Clinical Characteristics and Practice Patterns of Type 2 Diabetes Mellitus Patients Treated With OADs in Japan: Analysis of Medical and Health Care Database of the MDV
CompletedResults postedLast updated 5 July 2019
What this trial tests
trial testing oral antidiabetic drugs in Diabetes Mellitus, Type 2 in 162,116 participants. Completed in 1 March 2017.
40 and older, any sex, with Diabetes Mellitus, Type 2. Patients with the condition only — healthy volunteers not accepted.
Results — posted to ClinicalTrials.gov
Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.
Number of Prescriptions of OAD by Each Renal Impairment (RI) StagesSecondary· Within 6 months from index date
This outcome observes number of index dates for each class of OAD as per RI classes. RI classes were defined based on eGFR values. Results observed were based on index dates used for comparing drugs between the classes.
DPP4 inhibitors
Group
Value
95% CI
Group G1
1592
Group G2
4877
Group G3
3566
Group G4+
1411
Total
11446
Biguanides (BG)
Group
Value
95% CI
Group G1
838
Group G2
2373
Group G3
1045
Group G4+
67
Total
4323
Sulfonylurea (SU)
Group
Value
95% CI
Group G1
530
Group G2
1446
Group G3
1090
Group G4+
208
Total
3274
α-glucosidase (AGI)
Group
Value
95% CI
Group G1
429
Group G2
1175
Group G3
1055
Group G4+
488
Total
3147
Glinide
Group
Value
95% CI
Group G1
252
Group G2
691
Group G3
610
Group G4+
337
Total
1890
Thiazolidinedione (TZD)
Group
Value
95% CI
Group G1
227
Group G2
626
Group G3
410
Group G4+
43
Total
1306
Number of Index DatesPrimary· From 1st January 2014 to 30th September 2016 (At index date)
The date at which patients having their first prescription for any study drugs between 1st January 2014 and 30th September 2016 is defined as index date. Results observed were based on index dates used for comparing drugs between the classes. The reported data represent the number of time a prescription was written between 1st January 2014 and 30th September 2016.
Dipeptidyl-peptidase 4 inhibitor (DPP4i)
Group
Value
95% CI
Oral Antibiotic Drugs
91634
Biguanides (BG)
Group
Value
95% CI
Oral Antibiotic Drugs
33238
Sulfonylurea (SU)
Group
Value
95% CI
Oral Antibiotic Drugs
28211
α-glucosidase (AGI)
Group
Value
95% CI
Oral Antibiotic Drugs
26192
Glinide
Group
Value
95% CI
Oral Antibiotic Drugs
16787
Thiazolidinedione (TZD)
Group
Value
95% CI
Oral Antibiotic Drugs
10344
Age (Years)Primary· From 1st January 2014 to 30th September 2016 (At index date)
Age of all patients in years calculated for index dates computed from patients in the database. Analysis was done based on index dates used for comparing drugs between the classes. The reported data represent the number of time a prescription was written between 1st January 2014 and 30th September 2016.
Group
Value
95% CI
Dipeptidyl-peptidase 4 Inhibitor (DPP4i)
71.6
± 11
Biguanides (BG)
66.5
± 11
Sulfonylurea (SU)
72
± 11.1
α-glucosidase (AGI)
71.4
± 10.8
Glinide
71.4
± 10.8
Thiazolidinedione (TZD)
69.7
± 11.4
Total
70.7
± 11.2
Sex (Male/Female)Primary· From 1st January 2014 to 30th September 2016 (At index date)
Gender of all patients observed for index dates computed from patients in the database. Results observed were based on index dates used for comparing drugs between the classes. The reported data represent the number of time a prescription was written between 1st January 2014 and 30th September 2016.
Female
Group
Value
95% CI
Dipeptidyl-peptidase 4 Inhibitor (DPP4i)
36018
Biguanides (BG)
12681
Sulfonylurea (SU)
10940
α-glucosidase (AGI)
9951
Glinide
6549
Thiazolidinedione (TZD)
3854
Total
79993
Male
Group
Value
95% CI
Dipeptidyl-peptidase 4 Inhibitor (DPP4i)
55616
Biguanides (BG)
20557
Sulfonylurea (SU)
17271
α-glucosidase (AGI)
16241
Glinide
10238
Thiazolidinedione (TZD)
6490
Total
126413
Estimated Glomerular Filtration Rate (eGFR)Primary· Within 6 months from index date
Estimated glomerular filtration rate (eGFR) was calculated based on the age at index date and the latest serum creatinine at index date (or during the observation period) using formula eGFR millilitre/minute/1.73 meter\^2 (mL/min/1.73 m\^2) = 194 × (Creatinine)\^-1.094 × (age in year)\^-0.287 (× 0.739 if female). Analysis was done based on index dates used for comparing drugs between the classes.
