PMID- 33441417 OWN - NLM STAT- MEDLINE DCOM- 20210630 LR - 20210630 IS - 2052-4897 (Electronic) IS - 2052-4897 (Linking) VI - 9 IP - 1 DP - 2021 Jan TI - Long-term safety and efficacy of alogliptin, a DPP-4 inhibitor, in patients with type 2 diabetes: a 3-year prospective, controlled, observational study (J-BRAND Registry). LID - 10.1136/bmjdrc-2020-001787 [doi] LID - e001787 AB - INTRODUCTION: Given an increasing use of dipeptidyl peptidase-4 (DPP-4) inhibitors to treat patients with type 2 diabetes mellitus in the real-world setting, we conducted a prospective observational study (Japan-based Clinical Research Network for Diabetes Registry: J-BRAND Registry) to elucidate the safety and efficacy profile of long-term usage of alogliptin. RESEARCH DESIGN AND METHODS: We registered 5969 patients from April 2012 through September 2014, who started receiving alogliptin (group A) or other classes of oral hypoglycemic agents (OHAs; group B), and were followed for 3 years at 239 sites nationwide. Safety was the primary outcome. Symptomatic hypoglycemia, pancreatitis, skin disorders of non-extrinsic origin, severe infections, and cancer were collected as major adverse events (AEs). Efficacy assessment was the secondary outcome and included changes in hemoglobin A1c (HbA1c), fasting blood glucose, fasting insulin and urinary albumin. RESULTS: Of the registered, 5150 (group A: 3395 and group B: 1755) and 5096 (3358 and 1738) were included for safety and efficacy analysis, respectively. Group A patients mostly (>90%) continued to use alogliptin. In group B, biguanides were the primary agents, while DPP-4 inhibitors were added in up to ~36% of patients. The overall incidence of AEs was similar between the two groups (42.7% vs 42.2%). Kaplan-Meier analysis revealed the incidence of cancer was significantly higher in group A than in group B (7.4% vs 4.8%, p=0.040), while no significant incidence difference was observed in the individual cancer. Multivariate Cox regression analysis revealed that the imbalanced patient distribution (more elderly patients in group A than in group B), but not alogliptin usage per se, contributed to cancer development. The incidence of other major AE categories was with no between-group difference. Between-group difference was not detected, either, in the incidence of microvascular and macrovascular complications. HbA1c and fasting glucose decreased significantly at the 0.5-year visit and nearly plateaued thereafter in both groups. CONCLUSIONS: Alogliptin as a representative of DPP-4 inhibitors was safe and durably efficacious when used alone or with other OHAs for patients with type 2 diabetes in the real world setting. CI - (c) Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. FAU - Ueki, Kohjiro AU - Ueki K AUID- ORCID: 0000-0003-1523-8102 AD - National Center for Global Health and Medicine, Diabetes Research Center, Tokyo, Japan. FAU - Tanizawa, Yukio AU - Tanizawa Y AD - Yamaguchi University Graduate School of Medicine, Ube, Yamaguchi, Japan. FAU - Nakamura, Jiro AU - Nakamura J AD - Aichi Medical University School of Medicine, Nagakute, Aichi, Japan. FAU - Yamada, Yuichiro AU - Yamada Y AD - Akita University Graduate School of Medicine, Akita, Japan. FAU - Inagaki, Nobuya AU - Inagaki N AUID- ORCID: 0000-0001-8261-2593 AD - Kyoto University Graduate School of Medicine, Kyoto, Japan. FAU - Watada, Hirotaka AU - Watada H AD - Juntendo University