UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000035358
Receipt number R000031342
Scientific Title Prevalence of Upper Gastrointestinal Bleeding in Antithrombotic Agent Treatment: Wakayama UGB Registry
Date of disclosure of the study information 2019/01/01
Last modified on 2025/06/30 11:39:16

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Basic information

Public title

Prevalence of Upper Gastrointestinal Bleeding in Antithrombotic Agent Treatment: Wakayama UGB Registry

Acronym

Prevalence of Upper Gastrointestinal Bleeding in Antithrombotic Agent Treatment

Scientific Title

Prevalence of Upper Gastrointestinal Bleeding in Antithrombotic Agent Treatment: Wakayama UGB Registry

Scientific Title:Acronym

Prevalence of Upper Gastrointestinal Bleeding in Antithrombotic Agent Treatment

Region

Japan


Condition

Condition

Upper Gastrointestinal Bleeding

Classification by specialty

Hepato-biliary-pancreatic medicine Cardiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Survey of upper gastrointestinal bleeding in antithrombotic agent treatment

Basic objectives2

Safety

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Upper Gastrointestinal Bleeding

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

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Patients contined antithrombotic agent treatment for three months. This study was written informed consent was obtained from all patients.

Key exclusion criteria

Patients have been already done for upper endoscopy within three months.

Target sample size

1000


Research contact person

Name of lead principal investigator

1st name takashi
Middle name
Last name yamano

Organization

Wakayama medical university

Division name

Department of cardiovascular medicine

Zip code

641-0012

Address

811-1 Kimiidera, Wakayama City, Japan

TEL

0734772300

Email

ymntks@wakayama-med.ac.jp


Public contact

Name of contact person

1st name takashi
Middle name
Last name yamano

Organization

Wakayama medical university

Division name

Department of cardiovascular medicine

Zip code

641-0012

Address

811-1 Kimiidera, Wakayama City, Japan

TEL

0734772300

Homepage URL


Email

ymntks@wakayama-med.ac.jp


Sponsor or person

Institute

Wakayama medical university

Institute

Department

Personal name



Funding Source

Organization

Wakayama medical university

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

Wakayama medical university

Address

811-1 Kimiidera, Wakayama City, Japan

Tel

0734772300

Email

ymntks@wakayama-med.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

2019 Year 01 Month 01 Day


Related information

URL releasing protocol

https://www.wakayama-med.ac.jp/info/rinshoukenkyu/index.html

Publication of results

Unpublished


Result

URL related to results and publications

https://www.wakayama-med.ac.jp/info/rinshoukenkyu/index.html

Number of participants that the trial has enrolled

298

Results

The proportion of anticoagulant therapy was as follows: aspirin alone in 88 cases, dual antiplatelet therapy with two agents in 32 cases, warfarin alone in 89 cases, 45 casesof anticoagulant therapy other than warfarin, and 44 casesof combined antiplatelet and anticoagulant therapy. Multivariate logistic regression analysis revealed that age, excessive alcohol consumption, history of myocardial infarction, history of cerebrovascular infarction, and BNP were independent risk factors for IB.

Results date posted

2025 Year 06 Month 30 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

Gastrointestinal bleeding (IB) is a serious life-threatening problem for cardiovascular disease (CVD) patients receiving antithrombotic therapy. However, Helicobacter pylori (HP) infection is recognized as an important risk factor for GI bleeding, but the prevalence of HP infection has decreased, and HP eradication therapy has become widely available. Therefore, we established the Wakayama GI Bleeding Registry and conducted a prospective, comprehensive registration of CVD patients receiving anticoagulant therapy to investigate the current status and risk factors for GI blee

Participant flow

After obtaining informed consent, 298 asymptomatic CVD patients receiving stable antiplatelet therapy or anticoagulant therapy were enrolled. Blood samples were collected from all patients at baseline and at 3 months of follow-up, and anti-HP antibodies were measured. Cases with a decrease in Hb of 2 mg/dl or more at 3 months were defined as IB if there were no other causes of bleeding, and endoscopy was performed to identify the source of bleeding.

Adverse events

none

Outcome measures

gastrointestinal bleeding

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2017 Year 04 Month 01 Day

Date of IRB

2017 Year 03 Month 31 Day

Anticipated trial start date

2018 Year 04 Month 01 Day

Last follow-up date

2019 Year 09 Month 30 Day

Date of closure to data entry

2019 Year 09 Month 30 Day

Date trial data considered complete

2020 Year 01 Month 30 Day

Date analysis concluded

2020 Year 01 Month 30 Day


Other

Other related information

We investigated the current status and remained risk factors for intestinal bleeding in patients with antiplatelet therapy or anticoagulant therapy .


Management information

Registered date

2018 Year 12 Month 25 Day

Last modified on

2025 Year 06 Month 30 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000031342