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Chiglitazar Added to SGLT-2 Inhibitors for Type 2 Diabetes

5. maj 2026 opdateret af: Chipscreen Biosciences, Ltd.

Chiglitazar Add-On to SGLT-2 Inhibitors in Patients With Type 2 Diabetes: A Nationwide, Multicenter Registry Study (C-STAR)

The goal of this observational study is to evaluate the comprehensive clinical efficacy, cardiovascular, renal, and hepatic benefits, as well as the safety of adding Chiglitazar to SGLT-2 inhibitor therapy in adult patients with Type 2 Diabetes Mellitus (T2DM) . The main questions it aims to answer are:

What is the real-world effectiveness of Chiglitazar, when added to an SGLT-2 inhibitor, on glycemic control? What are the effects of this combination therapy on cardiovascular, renal, and hepatic outcomes? What is the overall safety of this treatment regimen?

This is a non-interventional study. Participants will be prescribed Chiglitazar or other oral antidiabetic drugs by their treating physician as part of their routine clinical care. For the purpose of this registry study, data will be collected from their regular medical follow-ups. Participants will:

Attend regular follow-up visits as part of their standard diabetes care. Have data collected from their routine clinical assessments.

Studieoversigt

Status

Ikke rekrutterer endnu

Betingelser

Intervention / Behandling

Undersøgelsestype

Observationel

Tilmelding (Anslået)

3550

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

  • Voksen
  • Ældre voksen

Tager imod sunde frivillige

Ingen

Prøveudtagningsmetode

Ikke-sandsynlighedsprøve

Studiebefolkning

T2DM patients

Beskrivelse

Inclusion Criteria:

  • Age between 18 and 75 years, inclusive.
  • Diagnosis of Type 2 Diabetes Mellitus (T2DM) .
  • Receiving stable-dose SGLT-2 inhibitor monotherapy or in combination with one other oral antidiabetic drug for at least one month prior to screening, but with inadequate glycemic control, defined as HbA1c ≥ 7.5%.
  • Must be willing to participate and have provided written informed consent.

Exclusion Criteria:

  • Current or routine use of insulin therapy.
  • Use of three or more antidiabetic drugs within one month prior to screening.
  • Current treatment with a thiazolidinedione (TZD) or a GLP-1 receptor agonist (GLP-1 RA).
  • Prior treatment with Chiglitazar Sodium.
  • Presence of life-threatening comorbidities, severe edema, or severe hepatic impairment (Child-Pugh Class C).
  • Laboratory findings meeting any of the following criteria: a) Aspartate aminotransferase (AST) or Alanine aminotransferase (ALT) > 5 times the upper limit of normal (ULN); b) Estimated glomerular filtration rate (eGFR) < 30 mL/min/1.73 m².

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

Kohorter og interventioner

Gruppe / kohorte
Intervention / Behandling
Chiglitazar Cohort (Exposure Group)
Participants with T2DM on a background SGLT-2 inhibitor-based therapy who are newly prescribed Chiglitazar by their treating physician. This cohort includes patients on dual therapy (SGLT-2i + Chiglitazar) or triple therapy (SGLT-2i + Chiglitazar + another oral antidiabetic drug).
Medicin: SGLT-2 inhibitor and Chiglitazar
Prescribed as an add-on therapy to an SGLT-2 inhibitor-based regimen according to the physician's clinical judgment and routine practice
Comparator Cohort (Control Group)
Participants with T2DM on a background SGLT-2 inhibitor-based therapy who are prescribed oral antidiabetic drugs (other than Chiglitazar)
Medicin: SGLT-2 inhibitor and Other Oral Antidiabetic Drugs (OADs)
Any oral antidiabetic drug (other than Chiglitazar) prescribed by the treating physician as an add-on therapy to an SGLT-2 inhibitor-based regimen.

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Glycated Hemoglobin (HbA1c)
Tidsramme: Baseline, 6 Months
Change From Baseline in Glycated Hemoglobin (HbA1c) at 6 Months
Baseline, 6 Months