Graduate School of Medicine, Tokyo, Japan. FAU - Shimomura, Iichiro AU - Shimomura I AD - Osaka University Graduate School of Medicine, Osaka, Japan. FAU - Nishimura, Rimei AU - Nishimura R AD - Jikei University School of Medicine, Tokyo, Japan. FAU - Miyoshi, Hideaki AU - Miyoshi H AUID- ORCID: 0000-0002-5909-3243 AD - Hokkaido University Graduate School of Medicine, Sapporo, Japan. FAU - Abiko, Atsuko AU - Abiko A AD - Asahikawa Medical University, Asahikawa, Hokkaido, Japan. FAU - Katagiri, Hideki AU - Katagiri H AD - Tohoku University Graduate School of Medicine, Sendai, Japan. FAU - Hayashi, Michio AU - Hayashi M AD - Kanto Medical Center NTT EC, Tokyo, Japan. FAU - Shimada, Akira AU - Shimada A AUID- ORCID: 0000-0002-3954-4983 AD - Saitama Medical University Faculty of Medicine, Moroyama, Saitama, Japan. FAU - Naruse, Keiko AU - Naruse K AD - Aichi Gakuin University School of Dentistry, Nagoya, Japan. FAU - Fujimoto, Shimpei AU - Fujimoto S AD - Kochi University Medical School, Nankoku, Kochi, Japan. FAU - Fujiwara, Masazumi AU - Fujiwara M AD - Saijo Central Hospital, Saijo, Ehime, Japan. FAU - Shikata, Kenichi AU - Shikata K AD - Center for Innovative Clinical Medicine, Okayama University Hospital, Okayama, Japan. FAU - Okada, Yosuke AU - Okada Y AD - University of Occupational and Environmental Health School of Medicine, Kitakyushu, Fukuoka, Japan. FAU - Araki, Eiichi AU - Araki E AD - Kumamoto University, Faculty of Life Sciences, Kumamoto, Japan. FAU - Yamazaki, Tsutomu AU - Yamazaki T AD - Graduate School of Medicine, International University of Health and Welfare, Tokyo, Japan. FAU - Kadowaki, Takashi AU - Kadowaki T AUID- ORCID: 0000-0002-5428-3582 AD - Department of Diabetes and Metabolic Diseases, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan t-kadowaki@toranomon.kkr.or.jp. AD - Toranomon Hospital, Federation of National Public Service Personnel Mutual Aid Associations, Tokyo, Japan. CN - J-BRAND Registry Group LA - eng PT - Journal Article PT - Observational Study PT - Research Support, Non-U.S. Gov't PL - England TA - BMJ Open Diabetes Res Care JT - BMJ open diabetes research & care JID - 101641391 RN - 0 (Blood Glucose) RN - 0 (Dipeptidyl-Peptidase IV Inhibitors) RN - 0 (Hypoglycemic Agents) RN - 0 (Piperidines) RN - 56HH86ZVCT (Uracil) RN - JHC049LO86 (alogliptin) SB - IM MH - Aged MH - Blood Glucose MH - *Diabetes Mellitus, Type 2/drug therapy/epidemiology MH - *Dipeptidyl-Peptidase IV Inhibitors/adverse effects MH - Humans MH - Hypoglycemic Agents/adverse effects MH - Japan/epidemiology MH - Piperidines MH - Prospective Studies MH - Registries MH - Uracil/analogs & derivatives PMC - PMC7812112 OTO - NOTNLM OT - diabetes mellitus OT - dipeptidyl peptidase 4 OT - registries OT - safety OT - type 2 COIS- Competing interests: KU reports lecture fees from Takeda, Novo Nordisk, Nippon Boehringer Ingelheim, Mitsubishi Tanabe Pharma, AstraZeneca, MSD, Ono, Sumitomo Dainippon Pharma, Sanofi, and Astellas; research grants from Astellas, Novo Nordisk, Eli Lilly, Nippon Boehringer Ingelheim, Abbott Japan, and MSD; endowments from Takeda, Astellas, Novo Nordisk, Sumitomo Dainippon Pharma, Sanofi, Kyowa Hakko Kirin, Mitsubishi Tanabe Pharma, Daiichi-Sankyo, and Ono. YT reports lecture fees from Takeda, Astellas, AstraZeneca, MSD, Ono, Kyowa Hakko Kirin, Kissei, Kowa, Sanofi Aventis, from Taisho Pharmaceutical, Taisho Pharma, Mitsubishi Tanabe Pharma, Nippon