Diabetes MellitusPhase 4NCT00301392
Japan Prevention Trial of Diabetes by Pitavastatin in Patients With Impaired Glucose Tolerance (J-PREDICT)
A Phase 4 study testing life-style intervention and Life style interventions plus concomitant use of pitavastatin. in people with Diabetes Mellitus and Glucose Intolerance, run by Tokyo University at 1 site in Japan.
Trial summary
The purpose of this study is to evaluate the effects of pitavastatin for preventing diabetes in a population with impaired glucose tolerance. Read more about this study
- Who is it for?
- Ages 30 to 74 years
- Conditions the study is for
- Diabetes Mellitus, Glucose Intolerance
- What is being tested?
- life-style intervention and Life style interventions plus concomitant use of pitavastatin.
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 1,240 participants
- Where
- 1 siteJapan
- Study dates
- Apr 2006to Jun 2012
- Phase
- Phase 4
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 30 to 74 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Inclusion Criteria for the screening test (within 6 months before screening):
- LDL-cholesterol 100-159 mg/dl and/or total cholesterol 180-239 mg/dl
- At least one of the following:
- Fasting plasma glucose 100-125 mg/dl, and/or casual (non-fasting) plasma glucose 120-199 mg/dl, and/or HbA1c 5.5-6.0%
- At least two of the following risk factors for impaired glucose tolerance:
- Second degree relative with diabetes
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- BMI >= 24 kg/m2
- Systolic blood pressure >=130 mmHg, and/or diastolic blood pressure >= 85 mmHg, and/or receiving treatment for hypertension
- Triglyceride >= 150 mg/dl, and/or HDL < 40 mg/dl
- Written consent for participation in the study by their own volition after being provided sufficient explanation for the participation into this clinical trial
- Inclusion Criteria for the entry (Confirmed by screening test):
- -Impaired glucose tolerance by 75g oral glucose tolerance test (fasting plasma glucose <126 mg/dl and 2-h plasma glucose 140-199 mg/dl)
Who cannot join
- History of diabetes (except gestational diabetes)
- Fasting plasma glucose >= 126 mg/dl , and/or 2-h plasma glucose >= 200 mg/dl
- HbA1c >= 6.5%
- Diabetic retinopathy
- Receiving with hormone replacement therapy
- Pancreatic diseases ( e.g. pancreatitis, pancreatectomy, pancreatic cancer), Endocrine diseases ( e.g. Cushing's syndrome, acromegaly, pheochromocytoma, aldosteronism, hyperthyroidism )
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- Receiving statins, fibrates or anion exchange resins
- Cancer or suspected cancer
- History of gastrectomy
- History of myocardial infarction, angina, or heart failure (NYHA Class >= III)
- Severe hypertension (SBP >= 180 mmHg or DBP >= 110 mmHg)
- Renal disease, including serum creatinine >= 2.0 mg/dl
- Hepatic disease, including transaminase (ALT or AST) >= 2 times the upper limit of normal
- Women hoping to become pregnant during the intended study period
- Contraindication or relative contraindication of Livalo® Tab(pitavastatin calcium)
- History of hypersensitivity to any of the ingredients of the product
- Severe hepatic disorder or biliary atresia
- Receiving cyclosporine
- Pregnant women, women suspected of being pregnant, or lactating women
- Patients receiving fibrates who also have laboratory evidence of abnormal renal function
- Familial hypercholesterolemia
- Drug abuse, alcoholism
- Individuals who are ineligible in the opinion of the investigator
Trial locations and contacts
1 site in 1 country.
Japan1 site
The University of Tokyo, Graduate School of Medicine
Bunkyo-ku, Tokyo, 113-8655
About this study
The purpose of this study is to evaluate the effects of pitavastatin for preventing diabetes in a population with impaired glucose tolerance.
Read the detailed description
Diabetes mellitus and its complications are major health problems globally. People with impaired glucose tolerance (IGT) are at high risk of developing diabetes. It is therefore important to focus on preventing diabetes in individuals with IGT. HMG-CoA reductase inhibitors (statins) are widely used for hypercholesterolemia, one of the most frequent metabolic disorders. However, there is no direct evidence to whether statins are beneficial for preventing diabetes. This study is designed to compare the efficacy of life-style modification versus life-style modification with pitavastatin (a statin) administration, in individuals with IGT.
- Conditions
- Diabetes Mellitus, Glucose Intolerance
- Being tested
- life-style intervention, Life style interventions plus concomitant use of pitavastatin.
- Keywords
- Glucose intolerance, Diabetes mellitus, Statins,HMG-CoA
- Medical subject headings
- Diabetes Mellitus, Glucose Intolerance
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
life-style interventionOther
As the life-style interventions aiming to reduce the major risks of developing diabetes mellitus, instruct the following four items:(1)set diet right, (2)maintain normal weight,(3)improve physical activity,(4)normalize smoking and alcohol drinking.
