UMIN-CTR Clinical Trial

Unique ID issued by UMIN C000000324
Receipt number R000000416
Scientific Title A randomized, comparative study of the effectiveness of sartans on the morning hypertension and metabolic abnormality in the Japanese obese patients by the central registration system.[FUJIYAMA-Study]
Date of disclosure of the study information 2006/02/08
Last modified on 2008/02/13 12:29:22

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Basic information

Public title

A randomized, comparative study of the effectiveness of sartans on the morning hypertension and metabolic abnormality in the Japanese obese patients by the central registration system.[FUJIYAMA-Study]

Acronym

A randomized, comparative study of the effectiveness of sartans on the morning hypertension and metabolic abnormality in the Japanese obese patients by the central registration system.[FUJIYAMA-Study]

Scientific Title

A randomized, comparative study of the effectiveness of sartans on the morning hypertension and metabolic abnormality in the Japanese obese patients by the central registration system.[FUJIYAMA-Study]

Scientific Title:Acronym

A randomized, comparative study of the effectiveness of sartans on the morning hypertension and metabolic abnormality in the Japanese obese patients by the central registration system.[FUJIYAMA-Study]

Region

Japan


Condition

Condition

Hypertension

Classification by specialty

Cardiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To investigate the effects of Candesartan and Telmisartan on the home blood pressure, glucose and lipid-metabolism in the hypertensive patients with the accumulation of visceral fat by the newly developed Tele-medicine system

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

Home blood pressure in the early morning assessed by the PROBE (prospective, randomized, open-endpoint, blinded) method

Key secondary outcomes

Home blood pressure at bedtime
M/E ratio**
Casual blood pressure
Obesity: body fat percentage, weight, height, BMI**
Blood potassium*
Serum lipid: total cholesterol*, HDL cholesterol*, LDL cholesterol*
Triglyceride*
Glucose metabolism: blood glucose*, IRI* , HbAlc*, HOMA-IR**
Renal function: urinary microalbumin*, creatinine*
Adverse effects
assessed by the PROBE method
* : measured together by the clinical laboratory
assessed by the PROBE method


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Single blind -investigator(s) and assessor(s) are blinded

Control

Active

Stratification

NO

Dynamic allocation

NO

Institution consideration

Institution is not considered as adjustment factor.

Blocking

NO

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Candesartan group(C-group):
1.Method of administration
1)Observation period: Continue the treatment of the pre-study regimen, and observe over 2 weeks. However, set a washout period of 4 weeks when any angiotensin II receptor antagonist is given.
2)Treatment period:
For the C-group:- In principle, continue Candesartan 8 mg once daily in the morning for 12 weeks.However, the administration may be initiated with Candesartan 4 mg if necessary.
Set the target levels of casual blood pressures as the systolic blood pressure <140 mmHg and diastolic blood pressure <90 mmHg.
When antihypertensive effect is inadequate, the dose may be increased to Candesartan 12 mg or Telmisartan 80 mg, however, the dosage should not be
changed at 8 weeks or later.
2.Concomitant drugs:
Concomitant uses of the angiotensin II receptor antagonists other than study drugs, fibrates and ethyl eicosapentoate (EPA) are prohibited.
The dosage of other antihypertensive drugs should be maintained as much as possible during the study period, however, increase or addition in dosage may be allowed when the antihypertensive effect is inadequate after the increase of the dosage.

Interventions/Control_2

Telmisartan group(T-group):
1.Method of administration
1)Observation period: Continue the treatment of the pre-study regimen, and observe over 2 weeks. However, set a washout period of 4 weeks when any angiotensin II receptor antagonist is given.
2)Treatment period:
For the T-group:- In principle, continue Telmisartan 40 mg once daily in the morning for 12 weeks. However, the administration may be initiated with Telmisartan 20 mg if necessary.
Set the target levels of casual blood pressures as the systolic blood pressure <140 mmHg and diastolic blood pressure <90 mmHg.
When antihypertensive effect is inadequate, the dose may be increased to Candesartan 12 mg or Telmisartan 80 mg, however, the dosage should not be
changed at 8 weeks or later.
2.Concomitant drugs:
Concomitant uses of the angiotensin II receptor antagonists other than study drugs, fibrates and ethyl eicosapentoate (EPA) are prohibited.
The dosage of other antihypertensive drugs should be maintained as much as possible during the study period, however, increase or addition in dosage may be allowed when the antihypertensive effect is inadequate after the increase of the dosage.

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1)Patient with circumference at waist:male >=85 cm, female >=90 cm
2)Hypertensive patient falls under the following conditions:
i)with untreated hypertension, and casual blood pressure of systole >=40 mmHG, or diastole >=90 mmHg
ii)with hypertension under treatment, and casual blood pressure of systole >=130 mmHg, or diastole >=85 mmHg

Key exclusion criteria

1)Significant hypertensive patient with diastolic blood pressure >=120 mmHg
2)Malignant hypertensive patient
3)Patient with a contraindication to the study drugs (hypersensitivity, significant hepatic diseases, pregnant woman)
4)Patient with urinary protein (qualitative) + to ++
5)Patient with familial hyperlipidemia (hypercholesterolemia, hypertriglyceridemia)
6)Other patients judged as ineligible for the study

Target sample size

300


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Hidetomo Nakamoto

Organization

Saitama Medical School

Division name

Department of Renal Medicine

Zip code


Address

38, Moro-Hongo, Moroyama, Iruma-gun, Saitama 350-0495, Japan

TEL

0492-76-1258

Email



Public contact

Name of contact person

1st name
Middle name
Last name Hidetomo Nakamoto

Organization

Saitama Medical School

Division name

Department of Renal Medicine

Zip code


Address

38, Moro-Hongo, Moroyama, Iruma-gun, Saitama 350-0495, Japan

TEL

0492-76-1258

Homepage URL


Email

nakamo_h@saitama-med.ac.jp


Sponsor or person

Institute

Central Committee of FUJIYAMA Study

Institute

Department

Personal name



Funding Source

Organization

LINE-Nonprofit organization

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

YES

Study ID_1

NCT00288717

Org. issuing International ID_1

ClinicalTrials.gov

Study ID_2

JapicCTI-060210

Org. issuing International ID_2

Japan Pharmaceutical Information Center

IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2006 Year 02 Month 08 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

No longer recruiting

Date of protocol fixation

2005 Year 10 Month 13 Day

Date of IRB


Anticipated trial start date

2005 Year 11 Month 01 Day

Last follow-up date

2007 Year 09 Month 01 Day

Date of closure to data entry

2007 Year 12 Month 01 Day

Date trial data considered complete

2007 Year 12 Month 01 Day

Date analysis concluded

2008 Year 03 Month 01 Day


Other

Other related information



Management information

Registered date

2006 Year 02 Month 06 Day

Last modified on

2008 Year 02 Month 13 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000000416