UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000051269
Receipt number R000058422
Scientific Title Elucidation of risk factors for Cognitive Decline/ Frailty in Diabetes and Obesity-To establish effective early detection and prognosis prediction methods-
Date of disclosure of the study information 2023/07/01
Last modified on 2023/06/06 13:45:29

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Basic information

Public title

THe elucidation of risk factors for Cognitive Decline/ Frailty in Diabetes and Obesity-To establish effective early detection and prognosis prediction methods-

Acronym

JOMS/J-DOS3

Scientific Title

Elucidation of risk factors for Cognitive Decline/ Frailty in Diabetes and Obesity-To establish effective early detection and prognosis prediction methods-

Scientific Title:Acronym

JOMS/J-DOS3

Region

Japan


Condition

Condition

type2 diabetes mellitus, obesity

Classification by specialty

Medicine in general Endocrinology and Metabolism

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

This study aims to elucidate the actual conditions and risk factors of MCI and frailty (cognitive frailty), which are the biggest factors requiring nursing care and dementia in patients with type 2 diabetes and obesity, and to establish effective early diagnosis indicators and early assessment panels by integrating existing indicators and blood markers.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

Cognitive function test: MMSE(MCI: 24-27 points)and Simple Frail Questionnaire (Frail: 3 points or more).We will check them every 1 year for 5years.

Key secondary outcomes

1)Cognitive function tests:
a)Cognitive function test: MMSE(Dementia:23 points or less, MCI:24-27 points)
b)Imaging tests: brain MRI(T1-weighted, T2-weighted, FLAIR, diffusion-weighted, T2star, MRA)
2)Frailty
a)Simple Frail Questionnaire (Frail: 3 points or more, Pre-Frail: 2 points)
b)Ministry of Health, Labour and Welfare: Basic Checklist for Frailty
3)Event occurrence
a)Combined cerebrovascular events:cardiovascular death and nonfatal acute myocardial infarction requiring hospitalization, nonfatal stroke, acute coronary syndrome, aortic and peripheral artery disease, heart failure, angioplasty for coronary artery, aorta and peripheral artery.
b)All-cause mortality


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

40 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Patients shall meet all of the following criteria
1)Disease and diagnosis: Patients who meet one or both of the following criteria
Patients diagnosed as type 2 diabetes mellitus.
Obesity:BMI 25 kg/m2 and upwards(according to the guidelines of the Japan Society for the Study of Obesity)
2)Age: Patients who are 40 years of age or older at the time of consent
3)Gender:Any gender
4)Patients attending outpatient clinics or hospitalized in departments related to lifestyle-related diseases(internal medicine, diabetes, endocrinology and metabolism, general internal medicine, cardiovascular medicine, etc.)at National Hospital Organization facilities nationwide
5)Documented consent of the subject or the surrogate: Patients who have given written consent of their own free will or that of their surrogate.

Key exclusion criteria

1) Patients with secondary obesity(adrenal gland disease, etc.)
2) Patients with severe hepatic dysfunction or cirrhosis
3) Patients with serious renal dysfunction (serum creatinine level:3.0 mg/dl or higher)
4) Female patients who are pregnant or may become pregnant
5) Patients who are judged to be inappropriate to participate in this study by the principal investigator and research coordinators.

Target sample size

400


Research contact person

Name of lead principal investigator

1st name Noriko
Middle name
Last name Asahara

Organization

National Hospital Organization, Kyoto Medical Center

Division name

Department of Endocrinology, Metabolism and Hypertension Research, Clinical Research Institute

Zip code

612-8555

Address

1-1 Fukakusa Mukaihata-cho, Fushimi-ku, Kyoto

TEL

075-641-9161

Email

nsatoh@kuhp.kyoto-u.ac.jp


Public contact

Name of contact person

1st name Noriko
Middle name
Last name Asahara

Organization

National Hospital Organization, Kyoto Medical Center

Division name

Department of Endocrinology, Metabolism and Hypertension Research, Clinical Research Institute

Zip code

612-8555

Address

1-1 Fukakusa Mukaihata-cho, Fushimi-ku, Kyoto

TEL

075-641-9161

Homepage URL


Email

nsatoh@kuhp.kyoto-u.ac.jp


Sponsor or person

Institute

Clinical Research Institute,National Hospital Organization, Kyoto Medical Center

Institute

Department

Personal name



Funding Source

Organization

National Hospital Organization

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Central Ethics Review Committee for Clinical Research, Office of Clinical Research Promotion, Department of Clinical Research Management, National Hospital Organization, Comprehensive Research Center

Address

2-5-21 Higashigaoka, Meguro-ku, Tokyo 152-8621

Tel

03-5712-5075

Email

700-kenkyu@mail.hosp.go.jp


Secondary IDs

Secondary IDs

YES

Study ID_1

R4-NHO(endocrine-kidney)-01

Org. issuing International ID_1

National Hospital Organization

Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2023 Year 07 Month 01 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

Open public recruiting

Date of protocol fixation

2022 Year 08 Month 30 Day

Date of IRB

2022 Year 08 Month 30 Day

Anticipated trial start date

2023 Year 01 Month 01 Day

Last follow-up date

2029 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

Main Observation Items
1.Body composition: height, weight, BMI
2.Glucose metabolism: plasma glucose level, HbA1c
3.Dementia-related blood markers;
Blood sTREM2, Blood t-tau/p-tau,AB42/40
4.Skeletal muscle related markers;
Myokines (myostatin, irisin, BDNF, etc.)


Management information

Registered date

2023 Year 06 Month 06 Day

Last modified on

2023 Year 06 Month 06 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000058422


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name