- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04018365
A Study of Empagliflozin in Patients With Refractory Diabetes Mellitus With Insulin Resistance (EMPIRE-01)
March 1, 2021 updated by: Wataru Ogawa, Kobe University
A Multicenter, Open-label, Single-arm Study With Regard to the Efficacy and Safety of Empagliflozin in Patients With Refractory Diabetes Mellitus With Insulin Resistance
A multicenter, open-label, single-arm study with regard to the efficacy and safety of empagliflozin in patients with refractory diabetes mellitus with insulin resistance
Study Overview
Status
Active, not recruiting
Conditions
Intervention / Treatment
Detailed Description
To evaluate the clinical efficacy of a treatment with empagliflozin in refractory diabetes mellitus patients with insulin resistance (insulin resistance syndrome, lipoatrophic diabetes mellitus) by using the HbA1c change at Week 24 of treatment from baseline
Study Type
Interventional
Enrollment (Actual)
8
Phase
- Phase 3
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
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Okayama, Japan, 700-8558
- Okayama University Hospital
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Hyogo
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Kobe, Hyogo, Japan, 650-0017
- Kobe University Hospital
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Miyagi
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Sendai, Miyagi, Japan, 980-8574
- Tohoku University Hospital
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Tochigi
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Shimotsuke, Tochigi, Japan, 329-0498
- Jichi Medical University Hospital
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Tokyo
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Chiyoda-ku, Tokyo, Japan, 101-8309
- Nihon University Hospital
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
20 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- 1) A patient who has been diagnosed with insulin resistance syndrome (type A, type B, type non-A non-B) or lipoatrophic diabetes mellitus prior to obtaining consent
- 2) A patient who has received consistent dosage and administration of drugs aiming a hypoglycemic effect and consistent instructions of diet therapy/exercise therapy for more than 12 weeks before enrollment
- 3) A patient with >= 7.0 % of HbA1c at the time of screening
- 4) A patient, if taking other SGLT2 inhibitor than empagliflozin, whose SGLT2 inhibitor can be washed out for more than 12 weeks prior to starting empagliflozin
- 5) A patient at the age of >=20 years at the time of consent
- 6) A patient who has received sufficient explanation with regard to information such as the objectives and details of this study, expected drug efficacy/pharmacological action, and risks, and has given written consent by her/himself.
Exclusion Criteria:
- 1) A patient with a medical history of acute coronary syndrome (including non-ST-elevation myocardial infarction, ST-elevation myocardial infarction, and unstable angina pectoris), stroke or transient ischemic attack (TIA) within 3 months before obtaining consent
- 2) A patient with suspected hepatic dysfunction, that either of serum ALT, AST or alkaline phosphatase in the screening period is exceeding 3-fold of upper limit of normal rang
- 3) A patient who is receiving a systemic steroid at the time of consent (except for type B)
- 4) A patient whose thyroid hormone product dose has been changed within 6 weeks before obtaining consent
- 5) A patient with unstable endocrine diseases other than diabetes mellitus
- 6) A patient with hemolysis or blood diseases that destabilize erythrocytic cells and other various disorders (e.g., malaria, babesiosis, hemolytic anemia).
- 7) A premenopausal female patient (the latest menstruation was within 1 year before obtaining consent), a lactating or pregnant patient, or a patient who may be pregnant (without hysterectomy or ovariectomy) who has no intention to use efficacious contraception defined in this study during the treatment period and would not agree to receive regular pregnancy tests during the treatment period
- 8) A patient who has experienced alcohol abuse or drug abuse within 3 months before obtaining consent, which may disturb the study participation
- 9) A patient who is in the condition that makes it difficult to administer the study drug
- 10) A patient with renal dysfunction of eGFR (MDRD calculating formula) < 45 mL/min/1.73 m2 in the screening period
- 11) A patient who indicates a hypersensitivity response to empagliflozin or its excipients, or a patient with lactose-intolerance
- 12) A patient with severe ketosis, diabetic coma or precoma, severe infection, perioperative status, or serious trauma
- 13) A patient that the investigator and/or subinvestigator, etc., has judged to be ineligible to this study for other reasons
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
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Experimental: Treatment of empagliflozin
Empagliflozin 10 mg is to be continuously administered once daily for 12 weeks.
Measure an HbA1c level after 12 weeks and determine the dose (Week 13 to Week 24).
In case of <7.0%, 10 mg will be continued: in case of >=7.0%, it will be increased to 25 mg.
