Unique ID issued by UMIN | UMIN000007033 |
---|---|
Receipt number | R000008286 |
Scientific Title | Management of Cardiac Dysfunction Associated With Dystrophinopathy |
Date of disclosure of the study information | 2012/01/07 |
Last modified on | 2013/02/27 13:23:22 |
Management of Cardiac Dysfunction Associated With Dystrophinopathy
MAC-D Study
Management of Cardiac Dysfunction Associated With Dystrophinopathy
MAC-D Study
Japan |
cardiac dysfunction associated with dystrophinopathy
Cardiology | Neurology | Pediatrics |
Others
YES
In cardiac dysfunction associated with dystrophinopathy, we sought to determine whether the clinical outcomes of beta-blockade are related to the administered dose or the degree of heart rate reduction. Moreover, integrated evaluation by serum tenascin C, osteopontin, cTnI, BNP, ECG and echocardiography will be examined.
Safety,Efficacy
Confirmatory
Pragmatic
Not applicable
Clinical composite response
1) All-cause death
2) Cardiovascular Death
3) All-cause Hospitalization
4) Hospitalization for cardiovascular Disease
5) Hospitalization for heart failure
6) Hospitalization for AMI, ACS, PCI or CABG
7) Cereblar Stroke
Interventional
Parallel
Randomized
Individual
Single blind -investigator(s) and assessor(s) are blinded
Active
YES
YES
Institution is not considered as adjustment factor.
NO
Central registration
2
Treatment
Medicine |
50 patients with dose-escalation based on tolerability
50 patients with dose-escalation based on heart rate reduction
Not applicable |
Not applicable |
Male and Female
Inclusion criteria are cardiac dysfunction associated with muscular dytrophinopathy, not currently taking carvedilol, and an inpatient or outpatient status.
Male or female patients at any age are required to meet the following criteria:
Left ventricular ejection fraction 50% or less, based on echocardiography.
Chronic or transient atrial fibrillation, non-sustained ventricular tachycardia or severe premature ventricular contraction.
Progressing cardiac dysfunction, aggravated arrhythmias or heart failure
The patient must give written informed consent prior to enrolment into this study.
Patients with the following conditions were excluded: valvular heart disease, hypertrophic obstructive, restrictive, arrhythmogenic right ventricular or advanced inflammatory cardiomyopathy, cardiogenic shock, systolic blood pressure under (80 mm Hg or less at rest, supine), bradycardia (50 orless/min at rest), grade II or III atrioventricular block, life-threatening arrhythmia, and unstable angina, and resting angina. Patients were also excluded if myocardial infarction, coronary artery bypass grafting or percutaneous coronary intervention had occurred within the preceding 3 months and cerebral stroke (transient ischemia, infarction, hemorrhage) had occurred within the preceding 6 months. Severe asthma or other chronic obstructive pulmonary disease and pulmonale. Patients with past history of malignancy or other life threatening diseases diagnosed within 5 years before informed consent. Arteriosclerosis obliterans1 (>Fontaine degree II) Severe anemia (Hb:6.0mg or less/dL). Uncontrolled diabetes mellitus. Significant renal impairment defined as a creatinine value 3.0mg/dL or more. Significant hepatic impairment defined as ALT or AST value 100 or more. Uncontrolled thyroid function disorder. Pregnancy. Allergy or known hypersensitivity to beta blockade. Significant disease, which in the investigator's opinion would exclude the patient from the study.
100
1st name | |
Middle name | |
Last name | Hiroshi Okamoto |
National Hospital Organization Hokkaido Medical Center
Department of Cardiovascular Medicine
Yamanote 5-7, Nishi-ku, Sapporo 063-0005, Japan
+81-11-611-8111
1st name | |
Middle name | |
Last name | Hiroshi Okamoto |
National Hospital Organization Hokkaido Medical Center
Department of Cardiovascular Medicine
Yamanote 5-7, Nishi-ku, Sapporo 063-0005, Japan
+81-11-611-8111
http://poppy.ac/mac-d/
okamotoh@hok-mc.hosp.go.jp
National Hospital Organization
National Hospital Organization
Other
Japan
NO
2012 | Year | 01 | Month | 07 | Day |
Unpublished
Terminated
2011 | Year | 11 | Month | 04 | Day |
2012 | Year | 01 | Month | 01 | Day |
2014 | Year | 02 | Month | 01 | Day |
2014 | Year | 02 | Month | 01 | Day |
2014 | Year | 03 | Month | 01 | Day |
2014 | Year | 03 | Month | 01 | Day |
2012 | Year | 01 | Month | 07 | Day |
2013 | Year | 02 | Month | 27 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000008286