Unique ID issued by UMIN | UMIN000001247 |
---|---|
Receipt number | R000001499 |
Scientific Title | Study of Assessment for Kidney function by Urinary microalbumin in RAndomized Trial |
Date of disclosure of the study information | 2008/07/14 |
Last modified on | 2014/01/07 14:19:14 |
Study of Assessment for Kidney function by Urinary microalbumin in RAndomized Trial
SAKURA Trial
Study of Assessment for Kidney function by Urinary microalbumin in RAndomized Trial
SAKURA Trial
Japan |
Hypertension with diabetic nephropathy
Medicine in general | Endocrinology and Metabolism | Nephrology |
Others
NO
To compare the antiproteinuric effect of cilnidipine, a dual L-/N-type calcium channel blocker, and amlodipine, an L-type calcium channel blocker, in hypertensive patients with diabetic nephropathy under treatment with an inhibitor of the renin angiotensin system
Safety,Efficacy
Confirmatory
Pragmatic
Phase IV
Change in urinary albumin-creatinine ratio (mg/g*Cr)
1) urinary albumin-creatinine ratio (mg/g*Cr), 2) stage of chronic kidney disease (CKD), 3) serum creatinine level, 4) estimated glomerular filtration rate, 5) cardiovascular event, 6) antihypertensive effect, 7) heart rate, 8) safety parameters
Interventional
Parallel
Randomized
Individual
Open -but assessor(s) are blinded
Active
YES
NO
Institution is not considered as adjustment factor.
YES
Central registration
2
Treatment
Medicine |
amlodipine (initial dose is 5mg/day, but 2.5-10mg is available depending on the effect of blood pressure reduction)
cilnidipine (initial dose is 10mg/day, but 5-20mg is available depending on the blood pressure level)
20 | years-old | <= |
75 | years-old | >= |
Male and Female
1) urinary albumin-creatinine ratio (mg/g*Cr): 30-300mg/g*Cr (casual urine), 2) serum creatinine: 1.5mg/dl and below, 3) blood pressure (BP): systolic BP (SBP) 130mmHg and above or diastolic BP (DBP) 80mmHg and above, and SBP less than 180mmHg and DBP less than 110mmHg, 4) hemoglobin A1c (HbA1c): HbA1c less than 8.0%, 5) age: from 20 to 75 years old, 6) informed consent, 7) patients who received an antidiabetic therapy for 3 months or more, 8) patients who received an antihypertensive treatment with angiotensin II receptor blockers (ARB) or angiotensin converting enzyme (ACE) inhibitors for 3 months or more, and did not receive calcium channel blockers (CCB) during the most recent 3 months before the enrollment
1) hypertensive emergency, 2) nephropathy due to other than diabetes, 3) history of severe side effects of a CCB, an ARB or an ACE inhibitor, 4) cerebrovascular disease within 6 months of the start of the trial, 5) severe heart failure (New York heart Association classes III and IV), severe arrhythmia, and myocardial infarction within 6 months of the start of the trial, 6) AST and ALT 5 times and more the upper limit of institution's normal, 7) pregnancy, 8) prior use of corticosteroids, immunosuppresants, or nonsteroidal anti-inflammatory drugs (NAISDs), 9) patients who are inadequate to enter this study due to the other reasons by physician's judgments
500
1st name | |
Middle name | |
Last name | Toshiro FUJITA |
The University of Tokyo Graduate School of Medicine
Department of Nephrology and Endocrinology
7-3-1 Hongo, Bunkyo-ku, Tokyo
03
Toshiro.FUJITA@rcast.u-tokyo.ac.jp
1st name | |
Middle name | |
Last name | Department of EBM Research |
Kyoto university Hospital
iACT
Syogoinkawaharamachi 54, Sakyo-ku, Kyoto
0120105894
syasuno@kuhp.kyoto-u.ac.jp
The University of Tokyo Graduate School of Medicine
Department account fund
Self funding
Japan
NO
2008 | Year | 07 | Month | 14 | Day |
Unpublished
Completed
2007 | Year | 12 | Month | 20 | Day |
2008 | Year | 04 | Month | 01 | Day |
2011 | Year | 03 | Month | 01 | Day |
2008 | Year | 07 | Month | 14 | Day |
2014 | Year | 01 | Month | 07 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000001499