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Koreansk studie om sikkerhet og effektivitet av OAD -trippelbehandling i diabetes type 2 (TRIO)

29. september 2026 oppdatert av: Chong Kun Dang Pharmaceutical

Et multisenter, prospektiv, ikke-intervensjonell observasjonsstudie for å evaluere sikkerheten og effektiviteten til OAD-trippelbehandling hos koreansk type 2 diabetisk mellitus-pasienter

A multicenter, prospective, non-interventional observation study to evaluate the safety and effectiveness of OAD triple therapy in Korean Type 2 diabetic mellitus patients.

Studieoversikt

Status

Rekruttering

Forhold

Intervensjon / Behandling

Detaljert beskrivelse

The study was designed as a multicenter, prospective, non-interventional, observational study in patients with type 2 diabetes mellitus who had inadequate glycemic control with conventional combination oral hypoglycemic agents including metformin.

Participants in this study will have type 2 diabetes mellitus with insufficient glycemic control on conventional combination therapy with a DPP-4i or SGLT2i oral hypoglycemic agent, including metformin, requiring the addition of one of the following: SGLT-2i, DPP-4i, or TZD.

The 3-drug combination therapy will be prescribed to subjects based on the medical judgment of the investigator based on the licensure of SGLT-2i, DPP-4i, or TZD(efficacy, dosing, precautions for use, etc.) in a real-world practice setting and all treatment and observation, including administration of medications and laboratory tests, will be based on the medical judgment of the investigator.

Studietype

Observasjonsmessig

Registrering (Antatt)

10000

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiekontakt

  • Navn: Soo Lim, M.D, Ph.D.
  • Telefonnummer: 82-2-6373-0773
  • E-post: limsoo@snu.ac.kr

Studiesteder

  • Sør -Korea
    • Gyeonggi-do
      • Seongnam-si, Gyeonggi-do, Sør -Korea
        • Rekruttering
        • Seoul National University Bundang Hospital
        • Ta kontakt med:

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

19 år og eldre (Voksen, Eldre voksen)

Tar imot friske frivillige

Nei

Kjønn som er kvalifisert for studier

Alle

Prøvetakingsmetode

Ikke-sannsynlighetsprøve

Studiepopulasjon

Patients with type 2 diabetes mellitus whose glycemic control is inadequate on 2 oral hypoglycemic agents, including metformin.

Beskrivelse

Inclusion Criteria:

  1. Patients with type 2 diabetes who are 19 years of age or older at the time of enrollment.
  2. Continued DPP-4i or SGLT-2i oral hypoglycemic combination therapy with metformin for at least 8 weeks prior to enrollment.
  3. 7.0% ≤ HbA1c < 10.0% based on laboratory tests performed within 4 weeks of enrollment.
  4. Voluntarily give written informed consent after being told about the study.

Exclusion Criteria:

  1. Patients with type 1 diabetes and secondary diabetes.
  2. Patients receiving concomitant therapy with 3 or more oral hypoglycemic agents within 8 weeks of enrollment.
  3. Requiring treatment with insulin, GLP-1, etc. in addition to oral hypoglycemic agents during the study.
  4. End-stage renal disease and hemodialysis patients.
  5. diabetic ketoacidosis Patients.
  6. Pregnant and lactating women.
  7. Patients who are contraindicated by any of the "Precautions for Use" in the license for the drug being administered during the study, given the observational nature of the study under routine practice.
  8. Patients with a history of hypersensitivity to the investigational drug or any of its components or excipients.
  9. Anyone else deemed by the investigator to be unsuitable for participation in the study.

