- ICH GCP
- Rejestr badań klinicznych w USA
- Badanie kliniczne NCT07580638
Chiglitazar Added to SGLT-2 Inhibitors for Type 2 Diabetes
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.
Przegląd badań
Status
Warunki
Typ studiów
Zapisy (Szacowany)
Kryteria uczestnictwa
Kryteria kwalifikacji
Wiek uprawniający do nauki
- Dorosły
- Starszy dorosły
Akceptuje zdrowych ochotników
Metoda próbkowania
Badana populacja
Opis
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.
Plan studiów
Jak projektuje się badanie?
Szczegóły projektu
Kohorty i interwencje
Grupa / Kohorta |
Interwencja / Leczenie |
|---|---|
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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).
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Prescribed as an add-on therapy to an SGLT-2 inhibitor-based regimen according to the physician's clinical judgment and routine practice
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Comparator Cohort (Control Group)
Participants with T2DM on a background SGLT-2 inhibitor-based therapy who are prescribed oral antidiabetic drugs (other than Chiglitazar)
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Any oral antidiabetic drug (other than Chiglitazar) prescribed by the treating physician as an add-on therapy to an SGLT-2 inhibitor-based regimen.
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Co mierzy badanie?
Podstawowe miary wyniku
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
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Glycated Hemoglobin (HbA1c)
Ramy czasowe: Baseline, 6 Months
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Change From Baseline in Glycated Hemoglobin (HbA1c) at 6 Months
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Baseline, 6 Months
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Miary wyników drugorzędnych
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
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N-terminal pro-B-type natriuretic peptide
Ramy czasowe: Baseline, 6 Months, 12 Months
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To assess the change from baseline in N-terminal pro-B-type natriuretic peptide
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Baseline, 6 Months, 12 Months
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High-sensitivity C-reactive Protein
Ramy czasowe: Baseline, 6 Months, 12 Months
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To assess the change from baseline in High-sensitivity C-reactive Protein
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Baseline, 6 Months, 12 Months
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Liver Chemistries: Alanine Aminotransferase (ALT), Aspartate Aminotransferase (AST), Total Bilirubin (TBIL), and Gamma-Glutamyl Transferase (GGT).
Ramy czasowe: Baseline, 3 Months, 6 Months, 9 Months, 12 Months.
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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).
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Baseline, 3 Months, 6 Months, 9 Months, 12 Months.
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Renal Function Markers: estimated Glomerular Filtration Rate, Urine Albumin-to-Creatinine Ratio, Serum Creatinine, Blood Urea Nitrogen, Uric Acid, and Cystatin C
Ramy czasowe: Baseline, 6 Months, 12 Months.
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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.
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Baseline, 6 Months, 12 Months.
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Resolution Rate of Metabolic Syndrome
Ramy czasowe: 6 Months, 12 Months.
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6 Months, 12 Months.
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Proportion of Patients Achieving Glycemic Control Targets
Ramy czasowe: 3 Months, 6 Months, 9 Months, 12 Months.
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To assess the percentage of patients reaching predefined Glycated Hemoglobin targets of <6.5%, <7.0%, and <7.5%.
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3 Months, 6 Months, 9 Months, 12 Months.
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Glycated Hemoglobin
Ramy czasowe: Baseline, 3 Months, 9 Months, 12 Months.
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To assess the change from baseline in Glycated Hemoglobin (HbA1c).
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Baseline, 3 Months, 9 Months, 12 Months.
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Fasting Blood Glucose
Ramy czasowe: Baseline, 3 Months, 6 Months, 9 Months, 12 Months.
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To assess the change from baseline in fasting blood glucose.
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Baseline, 3 Months, 6 Months, 9 Months, 12 Months.
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Patient-Reported Quality of Life (DSQL) score
Ramy czasowe: Baseline, 3 Months, 6 Months, 9 Months, 12 Months.
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To measure the change in patient-reported quality of life using the Diabetes-Specific Quality of Life (DSQL) score.
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Baseline, 3 Months, 6 Months, 9 Months, 12 Months.
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Incidence of Adverse Events
Ramy czasowe: Up to 12 months
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Up to 12 months
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Medication Costs
Ramy czasowe: Up to 12 months
|
To assess the medication costs associated with Type 2 Diabetes.