Shinyaku, Bristol-Myers Squibb, Sumitomo Dainippon Pharma, Chugai, Eli Lilly, Nippon Boehringer Ingelheim, and Novo Nordisk; manuscript fees from Kyowa Hakko Kirin; consulting fees from Terumo; research grants from Daiichi-Sankyo and Novo Nordisk; endowments from Astellas, Takeda, Chugai, Sanwa Kagaku, Daiichi-Sankyo, MSD, Kyowa Hakko Kirin, Eisai, Sumitomo Dainippon Pharma, Shionogi, Eli Lilly, Sanofi Aventis, Mitsubishi Tanabe Pharma, Novo Nordisk, Kissei, Nippon Boehringer Ingelheim, Kowa Pharmaceutical, Teijin Pharma, Pfizer, Nihon Pharmaceutical, and Nippon Shinyaku. JN reports lecture fees from Takeda, Astellas, AstraZeneca, MSD, Ono, Kowa Pharmaceutical, Sanofi, Daiichi-Sankyo, Mitsubishi Tanabe Pharma, Terumo, Eli Lilly, Nippon Boehringer Ingelheim, Novartis, Novo Nordisk, Japan Tobacco Inc., Taisho Pharma, Sumitomo Dainippon Pharma, Sanwa Kagaku, Kissei, Mylan, Arkray, Medtronic Japan, Fukuda Denshi, and Abbott Japan; research grants from Kissei, Nippon Boehringer Ingelheim, and Fukuda Colin; endowments from Takeda, Astellas, MSD, Ono, Daiichi-Sankyo, Taisho Pharma, Sumitomo Dainippon Pharma, Mitsubishi Tanabe Pharma, Eli Lilly, Novartis, Novo Nordisk, Japan Tobacco Inc., Otsuka Pharmaceutical, Kaken Pharmaceutical, Kissei, Kyowa Hakko Kirin, Kowa Pharmaceutical, Sanwa Kagaku, Shionogi, Nippon Boehringer Ingelheim, Nippon Becton Dickinson, and Pfizer. YY reports lecture fees from MSD, Novo Nordisk, Ono, Sumitomo Dainippon Pharma, Mitsubishi Tanabe Pharma, Takeda, Sanofi, and Daiichi-Sankyo; endowments from Ono, Takeda, Mitsubishi Tanabe Pharma, Daiichi-Sankyo, and Sanwa Kagaku. NI reports lecture fees from Takeda, Kowa Pharmaceutical, MSD, Arkray, Astellas, Kissei, Sanofi, Novartis, Novo Nordisk, Bayer, Ono, Kyowa Hakko Kirin, Sumitomo Dainippon Pharma, Daiichi-Sankyo, Eli Lilly, Nippon Boehringer Ingelheim, Mitsubishi Tanabe Pharma, Medtronic Japan, Taisho Pharma, Pfizer, Fujifilm Pharma, Saishin Igaku Co., Toyooka Hospital, Terumo, Olympus, Sunstar Foundation, Japan Tabacco Inc., ILSI Japan, University of Occupational and Environmental health, Japan, Japanese Red Cross Wakayama Medical Center, AstraZeneca, Tumura, Chugai, Wakayama Medical University, Hokkaido University, Mainichi Ga Hakken Inc., Boehringer Ingelheim, MSD Life Science Foundation, Taisho Pharmaceutical, and Scohia Pharma; grants from Mitsubishi Tanabe Pharma, Daiichi-Sankyo, AstraZeneca, Sumitomo Dainippon Pharma, Novartis, Novo Nordisk, Astellas, Sanofi, Terumo, Kyowa Hakko Kirin, Taisho Pharma, and Ono; endowments from Takeda, Kissei, Taisho Pharma, Sanofi, Daiichi-Sankyo, Mitsubishi Tanabe Pharma, Japan Tabacco Inc., Kyowa Hakko Kirin, Sumitomo Dainippon Pharma, Astellas, MSD, Ono, Sanwa Kagaku, Eli Lilly, Nippon Boehringer Ingelheim, Novartis, Novo Nordisk, Teijin Pharma, Shionogi, and The Japan China Medical Association. HW reports lecture fees from Takeda, Astellas, Sanofi, Mitsubishi Tanabe Pharma, Novo Nordisk, Kowa Pharmaceutical, AstraZeneca, Novartis, Nippon Boehringer Ingelheim, MSD, Sumitomo Dainippon Pharma, Eli Lilly, Sanwa Kagaku, Ono, Kissei, and Fujifilm Pharma; grants from Kowa Pharmaceutical, Novartis, Sanwa Kagaku, and Eli Lilly; endowments from Takeda, Astellas, Sanofi, Mitsubishi Tanabe Pharma, Novo Nordisk, AstraZeneca, Novartis, Nippon Boehringer Ingelheim, MSD, Sumitomo Dainippon Pharma, Kowa Pharmaceutical, Ono, Kyowa Hakko Kirin, Daiichi-Sankyo, Terumo, Pfizer, Mochida