Group
Value
95% CI
Dipeptidyl-peptidase 4 Inhibitor (DPP4i)
63
± 28.8
Biguanides (BG)
74
± 23.9
Sulfonylurea (SU)
67.4
± 26.4
α-glucosidase (AGI)
60.1
± 29.4
Glinide
59.5
± 30.2
Thiazolidinedione (TZD)
69.7
± 23.7
Total
65.2
± 28.1
Prescription Rate of Each Class in Each eGFR Renal Impairment (RI) LevelPrimary· Within 6 months from index date
Renal impairment (RI) is a common complication in patients with type 2 diabetes mellitus (T2DM). Results observed were based on index dates used for comparing drugs between the classes.
90 < eGFR
Group
Value
95% CI
Dipeptidyl-peptidase 4 Inhibitor (DPP4i)
1592
Biguanides (BG)
838
Sulfonylurea (SU)
530
α-glucosidase (AGI)
429
Glinide
252
Thiazolidinedione (TZD)
227
Total
3868
60 < eGFR < 90
Group
Value
95% CI
Dipeptidyl-peptidase 4 Inhibitor (DPP4i)
4877
Biguanides (BG)
2373
Sulfonylurea (SU)
1446
α-glucosidase (AGI)
1175
Glinide
691
Thiazolidinedione (TZD)
626
Total
11188
30 < eGFR < 60
Group
Value
95% CI
Dipeptidyl-peptidase 4 Inhibitor (DPP4i)
3566
Biguanides (BG)
1045
Sulfonylurea (SU)
1090
α-glucosidase (AGI)
1055
Glinide
610
Thiazolidinedione (TZD)
410
Total
7776
eGFR < 30
Group
Value
95% CI
Dipeptidyl-peptidase 4 Inhibitor (DPP4i)
1411
Biguanides (BG)
67
Sulfonylurea (SU)
208
α-glucosidase (AGI)
488
Glinide
337
Thiazolidinedione (TZD)
43
Total
2554
Percentage of Concomitant Medications by OAD ClassesPrimary· On the index month
Concomitant medication is the drug prescribed other than drug under study in the OAD class on index date. Results observed were based on index dates used for comparing drugs between the classes.
Use of DPP-4 inhibitors (in %)
Group
Value
95% CI
Dipeptidyl-peptidase 4 Inhibitor (DPP4i)
3
Biguanides (BG)
40
Sulfonylurea (SU)
32
α-glucosidase (AGI)
37
Glinide
56
Thiazolidinedione (TZD)
34
Total
23
Use of Biguanides (BG) (in %)
Group
Value
95% CI
Dipeptidyl-peptidase 4 Inhibitor (DPP4i)
9
Biguanides (BG)
0
Sulfonylurea (SU)
11
α-glucosidase (AGI)
12
Glinide
20
Thiazolidinedione (TZD)
19
Total
10
Use of Sulfonylurea (SU) (in %)
Group
Value
95% CI
Dipeptidyl-peptidase 4 Inhibitor (DPP4i)
9
Biguanides (BG)
17
Sulfonylurea (SU)
1
α-glucosidase (AGI)
13
Glinide
4
Thiazolidinedione (TZD)
21
Total
10
Use of α-glucosidase (AGI) (in %)
Group
Value
95% CI
Dipeptidyl-peptidase 4 Inhibitor (DPP4i)
8
Biguanides (BG)
9
Sulfonylurea (SU)
6
α-glucosidase (AGI)
2
Glinide
16
Thiazolidinedione (TZD)
10
Total
8
Use of Glinide (in %)
Group
Value
95% CI
Dipeptidyl-peptidase 4 Inhibitor (DPP4i)
2
Biguanides (BG)
3
Sulfonylurea (SU)
1
α-glucosidase (AGI)
4
Glinide
4
Thiazolidinedione (TZD)
4
Total
3
Use of Thiazolidinedione (TZD) (in %)
Group
Value
95% CI
Dipeptidyl-peptidase 4 Inhibitor (DPP4i)
2
Biguanides (BG)
4
Sulfonylurea (SU)
2
α-glucosidase (AGI)
3
Glinide
6
Thiazolidinedione (TZD)
1
Total
3
Use of Insulin (in %)
Group
Value
95% CI
Dipeptidyl-peptidase 4 Inhibitor (DPP4i)
27
Biguanides (BG)
23
Sulfonylurea (SU)
25
α-glucosidase (AGI)
31
Glinide
37
Thiazolidinedione (TZD)
24
Total
27
Percentage of Previous Medications (Premedications) by OAD Classes.Primary· On the index month
Previous medication is the drug prescribed other than drug under study in the OAD class before index date. Results observed were based on index dates used for comparing drugs between the classes
Use of DPP4 inhibitors (in %)
Group
Value
95% CI
Dipeptidyl-peptidase 4 Inhibitor (DPP4i)
0
Biguanides (BG)
3
Sulfonylurea (SU)
2
α-glucosidase (AGI)
1
Glinide
3
Thiazolidinedione (TZD)
8
Total
1
Use of Biguanides (BG) (in %)
Group
Value
95% CI
Dipeptidyl-peptidase 4 Inhibitor (DPP4i)
2
Biguanides (BG)
0
Sulfonylurea (SU)
1
α-glucosidase (AGI)