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Up to 12 months
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Incidence of Major Adverse Cardiovascular Events (MACE)
Ramy czasowe: Up to 12 months.
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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).
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Up to 12 months.
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non-invasive scores for liver steatosis and fibrosis: Fibrosis-4 Index
Ramy czasowe: Baseline, 6 Months,12 Months.
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Baseline, 6 Months,12 Months.
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blood pressure (systolic and diastolic)
Ramy czasowe: Baseline, 3 Months, 6 Months, 9 Months, 12 Months.
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To assess the change from baseline in blood pressure (systolic and diastolic).
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Baseline, 3 Months, 6 Months, 9 Months, 12 Months.
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body weight
Ramy czasowe: Baseline, 3 Months, 6 Months, 9 Months, 12 Months.
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To assess the change from baseline in body weight.
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Baseline, 3 Months, 6 Months, 9 Months, 12 Months.
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waist circumference
Ramy czasowe: Baseline, 3 Months, 6 Months, 9 Months, 12 Months.
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To assess the change from baseline in waist circumference.
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Baseline, 3 Months, 6 Months, 9 Months, 12 Months.
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Body Mass Index
Ramy czasowe: Baseline, 3 Months, 6 Months, 9 Months, 12 Months.
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To assess the change from baseline in Body Mass Index.
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Baseline, 3 Months, 6 Months, 9 Months, 12 Months.
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Triglycerides(TG)
Ramy czasowe: Baseline, 6 Months, 12 Months
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To assess the change from baseline in Triglycerides(TG)
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Baseline, 6 Months, 12 Months
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Total Cholesterol (TC)
Ramy czasowe: Baseline, 6 Months, 12 Months
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To assess the change from baseline in Total Cholesterol (TC)
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Baseline, 6 Months, 12 Months
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Low-Density Lipoprotein Cholesterol (LDL-C)
Ramy czasowe: Baseline, 6 Months, 12 Months
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To assess the change from baseline in Low-Density Lipoprotein Cholesterol (LDL-C)
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Baseline, 6 Months, 12 Months
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High-Density Lipoprotein Cholesterol (HDL-C)
Ramy czasowe: Baseline, 6 Months, 12 Months
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To assess the change from baseline in High-Density Lipoprotein Cholesterol (HDL-C)
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Baseline, 6 Months, 12 Months
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Non-High-Density Lipoprotein Cholesterol (non-HDL-C)
Ramy czasowe: Baseline, 6 Months, 12 Months
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To assess the change from baseline in Non-High-Density Lipoprotein Cholesterol (non-HDL-C)
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Baseline, 6 Months, 12 Months
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Free Fatty Acids (FFA)
Ramy czasowe: Baseline, 6 Months, 12 Months
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To assess the change from baseline in Free Fatty Acids (FFA)
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Baseline, 6 Months, 12 Months
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Współpracownicy i badacze
Sponsor
Daty zapisu na studia
Główne daty studiów
Rozpoczęcie studiów (Szacowany)
Zakończenie podstawowe (Szacowany)
Ukończenie studiów (Szacowany)
Daty rejestracji na studia
Pierwszy przesłany
Pierwszy przesłany, który spełnia kryteria kontroli jakości
Pierwszy wysłany (Rzeczywisty)
Aktualizacje rekordów badań
Ostatnia wysłana aktualizacja (Rzeczywisty)
Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości
Ostatnia weryfikacja
Więcej informacji
Terminy związane z tym badaniem
Dodatkowe istotne warunki MeSH
- Choroby układu hormonalnego
- Choroby metaboliczne
- Zaburzenia metabolizmu glukozy
- Cukrzyca
- Choroby żywieniowe i metaboliczne
- Cukrzyca typu 2
- Fizjologiczne skutki narkotyków
- Molekularne mechanizmy działania farmakologicznego
- Środki hipoglikemizujące
- Działania farmakologiczne
- Działania i zastosowania chemiczne
- Inhibitory transportu sodowo-glukozowego 2
- chiglitazar
Inne numery identyfikacyjne badania
- CGZ401
Plan dla danych uczestnika indywidualnego (IPD)
Planujesz udostępniać dane poszczególnych uczestników (IPD)?
Informacje o lekach i urządzeniach, dokumenty badawcze
Bada produkt leczniczy regulowany przez amerykańską FDA
Bada produkt urządzenia regulowany przez amerykańską FDA
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