Pharmaceutical, Taisho Pharma, Johnson & Johnson, Sanwa Kagaku, and Kowa. IS reports personal fees from Lotte, Kowa Life Science Foundation, Sunstar Foundation, MSD Life Science Foundation, Kanae Foundation, Senri Life Science Foundation, Fuji Foundation for Protein Research, Japan Cardiovascular Research Foundation, Japan Foundation for Applied Enzymology, Japan Society for the Promotion of Science, NPO Hormon Station, and Kawanishi medical association; lecture fees from Takeda, Japan Pharmacy Laboratory, Asia-Pacific Diabetes and Obesity Study Group, MSD, Astellas, AstraZeneca, Ono, Kyowa Hakko Kirin, Covidien Japan, Kowa Pharmaceutical, Sanofi, The Japan Society of Internal Medicine, Daiichi-Sankyo, Taisho Pharma, Sumitomo Dainippon Pharma, Mitsubishi Tanabe Pharma, Teijin Pharma, Eli Lilly, Nippon Boehringer Ingelheim, Japanese Society for Surgical Metabolism and Nutrition, Novartis, Novo Nordisk, Mochida Pharmaceutical, Rohto Pharmaceutical, Sanwa Kagaku, and Astellas Amgen BioPharma; fees of speakers bureaus from Fuji Foundation for Protein Research; manuscript fees from Iji Publishing, AstraZeneca, Ono, Kyowa Hakko Kirin, Sanwa Kagaku, Eli Lilly, Saishin Igaku-sha, Sentan Igaku-sha, and Medical Review-sha; consulting fees from Takeda, AstraZeneca, MSD, Ono, Kowa Pharmaceutical, Novartis, Novo Nordisk, Sanwa Kagaku, Nippon Boehringer Ingelheim, and Taisho Pharmaceutical; grants from AMED (Japan Agency for Medical Research and Development), National Center for Global Health and Medicine, Fukushima Medical University, Chiba University, Juntendo University, Kowa Pharmaceutical, Rohto Pharmaceutical, Otsuka Pharmaceutical, Sanwa Kagaku, and Immuno-Biological Laboratories; endowments from Takeda, MSD, Astellas, Nippon Becton Dickinson, Sumitomo Dainippon Pharma, Kyowa Hakko Kirin, Terumo, Mitsubishi Tanabe Pharma, Teijin Pharma, Shionogi, Kaken Pharmaceutical, Ono, Novartis, AstraZeneca, Sanofi, Eli Lilly, Daiichi-Sankyo, Kowa Pharmaceutical, Novo Nordisk, The Japan Diabetes Society, Midori Health Management Center, Japan Foundation for Applied Enzymology, MSD Life Science Foundation, Kowa Life Science Foundation, Suzuken Memorial Foundation, Japan Diabetes Foundation, Japan Heart Foundation, Gout Research Foundation, The Uehara Memorial Foundation, Takahashi Industrial and Economic Research Foundation, Soiken Holdings Inc., and Fukumoto Naika Clinic. RN reports lecture fees from Takeda, Sanofi, Medtronic Japan, Nippon Boehringer Ingelheim, Kissei, Novartis, Eli Lilly, Novo Nordisk, MSD, and Astellas; endowments from Japan Diabetes Foundation and Nippon Boehringer Ingelheim. HM reports lecture fees from Takeda, Novo Nordisk, Eli Lilly, Sanofi, Astellas, MSD, Mitsubishi Tanabe Pharma, Sumitomo Dainippon Pharma, Novartis, Ono, Kowa Pharmaceutical, Nippon Boehringer Ingelheim, AstraZeneca, Daiichi-Sankyo, Taisho Pharmaceutical, Teijin Pharma, and Sanwa Kagaku; grants from Astellas and Taisho Pharma; endowments from Takeda, Novo Nordisk, Eli Lilly, Nippon Boehringer Ingelheim, Daiichi-Sankyo, Ono, Sumitomo Dainippon Pharma, Astellas, MSD, Kowa Pharmaceutical, Taisho Pharmaceutical, Teijin Pharma, Sanwa Kagaku, and Kyowa Hakko Kirin. AA reports lecture fees from Takeda, Sanofi, Novo Nordisk, Eli Lilly, Ono, Nippon Boehringer Ingelheim, Kyowa Hakko Kirin, Sanwa Kagaku, Mitsubishi Tanabe Pharma, Astellas, AstraZeneca, MSD, Taisho Pharma, Daiichi-Sankyo, Novartis, Kowa