UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000059091
Receipt number R000067596
Scientific Title Evaluation of Long-term Self-directed Exercise with Remote Monitoring for Glycemic Control in Type 2 Diabetes: An Exploratory Randomized Parallel-Group Trial
Date of disclosure of the study information 2025/09/17
Last modified on 2025/09/16 01:48:31

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Basic information

Public title

Study on the Effects of Long-term Self-directed Exercise with Remote Monitoring on Blood Sugar Control in People with Type 2 Diabetes

Acronym

Study on the Effects of Long-term Self-directed Exercise with Remote Monitoring on Blood Sugar Control in People with Type 2 Diabetes

Scientific Title

Evaluation of Long-term Self-directed Exercise with Remote Monitoring for Glycemic Control in Type 2 Diabetes: An Exploratory Randomized Parallel-Group Trial

Scientific Title:Acronym

Evaluation of Long-term Self-directed Exercise with Remote Monitoring for Glycemic Control in Type 2 Diabetes: An Exploratory Randomized Parallel-Group Trial

Region

Japan


Condition

Condition

Type 2 Diabetes

Classification by specialty

Endocrinology and Metabolism

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Skeletal muscle plays a key role in glucose metabolism and the regulation of postprandial blood glucose. Age-related loss of muscle mass leads to decreased insulin sensitivity, contributing to impaired glucose metabolism and poor glycemic control. Resistance exercise has been shown to increase muscle mass and improve muscle function, and recent clinical trials have reported its beneficial effects on insulin resistance and glucose metabolism in patients with diabetes. However, in routine clinical practice, long-term adherence to exercise is often challenging, highlighting the need for effective intervention strategies. Therefore, this study aims to investigate the potential for improving glucose metabolism in patients with type 2 diabetes by implementing a system that remotely monitors patients' exercise and provides continuous support for sustained self-directed training.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Change in HbA1c from baseline to 12 months

Key secondary outcomes

Skeletal muscle mass
Knee extension strength
Balance ability
Body mass index (BMI)
Duration of video viewing (usage of remote training content)
Medication status


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Placebo

Stratification

NO

Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Behavior,custom

Interventions/Control_1

Resistance exercise: Squats, 10 reps x 3 sets and balance exercise: Single-leg stance, 1 min per leg x 3 sets
Frequency: At least 3 days per week
Duration: 15 minutes per day
Period: 1 year

Interventions/Control_2

Stretching exercises performed in sitting and standing positions
Targeting four muscle groups: quadriceps, hamstrings, triceps surae, gluteus medius
8 exercises (60 seconds per side, left and right)
Frequency: At least 3 days per week
Duration: 10 minutes per day
Period: 1 year

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

50 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Patients attending the internal medicine outpatient clinic at Mito General Hospital with a diagnosis of type 2 diabetes
Able to walk independently and perform activities of daily living (ADL) without assistance
Able to provide informed consent for participation in the study
Evaluated for physical function by a physical therapist at the outpatient clinic
Own a personal smartphone and able to freely access YouTube at their discretion (anytime, anywhere)
Able to view YouTube videos for approximately 15 minutes per day for 12 months using a smartphone (able to cover any data costs or expenses)

Key exclusion criteria

A) Patients with any of the following diabetic complications:
Proliferative diabetic retinopathy (patients stable after photocoagulation therapy are excluded)
Heart failure NYHA (New York Heart Association) class II or higher
B) Patients currently undergoing treatment for malignant tumors, including chemotherapy or radiation therapy (history of treatment only is allowed)
C) Patients taking corticosteroids
D) Patients with Cushing's syndrome or acromegaly, untreated or currently under treatment
E) Patients who have undergone gastrectomy
F) Patients with musculoskeletal disorders of the hip or knee resulting in inability to walk independently
G) Patients with central nervous system disorders causing paralysis (including incomplete paralysis)
H) Patients with neuropathy due to causes other than diabetes
I) Patients with cognitive impairment that makes it difficult to follow instructions (including impaired communication ability)
J) Patients with a history of regular exercise for more than 1 year
For example, aerobic exercise for 30 minutes per day at least 3 times per week, or resistance exercise 2-3 times per week

Target sample size

60


Research contact person

Name of lead principal investigator

1st name Jun
Middle name
Last name ito

Organization

Tsukuba University Hospital Mito Clinical Education and Training Center, Mito Kyodo General Hospital

Division name

Department of Endocrinology and Metabolism

Zip code

310-0015

Address

3-2-7 Miyamachi, Mito-shi, Ibaraki-ken, Japan

TEL

+81-29-231-2371

Email

jito.mgh@gmail.com


Public contact

Name of contact person

1st name Jun
Middle name
Last name Ito

Organization

Tsukuba University Hospital Mito Clinical Education and Training Center, Mito Kyodo General Hospita

Division name

Department of Endocrinology and Metabolism

Zip code

310-0015

Address

3-2-7 Miyamachi, Mito-shi, Ibaraki-ken, Japan

TEL

+81-29-231-2371

Homepage URL


Email

jito.mgh@gmail.com


Sponsor or person

Institute

Tsukuba University Hospital Mito Clinical Education and Training Center, Mito Kyodo General Hospita

Institute

Department

Personal name



Funding Source

Organization

Tsukuba University Hospital Mito Clinical Education and Training Center, Mito Kyodo General Hospita

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

Tsukuba University Hospital Mito Clinical Education and Training Center, Mito Kyodo General Hospita

Address

3-2-7 Miyamachi, Mito-shi, Ibaraki-ken, Japan

Tel

+81-29-231-2371

Email

jimujityou@mitokyodo-hp.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

筑波大学附属水戸地域医療教育センター総合病院水戸協同病院(茨城県)


Other administrative information

Date of disclosure of the study information

2025 Year 09 Month 17 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 08 Month 20 Day

Date of IRB

2025 Year 09 Month 05 Day

Anticipated trial start date

2025 Year 09 Month 18 Day

Last follow-up date

2027 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 09 Month 16 Day

Last modified on

2025 Year 09 Month 16 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000067596