UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000058340
Receipt number R000066694
Scientific Title Evaluation of short-term changes in glycemic variability indices after switching from daily to once-weekly basal insulin: A multicenter, exploratory, prospective single-arm observational study
Date of disclosure of the study information 2025/07/02
Last modified on 2025/07/02 08:24:26

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Basic information

Public title

Evaluation of short-term changes in glycemic variability indices after switching from daily to once-weekly basal insulin

Acronym

Evaluation of changes in glycemic variability indices after switching from daily to once-weekly basal insulin

Scientific Title

Evaluation of short-term changes in glycemic variability indices after switching from daily to once-weekly basal insulin: A multicenter, exploratory, prospective single-arm observational study

Scientific Title:Acronym

Evaluation of changes in glycemic variability indices after switching from daily to once-weekly basal insulin

Region

Japan


Condition

Condition

Type 2 diabetes

Classification by specialty

Medicine in general Endocrinology and Metabolism

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the short-term efficacy and safety of switching to insulin icodec.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

The change in 24-hour average blood glucose levels between the initial and second administration of insulin icodec.

Key secondary outcomes

Assessment -1: Pre-switching to insulin icodec
Assessment 1: After first dose of insulin icodec
Assessment 2: Before second dose of insulin icodec
Assessment 3: After second dose of insulin icodec

1) Various CGM metrics will be assessed between Assessment 1 and Assessment 3, including:
Time in Range (TIR), Time Below Range (TBR), Time Above Range (TAR), Mean Amplitude of Glycemic Excursions (MAGE), Coefficient of Variation (%CV) for intraday glucose variability, Mean of Daily Differences (MODD) for inter day glucose variability.
2) Changes in various CGM metrics between Assessment 1 and Assessment 2.
3) Changes in various CGM metrics between Assessment 2and Assessment 3.
4) Changes in various CGM metrics from Assessment -1 to Assessments 1 through 3 (if pre-switch CGM data are available).
5) Daily intraday glycemic variability during each assessment period.
6) Changes in weekly insulin dose.
7) Changes in the CGM metrics stratified by insulin dose at switching.


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

90 years-old >

Gender

Male and Female

Key inclusion criteria

Patients with type 2 diabetes who have been treated for at least two weeks with once-daily basal insulin and are using continuous glucose monitoring (CGM).

Key exclusion criteria

1) Type 1 diabetes
2) Gestational diabetes
3) Diabetic ketoacidosis
4) Inappropriate as study subjects by the principal investigator

Target sample size

30


Research contact person

Name of lead principal investigator

1st name Hiroshi
Middle name
Last name Nomoto

Organization

Asahikawa Medical University Hospital

Division name

Department of diabetology and endocrinology

Zip code

078-8510

Address

2-1-1-1, Midorigaoka-Higashi, Asahikawa, Hokkaido

TEL

0166-65-2111

Email

hnomoto@asahikawa-med.ac.jp


Public contact

Name of contact person

1st name Hiroshi
Middle name
Last name Nomoto

Organization

Asahikawa Medical University Hospital

Division name

Department of diabetology and endocrinology

Zip code

078-5810

Address

2-1-1-1, Midorigaoka-Higashi, Asahikawa, Hokkaido

TEL

0166-65-2111

Homepage URL


Email

hnomoto@asahikawa-med.ac.jp


Sponsor or person

Institute

Asahikawa Medical University

Institute

Department

Personal name



Funding Source

Organization

Self-funding

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

Asahikawa Medical University Research Ethics Committee

Address

2-1-1-1, Midorigaoka-Higashi, Asahikawa, Hokkaido

Tel

0166-68-2297

Email

rs-kp.g@asahikawa-med.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

旭川医科大学病院(北海道)、旭川厚生病院(北海道)、市立旭川病院(北海道)、旭川赤十字病院(北海道)、北海道大学病院(北海道)、さっぽろ糖尿病・甲状腺クリニック(北海道)、栗原内科(北海道)


Other administrative information

Date of disclosure of the study information

2025 Year 07 Month 02 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

Enrolling by invitation

Date of protocol fixation

2025 Year 05 Month 23 Day

Date of IRB

2025 Year 05 Month 23 Day

Anticipated trial start date

2025 Year 05 Month 28 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

Blood glucose indices at each assessment period will be presented as mean +- standard deviation or as median with interquartile range (25th-75th percentiles). Differences between time points will be analyzed using paired t-tests or Wilcoxon signed-rank tests, as appropriate. For analyses involving more than two groups, repeated measures ANOVA or the Friedman test will be conducted, with additional post hoc analyses as necessary.


Management information

Registered date

2025 Year 07 Month 02 Day

Last modified on

2025 Year 07 Month 02 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000066694