Unique ID issued by UMIN | UMIN000006415 |
---|---|
Receipt number | R000006054 |
Scientific Title | The Multicenter Study for Effects of Eplerenone on Cardiac Diastolic Dysfunction in Hypertensive Patients |
Date of disclosure of the study information | 2011/09/27 |
Last modified on | 2017/04/03 08:44:10 |
The Multicenter Study for Effects of Eplerenone on Cardiac Diastolic Dysfunction in Hypertensive Patients
The Multicenter Study for Effects of Eplerenone on Cardiac Diastolic Dysfunction in Hypertensive Patients (MELODY STUDY)
The Multicenter Study for Effects of Eplerenone on Cardiac Diastolic Dysfunction in Hypertensive Patients
The Multicenter Study for Effects of Eplerenone on Cardiac Diastolic Dysfunction in Hypertensive Patients (MELODY STUDY)
Japan |
Hypertensive patients with cardiac diastolic dysfunction and preserved ejection fraction
Medicine in general | Cardiology |
Others
NO
To evaluate effects of eplerenone on biomarkers of hypertensive patients with cardiac diastolic dysfunction
Efficacy
Confirmatory
Changes in Plasma levels of B-type natriuretic peptide (BNP) from baseline to 12 months of treatment
(if BNP logarithmic transformation does not follow normal distribution, consider using percent changes in BNP from baseline to 12 months of treatment)
Serum biomarkers
high-sensitive troponin T level, P3NP, hsCRP, Big-endothelin
Urinary biomarkers
urinary albumin, 8-OHdG
Tissue Doppler Echocardiography findings
E, e', E/e'
A composite of hospitalization or death due to cardiovascular event and significant exacerbation of cardio- and cerebro-vascular diseases (at 12 and 24 months from enrollment).
Relationship between onset of cardiovascular event and biomarkers (exploratory)
Interventional
Parallel
Randomized
Individual
Open -but assessor(s) are blinded
Active
YES
YES
Institution is not considered as adjustment factor.
NO
Central registration
2
Treatment
Medicine |
Eplerenone (25-50mg/day) is added to baseline treatment. The dose is adjusted according to conditions of patients with judgement of the physician in charge. Treatment period is for two years. The target blood pressure level is 135/85mmHg.
Usual treatment without using eplerenone or spilonoractone. The target blood pressure level is 135/85mmHg.
30 | years-old | <= |
85 | years-old | >= |
Male and Female
1. Ejection Fraction>=50%(The modified simpson method in an echocardiography or Left ventriculography or MRI or RI)
2.High blood pressure with anti-hypertensives)
3.E/e'>=15, or 15>E/e'>=8 and BNP>=100pg/ml (Measurement of E/e' is preferred to use both interventricular septum and side wall, though use of only either one of them is also acceptable complying to the usual method of each institution)
4.No evidence of hospitalization due to heart failure in the past 6 months
1.Patients with severe renal failure (Ccr<=50ml/mi. Kakuta Y et al. Clin Exp Nephrol. 2010,14(1):63-7.)
2.Serum potassium level is equal or more than 5.0 mEq/L
3.Patients with severe hepatic insufficiency (Child-Pugh Score class C)
4.Patients currently under treatment of Itraconazole, Ritonavir, or Nelfinavir.
5.Patients with hypertrophic obstructive cardiomyopathy, cardiac amyloidosis, cardiac sarcoidosis, connective tissue disease, or malignancy
6.Patients with evere valvular disease
7.Patients with secondary hypertension
8.Patients underwent operative treatment or coronary angioplasty in the past one month
9.Patients treated with eplerenone or spironolactone in the past three months
10.Women who are wising to be pregnant, or of childbearing potential
11.Patients whose physicians determined inadequate to participate the study
180
1st name | |
Middle name | |
Last name | Hisao Ogawa |
Graduate School of Medical Sciences, Kumamoto University
Cardiovascular medicine
Honjyo 1-1-1, Kumamoto
0963735175
ogawah@kumamoto-u.ac.jp
1st name | |
Middle name | |
Last name | Megumi Yamamuro |
Graduate School of Medical Sciences, Kumamoto University
Cardiovascular medicine
Honjyo 1-1-1, Kumamoto
0963735175
http://www.kumadai-junnai.com/
yamamuro@kumamoto-u.ac.jp
Graduate School of Medical Sciences, Kumamoto University
Graduate School of Medical Sciences, Kumamoto University
Other
NO
熊本大学生命科学研究部
2011 | Year | 09 | Month | 27 | Day |
Unpublished
No longer recruiting
2011 | Year | 02 | Month | 21 | Day |
2011 | Year | 02 | Month | 21 | Day |
2015 | Year | 01 | Month | 01 | Day |
2017 | Year | 06 | Month | 30 | Day |
2011 | Year | 09 | Month | 27 | Day |
2017 | Year | 04 | Month | 03 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000006054