| 試験進捗状況 | 試験終了/Completed |
| UMIN試験ID | UMIN000047184 |
| 受付番号 | R000053822 |
| 科学的試験名 | COVID-19第一波における国立国際医療研究センター病院でのステロイドの臨床的効果 |
| 一般公開日(本登録希望日) | 2022/03/16 |
| 最終更新日 | 2022/03/16 (1版) |
| 基本情報/Basic information | |||
| 一般向け試験名/Public title | COVID-19第一波における国立国際医療研究センター病院でのステロイドの臨床的効果 | Clinical outcomes of corticosteroids for COVID-19 patients at the National Center for Global Health and Medicine during the first wave of infection. | |
| 一般向け試験名略称/Acronym | COVID-19第一波における国立国際医療研究センター病院でのステロイドの臨床的効果 | Clinical outcomes of corticosteroids for COVID-19 patients at the National Center for Global Health and Medicine during the first wave of infection. | |
| 科学的試験名/Scientific Title | COVID-19第一波における国立国際医療研究センター病院でのステロイドの臨床的効果 | Clinical outcomes of corticosteroids for COVID-19 patients at the National Center for Global Health and Medicine during the first wave of infection. | |
| 科学的試験名略称/Scientific Title:Acronym | COVID-19第一波における国立国際医療研究センター病院でのステロイドの臨床的効果 | Clinical outcomes of corticosteroids for COVID-19 patients at the National Center for Global Health and Medicine during the first wave of infection. | |
| 試験実施地域/Region |
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| 対象疾患/Condition | |||
| 対象疾患名/Condition | COVID-19 | COVID-19 | |
| 疾患区分1/Classification by specialty |
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| 疾患区分2/Classification by malignancy | 悪性腫瘍以外/Others | ||
| ゲノム情報の取扱い/Genomic information | いいえ/NO | ||
| 目的/Objectives | ||
| 目的1/Narrative objectives1 | COVID-19におけるステロイドの効果の検討 | Investigation of the effects of steroids in COVID-19 |
| 目的2/Basic objectives2 | 有効性/Efficacy | |
| 目的2 -その他詳細/Basic objectives -Others | ||
| 試験の性質1/Trial characteristics_1 | ||
| 試験の性質2/Trial characteristics_2 | ||
| 試験のフェーズ/Developmental phase | ||
| 評価/Assessment | ||
| 主要アウトカム評価項目/Primary outcomes | 7カテゴリー分析の点数の改善 | Improved scores for 7-category ordinary scale |
| 副次アウトカム評価項目/Key secondary outcomes | ||
| 基本事項/Base | ||
| 試験の種類/Study type | 観察/Observational | |
| 試験デザイン/Study design | ||
| 基本デザイン/Basic design | ||
| ランダム化/Randomization | ||
| ランダム化の単位/Randomization unit | ||
| ブラインド化/Blinding | ||
| コントロール/Control | ||
| 層別化/Stratification | ||
| 動的割付/Dynamic allocation | ||
| 試験実施施設の考慮/Institution consideration | ||
| ブロック化/Blocking | ||
| 割付コードを知る方法/Concealment | ||
| 介入/Intervention | ||
| 群数/No. of arms | ||
| 介入の目的/Purpose of intervention | ||
| 介入の種類/Type of intervention | ||
| 介入1/Interventions/Control_1 | ||
| 介入2/Interventions/Control_2 | ||
| 介入3/Interventions/Control_3 | ||
| 介入4/Interventions/Control_4 | ||
| 介入5/Interventions/Control_5 | ||
| 介入6/Interventions/Control_6 | ||
| 介入7/Interventions/Control_7 | ||
| 介入8/Interventions/Control_8 | ||
| 介入9/Interventions/Control_9 | ||
| 介入10/Interventions/Control_10 | ||
| 適格性/Eligibility | |||||
| 年齢(下限)/Age-lower limit |
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| 年齢(上限)/Age-upper limit |
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| 性別/Gender | 男女両方/Male and Female | ||||
| 選択基準/Key inclusion criteria | 2020年2月1日から4月30日に国立国際医療研究センター病院にCOVID-19で入院した患者 | Patients admitted to the National Center for Global Health and Medicine Hospital with COVID-19 from February 1 to April 30, 2020 | |||
| 除外基準/Key exclusion criteria | ARDSや重症肺炎に準じた量のステロイドを使用していなかった症例 | Cases in which corticosteroids were not used in doses consistent with ARDS or severe pneumonia | |||