Pharmaceutical, Bayer, Shionogi, Sumitomo Dainippon Pharma, and Fujifilm Pharma; consulting fees from Sanofi and Novo Nordisk; grants from Novo Nordisk and Taisho Pharma. HK reports lecture fees from Takeda, MSD, Novo Nordisk, Daiichi-Sankyo, Astellas, AstraZeneca, Ono, Kyowa Hakko Kirin, Kowa Pharmaceutical, Sanofi, Eli Lilly, Sanwa Kagaku, Taisho Pharma, Sumitomo Dainippon Pharma, Novartis, Mitsubishi Tanabe Pharma, Nippon Boehringer Ingelheim, Bayer, Medtronic Japan, and Alcon Japan; grants from Otsuka Pharmaceutical; endowments from MSD, Eli Lilly, Novo Nordisk, Takeda, Daiichi-Sankyo, Astellas, Sanofi, Novartis, Mitsubishi Tanabe Pharma, Ono, Kyowa Hakko Kirin, Nippon Boehringer Ingelheim, Taisho Pharma, Fujifilm Pharma, Kissei, Nippon Becton Dickinson. MH reports lecture fees from Takeda, Astellas, MSD, Ono, Sumitomo Dainippon Pharma, Mitsubishi Tanabe Pharma, Daiichi-Sankyo, Nippon Boehringer Ingelheim, Kowa, Eli Lilly, Novo Nordisk, and Sanofi. AS reports lecture fees from MSD, Eli Lilly, Novo Nordisk, Sanofi, Mitsubishi Tanabe Pharma, Nippon Boehringer Ingelheim, Astellas, Ono, and Terumo; endowments from Takeda, MSD, Astellas, Novo Nordisk, Nippon Boehringer Ingelheim, Ono, and Daiichi-Sankyo. KN reports none. SF reports lecture fees from Takeda, Ono, AstraZeneca, Novo Nordisk, MSD, Daiichi-Sankyo, Kyowa Hakko Kirin, Eli Lilly, Kowa, Astellas, Sumitomo Dainippon Pharma, Asahi Kasei Pharma, and Nippon Boehringer Ingelheim; endowments from Takeda, Sanofi, Sumitomo Dainippon Pharma, MSD, Ono, Mitsubishi Tanabe Pharma, Eli Lilly, Novo Nordisk, Shionogi, Nippon Boehringer Ingelheim, Kyowa Hakko Kirin, Taisho Pharma, and Daiichi-Sankyo. MF reports none. KS reports lecture fees from Ono, Novartis, MSD, Astellas, Mitsubishi Tanabe Pharma, AstraZeneca, Sanofi Aventis, Novo Nordisk, Nippon Boehringer Ingelheim, Kyowa Hakko Kirin, Daiichi-Sankyo, and Eli Lilly; manuscript fees from Johnson & Johnson and Kyowa Hakko Kirin; consulting fees from Daiichi-Sankyo; grants from Eli Lilly and Mitsubishi Tanabe Pharma; endowments from Takeda, Mitsubishi Tanabe Pharma, Kyowa Hakko Kirin, MSD, Astellas, Novartis, Ono, Sanofi Aventis, and Chugai. YO reports lecture fees from Takeda, MSD, Eli Lilly, Novartis, Sumitomo Dainippon Pharma, Sanofi, Daiichi-Sankyo, Sanwa Kagaku Kenkyusho, Novo Nordisk, Kissei, Boehringer Ingelheim, AstraZeneca, Astellas, Mitsubishi Tanabe Pharma, Kowa, Bayer, and Ono; grants from Mitsubishi Tanabe Pharma and Kowa. EA reports lecture fees from Takeda, Arkray, Astellas, AstraZeneca, Abbott Japan, Alcon, MSD, Ono, Kyowa Kikaku, Kyowa Hakko Kirin, Kissei, Kowa, Kowa Pharmaceutical, Sanofi, Sanwa Kagaku, Shionogi, Mitsubishi Tanabe Pharma, Daiichi-Sankyo, Taisho Pharmaceutical, Sumitomo Dainippon Pharma, Chugai, Terumo, Eli Lilly, Fujifilm Pharma, Nippon Boehringer Ingelheim, Novartis, Novo Nordisk, Bayer, Pfizer, Medical Review, Medtronic Japan, and MedScape; manuscript fees from Yodosha, Fuji Medical Publishing, and Life science Co; endowments from Takeda, Astellas, MSD, Ono, Kissei, Kyowa Hakko Kirin, Kowa, Sanofi, Shionogi, Taisho Pharmaceutical, Daiichi-Sankyo, Sumitomo Dainippon Pharma, Mitsubishi Tanabe Pharma, Terumo, Eli Lilly, Nippon Boehringer Ingelheim, Novartis, Novo Nordisk, and Mochida. TY reports lecture fees from Takeda, Daiichi-Sankyo, Mitsubishi Tanabe Pharma, AstraZeneca, Shionogi, and Sumitomo Dainippon Pharma. TK reports lecture fees from