UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000053289
Receipt number R000052979
Scientific Title Investigation of the effects of imeglimin administration on the metabolism of mitochondrial diabetes mellitus
Date of disclosure of the study information 2024/01/08
Last modified on 2024/05/10 19:17:50

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Basic information

Public title

Investigation of the effects of imeglimin administration on the metabolism of mitochondrial diabetes mellitus

Acronym

Investigation of the effects of imeglimin administration on the metabolism of mitochondrial diabetes mellitus

Scientific Title

Investigation of the effects of imeglimin administration on the metabolism of mitochondrial diabetes mellitus

Scientific Title:Acronym

Investigation of the effects of imeglimin administration on the metabolism of mitochondrial diabetes mellitus

Region

Japan


Condition

Condition

mitochondrial diabetes

Classification by specialty

Endocrinology and Metabolism

Classification by malignancy

Others

Genomic information

YES


Objectives

Narrative objectives1

To clarify the efficacy of imeglimin for mitochondrial diabetes.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Improvement of HbA1c 12 weeks after the start of administration

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

The dosage was gradually increased from 500 mg of imeglimine to a maximum dosage of 2000 mg in 8 weeks. To confirm the efficacy of the combination, 1 mg of glimepiride, 5 mg of linagliptin, and 10 mg of empagliflozin were then administered for 2 weeks each.

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

47 years-old <=

Age-upper limit

47 years-old >=

Gender

Female

Key inclusion criteria

Mitochondrial diabetic patients who consented to participate in the study

Key exclusion criteria

nothing

Target sample size

1


Research contact person

Name of lead principal investigator

1st name HIRAYAMA
Middle name
Last name KIICHI

Organization

Kimitsu Chuo Hospital

Division name

Department of Medicine, Division of Diabetes, Endocrinology and Metabolism

Zip code

292-8535

Address

1010 Sakurai, Kisarazu-city, Chiba

TEL

+81-438-36-1071

Email

m14097kh@jichi.ac.jp


Public contact

Name of contact person

1st name HIRAYAMA
Middle name
Last name KIICHI

Organization

Kimitsu Chuo Hospital

Division name

Department of Medicine, Division of Diabetes, Endocrinology and Metabolism

Zip code

292-8535

Address

1010 Sakurai, Kisarazu-city, Chiba

TEL

+81-438-36-1071

Homepage URL


Email

m14097kh@jichi.ac.jp


Sponsor or person

Institute

Department of Medicine, Division of Diabetes, Endocrinology and Metabolism, Kimitsu Chuo Hospital

Institute

Department

Personal name



Funding Source

Organization

none

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

Kimitsu Chuo Hospital

Address

Kimitsu Chuo Hospital

Tel

+81-438-36-1071

Email

soumu@kc-hosp.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



Other administrative information

Date of disclosure of the study information

2024 Year 01 Month 08 Day


Related information

URL releasing protocol

https://onlinelibrary-wiley-com.jmul.idm.oclc.org/doi/10.1111/jdi.14085

Publication of results

Published


Result

URL related to results and publications

https://onlinelibrary-wiley-com.jmul.idm.oclc.org/doi/10.1111/jdi.14085

Number of participants that the trial has enrolled

1

Results

The HbA1c level had been maintained at approximately 8.0%. After imeglimin administration, the HbA1c level decreased from 7.7% to 6.9%, and the total insulin dose was reduced from 38 to 29 units over 3 months.

Results date posted

2024 Year 05 Month 10 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

The patient is a 47-year-old woman with a height of 155.3 cm and a weight of 54.0 kg (BMI 22.4 kg/m2). She began experiencing sensorineural hearing loss at age 32 and developed insulin-insulin-deficiency diabetes mellitus with myogenic muscle weakness at age 37. Her mother, aunt, and two cousins had MIDD with the A3243G mutation. Her mother died at age 62 years from heart failure, and her cousins, details of whom are unknown, have already died. Her aunt is still alive but is being treated for complications of heart failure. After blood and urine sample collection at our hospital, genetic analysis was performed at Chiba Children's Hospital, which revealed the A3243G mutation in 17.92% of the blood and 62.72% of the urine samples.

Participant flow

Considering the lack of previous studies of imeglimin in MIDD and the need to pay attention to side effects, the dosage was carefully increased from 500 mg to the maximum dosage of 2000 mg in 8 weeks. To confirm the onset of effect, administration was continued for 3 months.

Adverse events

nothing

Outcome measures

This is the change in HbA1c after 16 weeks of imeglimin treatment.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2021 Year 12 Month 15 Day

Date of IRB

2021 Year 12 Month 17 Day

Anticipated trial start date

2021 Year 12 Month 20 Day

Last follow-up date

2023 Year 03 Month 31 Day

Date of closure to data entry

2023 Year 06 Month 01 Day

Date trial data considered complete

2023 Year 06 Month 01 Day

Date analysis concluded

2023 Year 06 Month 30 Day


Other

Other related information



Management information

Registered date

2024 Year 01 Month 08 Day

Last modified on

2024 Year 05 Month 10 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000052979