UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000002049
Receipt number R000002237
Scientific Title Effects of angiotensin receptor blocker, Candesartan on renal function in type 2 diabetes with chronic kidney disease and hypertension
Date of disclosure of the study information 2009/06/05
Last modified on 2009/12/10 15:20:17

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Basic information

Public title

Effects of angiotensin receptor blocker, Candesartan on renal function in type 2 diabetes with chronic kidney disease and hypertension

Acronym

J-CARE

Scientific Title

Effects of angiotensin receptor blocker, Candesartan on renal function in type 2 diabetes with chronic kidney disease and hypertension

Scientific Title:Acronym

J-CARE

Region

Japan


Condition

Condition

type 2 diabetes with chronic renal disease and hypertention

Classification by specialty

Endocrinology and Metabolism Nephrology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

In the 51st annual meeting of Japanese Diabetes Society, it was reported as observational study that Candesartan significantly improved eGFR of diabetes patients with CKD and hypertension. So we are planing to prove these effects of Candesartan in randamized and prospective study.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Phase IV


Assessment

Primary outcomes

eGFR 1 year after intervention

Key secondary outcomes

IMT, blood pressure (ratio of achievement in BP 130/80mmHg) urinary secretion of albumin, 1 year after intervention


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification

NO

Dynamic allocation

YES

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

Patients: Type 2 diabetes with hypertention (SBP>=130 or DBP>=80) and CKD (eGFR:30<, 60>= mL/min/1.73m2)under regular dose of ARB therapy
Intervention: prospectively and randomly divided into two groups matched for age, gender, BMI, BP, and eGFR. Patients of Candesartan group received Candesartan 12mg/day instead of regular dose of ARB. Those of CCB group received regular dose of CCB or maximum dose of CCB when the patients have already received regular dose of CCB.
If BP is high after intervention, any hypertensive drugs without ARB, CCB, ACEi can be used.

Interventions/Control_2


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

40 years-old <=

Age-upper limit

80 years-old >

Gender

Male and Female

Key inclusion criteria

Hypertensive type 2 diabates who were diagnosed by criteria of Japan Diabetes Society.
SBP =>130mmHg or DBP=>80mmHg
eGFR <60ml/min/1.73m2
=>40y.o. <80y.o.
under treatment of small or regular dose of ARB

Key exclusion criteria

the patients who are not satisfied with key inclusion criteria.

Target sample size

100


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Takahisa Hirose

Organization

Juntendo University School of Medicine

Division name

Metabolism and Endocrinology, Department of Medicine

Zip code


Address

2-1-1 Hongo Bunkyo-ku Tokyo 113-8421 Japan

TEL

03-5802-1579

Email



Public contact

Name of contact person

1st name
Middle name
Last name Hiroko Abe

Organization

Juntendo University School of Medicine

Division name

Metabolism and Endocrinology, Department of Medicine

Zip code


Address

2-1-1 Hongo Bunkyo-ku Tokyo 113-8421 Japan

TEL

03-5802-1579

Homepage URL


Email

hirosemd@juntendo.ac.jp


Sponsor or person

Institute

Juntendo University School of Medicine

Institute

Department

Personal name



Funding Source

Organization

Takeda pharmaceutical

Organization

Division

Category of Funding Organization

Profit organization

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

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2009 Year 06 Month 05 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

Terminated

Date of protocol fixation

2008 Year 06 Month 30 Day

Date of IRB


Anticipated trial start date

2008 Year 09 Month 01 Day

Last follow-up date

2010 Year 08 Month 01 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2009 Year 06 Month 05 Day

Last modified on

2009 Year 12 Month 10 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000002237