Unique ID issued by UMIN | UMIN000003956 |
---|---|
Receipt number | R000004744 |
Scientific Title | Johoku-Cilnidipine trial of renal function and blood pressure for clinical evaluation. |
Date of disclosure of the study information | 2010/08/05 |
Last modified on | 2014/08/22 11:58:30 |
Johoku-Cilnidipine trial of renal function and blood pressure for clinical evaluation.
Johoku-Cilnidipine trial of renal function and blood pressure for clinical evaluation.(J-CIRCLE)
Johoku-Cilnidipine trial of renal function and blood pressure for clinical evaluation.
Johoku-Cilnidipine trial of renal function and blood pressure for clinical evaluation.(J-CIRCLE)
Japan |
Essential Hypertension
Medicine in general | Cardiology | Nephrology |
Others
NO
The effect of Cilnidipine on the blood pressure and renal function.
Safety,Efficacy
Confirmatory
Pragmatic
Not applicable
1.Office blood pressure
2.Home blood pressure
3.Urinary albumin excretion
1.Heart rate
2.Serum uric acid
3.Adverse events
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Medicine |
Administration of Cilnidipine
Not applicable |
Not applicable |
Male and Female
Administration of amlodipine more than three months,and urinary albumin qualitative is positivity(1+ and above) of hypertensive patients.
Following patients will be excluded from this study.
1.Pregnant women or suspected of being pregnant.
2.Severe liver dysfunction.
150
1st name | |
Middle name | |
Last name | Uchida shunya |
Teikyo University School of Medicine
Internal medicine
2-11-1,kaga,Itabashi-ku,Tokyo
03-3964-1211
s_uchida@netjoy.ne.jp
1st name | |
Middle name | |
Last name | Uchida shunya |
Teikyo University School of Medicine
Internal medicine
2-11-1,kaga,Itabashi-ku,Tokyo
03-4964-1211
s_uchida@netjoy.ne.jp
Teikyo University
Teikyo University
Self funding
NO
2010 | Year | 08 | Month | 05 | Day |
Published
This study assessed the urinary albumin/creatinine ratio and uric acid metabolism in 70 hypertensive patients with CKD in whom the urinary albumin/creatinine ratio had remained  30 mg/g under the treatment of L-type calcium channel blocker amlodipine. Three months after switching to N/L-type calcium channel blocker cilnidipine, blood pressure did not change. However, urinary albumin/creatinine ratio significantly decreased by cilnidipine. Serum uric acid levels showed no significant change. In cases where uric acid production had been high (urinary uric acid/creatinine ratio  0.5), the urinary uric acid/creatinine ratio decreased significantly after cilnidipine treatment, suggesting that cilnidipine can suppress excessive uric acid formation. These results suggest that switching from amlodipine to cilnidipine resulted in a significant reduction in urinary albumin/creatinine ratio as well as significant reduction in uric acid production. Thus cilnidipine is more useful than amlodipine in improving albuminuria and uric acid metabolism in hypertensive patients with CKD.
Completed
2009 | Year | 01 | Month | 28 | Day |
2009 | Year | 06 | Month | 01 | Day |
2011 | Year | 10 | Month | 31 | Day |
2011 | Year | 12 | Month | 31 | Day |
2011 | Year | 12 | Month | 31 | Day |
2012 | Year | 03 | Month | 31 | Day |
Journal: Journal of Clinical Hypertension
Article title: "Effects of the N/L-Type Calcium Channel Blocker Cilnidipine on Nephropathy and Uric Acid Metabolism in Hypertensive Patients with Chronic Kidney Disease (J-CIRCLE Study)."
2010 | Year | 07 | Month | 27 | Day |
2014 | Year | 08 | Month | 22 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000004744