2
Glinide
3
Thiazolidinedione (TZD)
2
Total
1
Use of Sulfonylurea (SU) (in %)
Group
Value
95% CI
Dipeptidyl-peptidase 4 Inhibitor (DPP4i)
3
Biguanides (BG)
2
Sulfonylurea (SU)
0
α-glucosidase (AGI)
3
Glinide
19
Thiazolidinedione (TZD)
2
Total
4
Use of α-glucosidase (AGI) (in %)
Group
Value
95% CI
Dipeptidyl-peptidase 4 Inhibitor (DPP4i)
2
Biguanides (BG)
2
Sulfonylurea (SU)
1
α-glucosidase (AGI)
0
Glinide
8
Thiazolidinedione (TZD)
1
Total
2
Use of Glinide (in %)
Group
Value
95% CI
Dipeptidyl-peptidase 4 Inhibitor (DPP4i)
1
Biguanides (BG)
1
Sulfonylurea (SU)
3
α-glucosidase (AGI)
2
Glinide
0
Thiazolidinedione (TZD)
0
Total
1
Use of Thiazolidinedione (TZD) (in %)
Group
Value
95% CI
Dipeptidyl-peptidase 4 Inhibitor (DPP4i)
2
Biguanides (BG)
2
Sulfonylurea (SU)
1
α-glucosidase (AGI)
1
Glinide
1
Thiazolidinedione (TZD)
0
Total
1
Use of Insulin (in%)
Group
Value
95% CI
Dipeptidyl-peptidase 4 Inhibitor (DPP4i)
9
Biguanides (BG)
7
Sulfonylurea (SU)
12
α-glucosidase (AGI)
10
Glinide
12
Thiazolidinedione (TZD)
8
Total
9
Percentage of Comorbidities by OAD Classes.Primary· On the index month
The additional diseases co-occuring, defined by International classification of Diseases, tenth revision (ICD-10) code. Results observed were based on index dates used for comparing drugs between the classes.
Hypertension (in %)
Group
Value
95% CI
Dipeptidyl-peptidase 4 Inhibitor (DPP4i)
69
Biguanides (BG)
66
Sulfonylurea (SU)
66
α-glucosidase (AGI)
70
Glinide
73
Thiazolidinedione (TZD)
68
Total
68
Ischemic heart disease (in %)
Group
Value
95% CI
Dipeptidyl-peptidase 4 Inhibitor (DPP4i)
30
Biguanides (BG)
27
Sulfonylurea (SU)
29
α-glucosidase (AGI)
33
Glinide
33
Thiazolidinedione (TZD)
28
Total
30
Myocardial infarction (in %)
Group
Value
95% CI
Dipeptidyl-peptidase 4 Inhibitor (DPP4i)
14
Biguanides (BG)
13
Sulfonylurea (SU)
14
α-glucosidase (AGI)
15
Glinide
14
Thiazolidinedione (TZD)
12
Total
14
Heart failure (in %)
Group
Value
95% CI
Dipeptidyl-peptidase 4 Inhibitor (DPP4i)
25
Biguanides (BG)
19
Sulfonylurea (SU)
23
α-glucosidase (AGI)
27
Glinide
28
Thiazolidinedione (TZD)
19
Total
24
Stroke (in %)
Group
Value
95% CI
Dipeptidyl-peptidase 4 Inhibitor (DPP4i)
26
Biguanides (BG)
22
Sulfonylurea (SU)
26
α-glucosidase (AGI)
26
Glinide
27
Thiazolidinedione (TZD)
25
Total
25
Renal impairment (in %)
Group
Value
95% CI
Dipeptidyl-peptidase 4 Inhibitor (DPP4i)
19
Biguanides (BG)
10
Sulfonylurea (SU)
14
α-glucosidase (AGI)
23
Glinide
26
Thiazolidinedione (TZD)
11
Total
18
Diabetic foot (in %)
Group
Value
95% CI
Dipeptidyl-peptidase 4 Inhibitor (DPP4i)
9
Biguanides (BG)
8
Sulfonylurea (SU)
9
α-glucosidase (AGI)
10
Glinide
14
Thiazolidinedione (TZD)
8
Total
9
Sponsor's own description
Appropriate use of oral antidiabetic drugs (OADs) including dose-reduction is important for patient's safety in T2DM patients with renal impairment (RI). However, there are insufficient data on dose adjustment in accordance with the prescription pattern and the risk of RI of OADs, in particular Dipeptidyl-peptidase-4 inhibitors, in clinical practice in Japan. Therefore, we will investigate OADs usage conditions and dose selection in T2DM patients with RI in clinical practice in Japan
Publications & conference data
1 peer-reviewed publication reference this trial (live from Europe PMC):
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Publications: Europe PMC API search by NCT ID, retrieved 9 June 2026
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Sponsor: as reported to ClinicalTrials.gov by Boehringer Ingelheim
Last refreshed: 5 July 2019
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