UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000030888
Receipt number R000035269
Scientific Title Assessment of bleeding in patients with disseminated intravascular coagulation after surgical treatment receiving recombinant human soluble thrombomodulin: A cohort study using DPC database
Date of disclosure of the study information 2018/01/24
Last modified on 2018/12/09 13:46:42

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Basic information

Public title

Assessment of bleeding in patients with disseminated intravascular coagulation after surgical treatment receiving recombinant human soluble thrombomodulin: A cohort study using DPC database

Acronym

Assessment of bleeding in patients with disseminated intravascular coagulation after surgical treatment receiving recombinant human soluble thrombomodulin: A cohort study using DPC database

Scientific Title

Assessment of bleeding in patients with disseminated intravascular coagulation after surgical treatment receiving recombinant human soluble thrombomodulin: A cohort study using DPC database

Scientific Title:Acronym

Assessment of bleeding in patients with disseminated intravascular coagulation after surgical treatment receiving recombinant human soluble thrombomodulin: A cohort study using DPC database

Region

Japan


Condition

Condition

Disseminated Intravascular Coagulation

Classification by specialty

Medicine in general Cardiology Hematology and clinical oncology
Surgery in general Gastrointestinal surgery Vascular surgery
Cardiovascular surgery Operative medicine Emergency medicine
Intensive care medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the effect of recombinant thrombomodulin preparation (rTM; Product name: Recomodulin), a treatment of disseminated intravascular coagulation (DIC), on the incidence of bleeding adverse events by comparing the group of patients receiving rTM with the group of patients receiving drugs other than rTM, on the supposition that "treatment with rTM in patients diagnosed with post-operative DIC does not increase the frequency of bleeding adverse events more significantly than other treatments."

Basic objectives2

Safety

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

The incidence proportion of bleeding adverse events

Key secondary outcomes

The incidence proportion of bleeding adverse events in the case where it is added that a blood transfusion or a hemostatic procedure performed after the DIC treatment.


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

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1. Patients who are diagnosed with DIC (ICD-10: D65, disseminated intravascular coagulation [defibrination syndrome]) using the international classification of disease (ICD-10)
2. Patients who are identified as inpatients using the outcome information in the hospital admission and discharge data
3. Patients who are identified to have received DIC treatment using the receipt electronic processing codes
4. Patients who are identified to have received medical treatment defined as "Surgery" according to the clinical practice identification name using the receipt electronic processing codes.
"Surgery" covers all surgeries including A), B), C) below

A) Digestive organ surgery related to the liver, gallbladder, and pancreas
B) Other digestive organ surgery(except for the liver, gallbladder, and pancreas)
C) Surgery related to the heart/cardiovascular system

*Patients will be included in the study even if they have only a short past history (within 30 days from the initial prescription) or no past history prior to the day of initial prescription.

Key exclusion criteria

1. Patients who do not have even 1 record of outcome information or who do not have outcome information in the hospital admission and discharge data at the time of initial diagnosis of DIC
2. Patients aged under 18 years
3. Patients with DIC in the department of gynecology/obstetrics (pregnant or possibly pregnant women to be contraindicated)
4. Patients who died within 2 days after the day of admission
5. Patients who received surgery on a day that is not in the same month as or in the month before the diagnosis of DIC
6. Patients who had not received DIC treatment
7. Patients who had received the initial dose of DIC treatment prior to the day of surgery or more than 1 week after surgery
8. Patients whose blood test data ("peripheral blood general") are not available
9. Patients who had intracranial hemorrhage, pulmonary hemorrhage, or gastrointestinal hemorrhage before DIC treatment (patients to be contraindicated)
10. Patients who had at least 1 dose of rTM, but no initial prescription of rTM on the day of surgery or within 1 week after that

Target sample size

10000


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Takuhiro Yamaguchi

Organization

Tohoku University Graduate School of Medicine

Division name

Biostatistics

Zip code


Address

1-1 Seiryo-machi, Aoba-ku, Sendai, Miyagi, JAPAN

TEL

022-717-7659

Email

yamaguchi@med.tohoku.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Takuhiro Yamaguchi

Organization

Tohoku University Graduate School of Medicine

Division name

Biostatistics

Zip code


Address

1-1 Seiryo-machi, Aoba-ku, Sendai, Miyagi, JAPAN

TEL

022-717-7659

Homepage URL


Email

yamaguchi@med.tohoku.ac.jp


Sponsor or person

Institute

CAC Croit Corporation

Institute

Department

Personal name



Funding Source

Organization

Asahi Kasei Pharma Corporation

Organization

Division

Category of Funding Organization

Profit organization

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



Other administrative information

Date of disclosure of the study information

2018 Year 01 Month 24 Day


Related information

URL releasing protocol


Publication of results

Published


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

Main results already published

Date of protocol fixation

2017 Year 09 Month 07 Day

Date of IRB


Anticipated trial start date

2017 Year 09 Month 07 Day

Last follow-up date


Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

<Observational Study Model>
Prospective cohort study

<Groups>
1. the group of patients receiving rTM
2. the group of patients receiving drugs other than rTM


Management information

Registered date

2018 Year 01 Month 19 Day

Last modified on

2018 Year 12 Month 09 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000035269