| 目標参加者数/Target sample size | 100 | ||||
| 責任研究者/Research contact person | ||||||||||||||
| 責任研究者/Name of lead principal investigator |
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| 所属組織/Organization | 国立国際医療研究センター病院 | Center Hospital of the National Center for Global Health and Medicine | ||||||||||||
| 所属部署/Division name | 呼吸器内科 | Department of Respiratory medicine | ||||||||||||
| 郵便番号/Zip code | 162-8655 | |||||||||||||
| 住所/Address | 東京都新宿区戸山1-21-1 | 1 Chome-21-1 Toyama, Shinjuku City, Tokyo | ||||||||||||
| 電話/TEL | 0332027181 | |||||||||||||
| Email/Email | msuzuki@hosp.ncgm.go.jp | |||||||||||||
| 試験問い合わせ窓口/Public contact | ||||||||||||||
| 試験問い合わせ窓口担当者/Name of contact person |
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| 組織名/Organization | 国立国際医療研究センター病院 | Center Hospital of the National Center for Global Health and Medicine | ||||||||||||
| 部署名/Division name | 呼吸器内科 | Department of Respiratory medicine | ||||||||||||
| 郵便番号/Zip code | 162-8655 | |||||||||||||
| 住所/Address | 東京都新宿区戸山1-21-1 | 1 Chome-21-1 Toyama, Shinjuku City, Tokyo | ||||||||||||
| 電話/TEL | 0332027181 | |||||||||||||
| 試験のホームページURL/Homepage URL | ||||||||||||||
| Email/Email | cmorita@hosp.ncgm.go.jp | |||||||||||||
| 実施責任組織/Sponsor | ||
| 機関名/Institute | その他 | Center Hospital of the National Center for Global Health and Medicine |
| 機関名/Institute (機関選択不可の場合) |
国立国際医療研究センター病院 | |
| 部署名/Department | ||
| 研究費提供組織/Funding Source | ||
| 機関名/Organization | 無し | none |
| 機関名/Organization (機関選択不可の場合) |
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| 組織名/Division | ||
| 組織の区分/Category of Funding Organization | その他/Other | |
| 研究費拠出国/Nationality of Funding Organization | ||
| その他の関連組織/Other related organizations | ||
| 共同実施組織/Co-sponsor | ||
| その他の研究費提供組織/Name of secondary funder(s) | ||
| IRB等連絡先(公開)/IRB Contact (For public release) | ||
| 組織名/Organization | 国立国際医療研究センター病院 倫理審査委員会 | Center Hospital of the National Center for Global Health and Medicine |
| 住所/Address | 東京都新宿区戸山1-21-1 | 1 Chome-21-1 Toyama, Shinjuku City, Tokyo |
| 電話/Tel | 0332027181 | |
| Email/Email | none | |
| 他機関から発行された試験ID/Secondary IDs | ||
| 他機関から発行された試験ID/Secondary IDs | いいえ/NO | |
| 試験ID1/Study ID_1 | ||
| ID発行機関1/Org. issuing International ID_1 | ||
| 試験ID2/Study ID_2 | ||
| ID発行機関2/Org. issuing International ID_2 | ||
| 治験届/IND to MHLW | ||
| 試験実施施設/Institutions | ||
| 試験実施施設名称/Institutions | ||
| その他の管理情報/Other administrative information | ||||||||
| 一般公開日(本登録希望日)/Date of disclosure of the study information |
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| 関連情報/Related information | ||
| プロトコル掲載URL/URL releasing protocol | https://www.sciencedirect.com/science/article/pii/S221253452100188X?dgcid=raven_sd_via_email | |
| 試験結果の公開状況/Publication of results | 最終結果が公表されている/Published | |
| 結果/Result | ||||||||
| 結果掲載URL/URL related to results and publications | https://www.sciencedirect.com/science/article/pii/S221253452100188X?dgcid=raven_sd_via_email | |||||||
| 組み入れ参加者数/Number of participants that the trial has enrolled | 110 | |||||||
| 主な結果/Results | 2020年2月から4月にかけて、110名の患者さんがCOVID-19と診断されました。ステロイド群に入院中の状態が悪いにもかかわらず、スケールを用いて測定した両群の臨床経過に統計的な差はありませんでした。また、解熱までの日数やポリメラーゼ連鎖反応陰性までの日数にも、両群間に統計的な差は見られませんでした。 | Between February and April 2020, 110 patients were diagnosed with COVID-19. Despite poor conditions during admission into the steroid group, there were no statistical differences in clinical course between both groups, as measured using the scale. There were no statistical differences between the two groups in the number of days to fever resolution or negative polymerase chain reaction results. | ||||||