Takeda, Astellas, AstraZeneca, MSD, Ono, Eli Lilly, Nippon Boehringer Ingelheim, Novo Nordisk, Mitsubishi Tanabe Pharma, Sanofi, Novartis, Sanwa Kagaku Kenkyusho, Medtronic Japan, Sumitomo Dainippon Pharma, Kyowa Hakko Kirin, Abbott Japan, MedScape Education, Daiichi-Sankyo, and Taisho Pharmaceutical; manuscript fees from Takeda; grants from Takeda, Daiichi-Sankyo, AstraZeneca, Nippon Boehringer Ingelheim, and Eli Lilly; endowments from Takeda, Sumitomo Dainippon Pharma, Astellas, Taisho Pharma, Kyowa Hakko Kirin, Kissei, Novo Nordisk, Sanofi, Ono, Mitsubishi Tanabe Pharma, Daiichi-Sankyo, Kowa Pharmaceutical, MSD, Nippon Boehringer Ingelheim, Terumo, and Asahi Mutual Life Insurance Company. FIR - Miyoshi, Hideaki IR - Miyoshi H FIR - Abiko, Atsuko IR - Abiko A FIR - Nagai, Sou IR - Nagai S FIR - Yanagisawa, Katsuyuki IR - Yanagisawa K FIR - Kijima, Hiromichi IR - Kijima H FIR - Taneda, Shinji IR - Taneda S FIR - Saitoh, Shigeyuki IR - Saitoh S FIR - Ikeda, Daisuke IR - Ikeda D FIR - Hirano, Fuminori IR - Hirano F FIR - Miura, Takanori IR - Miura T FIR - Miyamoto, Yoshihiro IR - Miyamoto Y FIR - Yoshimura, Haruhiko IR - Yoshimura H FIR - Inoue, Mitsutaka IR - Inoue M FIR - Katoh, Masahiko IR - Katoh M FIR - Nakagaki, Osamu IR - Nakagaki O FIR - Yamamoto, Chiho IR - Yamamoto C FIR - Morikawa, Akitsuki IR - Morikawa A FIR - Yoshida, Kazuhiro IR - Yoshida K FIR - Furukawa, Shin IR - Furukawa S FIR - Koshiya, Takeshi IR - Koshiya T FIR - Sugawara, Hajime IR - Sugawara H FIR - Uchida, Takumi IR - Uchida T FIR - Yamada, Yuichiro IR - Yamada Y FIR - Katagiri, Hideki IR - Katagiri H FIR - Yamaguchi, Hiroshi IR - Yamaguchi H FIR - Takakubo, Noe IR - Takakubo N FIR - Ishigaki, Yasushi IR - 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Satoh, Shinobu IR - Satoh S FIR - Ujihara, Makoto IR - Ujihara M FIR - Yamanaka, Kenjiroh IR - Yamanaka K FIR - Koyano, Hajime IR - Koyano H FIR - Yamakawa, Tadashi IR - Yamakawa T FIR - Atsumi, Yoshihito IR - Atsumi Y FIR - Takahashi, Kenichiroh IR - Takahashi K FIR - Orime, Kazuki IR - Orime K FIR - Hirano, Tsutomu IR - Hirano T FIR - Morimoto, Jiroh IR - Morimoto J FIR - Awata, Takuya IR - Awata T FIR - Itoh, Takashi IR - Itoh T FIR - Mizuno, Yuzoh IR - Mizuno Y FIR - Yamamoto, Naoyuki IR - Yamamoto N FIR - Miyatake, Han IR - Miyatake H FIR - Yamaguchi, Mina IR - Yamaguchi M FIR - Sone, Hirohito IR - Sone H FIR - Yamane, Kenji IR - Yamane K FIR - Kure, Masahiko IR - Kure M FIR - Kawabe, Satoko IR - Kawabe S FIR - Kakei, Masahumi IR - Kakei M FIR - Yoshida, Masashi IR - Yoshida M FIR - Itoh, Hiroyuki IR - Itoh H FIR - Minami, Nobuaki IR - Minami N FIR - Kobayashi, Kazuki IR - Kobayashi K FIR - Fujino, Yusuke IR - Fujino Y FIR - Shibuya, Makoto IR - Shibuya M FIR - Fukui, Kazuki IR - Fukui K FIR - Hosokawa, Midori IR - Hosokawa M FIR - Nozaki, Isao IR - Nozaki I FIR - Nawa, Chigure IR - Nawa C FIR - Ieiri, Tamio IR - Ieiri T FIR - Watanabe, Takayuki IR - Watanabe T FIR - Katoh, Yoshio IR - Katoh Y FIR - Katabami, Takuyuki IR - Katabami T FIR - Handa, Michiko IR - Handa M FIR - Shimada, Issei IR - Shimada I FIR - Ohya, Kenichi IR - Ohya K FIR - Ogawa, Yoshihiro IR - Ogawa Y FIR - Yoshimoto, Takanobu IR - Yoshimoto T FIR - Nakamura, Jiroh IR - Nakamura J FIR - Naruse, Keiko IR - Naruse K FIR - Sato, Fumihiko IR - Sato F FIR - Sato, Junko IR - Sato J FIR - Okayama, Naotsuka IR - Okayama N FIR - Imaeda, Kenro IR - Imaeda K FIR - Yoshioka, Syuko IR - Yoshioka S FIR - Murakami, Masako IR - Murakami M FIR - Murase, Takashi IR - Murase T FIR - Yamada, Yoshihiko IR - Yamada Y FIR - Yano, Yutaka IR - Yano Y FIR - Sasaki, Hiromitsu IR - Sasaki H FIR - Sumida, Yasuhiro IR - Sumida Y FIR - Ogawa, Kohei IR - Ogawa K FIR - Yonaha, Osamu IR - Yonaha O FIR - Sobajima, Hiroshi IR - Sobajima H FIR - Ito, Mitsuyasu IR - Ito M FIR - Suzuki, Atushi IR - Suzuki A FIR - Ishikawa, Atsuko IR - Ishikawa A FIR - Ichikawa, Takehiko IR - Ichikawa T FIR - Asano, Shogo IR - Asano S FIR - Nakamura, Makoto IR - Nakamura M FIR - Goto, Shinobu IR - Goto S FIR - Hiroya, Sakuma IR - Hiroya S FIR - Murase, Hiroshi IR - Murase H FIR - Ogawa, Shozo IR - Ogawa S FIR - Okamoto, Hideki IR - Okamoto H FIR - Nagai, Kotaro IR - Nagai K FIR - Nagayama, Koji IR - Nagayama K FIR - Yoshida, Masanori IR - Yoshida M FIR - Takahashi, Norio IR - Takahashi N FIR - Takami, Kazuhisa IR - Takami K FIR - Ono, Tsuneo IR - Ono T FIR - Morihiro, Takanobu IR - Morihiro T FIR - Tanaka, Daisuke IR - Tanaka D FIR - Shimomura, Iichiro IR - Shimomura I FIR - Takahara, Noriko IR - Takahara N FIR - Miyata, Satoshi IR - Miyata S FIR - Tsugawa, Mamiko IR - Tsugawa M FIR - Yasuda, Koichiro IR - Yasuda K FIR - Muro, Seiji IR - Muro S FIR - Emoto, Masanori IR - Emoto M FIR - Koya, Daisuke IR - Koya D FIR - Mineo, Ikuo IR - Mineo I FIR - Shiojima, Ichiro IR - Shiojima I FIR - Kurose, Takeshi IR - Kurose T FIR - Akamizu, Takashi IR - Akamizu T FIR - Ohashi, Makoto IR - Ohashi M FIR - Kawabata, Yumiko IR - Kawabata Y FIR - Nishikawa, Mitsushige IR - Nishikawa M FIR - Nomura, Emiko IR - Nomura E FIR - Nishimura, Yasuyuki IR - Nishimura Y FIR - Ono, Yasuhiro IR - Ono Y FIR - Yamamoto, Yasuhisa IR - Yamamoto Y FIR - Naka, Keigo IR - Naka K FIR - Sakaguchi, Kazuhiko IR - Sakaguchi K FIR - Yamamoto, Taizo IR - Yamamoto T FIR - Usuda, Rika IR - Usuda R FIR - Akahori, Hiroshi IR - Akahori H FIR - Kato, Seika IR - Kato S FIR - Otsuka, Akihito IR - Otsuka A FIR - Maegawa, Hiroshi IR - Maegawa H FIR - Yamazaki, Masahiro IR - Yamazaki M FIR - Konya, Hiroyuki IR - Konya H FIR - Umayahara, Yutaka IR - Umayahara Y FIR - Seta, Takashi IR - Seta T FIR - Taki, Hideki IR - Taki H FIR - Sekiya, Masashi IR - Sekiya M FIR - Matsuoka, Naoki IR - Matsuoka N FIR - Mogami, Shinichi IR - Mogami S FIR - Fujii, Sumie IR - Fujii S FIR - Hibuse, Toshiyuki IR - Hibuse T FIR - Tsuji, Shingo IR - Tsuji S FIR - Sumi, Hirofumi IR - Sumi H FIR - Kumeda, Yasuro IR - Kumeda Y FIR - Kogure, Akinori IR - Kogure A FIR - Furukawa, Kenji IR - Furukawa K FIR - Kuroe, Akira IR - Kuroe A FIR - Sawaki, Hideaki IR - Sawaki H FIR - Hibiki, Narihiro IR - Hibiki N FIR - Kitagawa, Yoshihiro IR - Kitagawa Y FIR - Bando, Yukihiro IR - Bando Y FIR - Ono, Akira IR - Ono A FIR - Uenaka, Rikako IR - Uenaka R FIR - Omoto, Seitaro IR - Omoto S FIR - Kita, Yuki IR - Kita Y FIR - Ri, Eiko IR - Ri E FIR - Numaguchi, Ryutaro IR - Numaguchi R FIR - Kawashima, Sachiko IR - Kawashima S FIR - Kisimoto, Ichiro IR - Kisimoto I FIR - Hosoda, Kiminori IR - Hosoda K FIR - Araki, Yoshihiko IR - Araki Y FIR - Arimura, Tetsuroh IR - Arimura T FIR - Hashiramoto, Mitsuru IR - Hashiramoto M FIR - Takeda, Koumei IR - Takeda K FIR - Matsutani, Akira IR - Matsutani A FIR - Shikata, Kenichi IR - Shikata K FIR - Inoue, Yasushi IR - Inoue Y FIR - Sawano, Fumio IR - Sawano F FIR - Kamei, Nozomu IR - Kamei N FIR - Ito, Yasuo IR - Ito Y FIR - Morita, Miwa IR - Morita M FIR - Oda, Yoshiaki IR - Oda Y FIR - Kishimoto, Rui IR - Kishimoto R FIR - Hatao, Katsuhiro IR - Hatao K FIR - Hashiramoto, Mitsuru IR - Hashiramoto M FIR - Mune, Tomoatsu IR - Mune T FIR - Kawasaki, Fumiko IR - Kawasaki F FIR - Teragawa, Hiroki IR - Teragawa H FIR - Yaga, Ken IR - Yaga K FIR - Ishii, Keita IR - Ishii K FIR - Hirata, Kyouji IR - Hirata K FIR - Nakatou, Tatsuaki IR - Nakatou T FIR - Nitta, Yutaka IR - Nitta Y FIR - Fujita, Naoki IR - Fujita N FIR - Yoneda, Masayasu IR - Yoneda M FIR - Tsuru, Masatoshi IR - Tsuru M FIR - Ando, Shinichirou IR - Ando S FIR - Kakiba, Toshiaki IR - Kakiba T FIR - Toyoshige, Michihiro IR - Toyoshige M FIR - Shiwa, Tsuguka IR - Shiwa T FIR - Fujiwara, Masazumi IR - Fujiwara M FIR - Miyaoka, Hiroaki IR - Miyaoka H FIR - Imachi, Hitomi IR - Imachi H FIR - Shintani, Yasumi IR - Shintani Y FIR - Sakai, Takenori IR - Sakai T FIR - Niiya, Tetsuji IR - Niiya T FIR - Fujimoto, Shinpei IR - Fujimoto S FIR - Minami, Hisaka IR - Minami H FIR - Noma, Yoshihiko IR - Noma Y FIR - Tamaru, Masaaki IR - Tamaru M FIR - Sayou, Yoshitaka IR - Sayou Y FIR - Oyama, Tomoyo IR - Oyama T FIR - Torisu, Masamoto IR - Torisu M FIR - Fujinaka, Yuichi IR - Fujinaka Y FIR - Kumon, Yoshitaka IR - Kumon Y FIR - Miyauchi, Shozo IR - Miyauchi S FIR - Osawa, Haruhiko IR - Osawa H FIR - Onji, Morikazu IR - Onji M FIR - Nakamura, Toru IR - Nakamura T FIR - Hiasa, Yoichi IR - Hiasa Y FIR - Okada, Yousuke IR - Okada Y FIR - Yanase, Toshihiko IR - Yanase T FIR - Nishida, Kenro IR - Nishida K FIR - Nakamura, Syuji IR - Nakamura S FIR - Doi, Takashi IR - Doi T FIR - Kobayashi, Kunihisa IR - Kobayashi K FIR - Wada, Nobuhiko IR - Wada N FIR - Higa, Moritake IR - Higa M FIR - Matsushita, Koji IR - Matsushita K FIR - Nishio, Yoshihiko IR - Nishio Y FIR - Fujimoto, Ryoji IR - Fujimoto R FIR - Kihara, Yasuyuki IR - Kihara Y FIR - Mine, Shinichiro IR - Mine S FIR - Arao, Tadashi IR - Arao T FIR - Tasaki, Hiromi IR - Tasaki H FIR - Matsuo, Yasuto IR - Matsuo Y FIR - Matsuda, Hirofumi IR - Matsuda H FIR - Uriu, Kohei IR - Uriu K FIR - Kobayashi, Masakazu IR - Kobayashi M FIR - Kanda, Kazuko IR - Kanda K FIR - Ibaraki, Kazuo IR - Ibaraki K FIR - Kaku, Yoshio IR - Kaku Y FIR - Takaki, Yasuhiro IR - Takaki Y FIR - Hazekawa, Iwaho IR - Hazekawa I FIR - Ebihara, Kenji IR - Ebihara K FIR - Watanabe, Eiichiro IR - Watanabe E FIR - Sakurada, Iku IR - Sakurada I FIR - Muraishi, Kazuhisa IR - Muraishi K FIR - Oshige, Tamami IR - Oshige T FIR - Yasuda, Junichi IR - Yasuda J FIR - Iguchi, Toyoshi IR - Iguchi T FIR - Sonoda, Noriyuki IR - Sonoda N FIR - Adachi, Masahiro IR - Adachi M FIR - Ichino, Isao IR - Ichino I FIR - Horiuchi, Yuko IR - Horiuchi Y FIR - Nakamura, Udai IR - Nakamura U FIR - Uekihara, Souichi IR - Uekihara S FIR - Morimitsu, Shingo IR - Morimitsu S FIR - Nakazawa, Mitsuhiro IR - Nakazawa M FIR - Seguchi, Tadashi IR - Seguchi T FIR - Kaneko, Kengo IR - Kaneko K FIR - Ono, Yasuhiro IR - Ono Y EDAT- 2021/01/15 06:00 MHDA- 2021/07/01 06:00 PMCR- 2021/01/13 CRDT- 2021/01/14 05:34 PHST- 2020/07/23 00:00 [received] PHST- 2020/11/15 00:00 [revised] PHST- 2020/12/05 00:00 [accepted] PHST- 2021/01/14 05:34 [entrez] PHST- 2021/01/15 06:00 [pubmed] PHST- 2021/07/01 06:00 [medline] PHST- 2021/01/13 00:00 [pmc-release] AID - 9/1/e001787 [pii] AID - bmjdrc-2020-001787 [pii] AID - 10.1136/bmjdrc-2020-001787 [doi] PST - ppublish SO - BMJ Open Diabetes Res Care. 2021 Jan;9(1):e001787. doi: 10.1136/bmjdrc-2020-001787.