UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000018877
Receipt number R000021312
Scientific Title First Repair Treatment with Transcatheter Closure followed by Pulmonary Vasodilator Therapy in Patients with Pulmonary Arterial Hypertension associated with Atrial Septal Defect
Date of disclosure of the study information 2015/09/29
Last modified on 2019/09/05 13:20:45

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Basic information

Public title

First Repair Treatment with Transcatheter Closure followed by Pulmonary Vasodilator Therapy in Patients with Pulmonary Arterial Hypertension associated with Atrial Septal Defect

Acronym

First Repair Treatment in ASD Patients with PAH

Scientific Title

First Repair Treatment with Transcatheter Closure followed by Pulmonary Vasodilator Therapy in Patients with Pulmonary Arterial Hypertension associated with Atrial Septal Defect

Scientific Title:Acronym

First Repair Treatment in ASD Patients with PAH

Region

Japan


Condition

Condition

pulmonary hypertension associated with atrial septal defect patients between 5 and 10 wood units of pulmonary vascular resistance

Classification by specialty

Cardiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Evaluation of efficacy of atrial septal defect transcatheter closure followed by pulmonary vasodilator therapy in pulmonary hypertension patients between 5 and 10 wood units of pulmonary vascular resistance

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Pulmonary vascular resistance and pulmonary artery pressure at 12, 24 and 48 weeks after treatment

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine Maneuver

Interventions/Control_1

Period: 1 year
Dose: Transcatheter Closure one time
Tracleer 125-250mg/day BID
Revatio 60mg/day TID

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

20 years-old <=

Age-upper limit

75 years-old >

Gender

Male and Female

Key inclusion criteria

A.Patients with pulmonary hypertensin associated with ASD.
1. mean pulmonary artery pressure more than 25mmHg and pulmonary vascular resistance more than 5 wood units, under 10 wood units.
2. Reduction of pulmonary vascular resistance by 100% oxygen test.
B.Patients with ASD
1. Defect size of ASD under 38 mm

Key exclusion criteria

A.Co-exist of other cause PH (collagen, pulmonary diseases, pulmonary embolism, left heart disease)
B.Co-exist of other congenital heart diseases except for ASD
C.Treatment of PAH-specific drugs(prostacyclin, endothelin receptor antagonist, PDE5 inhibitor, soluble guanylate cyclase stimulator)
D.Eisenmenger syndorome(Qp/Qs<1)
E.Bleeding or risk of bleeding
F.Atrial fibliration
G.Pregnat or possible pregnant woman and lactating woman
H.moderate renal dysfunction (Cre more than 1.5mg/dl)
I.moderate liver dysfunction (AST and ALT more than 2 times normal limit)
J.Hypotension (sBP less than 90mmHg)
K.Low cardiac output (cardiac index under 2.2l/min/m2)
L.LV ejection fraction under 50%
M.hypersensitivity of drugs
N.inadequate patients with whom physician evaluate

Target sample size

8


Research contact person

Name of lead principal investigator

1st name Ito
Middle name
Last name Ito

Organization

Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences

Division name

Department of Cardiovascular Medicine

Zip code

700-8558

Address

2-5-1, shikata-cho kitaku, okayama city

TEL

086-235-7351

Email

itomd@md.okayama-u.ac.jp


Public contact

Name of contact person

1st name Satoshi
Middle name
Last name Akagi

Organization

Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences

Division name

Department of Cardiovascular Medicine

Zip code

700-8558

Address

2-5-1, shikata-cho kitaku, okayama city

TEL

086-235-7351

Homepage URL


Email

akagi-s@cc.okayama-u.ac.jp


Sponsor or person

Institute

Department of Cardiovascular Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences

Institute

Department

Personal name



Funding Source

Organization

Department of Cardiovascular Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

okayama university hospital ethics committee

Address

2-5-1,kita-ku, shikata-cho, okayama

Tel

086-235-6503

Email

mae6605@adm.okayama-u.ac.jp


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



Other administrative information

Date of disclosure of the study information

2015 Year 09 Month 29 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

0

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

Terminated

Date of protocol fixation

2015 Year 07 Month 23 Day

Date of IRB

2015 Year 09 Month 15 Day

Anticipated trial start date

2015 Year 09 Month 29 Day

Last follow-up date

2019 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2015 Year 09 Month 01 Day

Last modified on

2019 Year 09 Month 05 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000021312