UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000059813
Receipt number R000068395
Scientific Title Efficacy and Safety of Escalating Once-weekly Semaglutide from 0.5 mg to 1.0 mg in Type 2 Diabetes:A Retrospective Observational Study
Date of disclosure of the study information 2025/11/18
Last modified on 2025/11/18 16:37:05

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Basic information

Public title

Efficacy and Safety of Escalating Once-weekly Semaglutide from 0.5 mg to 1.0 mg in Type 2 Diabetes:A Retrospective Observational Study

Acronym

Efficacy and Safety of Escalating Once-weekly Semaglutide from 0.5 mg to 1.0 mg in Type 2 Diabetes:A Retrospective Observational Study

Scientific Title

Efficacy and Safety of Escalating Once-weekly Semaglutide from 0.5 mg to 1.0 mg in Type 2 Diabetes:A Retrospective Observational Study

Scientific Title:Acronym

Efficacy and Safety of Escalating Once-weekly Semaglutide from 0.5 mg to 1.0 mg in Type 2 Diabetes:A Retrospective Observational Study

Region

Japan


Condition

Condition

Type 2 diabetes mellitus

Classification by specialty

Endocrinology and Metabolism

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To evaluate metabolic parameters and the incidence of adverse events before and after dose escalation in patients with diabetes whose dose of once-weekly semaglutide is increased from 0.5 mg to 1.0 mg, and thereby assess the efficacy and safety of this dose escalation.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Within-patient change in HbA1c 24 weeks after the initial prescription of 1mg semaglutide.

Key secondary outcomes

Changes in metabolic parameters and the incidence of adverse events.


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

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

All adult patients with diabetes who received a prescription for once-weekly injectable semaglutide and whose dose was escalated from 0.5 mg to 1.0 mg during the study interval.

Key exclusion criteria

Exclusion criteria were as follows: diagnosis of type 1 diabetes mellitus, excessive alcohol consumption(defined as a mean daily intake of pure alcohol >60 g for men or >30 g for women), diagnosis of dementia, pregnancy during the data collection period, hospitalization for one week or longer for glycemic management during the data collection period, end-stage renal disease requiring maintenance dialysis at baseline, initiation of once-weekly semaglutide at another institution, insufficient follow-up time to obtain 24-week data (defined as having initiated the 1.0 mg dose less than 18 weeks prior to March 10, 2025), clinically significant non-adherence as judged by the treating physician, and patients deemed unsuitable for participation by the attending physician.

Target sample size

50


Research contact person

Name of lead principal investigator

1st name GENKI
Middle name
Last name SATO

Organization

Toho University Omori Medical Center

Division name

Diabetes, Metabolism and Endocrinology Center

Zip code

143-8541

Address

6-11-1 Omorinishi, Ota-ku, Tokyo

TEL

03-3762-4151

Email

genki.sato@med.toho-u.ac.jp


Public contact

Name of contact person

1st name Genki
Middle name
Last name Sato

Organization

Toho University Omori Medical Center

Division name

Diabetes, Metabolism and Endocrinology Center

Zip code

143-8541

Address

6-11-1 Omorinishi, Ota-ku, Tokyo

TEL

03-3762-4151

Homepage URL


Email

genki.sato@med.toho-u.ac.jp


Sponsor or person

Institute

Toho University Omori Medical Center

Institute

Department

Personal name



Funding Source

Organization

Toho University Omori Medical Center

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

Ethics Committee of Faculty of Medicine, Toho University

Address

6-11-1 Omori-nashi, Ota-Ku, Tokyo

Tel

03-3762-4151

Email

med.rinri@ext.toho-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 11 Month 18 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

128

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

No longer recruiting

Date of protocol fixation

2025 Year 07 Month 14 Day

Date of IRB

2025 Year 08 Month 14 Day

Anticipated trial start date

2025 Year 08 Month 14 Day

Last follow-up date

2028 Year 01 Month 21 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

Data collection period: from June 29, 2020 to March 10, 2025.

Baseline window: from 12 weeks before initiation of once-weekly semaglutide 1.0 mg through the day of 1.0 mg initiation.

Time points for data collection: baseline, 12 weeks and 24 weeks after initiation of once-weekly semaglutide 1.0 mg.

For baseline data, the value obtained on the date closest to the 1.0 mg index date within the baseline window will be used.

For the 12-week and 24-week post-initiation time points, the value obtained on the date closest to each nominal time point within a +/- 6-week window will be used.


Management information

Registered date

2025 Year 11 Month 18 Day

Last modified on

2025 Year 11 Month 18 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000068395