Life style interventions plus concomitant use of pitavastatin.Drug
Once-daily dosing of pitavastatin 1 mg(1 tablet of Livalo Tab 1 mg), or 2mg(2 tablets of Livalo Tab 1mg or 1 tablet of Livalo Tab 2mg);Dosing period of pitavastatin should be 60 months.(max.84 months).
| Study group | Role | What they receive |
|---|---|---|
| Pitavastatin | Other | Administration of Pitavastatin Receives: Other: life-style intervention; Drug: Life style interventions plus concomitant use of pitavastatin. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Cumulative incidence of diabetes based on 1 positive OGTT or fasting glucose levels
Measured: from April, 2006 to end of March, 2012
Secondary outcomes (24)
Incidence of newly developed diabetes
Measured: from April, 2006 to end of March, 2012
Cumulative incidence of diabetes based on clinical diagnosis.
Cumulative incidence of diabetes based on clinical diagnosis defined as at least one of the following:(1) Typical symptoms of diabet plus 1 positive OGTT or fasting glucose levels, (2)HbA1c>=6.5% plus 1 positive OGTT or fasting glucose levels, (3)2 positive OGTT or fasting glucose levels.
Measured: from April, 2006 to end of March, 2012
Cumulative incidence of newly developed diabetes based on 1 positive OGTT or fasting glucose levels
Cumulative incidence of newly developed diabetes based on 1 positive OGTT or fasting glucose levels (from the first administration of the study drug after the randomization)
Measured: from April, 2006 to end of March, 2012
Time until development of diabetes; Improvement in glucose tolerance
Measured: from April, 2006 to end of March, 2012
Incidence of any cardiovascular disease (myocardial infarction, angina, congestive heart disease, coronary revascularization, cerebral hemorrhage, cerebral infarction.
Measured: from April, 2006 to end of March, 2012
Incidence of coronary heart disease (myocardial infarction, angina, coronary revascularization)
Measured: from April, 2006 to end of March, 2012
Incidence of coronary heart disease plus cerebral infarction
Measured: from April, 2006 to end of March, 2012
LDL-cholesterol
Measured: from April, 2006 to end of March, 2012
HDL-cholesterol
Measured: from April, 2006 to end of March, 2012
Triglyceride
Measured: from April, 2006 to end of March, 2012
RLP-cholesterol
Measured: from April, 2006 to end of March, 2012
Adiponectin
Measured: from April, 2006 to end of March, 2012
High sensitive CRP
Measured: from April, 2006 to end of March, 2012
Asymmetrical dimethyl arginine (ADMA)
Measured: from April, 2006 to end of March, 2012
Urinary 8-OHd
Measured: from April, 2006 to end of March, 2012
Fasting plasma glucose
Measured: from April, 2006 to end of March, 2012
2-h plasma glucose during 75g oral glucose tolerance test
Measured: from April, 2006 to end of March, 2012
HbA1c
Measured: from April, 2006 to end of March, 2012
Insulin
Measured: from April, 2006 to end of March, 2012
HOMA-R
Measured: from April, 2006 to end of March, 2012
HOMA-β
Measured: from April, 2006 to end of March, 2012
Insulinogenic index
Measured: from April, 2006 to end of March, 2012
Time until dropout
Measured: from April, 2006 to end of March, 2012
Number of adverse events
Measured: from April, 2006 to end of March, 2012
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted10 Mar 2006 (estimated)
- Study startApr 2006
- Primary completionMar 2012
- Study completionJun 2012
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Diabetes MellitusStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 4
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 1,240 participants (actual)
Sponsor and investigators
- Lead sponsor
- Tokyo University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Tsutomu Yamazaki, Tokyo University
- Investigators
- Takashi Kadowaki, MD,PhD, Study chair, Professor, Department of Metabolic Diseases, Graduate School of Medicine, the University of Tokyo.
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00301392
- Sponsor's protocol ID
- J-PREDICT
- Status last verified
- Sep 2013
- First submitted
- 5 Mar 2006
- Last updated
- 6 Sep 2013
- Results posted
- No
- Data monitoring committee
- No
Study at a glance
From the registry record, last updated by the sponsor on 6 Sep 2013. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Japan Prevention Trial of Diabetes by Pitavastatin in Patients With Impaired Glucose Tolerance (J-PREDICT)
- ClinicalTrials.gov ID
- NCT00301392
- Acronym / sponsor ID
- J-PREDICT
- Conditions
- Diabetes Mellitus, Glucose Intolerance
- Keywords
- Glucose intolerance, Diabetes mellitus, Statins,HMG-CoA
- Phase
- Phase 4
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,240 participants (actual)
- Lead sponsor
- Tokyo UniversityUniversity, hospital or other
- Study start
- Apr 2006
- Primary completion
- Mar 2012 (actual)
- Study completion
- Jun 2012 (actual)
- First posted
- 10 Mar 2006 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to evaluate the effects of pitavastatin for preventing diabetes in a population with impaired glucose tolerance.
