Type 2 diabetes
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Poorly controlled, overweight outpatients with type 2 diabetes who undergoes insulin therapy 1) Aged >= 20, <75 at consent 2) Type 2 diabetes patients undergoing insulin therapy 3) HbA1c > 7.0% and < 10.0% 4) BMI > 23 kg/m2 5) eGFR > 45 ml/min/1.73m2 6) Outpatient 7) Provided written informed consent
Exclusion criteria
Exclusion criteria: 1) Has history of receiving a SGLT-2 inhibitor 2) Contraindication to the use of ipragliflozin (history of hypersensitivity to ipragliflozin, or pregnant, etc.) 3) With severe ketosis, diabetic coma, or precoma 4) Has history of hospitalization for infection, trauma, or surgery within 6 months 5) With history or under treatment of brain infarction or transient ischemic attack 6) With an episode of angina pectoris or myocardial infarction within 6 months 7) Receiving loop diuretics 8) With orthostatic hypotension 9) Considered as inadequate by the investigator
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Changes in body weight from 0 to 24 weeks | — |
Secondary
| Measure | Time frame |
|---|---|
| Changes and percent changes of following parameters from 0 to 24 weeks 1) Physical findings - Systolic/diastolic blood pressure - Pulse 2) Body composition - Fat mass, lean body mass, and bone density measured by DEXA - Subcutaneous fat area at the umbilical level, visceral fat area at the umbilical level, iliopsoas muscle area, and volume of the liver measured by MRI - Intrahepatic fat mass and hepatic glycogen content measured by MRS - Visceral fat mass and subcutaneous fat mass measured by Dual Scan - Fat mass and muscle mass (right and left arms, right and left lower limbs, and body trunk) and water volume measured by weight scale and body composition scale 3) Glucose metabolism HbA1c, Fasting plasma glucose, 1,5 AG, Fasting CPR, Fasting urinary glucose, Glucagon 4) Lipid metabolism Total cholesterol, LDL cholesterol, HDL cholesterol, Blood triglyceride, Blood ketone bodies (total ketone body, ACAC, 3-OHBA), Free fatty acid in the blood, Free glycerol in the blood, RLP cholesterol 5) Liver function tests ALT, AST, Gamma-GTP, ChE, Ferritin 6) Others Albumin in urine, Serum uric acid, Urinary uric acid, Blood amino acid fraction, FGF-21, Cytokeratin-18, Oxidative stress marker (TBARS), Blood lipidomics, PBMC mRNA expression, Erythropoietin, Food preference | — |
Countries
Japan
Contacts
Shiga University of Medical Science Clinical Reseach and Development Center