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The administration is oral administration with water before or after breakfast.
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
HbA1c change at Week 24 of the treatment from baseline
Time Frame: at Week 24 of the treatment from baseline
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With regard to the HbA1c change at Week 24 of the treatment from baseline, changes will be shown by patient, as well as summarizing with the size of sample, mean, standard deviation, minimum, median, and maximum.
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at Week 24 of the treatment from baseline
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
HbA1c change rate at Week 24 of the treatment from baseline
Time Frame: at Week 24 of the treatment from baseline
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With regard to the HbA1c change rate at Week 24 of the treatment from baseline, change rates will be shown by patient, as well as summarizing with the size of sample, mean, standard deviation, minimum, median, and maximum.
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at Week 24 of the treatment from baseline
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HbA1c change at Week 12 of the treatment from baseline
Time Frame: at Week 12 of the treatment from baseline
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With regard to the HbA1c change at Week 12 of the treatment from baseline, changes will be shown by patient, as well as summarizing with the size of sample, mean, standard deviation, minimum, median, and maximum.
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at Week 12 of the treatment from baseline
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HbA1c over time
Time Frame: at Week 24 of the treatment from baseline
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The HbA1c level at measurement time point is tabulated by patient, as well as plotting the HbA1c level over time by line graph.
In addition, the mean, standard deviation, interquartile range, minimum, median, and maximum of HbA1c at each time point will be calculated and tabulated, as well as displaying the mean at each measurement time point with error bar of standard deviation by line graph.
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at Week 24 of the treatment from baseline
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Fasting plasma glucose (FPG) over time
Time Frame: at Week 24 of the treatment from baseline
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The FPG level at measurement time point is tabulated by patient, as well as plotting the FPG level over time by line graph.
In addition, the mean, standard deviation, interquartile range, minimum, median, and maximum of FPG at each time point will be calculated and tabulated, as well as displaying the mean at each measurement time point with error bar of standard deviation by line graph.
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at Week 24 of the treatment from baseline
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FPG change at Week 24 of the treatment from baseline
Time Frame: at Week 24 of the treatment from baseline
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With regard to the FPG change at Week 24 of the treatment from baseline, changes will be shown by patient, as well as summarizing with the size of sample, mean, standard deviation, minimum, median, and maximum.
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at Week 24 of the treatment from baseline
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Change of insulin dose
Time Frame: at Week 24 of the treatment from baseline
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The insulin dose of each patient will be tabulated by time point.
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at Week 24 of the treatment from baseline
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Postprandial glucose for 2 hours over time
Time Frame: 2 Weeks from Day0 and Day140
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The postprandial glucose for 2 hours at measurement time point is tabulated by patient, and the glucose level over time is plotted by line graph.
In addition, the mean, standard deviation, interquartile range, minimum, median, and maximum of postprandial glucose for 2 hours at each time point will be tabulated, and the mean at each measurement time point with an error bar of standard deviation will be displayed by line graph.
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2 Weeks from Day0 and Day140
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Collaborators
Investigators
- Study Chair: Wataru Ogawa, Kobe University Hospital
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
September 1, 2019
Primary Completion (Anticipated)
July 31, 2021
Study Completion (Anticipated)
October 30, 2021
Study Registration Dates
First Submitted
July 10, 2019
First Submitted That Met QC Criteria
July 10, 2019
First Posted (Actual)
July 12, 2019
Study Record Updates
Last Update Posted (Actual)
March 3, 2021
Last Update Submitted That Met QC Criteria
March 1, 2021
Last Verified
March 1, 2021
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Glucose Metabolism Disorders
- Metabolic Diseases
- Skin Diseases
- Endocrine System Diseases
- Genetic Diseases, Inborn
- Hyperinsulinism
- Metabolism, Inborn Errors
- Lipid Metabolism Disorders
- Lipid Metabolism, Inborn Errors
- Skin Diseases, Metabolic
- Diabetes Mellitus, Type 2
- Lipodystrophy
- Diabetes Mellitus
- Metabolic Syndrome
- Insulin Resistance
- Lipodystrophy, Congenital Generalized
- Diabetes Mellitus, Lipoatrophic
- Hypoglycemic Agents
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Sodium-Glucose Transporter 2 Inhibitors
- Empagliflozin
Other Study ID Numbers
- 190012
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
No
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
product manufactured in and exported from the U.S.
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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