| Unique ID issued by UMIN | UMIN000056865 |
|---|---|
| Receipt number | R000064774 |
| Scientific Title | Clinical study of Dotinurad, a Uric Acid transporter 1 (URAT1) inhibitor, on changes in serum uric acid levels, insulin resistance, NAFLD, and inflammatory markers in patients with type 2 diabetes. |
| Date of disclosure of the study information | 2025/02/01 |
| Last modified on | 2025/02/13 16:15:50 |
Effects of Dotinurad on uric acid levels, insulin resistance, NAFLD, and inflammatory markers in Type 2 Diabetes: A Clinical Study.
Effects of Dotinurad on uric acid levels and insulin resistance in Type 2 Diabetes: A Clinical Study.
Clinical study of Dotinurad, a Uric Acid transporter 1 (URAT1) inhibitor, on changes in serum uric acid levels, insulin resistance, NAFLD, and inflammatory markers in patients with type 2 diabetes.
Clinical study of Dotinurad, a URAT1 inhibitor, on changes in serum uric acid levels and insulin resistance in patients with type 2 diabetes.
| Japan |
hyperuricemia
| Endocrinology and Metabolism |
Others
NO
To determine the effect of a urate transporter 1 (URAT1) inhibitor (dotinurad) on uric acid levels in type 2 diabetic patients with hyperuricemia. We will also identify changes in various metabolic markers involved in the underlying disease associated with hyperuricemia.
Efficacy
Change in serum uric acid levels from baseline to 24 weeks after initiation of urate transporter 1 (URAT1) inhibitor treatment.
Change from baseline to the start of urate transporter 1 (URAT1) inhibitor administration, 6, 12, and 24 weeks for the following items
1. Uric acid excretion rate (uric acid, urinary Cr, serum uric acid, serum Cr)
2. glucose metabolism (fasting blood glucose, HbA1c, HOMA-R, CPR, CPI)
3. complete blood count
4. Serum lipids (LDL-C, HDL-C, TG, fatty acid fraction)
5. Liver function (T-Bil, AST, ALT, gamma-GTP, Fib4 index, NAFLD fibrosis score, M2BPGi)
6. Renal function (Cr, eGFR, UACR, cystatin C, L-FABP)
7. Cardiac function (NT-proBNP)
8. Inflammation-related markers (CRP, Ferritin)
9. neuropathy (nerve conduction studies)
10. BMI, blood pressure, pulse rate
11. Body composition (Inbody)
12. Inflammatory cytokines (IL-6, TNFa, MCP-1, IL-1b, etc.)
Observational
| 20 | years-old | <= |
| Not applicable |
Male and Female
(1) Those who present serum uric acid level of 7 mg/dL or higher
(2) Patients with type 2 diabetes mellitus with HbA1c less than 10
(3) Patients who are at least 20 years of age and have given written consent to participate in this study.
(If the patient has dementia, written consent must be obtained from a surrogate.)
(4) Patients who have not changed concomitant hypoglycemic or antihypertensive medication in the past 3 months.
(5) Blood and urine samples can be obtained at follow-up before and after the intervention.
(6) Patients whose written consent has been obtained.
(1) Those with active gouty arthritis
(2) Those with urinary tract stones
(3) Those who are pregnant or lactating
(4) Others whom the principal investigator and research assistants deem medically inappropriate as research subjects.
100
| 1st name | nao |
| Middle name | |
| Last name | hasuzawa |
Kurume University
Department of Medicine, Chair of Internal Medicine, Division of Endocrine and Metabolic Medicine
830-0011
67 Asahi-cho, Kurume-shi, Fukuoka
0942-31-7563
hasuzawa@med.kurume-u.ac.jp
| 1st name | makoto |
| Middle name | |
| Last name | ide |
St. Mary's Hospital
Diabetes Endocrinology
830-8543
422, Tsufuku Honmachi, Kurume-shi, Fukuoka
0942-35-3322
ma-ide@st-mary-med.or.jp
Kurume University
nao hasuzawa
None
Self funding
Kurume University
67 Asahi-cho, Kurume-shi, Fukuoka
0942-35-3311
i_rinri@kurume-u.ac.jp
NO
| 2025 | Year | 02 | Month | 01 | Day |
Unpublished
Preinitiation
| 2025 | Year | 01 | Month | 06 | Day |
| 2025 | Year | 02 | Month | 03 | Day |
| 2026 | Year | 03 | Month | 31 | Day |
Study design: cohort study
Method of recruitment of subjects: all patients who visited our institution between February and December 2025 and met the selection criteria
| 2025 | Year | 01 | Month | 29 | Day |
| 2025 | Year | 02 | Month | 13 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000064774