UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000062916
Receipt number R000072032
Scientific Title Development and Clinical Evaluation of a Digital Nutrition Management Support Tool to Improve Dietary Therapy Adherence in Patients with Inborn Errors of Metabolism and Intractable Epilepsy
Date of disclosure of the study information 2026/09/14
Last modified on 2026/09/14 13:34:55

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Basic information

Public title

Development and Evaluation of a Web-based Nutrition Management Application for Patients Requiring Special Dietary Therapy and Their Families

Acronym

Digital Adherence for Nutrition-dependent Ailments (The DiANA Study)

Scientific Title

Development and Clinical Evaluation of a Digital Nutrition Management Support Tool to Improve Dietary Therapy Adherence in Patients with Inborn Errors of Metabolism and Intractable Epilepsy

Scientific Title:Acronym

Digital Adherence for Nutrition-dependent Ailments (The DiANA study)

Region

Japan


Condition

Condition

Inborn errors of metabolism, Intractable epilepsy (ketogenic diet-eligible cases)

Classification by specialty

Medicine in general

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the impact of a web-based application that automatically calculates disease-specific nutrient intake on dietary therapy adherence, disease management indicators, and patient satisfaction before and after the intervention in patients with inborn errors of metabolism and intractable epilepsy.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Change in nutritional compliance score before and after the intervention (assessed by a registered dietitian). Nutritional compliance score: total score (5-20 points) based on the following 5 items, each rated on a 4-point scale (1-4 points): (i) Management of restricted nutrients; (ii) Appropriateness of food selection; (iii) Use of specialized formula and medical foods; (iv) Maintenance of dietary records; (v) Degree of self-management between outpatient visits

Key secondary outcomes

1. Change in System Usability Scale score before and after the intervention
2. Dietary therapy satisfaction questionnaire score (post-intervention)
3. Continued use rate of the application (at 6 months)
4. Changes in disease-specific management indicators before and after the intervention


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

Treatment

Type of intervention

Other

Interventions/Control_1

Nutrition management support using the developed web-based application (DiANA app). Patients and their families will be provided with access to the web application via QR code or URL and encouraged to use it freely for daily dietary management. The application automatically calculates methionine, protein, and calorie content of foods, as well as the ketogenic ratio derived from fat, carbohydrate, and protein content. The application is accessible from smartphones, tablets, and personal computers. The intervention period is 6 months, and a registered dietitian will confirm the usage status at each outpatient visit.

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

6 months-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1. Patients with inborn errors of metabolism requiring daily nutritional management
2. Patients requiring ketogenic diet therapy for seizure management
3. Patients or their families who regularly use a smartphone or tablet device
4. Patients who have started weaning (complementary feeding)
5. Patients or their legally authorized representatives who have provided written informed consent

Key exclusion criteria

1. Patients or their families who do not own a smartphone or tablet device
2. Family members of the principal investigator or co-investigators
3. Others whom the principal investigator deems inappropriate for participation in the study

Target sample size

10


Research contact person

Name of lead principal investigator

1st name Nobuhiko
Middle name
Last name Koga

Organization

Fukuoka University

Division name

Department of pediatrics, Faculty of medicine

Zip code

814-0180

Address

7-45-1, Nanakuma, Jounanku, Fukuoka, Fukuoka

TEL

092-801-1011

Email

koga12@adm.fukuoka-u.ac.jp


Public contact

Name of contact person

1st name NOBUHIKO
Middle name
Last name KOGA

Organization

Fukuoka University

Division name

Department of pediatrics, Faculty of medicine

Zip code

814-0180

Address

7-45-1, Nanakuma, Jounanku, Fukuoka, Fukuoka

TEL

0928011011

Homepage URL


Email

koga12@adm.fukuoka-u.ac.jp


Sponsor or person

Institute

Fukuoka University

Institute

Department

Personal name



Funding Source

Organization

No

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

Fukuoka University

Address

7-45-1, Nanakuma, Jounanku, Fukuoka, Fukuoka

Tel

0928011011

Email

fu-merb-bigvan@fukuoka-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

2026 Year 09 Month 14 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

2026 Year 09 Month 07 Day

Date of IRB

2026 Year 09 Month 07 Day

Anticipated trial start date

2026 Year 10 Month 01 Day

Last follow-up date

2028 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

2026 Year 09 Month 14 Day

Last modified on

2026 Year 09 Month 14 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000072032