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Cerebral InfarctionNCT05817097

Effect of Dipeptidyl-4 Inhibitors in Reducing Stroke Severity, From HIRA Database

An observational study of Cerebral Infarction and Infarction, Brain, run by Ajou University School of Medicine.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

The goal of this observational study is to compare severity and mortality rates of acute cerebral infarction(requiring thrombolysis or endovascular recanalization) depending on the type of oral antidiabetic drug taken before the onset of cerebral infarction. Read more about this study

Who is it for?
Ages 19 years and older
What is being tested?
Dipeptidyl peptidase-4 inhibitor
How many people
22,119 participants
Where
No sites listed yet
Study dates
Aug 2023to 30 Dec 2024
Phase
Observational
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 19 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: This is a retrospective study using the Health Insurance Review and Assessment Service (HIRA) database in Korea. In this database, patients with acute cerebral infarction who underwent thrombolysis(intravenous thrombolysis) or endovascular recanalization (intraarterial thrombectomy) between 2014 and 2021 is included.

Who may be able to join

  • Patients with acute cerebral infarction who underwent thrombolysis or endovascular recanalization in Korea between 2014 and 2021
  • Those who have been previously diagnosed with diabetes and are taking oral anti-diabetic drugs
  • Adult (over 19 years of age)
  • The definition of antidiabetic drug use is defined as a case in which an antidiabetic drug was prescribed for at least 2 months before stroke and the duration of treatment for stroke coincided with the prescribed duration of the drug.

Who cannot join

  • Patients taking insulin to control diabetes

Trial locations and contacts

No sites are listed yet.

Seong-Joon Lee, MD., PhD. contact

82-31-219-4912

editisan@gmail.com

About this study

Official title: Effect of Dipeptidyl-4 Inhibitors in Reducing Stroke Severity, From the Health Insurance Review and Assessment Service Database

The goal of this observational study is to compare severity and mortality rates of acute cerebral infarction(requiring thrombolysis or endovascular recanalization) depending on the type of oral antidiabetic drug taken before the onset of cerebral infarction.

Researchers will compare the group that used DPP-4 inhibitors as anti-diabetic drugs before cerebral infarction and the group that did not use them to see the effect of DPP-4 inhibitors in reducing severity of cerebral infarction.

Read the detailed description

This is a retrospective study to see the effects of reducing the severity of cerebral infarction(requiring thrombolysis or endovascular recanalization) of DPP-4 inhibitors by comparing the survival rate after acute cerebral infarction hospitalization, discharge rate to home, and medical cost.

  1. Severity of cerebral infarction and poor prognosis is mainly associated with hyperglycemia caused by diabetes, which increases the Infarction volume and hemorrhagic trasformation.
  2. However, the effect of loergin blood glucose on reducing the Infarction volume and improving prognosis of cerebral infarction has not been proven.
  3. Preclinical studies have demonstrated a anti-stroke effect that reduces the Infarction volume using certain anti-diabetic drugs.
  4. Therefore, there is a possibility that certain anti-diabetic drugs may reduce the severity of cerebral infarction as a class effect in addition to the effect of blood sugar control.
  5. This is particularly likely to exist in the DPP-4 inhibitor family identified through preclinical studies.
Being tested
Dipeptidyl peptidase-4 inhibitor
Keywords
Dipeptidyl-Peptidase IV Inhibitors, Antidiabetic Drug
Medical subject headings
Cerebral Infarction, Brain Infarction

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Dipeptidyl peptidase-4 inhibitorDrug

    Also called A10BH07, EVOGLIPTIN, Suganon Tab

    The definition of antidiabetic drug use is defined as a case in which an antidiabetic drug was prescribed for at least 2 months before stroke and the duration of treatment for stroke coincided with the prescribed duration of the drug.

