UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000057106
Receipt number R000065132
Scientific Title Longitudinal Analysis of Bone Microstructural Changes in Type 2 Diabetes Mellitus with the SGLT2 Inhibitor Tofogliflozin (A Study Using Second-Generation High-Resolution Peripheral Quantitative CT)
Date of disclosure of the study information 2025/05/01
Last modified on 2025/05/01 13:43:28

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Basic information

Public title

Longitudinal Analysis of Bone Microstructural Changes in Type 2 Diabetes Mellitus with the SGLT2 Inhibitor Tofogliflozin (A Study Using Second-Generation High-Resolution Peripheral Quantitative CT)

Acronym

Tofogliflozin and HR-pQCT Study

Scientific Title

Longitudinal Analysis of Bone Microstructural Changes in Type 2 Diabetes Mellitus with the SGLT2 Inhibitor Tofogliflozin (A Study Using Second-Generation High-Resolution Peripheral Quantitative CT)

Scientific Title:Acronym

Tofogliflozin and HR-pQCT Study

Region

Japan


Condition

Condition

Type 2 Diabetes mellitus

Classification by specialty

Endocrinology and Metabolism Orthopedics

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

This study aims to quantitatively evaluate changes in bone quality and body composition before and after tofogliflozin administration in patients with type 2 diabetes mellitus using HR-pQCT and a body composition analyzer.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Changes in estimated bone strength of the radius and tibia calculated by HR-pQCT from the start of tofogliflozin administration to week 48 of treatment.

Key secondary outcomes



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 who meet all of the following criteria will be included:
1.Age: Patients with type 2 diabetes mellitus who are 40 years or older at the time of consent.
2.Sex: No restriction.
3.Inpatient/Outpatient Status: No restriction.
4.Glycemic Control: Patients with inadequate glycemic control (HbA1c >= 7.0%) or those with HbA1c >= 6.0% for whom the attending physician considers treatment with an SGLT2 inhibitor appropriate.
5.Prior SGLT2 Inhibitor Use: Patients who have not taken an SGLT2 inhibitor within the past six months.
6.Informed Consent: Patients who have received a sufficient explanation of the study, fully understood it, and provided written consent of their own free will.

Key exclusion criteria

Patients who meet any of the following criteria will be excluded from the study:
1.Implantable Medical Devices: Patients using implantable medical devices such as a cardiac pacemaker.
2.Bone Metabolic Disorders: Patients with bone metabolic diseases requiring therapeutic intervention, including osteomalacia, thyroid dysfunction, hyperparathyroidism, and hypoparathyroidism.
3.Osteoporosis Treatment: Patients who have newly started any of the following osteoporosis treatments within six months prior to obtaining consent or those who are expected to discontinue any of the following treatments between consent acquisition and the end of the study: Bisphosphonates, Vitamin D preparations
Vitamin K preparations, Calcium preparations, Selective estrogen receptor modulators (SERMs), Anti-RANKL antibody (denosumab), Anti-sclerostin antibody (romosozumab), Parathyroid hormone preparations (teriparatide, abaloparatide)
4.Severe Renal Impairment: Patients with severe renal impairment (eGFR < 30 mL/min/1.73 m2).
5.Active Malignancy: Patients with an active malignant tumor.
6.Participation in Other Trials: Patients who have participated in other clinical trials or research involving investigational drugs or medical devices within six months prior to obtaining consent.
7.Severe Underweight: Patients with severe underweight (BMI < 18.5 kg/m2).
8.Other Conditions: Patients deemed inappropriate for the study by the principal investigator.

Target sample size

30


Research contact person

Name of lead principal investigator

1st name Ichiro
Middle name
Last name Horie

Organization

Nagasaki University Hospital

Division name

Endocrinology and Metabolism

Zip code

852-8501

Address

1-7-1, Sakamoto, Nagasaki-city

TEL

095-819-7200

Email

horie@nagasaki-u.ac.jp


Public contact

Name of contact person

1st name Ai
Middle name
Last name Haraguchi

Organization

Nagasaki University Hospital

Division name

Endocrinology and Metabolism

Zip code

852-8501

Address

1-7-1, Sakamoto, Nagasaki-city

TEL

095-819-7262

Homepage URL


Email

a-haraguchi@nagasaki-u.ac.jp


Sponsor or person

Institute

Nagasaki University Hospital

Institute

Department

Personal name



Funding Source

Organization

Kowa Company, Ltd.

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Nagasaki University Hospital Clinical Research Ethics Committee

Address

1-7-1 Sakamoto, Nagasaki-shi, Nagasaki-ken

Tel

095-819-7229

Email

gaibushikin@ml.nagasaki-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 05 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 04 Month 21 Day

Date of IRB


Anticipated trial start date

2025 Year 06 Month 01 Day

Last follow-up date

2028 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

To quantitatively evaluate changes in bone quality and body composition before and after tofogliflozin administration in patients with type 2 diabetes using HR-pQCT and body composition analyzers.


Management information

Registered date

2025 Year 02 Month 21 Day

Last modified on

2025 Year 05 Month 01 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000065132