UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000006794
Receipt number R000008042
Scientific Title Genotype-Based Warfarin Therapy (GENWAT) study
Date of disclosure of the study information 2011/12/01
Last modified on 2021/05/15 15:41:34

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Basic information

Public title

Genotype-Based Warfarin Therapy (GENWAT) study

Acronym

Genotype-Based Warfarin Therapy (GENWAT) study

Scientific Title

Genotype-Based Warfarin Therapy (GENWAT) study

Scientific Title:Acronym

Genotype-Based Warfarin Therapy (GENWAT) study

Region

Japan


Condition

Condition

Atrial fibrillation

Classification by specialty

Medicine in general Cardiology Geriatrics

Classification by malignancy

Others

Genomic information

YES


Objectives

Narrative objectives1

Validation of warfarin dosing algorism using genotypes of CYP2C9 and VKORC1 SNPs and clinical information

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

1) Efficacy
i) Proportion of patients reaching therapeutic INR range (1.6 to 2.5) at week 2, 4 and 8
ii) Time to the therapeutic INR range

2) Safety
i) Bleeding (hematoma, hemorrhage in CNS, GI, GU, pulmonary/upper respiratory, petechiae/purpura, other hemorrhage)
ii) Thromboembolism (cerebral embolism, cardiac thrombosis, pulmonary embolism, deep vein thrombosis)
iii) INR>=4
iv) Discontinuation of warfarin due to inhibition of coagulation
v) Use of Vitamin K medication

Key secondary outcomes

1) Efficacy
i) Total number of dose adjustments for reaching therapeutic INR range
ii) Total number of INR measurements for reaching therapeutic INR range
iii) Differences between initial and maintenance dosages


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

NO

Institution consideration

Institution is not considered as adjustment factor.

Blocking

NO

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Prevention

Type of intervention

Medicine

Interventions/Control_1

PG Arm: Decision of initial dosage using warfarin dosing algorism by genotype and clinical information (to a maximum of 5 mg).

Interventions/Control_2

STD Arm: Initiation of warfarin treatment at a dose of 1 to 2 mg.

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) Adult Japanese males and females with atrial fibrillation, who will take warfarin
2) Patients who can understand the contents of this study and will voluntarily give written informed consent

Key exclusion criteria

1) Patients with a history of hypersensitivity to warfarin
2) Pregnancy and lactation patients
3) Patients with severe renal failure (serum creatinine>=2.5 mg/dL, patients on hemodialysis)
4) Patients with cirrhosis
5) Patients with hypoproteinemia (serum albumin<=2.5 g/dL)
6) Patients who require special attention for dosage adjustment
7) Patients with bleeding and who are potentially bleeding
8) Patient who are incapable to understand the contents of this study and will not give informed consent
9) Patients who participate in other clinical studies
10) Patients judged by investigators as ineligible for study enrollment
11) Patients who require invasive treatment during this study

Target sample size

1000


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Michiaki Kubo

Organization

RIKEN

Division name

Center for Integrative Medical Sciences

Zip code


Address

1-7-22, Suehiro-cho, Tsurumi-ku, Yokohama 230-0045, Japan

TEL

045-503-9607

Email



Public contact

Name of contact person

1st name
Middle name
Last name

Organization

Institute of Medical Science, The University of Tokyo

Division name

Biobank Japan

Zip code


Address

4-6-1, Shirokanedai, Minato-ku 108-8639, Japan

TEL

03-5449-5122

Homepage URL

http://www.biobankjp.org/pgx/

Email



Sponsor or person

Institute

RIKEN

Institute

Department

Personal name



Funding Source

Organization

Ministry of Education, Culture, Sports, Science & Technology

Organization

Division

Category of Funding Organization

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor

Institute of Medical Science, The University of Tokyo

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

2011 Year 12 Month 01 Day


Related information

URL releasing protocol

http://www.biobankjp.org/pgx/

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

Completed

Date of protocol fixation

2011 Year 11 Month 30 Day

Date of IRB

2011 Year 12 Month 06 Day

Anticipated trial start date

2011 Year 12 Month 01 Day

Last follow-up date

2014 Year 03 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

2011 Year 11 Month 30 Day

Last modified on

2021 Year 05 Month 15 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000008042