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
N-terminal pro-B-type natriuretic peptide
Tidsramme: Baseline, 6 Months, 12 Months
To assess the change from baseline in N-terminal pro-B-type natriuretic peptide
Baseline, 6 Months, 12 Months
High-sensitivity C-reactive Protein
Tidsramme: Baseline, 6 Months, 12 Months
To assess the change from baseline in High-sensitivity C-reactive Protein
Baseline, 6 Months, 12 Months
Liver Chemistries: Alanine Aminotransferase (ALT), Aspartate Aminotransferase (AST), Total Bilirubin (TBIL), and Gamma-Glutamyl Transferase (GGT).
Tidsramme: Baseline, 3 Months, 6 Months, 9 Months, 12 Months.
To assess the change from baseline in Liver Function Test Markers: Alanine Aminotransferase (ALT), Aspartate Aminotransferase (AST), Total Bilirubin (TBIL), and Gamma-Glutamyl Transferase (GGT).
Baseline, 3 Months, 6 Months, 9 Months, 12 Months.
Renal Function Markers: estimated Glomerular Filtration Rate, Urine Albumin-to-Creatinine Ratio, Serum Creatinine, Blood Urea Nitrogen, Uric Acid, and Cystatin C
Tidsramme: Baseline, 6 Months, 12 Months.
To assess the change from baseline in markers for chronic kidney disease, including estimated Glomerular Filtration Rate, Urine Albumin-to-Creatinine Ratio, Serum Creatinine, Blood Urea Nitrogen, Uric Acid, and Cystatin C.
Baseline, 6 Months, 12 Months.
Resolution Rate of Metabolic Syndrome
Tidsramme: 6 Months, 12 Months.
6 Months, 12 Months.
Proportion of Patients Achieving Glycemic Control Targets
Tidsramme: 3 Months, 6 Months, 9 Months, 12 Months.
To assess the percentage of patients reaching predefined Glycated Hemoglobin targets of <6.5%, <7.0%, and <7.5%.
3 Months, 6 Months, 9 Months, 12 Months.
Glycated Hemoglobin
Tidsramme: Baseline, 3 Months, 9 Months, 12 Months.
To assess the change from baseline in Glycated Hemoglobin (HbA1c).
Baseline, 3 Months, 9 Months, 12 Months.
Fasting Blood Glucose
Tidsramme: Baseline, 3 Months, 6 Months, 9 Months, 12 Months.
To assess the change from baseline in fasting blood glucose.
Baseline, 3 Months, 6 Months, 9 Months, 12 Months.
Patient-Reported Quality of Life (DSQL) score
Tidsramme: Baseline, 3 Months, 6 Months, 9 Months, 12 Months.
To measure the change in patient-reported quality of life using the Diabetes-Specific Quality of Life (DSQL) score.
Baseline, 3 Months, 6 Months, 9 Months, 12 Months.
Incidence of Adverse Events
Tidsramme: Up to 12 months
Up to 12 months
Medication Costs
Tidsramme: Up to 12 months
To assess the medication costs associated with Type 2 Diabetes.
Up to 12 months
Incidence of Major Adverse Cardiovascular Events (MACE)
Tidsramme: Up to 12 months.
To assess the number of participants experiencing one or more components of MACE (a composite of cardiovascular death, non-fatal myocardial infarction, and non-fatal stroke).
Up to 12 months.
non-invasive scores for liver steatosis and fibrosis: Fibrosis-4 Index
Tidsramme: Baseline, 6 Months,12 Months.
Baseline, 6 Months,12 Months.
blood pressure (systolic and diastolic)
Tidsramme: Baseline, 3 Months, 6 Months, 9 Months, 12 Months.
To assess the change from baseline in blood pressure (systolic and diastolic).
Baseline, 3 Months, 6 Months, 9 Months, 12 Months.
body weight
Tidsramme: Baseline, 3 Months, 6 Months, 9 Months, 12 Months.
To assess the change from baseline in body weight.
Baseline, 3 Months, 6 Months, 9 Months, 12 Months.
waist circumference
Tidsramme: Baseline, 3 Months, 6 Months, 9 Months, 12 Months.
To assess the change from baseline in waist circumference.
Baseline, 3 Months, 6 Months, 9 Months, 12 Months.
Body Mass Index
Tidsramme: Baseline, 3 Months, 6 Months, 9 Months, 12 Months.
To assess the change from baseline in Body Mass Index.
Baseline, 3 Months, 6 Months, 9 Months, 12 Months.
Triglycerides（TG）
Tidsramme: Baseline, 6 Months, 12 Months
To assess the change from baseline in Triglycerides（TG）
Baseline, 6 Months, 12 Months
Total Cholesterol (TC)
Tidsramme: Baseline, 6 Months, 12 Months
To assess the change from baseline in Total Cholesterol (TC)
Baseline, 6 Months, 12 Months
Low-Density Lipoprotein Cholesterol (LDL-C)
Tidsramme: Baseline, 6 Months, 12 Months
To assess the change from baseline in Low-Density Lipoprotein Cholesterol (LDL-C)
Baseline, 6 Months, 12 Months
High-Density Lipoprotein Cholesterol (HDL-C)
Tidsramme: Baseline, 6 Months, 12 Months
To assess the change from baseline in High-Density Lipoprotein Cholesterol (HDL-C)
Baseline, 6 Months, 12 Months
Non-High-Density Lipoprotein Cholesterol (non-HDL-C）
Tidsramme: Baseline, 6 Months, 12 Months
To assess the change from baseline in Non-High-Density Lipoprotein Cholesterol (non-HDL-C）
Baseline, 6 Months, 12 Months
Free Fatty Acids (FFA）
Tidsramme: Baseline, 6 Months, 12 Months
To assess the change from baseline in Free Fatty Acids (FFA）
Baseline, 6 Months, 12 Months

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Chipscreen Biosciences, Ltd.

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Anslået)

18. juli 2026

Primær færdiggørelse (Anslået)

18. januar 2028

Studieafslutning (Anslået)

18. juli 2028

Datoer for studieregistrering

Først indsendt

22. april 2026

Først indsendt, der opfyldte QC-kriterier

5. maj 2026

Først opslået (Faktiske)

12. maj 2026

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

12. maj 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

5. maj 2026

Sidst verificeret

1. april 2026

Mere information

Begreber relateret til denne undersøgelse

Yderligere relevante MeSH-vilkår

Andre undersøgelses-id-numre

  • CGZ401

Plan for individuelle deltagerdata (IPD)

Planlægger du at dele individuelle deltagerdata (IPD)?

INGEN

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Ingen

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Kliniske forsøg med T2DM (Type 2 Diabetes Mellitus)

Kliniske forsøg med SGLT-2 inhibitor and Chiglitazar

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