UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000043955
Receipt number R000050204
Scientific Title Effects of nutritional intervention on the clinical, physical and nutritional parameters associated with the development and progression of type 2 diabetic nephropathy: a randomized, controlled trial
Date of disclosure of the study information 2021/04/17
Last modified on 2022/08/13 15:33:58

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Basic information

Public title

Effects of nutritional intervention on the clinical parameters associated with diabetic nephropathy in patients with type 2 diabetes mellitus: a randomized, controlled trial

Acronym

Succeed trial

Scientific Title

Effects of nutritional intervention on the clinical, physical and nutritional parameters associated with the development and progression of type 2 diabetic nephropathy: a randomized, controlled trial

Scientific Title:Acronym

Succeed trial

Region

Japan


Condition

Condition

type 2 diabetes mellitus

Classification by specialty

Endocrinology and Metabolism

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To determine whether frequent nutritional education by a dietitian could improve prognostic parameters associated with the development and progression of diabetic nephropathy and clarify which clinical parameters were associated with the nutritional states by a randomized controlled trial in patients with type 2 diabetes mellitus.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Differences in clinical, physical and nutritional factors over time between the intensive intervention and control groups during the first two years of the study, and association of improved or worsening nutritional and clinical factors.

Key secondary outcomes

Achievement of treatment goals for levels of control of weight, blood pressure, blood glucose, and serum lipids


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Other

Interventions/Control_1

An intensive intervention group that received nutritional education at every outpatient visit

Interventions/Control_2

An usual intervention group that received nutritional education only once a year

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

90 years-old >

Gender

Male and Female

Key inclusion criteria

Patients with type 2 diabetes mellitus and DKD caused by type 2 diabetes (CKD stage G1-3) aged 20 years or older who attended the Division of Endocrinology and Metabolism and the Division of Nephrology at Jichi Medical University Hospital between May 2013 and October 2016 and had not received nutritional education in the past 5 years were included in the study.

Key exclusion criteria

Patients who have received individual nutritional guidance by a registered dietitian at our hospital in the past.
Minors and those who have difficulty in obtaining informed consent from the patient
Patients with stage G4 or G5 chronic kidney disease
Patients with extremely poor blood glucose control with HbA1c of 10% or higher
Patients with nephrotic syndrome
Patients with type 1 diabetes mellitus
Patients with hereditary and secondary diabetes mellitus
Patients with primary and secondary glomerular diseases other than diabetes mellitus
Patients with secondary hypertension
Patients with unstable angina pectoris, myocardial infarction or stroke within 6 months prior to the start of the study
Patients with malignancy or life-threatening diseases that may cause death within 2 years
Patients with hepatic dysfunction (AST or ALT of 100 mU/ml or higher, or obvious liver cirrhosis)
Patients who are pregnant or intend to become pregnant during the study period.
Other patients who are judged by the attending physician to be inappropriate for the study

Target sample size

200


Research contact person

Name of lead principal investigator

1st name Nao
Middle name
Last name Kawabata

Organization

Jichi Medical University Hospital

Division name

Department of Clinical Nutrition

Zip code

329-0498

Address

3311-1 Yakushiji, Shimotsuke Tochigi, Japan

TEL

+81-0285-58-7574

Email

nkawabata@jichi.ac.jp


Public contact

Name of contact person

1st name Nao
Middle name
Last name Kawabata

Organization

Jichi Medical University Hospital

Division name

Department of Clinical Nutrition

Zip code

329-0498

Address

3311-1 Yakushiji, Shimotsuke Tochigi, Japan

TEL

+81285587574

Homepage URL


Email

nkawabata@jichi.ac.jp


Sponsor or person

Institute

Jichi Medical University Hospital

Institute

Department

Personal name



Funding Source

Organization

The Kidney Foundation, Lapan

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

JIchi Medical University

Address

3311-1 Yakushiji, Shimotsuke Tochigi, Japan

Tel

+81-0285-58-8960

Email

rinri@jichi.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



Other administrative information

Date of disclosure of the study information

2021 Year 04 Month 17 Day


Related information

URL releasing protocol


Publication of results

Published


Result

URL related to results and publications


Number of participants that the trial has enrolled

96

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

Completed

Date of protocol fixation

2012 Year 03 Month 21 Day

Date of IRB

2012 Year 03 Month 21 Day

Anticipated trial start date

2013 Year 05 Month 01 Day

Last follow-up date

2021 Year 10 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2021 Year 04 Month 17 Day

Last modified on

2022 Year 08 Month 13 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000050204


Research Plan
Registered date File name
2022/08/13 臨床研究計画書umin.pdf

Research case data specifications
Registered date File name
2022/08/13 J of Diabetes Invest - 2021 - Kawabata - Comparison of the effects of frequent versus conventional nutritional.pdf

Research case data
Registered date File name
2022/08/13 J of Diabetes Invest - 2021 - Kawabata - Comparison of the effects of frequent versus conventional nutritional.pdf