disease

Scientific Title:Acronym

Renal benefits of SGLT2-inhibitors in advanced CKD

Region

Japan


Condition

Condition

type 2 diabetes mellitus

Classification by specialty

Endocrinology and Metabolism

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

We investigated the annual changes in eGFR before and after the SGLT2-inhibitor therapy in patients suffered from moderate-to-severe renal impairment as CKD stages 3b-4 (15< eGFR <45 ml/min/1.73m2) at beginning SGTL2-inhibitor treatment.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Others

Developmental phase

Not applicable


Assessment

Primary outcomes

improvement of annual changes in eGFR

Key secondary outcomes

improvement of urinary protein
decrease in HbA1c


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


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


Not applicable

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

type 2 diabetes
more than one year treatment history of SGLT2-inhibitors
impaired renal function (15<eGFR<45) at beginning SGLT2-inhibitor therapy

Key exclusion criteria

type 1 DM
cancer
auto-immune disease
active inflammation
dimentia

Target sample size

22


Research contact person

Name of lead principal investigator

1st name Seigo
Middle name
Last name Sugiyama

Organization

Jinnouchi Hospital

Division name

Diabetes Care Center

Zip code

862-0976

Address

6-2-3 Kuhonji Chuo-ku Kumamoto-city Kumamoto Japan

TEL

096-363-0011

Email

seigosugiyama@jinnouchi.or.jp


Public contact

Name of contact person

1st name Seigo
Middle name
Last name Sugiyama

Organization

Jinnouchi Hospital

Division name

Diabetes Care Center

Zip code

862-0976

Address

6-2-3 Kuhonji Chuo-ku Kumamoto-city Kumamoto Japan

TEL

096-363-0011

Homepage URL


Email

seigosugiyama@jinnouchi.or.jp


Sponsor or person

Institute

Jinnouchi Hospital
Diabetes Care Center

Institute

Department

Personal name



Funding Source

Organization

Jinnouchi Hospital
Diabetes Care Center

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Jinnouchi Hospital

Address

6-2-3 Kuhonji Chuo-ku Kumamoto-city Kumamoto Japan

Tel

096-363-0011

Email

hisyo@jinnouchi.or.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

陣内病院


Other administrative information

Date of disclosure of the study information

2018 Year 12 Month 18 Day


Related information

URL releasing protocol


Publication of results

Published


Result

URL related to results and publications

doi: https://doi.org/10.14740/jocmr3761

Number of participants that the trial has enrolled

42

Results

We analyzed 42 T2DM patients with median GFR of 40.4 mL/min/1.73 m2. The annual decline in eGFR improved significantly after SGLT2 inhibitor therapy (eGFR: (median), pre: -3.8, vs. post: 0.1 mL/min/1.73 m2 per year, P < 0.01). We also found a significant decrease in urinary protein excretion after SGLT2 inhibitor therapy (urinary protein-to-creatinine ratio: (median), pre: 0.36, vs. post: 0.23 g/g creatinine, n = 35, P < 0.01).

Results date posted

2019 Year 06 Month 19 Day

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

Completed

Date of protocol fixation

2018 Year 03 Month 30 Day

Date of IRB

2018 Year 06 Month 01 Day

Anticipated trial start date

2018 Year 04 Month 25 Day

Last follow-up date

2018 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

The results will be presented at the Japan Diabetes Society Annual meeting 2019.


Management information

Registered date

2018 Year 12 Month 17 Day

Last modified on

2019 Year 06 Month 19 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000040193