Unique ID issued by UMIN | UMIN000007037 |
---|---|
Receipt number | R000008298 |
Scientific Title | QUalification of Efficacy in the study of intENsive care with Tolvaptan |
Date of disclosure of the study information | 2012/02/01 |
Last modified on | 2013/12/18 11:08:34 |
QUalification of Efficacy in the study of intENsive care with Tolvaptan
QUEEN trial
QUalification of Efficacy in the study of intENsive care with Tolvaptan
QUEEN trial
Japan |
Congestive heart failure patients
Cardiology |
Others
NO
We intend for an inpatient of ICU in therapeutic purpose of congestive heart failure and review the effectiveness and safety by weighing ICU sojourn time against a group to treat with existing loop diuretic with a group using tolvaptan together to loop diure.
Safety,Efficacy
Exploratory
Pragmatic
ICU sojourn time
1.The amount of accumulation urine of 72 hours
2.Change in body weight
3.Change in Congestive Signs
(Lower limb edema,any edema,Jugular Venous.Distention,Hepatomegaly,Crackles lung,Third heart sound)
4.Chest X ray (cardio-thoracic ratio,Pulmonary Congestion)
5.Change in Plasma BNP
6.Change in Serum Na+,Change in Serum K+,Change in serum osmolality
7.Change in BUN,Change in Cr,Change in eGFR
8.New York heart associationcardiac functional classification
9.Hourly urine volume(start to 48h)
10.Daily urine volume
11.Outcome at the time of hospital discharge
(Remission,Changing hospital,Death)
12.Outcome at the time after 1month
13.Quantitative evaluation of pleural effusion
14..Cardiac output
15.Echocardiography
16.SPO2
17.blood gas analysis
Interventional
Parallel
Randomized
Individual
Open -no one is blinded
Active
YES
NO
Institution is not considered as adjustment factor.
YES
Numbered container method
2
Treatment
Medicine |
Tolvaptan arm:
After injecting furosemide 10 mg or more, administer tolvaptan orally (starting dose: 3.5 mg/day or 7.5 mg/day; maximum dose: 15 mg/day) during the stay in the intensive care unit. Furosemide injection thereafter is not specified.
Non-tolvaptan arm:
Inject furosemide 10 mg or more. Furosemide administration thereafter is not specified.
20 | years-old | <= |
90 | years-old | > |
Male and Female
1.Congestive heart failure patients who are in ICU.
2.Patients fall under clinical scenario 1, 2, 5., and administration of diuretics are considered.
3.Age: 20 years or older to 90 years less at the time of the consents.
4.The patient whom the person himself has received explanation of this clinical trial and understands the contents, and person himself or his surrogate signs in consent form
1.Acute myocardial infarction
2.Patients with circulatory assist device
3.Severe hypotension or cardiogenic shock
4.Patients are considered undesirable rapid decrease in blood flow circulation
5.Patients with right heart ventricular infarction
6.Activ form of myocarditis
7.Patients with dehydration
8.Total bilirubin>3.0mg/dL
9.Serum K>5.5mEq/L
10.Serum K>5.5mEq/L
11.Patietns with hypersensitivity to study drug
12.Anuric patients
13.Insensitivity to the thirst or difficult for the water intake
14.Hypernatremia (serum Na>147mEq/L)
15.Pregnant woman, lactational woman, patients may be willing to be pregnant or are pregnant
16.In addition, patients were judged as inadequate by physician
54
1st name | |
Middle name | |
Last name | Toshiro Shinke |
Department of Internal Medicine, Kobe University Graduate School of Medicine
Division of Cardiovascular Medicine
7-5-1 Kusunoki-cho, Chuo-ku, Kobe
078-382-5846
shinke@med.kobe-u.ac.jp
1st name | |
Middle name | |
Last name | Toshiro Shinke |
Department of Internal Medicine, Kobe University Graduate School of Medicine
Division of Cardiovascular Medicine
7-5-1 Kusunoki-cho, Chuo-ku, Kobe
078-382-5846
shinke@med.kobe-u.ac.jp
Division of Cardiovascular Medicine , Department of Internal Medicine,Kobe University Graduate School of Medicine
None
Other
NO
神戸大学大学院医学研究科循環器内科(兵庫県)
神戸労災病院(兵庫県)
神戸市立医療センター中央市民病院(兵庫県)
2012 | Year | 02 | Month | 01 | Day |
Unpublished
Preinitiation
2011 | Year | 12 | Month | 08 | Day |
2012 | Year | 02 | Month | 01 | Day |
2012 | Year | 01 | Month | 08 | Day |
2013 | Year | 12 | Month | 18 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000008298