UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000014034
Receipt number R000016343
Scientific Title Synergy Effect of the ARB plus HCTZ Combination therapy on Na dynamics in CKD
Date of disclosure of the study information 2014/05/22
Last modified on 2015/09/22 09:19:22

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Basic information

Public title

Synergy Effect of the ARB plus HCTZ Combination therapy on Na dynamics in CKD

Acronym

Synergy Effect of ARB/HCTZ Combination on Na dynamics

Scientific Title

Synergy Effect of the ARB plus HCTZ Combination therapy on Na dynamics in CKD

Scientific Title:Acronym

Synergy Effect of ARB/HCTZ Combination on Na dynamics

Region

Japan


Condition

Condition

Chronic kidney disease(CKD)

Classification by specialty

Nephrology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To investigate the condition in which the synergy effect of ARB/HCTZ combination therapy on the natriuresis can be promised.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Phase II


Assessment

Primary outcomes

Changes in the tubular sodium load (PNa x GFR), tubular sodium reabsorption, and urinary sodium excretion, circadian rhythms of blood pressure and natriuresis

Key secondary outcomes

Urinary angiotensinogen excretion (intrarenal RAS activity), ultrasonic examination of the kidney (RI), heart rate variability obtained by holter ECG (sympathetic activity)


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

additional medication of losartan (50mg/d) for 2 months to the preceding 2 month-treatment with HCTZ (12.5mg/d)

Interventions/Control_2

additional medication of HCTZ (12.5mg/d) for 2 months to the preceding 2 month-treatment with losartan (50mg/d)

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. age 20y or more
2. CKD based on K/DOQI criteria
3. Office BP >130/80 on at least one occasion before enrollment
4. documented informed consent

Key exclusion criteria

1. previous treatment with ARB or diuretics 2 months before enrollment
2. contraindication to losartan or HCTZ (history of the allergic reaction, bilateral renal artery stenosis)
3. presence or possibility of pregnancy
4. HbA1c >9.0 %
5. GOT >100, or GPT >85
6. endocrine hypertension
7. accelerated or malignant hypertension
8. serious conditions with congestive heart failure, coronary diseases, arrhythmia or systemic diseases
9. nephrotic syndrome (serum albumin <2.5 g/dl)
10. patients under hemodialysis therapy
11. any reason for ineligibility suggested by the attending doctor

Target sample size

40


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Michio Fukuda

Organization

Nagoya City University Graduate School of Medical Sciences

Division name

Cardio-Renal Medicine and Hypertension

Zip code


Address

1 Kawasumi, Mizuho-ku, Nagoya 467-8601, Japan

TEL

81-52-853-8221

Email

m-fukuda@med.nagoya-cu.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Toshiyuki Miura

Organization

Nagoya City University Graduate School of Medical Sciences

Division name

Cardio-Renal Medicine and Hypertension

Zip code


Address

1 Kawasumi, Mizuho-ku, Nagoya 467-8601, Japan

TEL

81-52-853-8221

Homepage URL


Email

tmiura@med.nagoya-cu.ac.jp


Sponsor or person

Institute

Department of Cardio-Renal Medicine and Hypertension, Nagoya City University Graduate School of Medical Sciences

Institute

Department

Personal name



Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization

Japan


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

名古屋市立大学病院 Nagoya City University Hospital


Other administrative information

Date of disclosure of the study information

2014 Year 05 Month 22 Day


Related information

URL releasing protocol

http://www.med.nagoya-cu.ac.jp/cr.dir/

Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results

start-up meeting held.
none enrolled

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

2014 Year 02 Month 07 Day

Date of IRB


Anticipated trial start date

2014 Year 02 Month 07 Day

Last follow-up date

2016 Year 01 Month 01 Day

Date of closure to data entry

2017 Year 01 Month 01 Day

Date trial data considered complete

2017 Year 01 Month 01 Day

Date analysis concluded

2017 Year 01 Month 01 Day


Other

Other related information



Management information

Registered date

2014 Year 05 Month 22 Day

Last modified on

2015 Year 09 Month 22 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000016343


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name