UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000031418
Receipt number R000035878
Scientific Title A single arm, Multicenter study evaluating efficacy of beta 2-microglobulin adsorption column on dialysis-related amyloidosis
Date of disclosure of the study information 2018/05/01
Last modified on 2025/02/27 09:36:11

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Basic information

Public title

A single arm, Multicenter study evaluating efficacy of beta 2-microglobulin adsorption column on dialysis-related amyloidosis

Acronym

A single arm, Multicenter study evaluating efficacy of beta 2-microglobulin adsorption column on dialysis-related amyloidosis

Scientific Title

A single arm, Multicenter study evaluating efficacy of beta 2-microglobulin adsorption column on dialysis-related amyloidosis

Scientific Title:Acronym

A single arm, Multicenter study evaluating efficacy of beta 2-microglobulin adsorption column on dialysis-related amyloidosis

Region

Japan


Condition

Condition

End-stage renal disease, Dialysis-related amyloidosis

Classification by specialty

Nephrology Urology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

This is a single, multinational study to evaluating efficacy of beta 2-microglobulin adsorption column on dialysis-related amyloidosis

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Change from Baseline to 1 year in geriatric nutritional risk index [GNRI=(14.89*serum albumin(g/dL)+41.7*(body weight(kg)/standard weight(kg)] and high-sensitive C-reactive protein

Key secondary outcomes

Change from Baseline to 1 year in Beta 2-microglobulin level, prealbumin, leptin, carnitine, 3-methyl histidine, Interleuikn-6, Joint pain (measured by VAS), pinch strength, frailty (Timed up and go test)



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

Device,equipment

Interventions/Control_1

Use of beta 2-microglobulin adsorption column on dialysis-related amyloidosis. Every 3 times per week, for 12 months

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

100 years-old >=

Gender

Male and Female

Key inclusion criteria

Patients with end-stage renal disease, 20 years or older, with dialysis-related amyloidosis
Agree to use beta 2-microglobulin adsorption column
Have not used beta 2-microglobulin adsorption column.

Key exclusion criteria

Clinical evidence of any active cancer at Visit 1.
Clinical evidence of cardiac conditions, including Angina requiring certain treatment with nitrates, unstable angina defined for study.
History of significant central nervous system (CNS) injuries (including stroke or spinal cord injury) within 6 months of Visit 1.
Use of any nitrates, cancer chemotherapy, androgens, antiandrogens, estrogens, luteinizing hormone-releasing hormone (LHRH) agonists/antagonists, or anabolic steroids at Visit 1.
History of drug, alcohol, or substance abuse within the 6 months before Visit 1.
Have any condition, limitation, or disease that could, in the judgment of the investigator, preclude evaluation of response to beta 2-microglobulin adsorption column.

Target sample size

30


Research contact person

Name of lead principal investigator

1st name Shingo
Middle name
Last name Hatakeyama

Organization

Hirosaki University School of Medicine

Division name

Urology

Zip code

0368164

Address

5 Zaifu-chou, Hirosaki, Japan

TEL

0172-39-5091

Email

shingoh@hirosaki-u.ac.jp


Public contact

Name of contact person

1st name Shingo
Middle name
Last name Hatakeyama

Organization

Hirosaki University School of Medicine

Division name

Urology

Zip code

0368164

Address

5 Zaifu-chou, Hirosaki, Japan

TEL

0172-39-5091

Homepage URL


Email

shingoh@hirosaki-u.ac.jp


Sponsor or person

Institute

Hirosaki University School of Medicine

Institute

Department

Personal name



Funding Source

Organization

Kaneka Co.

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

General Clinical Research Review Committee

Address

5 Zaifu-cho, Hirosaki-shi, Aomori

Tel

0172395091

Email

shingoh@hirosaki-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

2018 Year 05 Month 01 Day


Related information

URL releasing protocol

None

Publication of results

Unpublished


Result

URL related to results and publications

None

Number of participants that the trial has enrolled

12

Results

Based on the preliminary eligibility survey, the planned number of participants was set at 12, but one person refused to participate, so the study began with 11 participants. Of the 11 participants, 9 completed the treatment as specified in the protocol, and 2 discontinued early in the study. The results of the 9 participants who completed the 1-year treatment were analyzed. There were no significant changes before and after treatment for the primary or secondary endpoints.

Results date posted

2025 Year 02 Month 27 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

This study was conducted as a single-arm, prospective, interventional study as a specific clinical trial (jRCTs022200006). Patients with hemodialysis who met the diagnostic criteria for dialysis amyloidosis were treated with Rixell (S-15, S-25, or S-35) three times a week for one year. The primary endpoints were changes in the geriatric nutritional risk index (GNRI) and high-sensitivity CRP before and after treatment, and the secondary endpoints were changes in pre-dialysis b2MG concentration, prealbumin, leptin, carnitine, amino acid (3-methylhistidine), IL-6, joint pain (VAS evaluation), pinch strength (pinch meter), and frailty evaluation (Timed up and go test) before and after treatment.

Participant flow

The number of participants scheduled to be enrolled was set at 12 based on the preliminary eligibility survey, but one person refused to participate, so the study began with 11 participants. Of the 11 participants, 9 completed the treatment as specified in the protocol, and 2 discontinued early in the study. The reasons for discontinuation were grade 1 and grade 2 adverse events due to other diseases that were not causally related. The results of the 9 participants who completed the 1-year treatment were analyzed. There were no significant changes before and after treatment for either the primary or secondary endpoints.

Adverse events

The number of participants scheduled to be enrolled was set at 12 based on the preliminary eligibility survey, but one person refused to participate, so the study began with 11 participants. Of the 11 participants, 9 completed the treatment as specified in the protocol, and 2 discontinued early in the study. The reasons for discontinuation were grade 1 and grade 2 adverse events due to other diseases that were not causally related. The results of the 9 participants who completed the 1-year treatment were analyzed. There were no significant changes before and after treatment for either the primary or secondary endpoints.

Outcome measures

The primary endpoints were changes in the geriatric nutritional risk index (GNRI) and high-sensitivity CRP before and after treatment, and the secondary endpoints were changes in pre-dialysis b2MG concentration, prealbumin, leptin, carnitine, amino acid (3-methylhistidine), IL-6, joint pain (VAS evaluation), pinch strength (pinch meter), and frailty evaluation (Timed up and go test) before and after treatment.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2018 Year 02 Month 21 Day

Date of IRB

2019 Year 10 Month 31 Day

Anticipated trial start date

2018 Year 05 Month 01 Day

Last follow-up date

2023 Year 07 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

2018 Year 02 Month 22 Day

Last modified on

2025 Year 02 Month 27 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000035878