Detailed description
Diabetes mellitus and its complications are major health problems globally. People with impaired glucose tolerance (IGT) are at high risk of developing diabetes. It is therefore important to focus on preventing diabetes in individuals with IGT. HMG-CoA reductase inhibitors (statins) are widely used for hypercholesterolemia, one of the most frequent metabolic disorders. However, there is no direct evidence to whether statins are beneficial for preventing diabetes. This study is designed to compare the efficacy of life-style modification versus life-style modification with pitavastatin (a statin) administration, in individuals with IGT.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Pitavastatin | Other | Other: life-style intervention, Drug: Life style interventions plus concomitant use of pitavastatin.Administration of Pitavastatin |
Who may qualify
- Ages
- 30 to 74 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (12 listed)
- LDL-cholesterol 100-159 mg/dl and/or total cholesterol 180-239 mg/dl
- At least one of the following:
- Written consent for participation in the study by their own volition after being provided sufficient explanation for the participation into this clinical trial
- -Impaired glucose tolerance by 75g oral glucose tolerance test (fasting plasma glucose <126 mg/dl and 2-h plasma glucose 140-199 mg/dl)
Key exclusion criteria (23 listed)
- History of diabetes (except gestational diabetes)
- Fasting plasma glucose >= 126 mg/dl , and/or 2-h plasma glucose >= 200 mg/dl
- HbA1c >= 6.5%
- Diabetic retinopathy
- Receiving with hormone replacement therapy
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| life-style interventionAs the life-style interventions aiming to reduce the major risks of developing diabetes mellitus, instruct the following four items:(1)set diet right, (2)maintain normal weight,(3)improve physical activity,(4)normalize smoking and alcohol drinking. | Other | Pitavastatin |
| Life style interventions plus concomitant use of pitavastatin.Once-daily dosing of pitavastatin 1 mg(1 tablet of Livalo Tab 1 mg), or 2mg(2 tablets of Livalo Tab 1mg or 1 tablet of Livalo Tab 2mg);Dosing period of pitavastatin should be 60 months.(max.84 months). | Drug | Pitavastatin |
Primary outcome
Cumulative incidence of diabetes based on 1 positive OGTT or fasting glucose levels
Time frame: from April, 2006 to end of March, 2012
24 secondary outcomes
Incidence of newly developed diabetes
Time frame: from April, 2006 to end of March, 2012
Cumulative incidence of diabetes based on clinical diagnosis.
Time frame: from April, 2006 to end of March, 2012
Cumulative incidence of newly developed diabetes based on 1 positive OGTT or fasting glucose levels
Time frame: from April, 2006 to end of March, 2012
Time until development of diabetes; Improvement in glucose tolerance
Time frame: from April, 2006 to end of March, 2012
Incidence of any cardiovascular disease (myocardial infarction, angina, congestive heart disease, coronary revascularization, cerebral hemorrhage, cerebral infarction.
Time frame: from April, 2006 to end of March, 2012
Incidence of coronary heart disease (myocardial infarction, angina, coronary revascularization)
Time frame: from April, 2006 to end of March, 2012
Incidence of coronary heart disease plus cerebral infarction
Time frame: from April, 2006 to end of March, 2012
LDL-cholesterol
Time frame: from April, 2006 to end of March, 2012
HDL-cholesterol
Time frame: from April, 2006 to end of March, 2012
Triglyceride
Time frame: from April, 2006 to end of March, 2012
RLP-cholesterol
Time frame: from April, 2006 to end of March, 2012
Adiponectin
Time frame: from April, 2006 to end of March, 2012
High sensitive CRP
Time frame: from April, 2006 to end of March, 2012
Asymmetrical dimethyl arginine (ADMA)
Time frame: from April, 2006 to end of March, 2012
Urinary 8-OHd
Time frame: from April, 2006 to end of March, 2012
Fasting plasma glucose
Time frame: from April, 2006 to end of March, 2012
2-h plasma glucose during 75g oral glucose tolerance test
Time frame: from April, 2006 to end of March, 2012
HbA1c
Time frame: from April, 2006 to end of March, 2012
Insulin
Time frame: from April, 2006 to end of March, 2012
HOMA-R
Time frame: from April, 2006 to end of March, 2012
HOMA-β
Time frame: from April, 2006 to end of March, 2012
Insulinogenic index
Time frame: from April, 2006 to end of March, 2012
Time until dropout
Time frame: from April, 2006 to end of March, 2012
Number of adverse events
Time frame: from April, 2006 to end of March, 2012
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 6 Sep 2013.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Takashi Kadowaki, MD,PhD study chair
Professor, Department of Metabolic Diseases, Graduate School of Medicine, the University of Tokyo.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 4 study testing life-style intervention and Life style interventions plus concomitant use of pitavastatin. in people with Diabetes Mellitus and Glucose Intolerance, run by Tokyo University at 1 site in Japan.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 12 inclusion and 23 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 6 Sep 2013. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Japan. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Cumulative incidence of diabetes based on 1 positive OGTT or fasting glucose levels (time frame: from April, 2006 to end of March, 2012). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 Sep 2013.