Unique ID issued by UMIN | UMIN000036119 |
---|---|
Receipt number | R000041139 |
Scientific Title | A comparative study of renoprotective effect of tolvaptan as an alternative treatment for increasing loop diuretics in patients with chronic kidney disease complicated with chronic heart failure |
Date of disclosure of the study information | 2019/04/01 |
Last modified on | 2022/08/02 23:11:47 |
A comparative study of renoprotective effect of tolvaptan as an alternative treatment for increasing loop diuretics in patients with chronic kidney disease complicated with chronic heart failure
A comparative study of renoprotective effect of tolvaptan as an alternative treatment for increasing loop diuretics in patients with chronic kidney disease complicated with chronic heart failure
A comparative study of renoprotective effect of tolvaptan as an alternative treatment for increasing loop diuretics in patients with chronic kidney disease complicated with chronic heart failure
A comparative study of renoprotective effect of tolvaptan as an alternative treatment for increasing loop diuretics in patients with chronic kidney disease complicated with chronic heart failure
Japan |
chronic heart failure, chronic kidney disease
Cardiology | Nephrology |
Others
NO
The aim of this study is to compare long-term renal prognosis treated with additive tolvaptan vs. increased loop diuretics in chronic kidney disease patients with chronic heart failure.
Safety,Efficacy
Serum creatinine level
eGFR change from baseline
Worsening renal function (WRF)
from 1 days to 1 years later
Days until the dialysis induction
Dialysis induction rate
urine volume, body weight, blood pressure, heart rate, plasma BNP, echocardiography (inferior vena cava diameters, ejection fraction), chest X ray (cardio-thoracic ratio, pulmonary congestion), urine osmolality, Fractional Excretion of Na (FENa), serum BUN, serum Na, serum K , New York heart association cardiac functional classification, cardiovascular event rate
Interventional
Parallel
Randomized
Individual
Open -no one is blinded
Active
2
Treatment
Medicine |
Tolvaptan group: Add tolvaptan administration
Furosemide group: Increased furosemide administration
20 | years-old | <= |
Not applicable |
Male and Female
Heart failure patients over 20 years of age taking over 40 mg/day furosemide with a estimated GFR (eGFR)<45 mL/min/1.73m2.
Patients who cannot intake fluids or feel thirst
Patients with anuria or urinary excretion disorder
Patients with hypernatremia
Patients with serious hepatic disorder
Patients under the pacing therapy
Patients with percutaneous coronary intervention or open heart surgery within the past 3 months
Patients with poorly controlled diabetes mellitus
Patients who take SGLT-2 inhibitor
Patients who are pregnant or possibly pregnant
Patients without agreement on enrolment of this study
Inappropriate patients judged by doctor
40
1st name | Hisato |
Middle name | |
Last name | Shima |
Kawashima hospital
Department of Kidney Disease
7700011
1-39 Kitasakoichiban-cho, Tokushima city 770-0011, Tokushima, Japan
088-631-0110
h.shima@khg.or.jp
1st name | Hisato |
Middle name | |
Last name | Shima |
Kawashima hospital
Department of Kidney Disease
7700011
1-39 Kitasakoichiban-cho, Tokushima city 770-0011, Tokushima, Japan
088-631-0110
h.shima@khg.or.jp
Kawashima hospital
Kawashima hospital
Self funding
Kawashima hospital
1-39 Kitasakoichiban-cho, Tokushima city 770-0011, Tokushima, Japan
088-631-0110
h.shima@khg.or.jp
NO
2019 | Year | 04 | Month | 01 | Day |
Unpublished
Terminated
2019 | Year | 03 | Month | 05 | Day |
2019 | Year | 03 | Month | 05 | Day |
2019 | Year | 03 | Month | 07 | Day |
2023 | Year | 03 | Month | 31 | Day |
2019 | Year | 03 | Month | 07 | Day |
2022 | Year | 08 | Month | 02 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000041139