Study groups in NCT05817097
Study groupRoleWhat they receive
DPP4iused DPP-4 inhibitors as anti-diabetic drugs before cerebral infarction(requiring thrombolysis or endovascular recanalization) Combination therpay is acceptable.
Receives: Drug: Dipeptidyl peptidase-4 inhibitor
except DPP4ipatients that did not use DPP-4 inhibitors as anti-diabetic drugs before cerebral infarction(requiring thrombolysis or endovascular recanalization)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. 1-year survival rate

    The survival rates of the DPP-4 inhibitor group and the non-use group are compared 1 year after the onset of severe stroke.

    Measured: Check the data one year after the onset of stroke.

  2. 90-day survival rate

    The survival rates of the DPP-4 inhibitor group and the non-use group are compared 90-day after the onset of severe stroke.

    Measured: Check the data 90-day after the onset of stroke.

  3. re-hospitalization

    The re-hospitalization rates of the DPP-4 inhibitor group and the non-use group are compared after the onset of severe stroke.

    Measured: 1 year after discharge the stroke treatment.

  4. frequency of cerebral hemorrhage

    The frequency of cerebral hemorrhage rates of the DPP-4 inhibitor group and the non-use group are compared after the onset of severe stroke.

    Measured: Hospitalization period and 1 year after discharge the stroke treatment.

  5. Rate of Intensive care unit treatment

    The Intensive care unit treatment rate of the DPP-4 inhibitor group and the non-use group are compared.

    Measured: Hospitalization period is expected to be up to three months. It is not possible to accurately estimate the period of hospitalization due to severe stroke.

  6. Duration of Intensive care unit

    The duration of Intensive care unit of the DPP-4 inhibitor group and the non-use group are compared.

    Measured: Hospitalization period is expected to be up to three months. It is not possible to accurately estimate the period of hospitalization due to severe stroke.

  7. Rate of Stroke care unit treatment

    The Stroke care unit treatment rate of the DPP-4 inhibitor group and the non-use group are compared.

    Measured: Hospitalization period is expected to be up to three months. It is not possible to accurately estimate the period of hospitalization due to severe stroke.

  8. Duration of Stroke care unit

    The duration of Stroke care unit of the DPP-4 inhibitor group and the non-use group are compared.

    Measured: Hospitalization period is expected to be up to three months. It is not possible to accurately estimate the period of hospitalization due to severe stroke.

  9. tracheal intubation period

    The tracheal intubation period of the DPP-4 inhibitor group and the non-use group are compared.

    Measured: Hospitalization period is expected to be up to three months. It is not possible to accurately estimate the period of hospitalization due to severe stroke.

  10. total hospitalization days

    The total hospitalization days of the DPP-4 inhibitor group and the non-use group are compared.

    Measured: Hospitalization period is expected to be up to three months. It is not possible to accurately estimate the period of hospitalization due to severe stroke.

  11. medical expenses incurred at the time of hospitalization

    The medical expenses incurred at the time of hospitalization of the DPP-4 inhibitor group and the non-use group are compared.

    Measured: Hospitalization period is expected to be up to three months. It is not possible to accurately estimate the period of hospitalization due to severe stroke.

Secondary outcomes (2)
  1. Home discharge rate

    The Home discharge rate of the DPP-4 inhibitor group and the non-use group are compared.

    Measured: At the end of discharge from stroke treatment.

  2. medical expenses after discharge from hospital

    The medical expenses after discharge from hospital of the DPP-4 inhibitor group and the non-use group are compared.

    Measured: 1 year after discharge the stroke treatment.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted18 Apr 2023
  2. Study startAug 2023 (estimated)
  3. Primary completion30 Dec 2024 (estimated)
  4. Study completion30 Dec 2024 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Retrospective
Enrolment
22,119 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05817097
Sponsor's protocol ID
AJOUIRB-EX-2023-089
Status last verified
Jul 2023
First submitted
8 Mar 2023
Last updated
20 Jul 2023
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Ajou University Hospital's IRB(Institutional Review Board) sends IRB approval documents to HIRA and conducts research with anonymized data after request. Data collected during the research process will be stored for 3 years and then properly disposed of in accordance with relevant laws.

