UMIN-CTR Clinical Trial

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

* This page includes information on clinical trials registered in UMIN clinical trial registed system.
* We don't aim to advertise certain products or treatments


Basic information

Public title

Effects of Dotinurad on uric acid levels, insulin resistance, NAFLD, and inflammatory markers in Type 2 Diabetes: A Clinical Study.

Acronym

Effects of Dotinurad on uric acid levels and insulin resistance in Type 2 Diabetes: A Clinical Study.

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.

Scientific Title:Acronym

Clinical study of Dotinurad, a URAT1 inhibitor, on changes in serum uric acid levels and insulin resistance in patients with type 2 diabetes.

Region

Japan


Condition

Condition

hyperuricemia

Classification by specialty

Endocrinology and Metabolism

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

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.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Change in serum uric acid levels from baseline to 24 weeks after initiation of urate transporter 1 (URAT1) inhibitor treatment.

Key secondary outcomes

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.)


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

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

(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.

Key exclusion criteria

(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.

Target sample size

100


Research contact person

Name of lead principal investigator

1st name nao
Middle name
Last name hasuzawa

Organization

Kurume University

Division name

Department of Medicine, Chair of Internal Medicine, Division of Endocrine and Metabolic Medicine

Zip code

830-0011

Address

67 Asahi-cho, Kurume-shi, Fukuoka

TEL

0942-31-7563

Email

hasuzawa@med.kurume-u.ac.jp


Public contact

Name of contact person

1st name makoto
Middle name
Last name ide

Organization

St. Mary's Hospital

Division name

Diabetes Endocrinology

Zip code

830-8543

Address

422, Tsufuku Honmachi, Kurume-shi, Fukuoka

TEL

0942-35-3322

Homepage URL


Email

ma-ide@st-mary-med.or.jp


Sponsor or person

Institute

Kurume University

Institute

Department

Personal name

nao hasuzawa


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

Kurume University

Address

67 Asahi-cho, Kurume-shi, Fukuoka

Tel

0942-35-3311

Email

i_rinri@kurume-u.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

2025 Year 02 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

Preinitiation

Date of protocol fixation

2025 Year 01 Month 06 Day

Date of IRB


Anticipated trial start date

2025 Year 02 Month 03 Day

Last follow-up date

2026 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

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


Management information

Registered date

2025 Year 01 Month 29 Day

Last modified on

2025 Year 02 Month 13 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000064774