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

  • Observasjonsmodeller: COHORT
  • Tidsperspektiver: PROSPECTIVE

Kohorter og intervensjoner

Gruppe / Kohort
Intervensjon / Behandling
Metformin/DPP4i/SGLT2i

Metformin + DPP4i 2-drug combination plus one of the SGLT-2i class of drugs.
Legemiddel: SGLT2 inhibitor

SGLT2 inhibitor class of drugs

Legemiddel: DPP-4 inhibitor

DPP4 inhibitor class of drugs
Metformin/DPP4i/TZD

Metformin + DPP4i 2-drug combination plus one of the TZD class of drugs.
Legemiddel: DPP-4 inhibitor

DPP4 inhibitor class of drugs

Legemiddel: Thiazolidinedione

Thiazolidinedione class of drugs
Metformin/SGLT2i/DPP4i

Metformin + SGLT2i 2-drug combination plus one of the DPP4i class of drugs.
Legemiddel: SGLT2 inhibitor

SGLT2 inhibitor class of drugs

Legemiddel: DPP-4 inhibitor

DPP4 inhibitor class of drugs
Metformin/SGLT2i/TZD

Metformin + SGLT2i 2-drug combination plus one of the TZD class of drugs.
Legemiddel: SGLT2 inhibitor

SGLT2 inhibitor class of drugs

Legemiddel: Thiazolidinedione

Thiazolidinedione class of drugs

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Safety Evaluation of Triple Combination Therapy with SGLT-2i, DPP-4i, or TZD Class Drugs, Including Metformin
Tidsramme: Up to 24 months

Safety will be assessed based on all adverse events, laboratory test results, and vital signs collected after enrollment during the study period.
Up to 24 months

Sekundære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Changes in HbA1c
Tidsramme: 3, 6, (9), 12, 18, and 24 months

Evaluation of HbA1c(%) Change Compared to Baseline in Each Combination Group
3, 6, (9), 12, 18, and 24 months
Changes in FPG
Tidsramme: 3, 6, (9), 12, 18, and 24 months

Evaluation of FPG(mg/dL) Change Compared to Baseline in Each Combination Group
3, 6, (9), 12, 18, and 24 months
Percentage of Subjects with HbA1c < 7.0%
Tidsramme: 3, 6, (9), 12, 18, and 24 months

Percentage of Subjects with HbA1c < 7.0% in Each Combination Group
3, 6, (9), 12, 18, and 24 months
Percentage of Subjects with HbA1c < 6.5%
Tidsramme: 3, 6, (9), 12, 18, and 24 months

Percentage of Subjects with HbA1c < 6.5% in Each Combination Group
3, 6, (9), 12, 18, and 24 months
Factors influencing HbA1c change at each time point in each combination group.
Tidsramme: 3, 6, (9), 12, 18, and 24 months

demographics, previous hypoglycemic medications, hypoglycemic medication components and doses, duration of hypoglycemic medication, duration of disease, comorbidities, concomitant medications, etc.
3, 6, (9), 12, 18, and 24 months

Andre resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Changes in Weight
Tidsramme: 3, 6, (9), 12, 18, 24 months

Changes in Weight(kg) Compared to Baseline in Each Combination Group
3, 6, (9), 12, 18, 24 months
Changes in waist circumference
Tidsramme: 12 and 24 months

Changes in waist circumference(cm) compared to Baseline in Each Combination Group
12 and 24 months
Changes in body composition(protein mass)
Tidsramme: 12 and 24 months

Change in total protein mass from baseline in each combination group, as measured using InBody 770 or a higher model.
12 and 24 months
Changes in body composition(protein mass)
Tidsramme: 12 and 24 months

Change in protein mass from baseline in each combination group, as measured using InBody 770 or a higher model.
12 and 24 months
Changes in body composition(body fat)
Tidsramme: 12 and 24 months

Change in body fat mass from baseline in each combination group, as measured using InBody 770 or a higher model.
12 and 24 months
Changes in body composition(mineral mass)
Tidsramme: 12 and 24 months

Change in mineral mass from baseline in each combination group, as measured using InBody 770 or a higher model.
12 and 24 months
Changes in Fatty Liver Index
Tidsramme: 6, 12, 18, and 24 months