| 主な結果入力日/Results date posted |
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| 結果掲載遅延/Results Delayed | ||||||||
| 結果遅延理由/Results Delay Reason | ||||||||
| 最初の試験結果の出版日/Date of the first journal publication of results | ||||||||
| 参加者背景/Baseline Characteristics | 2020年2月から4月にかけてCOVID-19と診断された110名の患者を確認した。患者特性の違いを表 2 に示す。入院時の患者の特徴には、いくつかの違いがあった。年齢の中央値(範囲)は、ステロイド群で67(54-71)歳、非ステロイド群で46(33-56)歳であり、ステロイド群で患者の年齢が有意に高かった(p<0.001)。高血圧もステロイド群で多かった(p < 0.001)。性別、心血管疾患、糖尿病、悪性腫瘍、自己免疫疾患、肥満度、喫煙歴、免疫抑制剤の使用などに明らかな差はなかった。 | We identified 110 patients diagnosed with COVID-19 between February and April 2020. The differences in patient characteristics are shown in Table 2. There were some differences in the characteristics of the patients at the time of admission. The median (range) age was 67 y in the steroid group and 46 y in the non-steroid group, with patients being significantly older in the steroid group. Hypertension was also more common in the steroid group. There were no apparent differences in sex, cardiovascular disease, diabetes, malignancy, autoimmune disease, body mass index, smoking history, or use of immunosuppressive drugs. | ||||||
| 参加者の流れ/Participant flow | 2020年2月から4月にかけてCOVID-19と診断された110名の患者を確認した。 | We identified 110 patients diagnosed with COVID-19 between February and April 2020. | ||||||
| 有害事象/Adverse events | 解析していない | Not analyzed. | ||||||
| 評価項目/Outcome measures | ステロイド群に入院中の状態が悪いにもかかわらず、スケールを用いて測定した両群の臨床経過に統計的な差はありませんでした。また、解熱までの日数やポリメラーゼ連鎖反応陰性までの日数にも、両群間に統計的な差は見られませんでした。 | Between February and April 2020, 110 patients were diagnosed with COVID-19. Despite poor conditions during admission into the steroid group, there were no statistical differences in clinical course between both groups, as measured using the scale. There were no statistical differences between the two groups in the number of days to fever resolution or negative polymerase chain reaction results. | ||||||
| 個別症例データ共有計画/Plan to share IPD | ||||||||
| 個別症例データ共有計画の詳細/IPD sharing Plan description | ||||||||
| 試験進捗状況/Progress | ||||||||
| 試験進捗状況/Recruitment status | 試験終了/Completed | |||||||
| プロトコル確定日/Date of protocol fixation |
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| 倫理委員会による承認日/Date of IRB |
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| 登録・組入れ開始(予定)日/Anticipated trial start date |
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| フォロー終了(予定)日/Last follow-up date |
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| 入力終了(予定)日/Date of closure to data entry | ||||||||
| データ固定(予定)日/Date trial data considered complete | ||||||||
| 解析終了(予定)日/Date analysis concluded | ||||||||
| その他/Other | ||
| その他関連情報/Other related information | 後ろ向き研究 | retrospective study |
| 管理情報/Management information | ||||||||
| 登録日時/Registered date |
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| 最終更新日/Last modified on |
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| 閲覧ページへのリンク/Link to view the page | |
| URL(日本語) | https://center6.umin.ac.jp/cgi-open-bin/ctr/ctr_view.cgi?recptno=R000053822 |
| URL(英語) | https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000053822 |