UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000014255
Receipt number R000014723
Scientific Title Examination of aortic diameter changes in patients after thoracic aortic aneurysm surgery with olmesartan or olmesartan + eplerenone
Date of disclosure of the study information 2014/06/13
Last modified on 2015/07/16 18:20:25

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Basic information

Public title

Examination of aortic diameter changes in patients after thoracic aortic aneurysm surgery with olmesartan or olmesartan + eplerenone

Acronym

EXPORT trial

Scientific Title

Examination of aortic diameter changes in patients after thoracic aortic aneurysm surgery with olmesartan or olmesartan + eplerenone

Scientific Title:Acronym

EXPORT trial

Region

Japan


Condition

Condition

thoracic aortic aneurysm with hypertension

Classification by specialty

Cardiology Vascular surgery

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

In patients after thoracic aortic aneurysm surgery, we think that they remain to have arteriosclerotic changes at residual self-aorta. The purpose of this trial is to investigate the preventive effects to aortic expansion in patients after thoracic aortic aneurysm surgery with olmesartan or olmesartan + eprelenon by ways to measure the residual aortic diameter changes.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Explanatory

Developmental phase

Phase III


Assessment

Primary outcomes

residual aortic diameter changes in contrast CT images after two years from thoracic aortic aneurysm surgery

Key secondary outcomes

changes in CAVI(cardio ankle vascular index)
plasma aldosterone concentration
high-sensitive CRP
blood pressure in outpatient clinic
transthoracic echocardiogram
renal function


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -but assessor(s) are blinded

Control

Active

Stratification

NO

Dynamic allocation

NO

Institution consideration

Institution is not considered as adjustment factor.

Blocking

YES

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Patients with hypertension after thoracic aneurysm surgery are started to take medicines following treatment groups at the point of recovering well from surgery. The patients in treatment groups of olmesartan take 20mg of olmesartan orally after breakfast once daily. If their doctor assesses that they should take more antihypertensive drugs, he prescribes additional drugs and decreases their systolic blood pressure of less than 130 mmHg and their diastolic blood pressure of less than 80 mm Hg. However, we restrict prescription of ARBs, ACEIs and antialdosterone drugs. Patients continue to take this medicines for two yaers at least.

Interventions/Control_2

Patients with hypertension after thoracic aneurysm surgery are started to take medicines following treatment groups at the point of recovering well from surgery. The patients in treatment groups of olmesartan+eplerenone take 20mg of olmesartan and 25mg of eplerenone orally after breakfast once daily. If their doctor assesses that they should take more antihypertensive drugs, he prescribes additional drugs and decreases their systolic blood pressure of less than 130 mmHg and their diastolic blood pressure of less than 80 mm Hg. However, we restrict prescription of ARBs, ACEIs and antialdosterone drugs. Patients continue to take this medicines for two yaers at least.

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

Patients with hypertension after thoracic aneurysm surgery are selected for targets of this trial and registered with this trial. We don't care about types of aneurysm and sorts of surgery.The definition of hypertension is a systolic blood pressure of more than 140 mmHg or a diastolic blood pressure of more than 90 mm Hg on the basis of hypertension guidelines

Key exclusion criteria

"Patients with thoracic aneurysm induced from congenital connective tissue disorder such as Marfan's syndrome"
"Patients with thoracic aneurysm induced from autoimmune disorder such as aortitis syndrome"
"Patients with chronic renal failure, which is more than 2.0mg/dL of serum creatinine concentration, or more than 2g of protein in urine daily"
"Patients restricted to take olmesartan or eplerenone"
"Patients during pregnancy or expecting to get pregnant"
"Patients younger than 20"
"Patinets refusing to anticipate this trial"
"Patients which we judged unsuitable for this trial"

Target sample size

200


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Yoshikatsu Saiki

Organization

Tohoku University School of Medicine

Division name

Dept. Cardiovascular Surgery

Zip code


Address

2-1,Seiryo-machi,Aoba-ward,Sendai,Miyagi,980-8575,Japan

TEL

022-717-7222

Email

yoshisaiki@med.tohoku.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Kiichirou Kumagai

Organization

Tohoku University School of Medicine

Division name

Dept. Cardiovascular Surgery

Zip code


Address

2-1,Seiryo-machi,Aoba-ward,Sendai,Miyagi,980-8575,Japan

TEL

022-717-7222

Homepage URL


Email

kkumagai@med.tohoku.ac.jp


Sponsor or person

Institute

Department of Cardiovascular Surgery,Tohoku University School of Medicine

Institute

Department

Personal name



Funding Source

Organization

nothing

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor

nothing

Name of secondary funder(s)

nothing


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

東北大学病院(宮城県)
Tohoku University Hospital(Miyagi)


Other administrative information

Date of disclosure of the study information

2014 Year 06 Month 13 Day


Related information

URL releasing protocol


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

Enrolling by invitation

Date of protocol fixation

2013 Year 09 Month 24 Day

Date of IRB


Anticipated trial start date

2014 Year 01 Month 01 Day

Last follow-up date

2017 Year 12 Month 31 Day

Date of closure to data entry

2018 Year 12 Month 31 Day

Date trial data considered complete

2018 Year 12 Month 31 Day

Date analysis concluded

2018 Year 12 Month 31 Day


Other

Other related information



Management information

Registered date

2014 Year 06 Month 13 Day

Last modified on

2015 Year 07 Month 16 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000014723