UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000057549
Receipt number R000065754
Scientific Title AMEND-IT2: A Pragmatic Study Modifying Behaviors by Nutritionists to Diabetes /Metabolic Syndrome Patients through IoT-based Self Monitoring System 2
Date of disclosure of the study information 2025/04/08
Last modified on 2025/04/08 10:56:41

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Basic information

Public title

AMEND-IT2: A Pragmatic Study Modifying Behaviors by Nutritionists to Diabetes /Metabolic Syndrome Patients through IoT-based Self Monitoring System 2

Acronym

AMEND-IT2

Scientific Title

AMEND-IT2: A Pragmatic Study Modifying Behaviors by Nutritionists to Diabetes /Metabolic Syndrome Patients through IoT-based Self Monitoring System 2

Scientific Title:Acronym

AMEND-IT2

Region

Japan


Condition

Condition

Metabolic Syndrome

Classification by specialty

Medicine in general Endocrinology and Metabolism

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Although there are many cases of metabolic syndrome, there are many cases who do not receive health checkups and subsequent guidance, and it is desirable to develop a uniform and effective method of providing improved lifestyle guidance.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

To test whether lifestyle modification guidance by a dietitian using an AI dietetic assistant can reduce weight after 3 months of guidance.

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

Prevention

Type of intervention

Food Behavior,custom

Interventions/Control_1

All research subjects will download "Remokara" to their own smartphones and enter the information necessary to use Remokara. Study subjects will record their steps (measured by Remokara), weight (entered into Remokara by themselves), and meals by taking pictures (taken with the smartphone camera and aggregated by Remokara) on a daily basis. During the intervention period, participants receive messages of support and reminders from a dietitian through Remokara. Chats with the dietitian are once a week. In addition, the dietitian will access the administrator's screen in "Remokara" to check graphs of measurement data and summaries of lifestyle habits, and use the daily data of the research subjects as materials for specific health guidance.

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

65 years-old >

Gender

Male and Female

Key inclusion criteria

1) Age
1. 40 years old or older and less than 65 years old
2) Obesity risk*
(1) Abdominal circumference (male: 85 cm or more, female: 90 cm or more)
(2) BMI: 25 or more
3) Additional risk*
(1) Blood sugar: Fasting blood sugar 100 mg/dL or more, or HbA1c 5.6% or more, or if unavoidable, blood sugar 100 mg/dL or more at any time
(2) Lipids: triglycerides 150 mg/dL or more, or HDL cholesterol less than 40 mg/dL
(3) Blood pressure: systolic 130 mmHg or more, or diastolic 85 mmHg or more
(4) Smoking history

*Among those between 40 and 65 years old, the following conditions in combination with the above "obesity risk" and "additional risk" are eligible for active support
A: Those who fall under "obesity risk (1)" + "two or more additional risks (1)(2)(3)"
B: Those who fall under "obesity risk (1)" + "one additional risk (1)(2)(3)\" + "additional risk (4)"
C: Those who fall under "obesity risk (2) only" + "three additional risks (1)(2)(3)"
D: Those who fall under "obesity risk (2) only" + "two additional risks (1)(2)(3)"

Key exclusion criteria

1. patients with serious hepatic disorder, renal disorder, malignancy (recurrence-free for less than 5 years), or infectious disease
2. patients with obvious diabetes mellitus who are attending a medical institution and are being treated with diabetic drugs, or for whom such attendance and treatment are deemed appropriate
3. patients who have developed cardiovascular disease within 6 months 4. patients with uncompensated heart failure
5. pregnant patients

Target sample size

200


Research contact person

Name of lead principal investigator

1st name Mitsuru
Middle name
Last name Ohsugi

Organization

National Center for Global Health and Medicine

Division name

Diabetes and Metabolism Information Center

Zip code

162-8655

Address

1-21-1 Toyama, Shinjuku-ku, Tokyo, Japan

TEL

03-3202-7181

Email

moosugi@hosp.ncgm.go.jp


Public contact

Name of contact person

1st name Mitsuru
Middle name
Last name Ohsugi

Organization

National Center for Global Health and Medicine

Division name

Diabetes and Metabolism Information Center

Zip code

162-8655

Address

1-21-1 Toyama, Shinjuku-ku, Tokyo, Japan

TEL

03-3202-718

Homepage URL


Email

dm-inf1@hosp.ncgm.go.jp


Sponsor or person

Institute

National Center for Global Health and Medicine

Institute

Department

Personal name



Funding Source

Organization

Japan Health Research Promotion Bureau

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

National Center for Global Healch and Medicine

Address

1-21-1 Toyama, Shinjiku-Ku, Tokyo, Japan

Tel

03-3202-7181/

Email

rinrijm@hosp.ncgm.go.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 04 Month 08 Day


Related information

URL releasing protocol

https://center6.umin.ac.jp/cgi-open-bin/ctr/ctr_view.cgi?recptno=R000035900

Publication of results

Unpublished


Result

URL related to results and publications

https://center6.umin.ac.jp/cgi-open-bin/ctr/ctr_view.cgi?recptno=R000035900

Number of participants that the trial has enrolled

192

Results

A 3-month remote lifestyle intervention was conducted for the final 192 patients, and a weight loss of approximately 2 kilograms was observed in the pre- and post-comparison.

Results date posted

2025 Year 04 Month 08 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

Average age 54, average BMI 25.9

Participant flow

196 were incorporated and 196 completed the exam.

Adverse events

none

Outcome measures

Change in body weight after 3 months of intervention
Change in abdominal circumference after 3 months of intervention

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2022 Year 09 Month 05 Day

Date of IRB

2022 Year 09 Month 05 Day

Anticipated trial start date

2022 Year 09 Month 05 Day

Last follow-up date

2023 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2025 Year 04 Month 08 Day

Last modified on

2025 Year 04 Month 08 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000065754