Publications

  • Sinha B, Ghosal S. Meta-analyses of the effects of DPP-4 inhibitors, SGLT2 inhibitors and GLP1 receptor analogues on cardiovascular death, myocardial infarction, stroke and hospitalization for heart failure. Diabetes Res Clin Pract. 2019 Apr;150:8-16. doi: 10.1016/j.diabres.2019.02.014. Epub 2019 Feb 20.

    PubMed 30794833
  • Darsalia V, Ortsater H, Olverling A, Darlof E, Wolbert P, Nystrom T, Klein T, Sjoholm A, Patrone C. The DPP-4 inhibitor linagliptin counteracts stroke in the normal and diabetic mouse brain: a comparison with glimepiride. Diabetes. 2013 Apr;62(4):1289-96. doi: 10.2337/db12-0988. Epub 2012 Dec 3.

    PubMed 23209191
  • Lee SJ, Yoon BS, Hong JM, Joe EH, Lee JS. Effects of co-administration of metformin and evogliptin on cerebral infarct volume in the diabetic rat. Exp Neurol. 2022 Feb;348:113922. doi: 10.1016/j.expneurol.2021.113922. Epub 2021 Nov 12.

    PubMed 34780772
  • Johnston KC, Bruno A, Pauls Q, Hall CE, Barrett KM, Barsan W, Fansler A, Van de Bruinhorst K, Janis S, Durkalski-Mauldin VL; Neurological Emergencies Treatment Trials Network and the SHINE Trial Investigators. Intensive vs Standard Treatment of Hyperglycemia and Functional Outcome in Patients With Acute Ischemic Stroke: The SHINE Randomized Clinical Trial. JAMA. 2019 Jul 23;322(4):326-335. doi: 10.1001/jama.2019.9346.

    PubMed 31334795
  • Kim JY, Kang K, Kang J, Koo J, Kim DH, Kim BJ, Kim WJ, Kim EG, Kim JG, Kim JM, Kim JT, Kim C, Nah HW, Park KY, Park MS, Park JM, Park JH, Park TH, Park HK, Seo WK, Seo JH, Song TJ, Ahn SH, Oh MS, Oh HG, Yu S, Lee KJ, Lee KB, Lee K, Lee SH, Lee SJ, Jang MU, Chung JW, Cho YJ, Choi KH, Choi JC, Hong KS, Hwang YH, Kim SE, Lee JS, Choi J, Kim MS, Kim YJ, Seok J, Jang S, Han S, Han HW, Hong JH, Yun H, Lee J, Bae HJ. Executive Summary of Stroke Statistics in Korea 2018: A Report from the Epidemiology Research Council of the Korean Stroke Society. J Stroke. 2019 Jan;21(1):42-59. doi: 10.5853/jos.2018.03125. Epub 2018 Dec 18.

    PubMed 30558400
  • Park SH, Jeong HE, Oh IS, Hong SM, Yu SH, Lee CB, Shin JY. Cardiovascular safety of evogliptin in patients with type 2 diabetes: A nationwide cohort study. Diabetes Obes Metab. 2021 Jun;23(6):1232-1241. doi: 10.1111/dom.14330. Epub 2021 Feb 10.

    PubMed 33502058
  • Shim DH, Kim Y, Roh J, Kang J, Park KP, Cha JK, Baik SK, Kim Y. Hospital Volume Threshold Associated with Higher Survival after Endovascular Recanalization Therapy for Acute Ischemic Stroke. J Stroke. 2020 Jan;22(1):141-149. doi: 10.5853/jos.2019.00955. Epub 2020 Jan 31.

    PubMed 32027799

Questions about this trial

What is this clinical trial studying?

An observational study of Cerebral Infarction and Infarction, Brain, run by Ajou University School of Medicine.

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 4 inclusion and 1 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: status not confirmed, as of the sponsor's last update on 20 Jul 2023. Status can change between updates, so confirm with the study contact before making plans.

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.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact SooJung Kim (82-31-219-6773, 438104@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

1-year survival rate (time frame: Check the data one year after the onset of stroke.). The study lists 11 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05817097, which also lists 7 linked publications.

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 20 Jul 2023.

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