Changes in Fatty Liver Index compared to Baseline in Each Combination Group
6, 12, 18, and 24 months
Changes in AST
Tidsramme: 6, 12, 18, and 24 months

Changes in AST(IU/L) Compared to Baseline in Each Combination Group
6, 12, 18, and 24 months
Changes in ALT
Tidsramme: 6, 12, 18, and 24 months

Changes in ALT(IU/L) Compared to Baseline in Each Combination Group
6, 12, 18, and 24 months
Changes Platelet Levels
Tidsramme: 6, 12, 18, and 24 months

Changes in Platelet(10^3/uL) Levels Compared to Baseline in Each Combination Group
6, 12, 18, and 24 months
Changes in Blood Lipid Levels(Total cholesterol, LDL-C, HDL-C, TG)
Tidsramme: 6, 12, 18, and 24 months

Change in Total cholesterol, LDL-C, HDL-C, TG(mg/dL) compared to Baseline in Each Combination Group
6, 12, 18, and 24 months
Changes in Insulin-Related Test Levels(HOMA-IR)
Tidsramme: 12 and 24 months

Changes in HOMA-IR compared to Baseline in Each Combination Group
12 and 24 months
Changes in Insulin-Related Test Levels(HOMA-β)
Tidsramme: 12 and 24 months

Changes in HOMA-β(%) compared to Baseline in Each Combination Group
12 and 24 months
Changes in eGFR
Tidsramme: 6, 12, 18, and 24 months

Changes in eGFR(mL/min/1.73m2) compared to Baseline in Each Combination Group
6, 12, 18, and 24 months
Changes in UACR
Tidsramme: 6, 12, 18, and 24 months

Changes in UACR(mg/g) compared to Baseline in Each Combination Group
6, 12, 18, and 24 months
Change in hsCRP
Tidsramme: 12 and 24 months

Change in hsCRP(mg/dL) compared to Baseline in Each Combination Group
12 and 24 months
Change in ProBNP(or NT-ProBNP)
Tidsramme: 12 and 24 months

Change in ProBNP(or NT-ProBNP)(pg/mL) compared to Baseline in Each Combination Group
12 and 24 months
Change in PP2 Compared to Baseline in Each Combination Group
Tidsramme: 3, 6, (9), 12, 18, and 24 months

Change in PP2(mg/dL) compared to Baseline in Each Combination Group.
3, 6, (9), 12, 18, and 24 months
Incidence Rate of Major Adverse Cardiovascular Events(MACE)
Tidsramme: 24 month

Incidence Rate of Major Adverse Cardiovascular Events(MACE) from Baseline to 24 Months for Each Combination Group
24 month
Incidence Rate of Diabetic Microvascular Events
Tidsramme: 24 month

Incidence Rate of Diabetic Microvascular Events from Baseline to 24 Months for Each Combination Group
24 month

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Sponsor

Chong Kun Dang Pharmaceutical

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart (Faktiske)

2. januar 2024

Primær fullføring (Antatt)

1. oktober 2028

Studiet fullført (Antatt)

31. desember 2029

Datoer for studieregistrering

Først innsendt

30. juni 2024

Først innsendt som oppfylte QC-kriteriene

18. februar 2025

Først lagt ut (Faktiske)

20. februar 2025

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

30. september 2026

Siste oppdatering sendt inn som oppfylte QC-kriteriene

29. september 2026

Sist bekreftet

1. september 2026

Mer informasjon

Begreper knyttet til denne studien

Nøkkelord

Ytterligere relevante MeSH-vilkår

Andre studie-ID-numre

  • D141_01DM2303

Plan for individuelle deltakerdata (IPD)

Planlegger du å dele individuelle deltakerdata (IPD)?

NEI

Legemiddel- og utstyrsinformasjon, studiedokumenter

Studerer et amerikansk FDA-regulert medikamentprodukt

Nei

Studerer et amerikansk FDA-regulert enhetsprodukt

Nei

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