Type 2 diabetes
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) Subjects with eGFR less than 60 mL/min/1.73m2 2) Subjects with HbA1c more than 7% 3) Subjects aged 20 years or older at the time of consent 4) Subjects who have been receiving dulaglutide for at least 3 months as pre-treatment 5) Those who have received sufficient explanation before participating in this research, and who have obtained the voluntary consent of the research subject after receiving sufficient understanding, or who do not refuse to participate in the research.
Exclusion criteria
Exclusion criteria: 1) Subjects on erythropoietin stimulating agents or hypoxia-inducible factor-prolyl hydroxylase domain inhibitor 2) Subjects on maintenance hemodialysis or peritoneal dialysis 3) Subjects who are deemed to be unsuitable by the investigator
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Difference of change in eGFR after 24 weeks between the tirzepatide and control groups. | — |
Secondary
| Measure | Time frame |
|---|---|
| The following changes at 4, 12, 24, and 52 weeks from the beginning of the study. 1) Body weight, body mass index, waist circumference and a body shape index 2) Total weight loss rate and excess weight loss rate 3) Blood pressure 4) Fasting plasma glucose, HbA1c 5) Other blood and urine tests (liver, kidney, lipid, bone metabolism, nutrition, endocrine, etc) 6) ABI, CAVI, and PWV in arteriosclerosis testing 7) Dual-energy X-ray absorptiometry 8) Body composition (InBody) 9) Visceral fat mass and subcutaneous fat mass (computed tomography) 10) Hepatic steatosis and fibrosis index (calculation from blood tests) 11) the result and diagram from the Eating Behavior Questionnaire 12) Renal composite endpoint (doubling of serum creatinine, sustained eGFR decline of 50% or longer, end-stage renal failure (dialysis, renal transplantation, eGFR<15 mL/min/1.73 m2), death from renal disease, etc.) | — |
Countries
Japan
Contacts
Kushiro Red Cross Hospital Internal Medicine