UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000013555
Receipt number R000015838
Scientific Title Clinical survey of patients with cerebrovascular diseases (MBs study)
Date of disclosure of the study information 2014/04/01
Last modified on 2015/09/01 22:29:36

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Basic information

Public title

Clinical survey of patients with cerebrovascular diseases (MBs study)

Acronym

Clinical survey of patients with cerebrovascular diseases (MBs study)

Scientific Title

Clinical survey of patients with cerebrovascular diseases (MBs study)

Scientific Title:Acronym

Clinical survey of patients with cerebrovascular diseases (MBs study)

Region

Japan


Condition

Condition

Cerebrovascular diseases

Classification by specialty

Medicine in general Neurology Geriatrics

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To survey the clinical characteristics of patients with cerebrovascular diseases

Basic objectives2

Others

Basic objectives -Others

To clarify the clinical characteristics of patients with cerebrovascular diseases and whether various risk factors including renal impairment could be associated with their outcomes, such as discharge destinations and long-term mortalities.

Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

functional outcome, discharge destinations, and long-term mortality

Key secondary outcomes



Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


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


Not applicable

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Between April 2007 and March 2013, patients with acute ischemic stroke who were admitted to our hospital within 24 hours of stroke onset.

Key exclusion criteria

Patients with recurrence of stroke were excluded.

Target sample size

2000


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Naoki Saji

Organization

Kawasaki Medical School

Division name

Department of Stroke Medicine

Zip code


Address

577 Matsushima, Kurashiki, Okayama

TEL

086-462-1111

Email

sajink@nifty.com


Public contact

Name of contact person

1st name
Middle name
Last name Naoki Saji

Organization

Kawasaki Medical School

Division name

Department of Stroke Medicine

Zip code


Address

577 Matsushima, Kurashiki, Okayama

TEL

086-462-1111

Homepage URL


Email

sajink@nifty.com


Sponsor or person

Institute

Kawasaki Medical School

Institute

Department

Personal name



Funding Source

Organization

Kawasaki Medical School

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


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

川崎医科大学(岡山県)


Other administrative information

Date of disclosure of the study information

2014 Year 04 Month 01 Day


Related information

URL releasing protocol

http://www.strokejournal.org/article/S1052-3057(15)00396-1/fulltext

Publication of results

Published


Result

URL related to results and publications

http://www.strokejournal.org/article/S1052-3057(15)00396-1/fulltext

Number of participants that the trial has enrolled


Results

International Stroke Conference 2014

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

2013 Year 07 Month 01 Day

Date of IRB


Anticipated trial start date

2013 Year 07 Month 01 Day

Last follow-up date

2014 Year 03 Month 28 Day

Date of closure to data entry

2014 Year 03 Month 28 Day

Date trial data considered complete

2014 Year 03 Month 29 Day

Date analysis concluded

2014 Year 04 Month 08 Day


Other

Other related information

Background: Cerebral small-vessel disease (SVD) is associated with renal dysfunction such as chronic kidney disease. Although cerebral microbleeds (CMBs) are common in patients with acute lacunar infarcts (ALI), the association between renal dysfunction and CMBs in such patients remains unclear.

Methods: Between April 2007 and March 2013, we evaluated consecutive first-ever ALI patients, who were admitted to our hospital within 24 hours of stroke onset. CMBs were defined as focal areas of signal loss in brain parenchyma less than 5 mm on T2* weighted gradient-echo imaging. Renal dysfunction was defined as an estimated glomerular filtration rate less than 60 mL/minute/1.73 m2 on admission. Correlations between renal dysfunction and the presence (model 1) and location of CMBs (model 2; any deep or infratentorial CMBs) were determined by multivariable logistic regression analyses.

Results: Among 152 patients (33.6% men; mean age, 67.6 years), 53 had CMBs. Patients with CMBs were older (69.9 versus 66.3 years, P = .03) and had a higher frequency of white matter hyperintensity (WMH; 62.3% versus 25.3%, P < .001), silent lacunar infarcts (SLI; 75.5% versus 43.3%, P < .001), and renal dysfunction (41.5% versus 22.2%, P = .015) than those without CMBs. On multivariable analyses, renal dysfunction (odds ratio, 95% confidence interval; model 1: 2.38, 1.02-5.66; model 2: 2.78, 1.16-6.81), WMH (3.87, 1.76-8.80; 3.72, 1.64-8.71), SLI (3.85, 1.71-9.14; 4.20, 1.77-10.8), and diabetes mellitus (.26, .09-.63; .24, .08-.63) were independently associated with CMBs.

Conclusions: In patients with ALI, renal dysfunction was positively associated with CMBs independent of cerebral SVD.


Management information

Registered date

2014 Year 03 Month 29 Day

Last modified on

2015 Year 09 Month 01 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000015838