UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000037490
Receipt number R000042734
Scientific Title Examination of the quality and complications of diagnosis in percutaneous kidney biopsy affected by difference of biopsy needle
Date of disclosure of the study information 2019/07/31
Last modified on 2019/07/25 15:56:43

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Basic information

Public title

Examination of the quality and complications of diagnosis in percutaneous kidney biopsy affected by difference of biopsy needle

Acronym

Are there differences in quality and complications due to differences in biopsy needles?

Scientific Title

Examination of the quality and complications of diagnosis in percutaneous kidney biopsy affected by difference of biopsy needle

Scientific Title:Acronym

Are there differences in quality and complications due to differences in biopsy needles?

Region

Japan


Condition

Condition

CKD

Classification by specialty

Nephrology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

In patients with kidney disease, kidney biopsy is an important test for identifying the cause of kidney disease, predicting prognosis, and determining treatment. Percutaneous kidney biopsy has been started since 1951 and safe and efficient kidney biopsy has become possible by introducing an echo guide and an automatic biopsy needle, but it is still an examination with a risk of complications . It is important in renal biopsy practice to minimize complications such as pain and hemorrhage while securing kidney tissue fragments useful for diagnosis. A piece of kidney tissue useful for diagnosis is one of the conditions having more glomeruli in the piece of tissue, which is considered to be correlated to the size of the piece of kidney tissue. However, obtaining larger pieces of kidney tissue may increase the risk of damage to arteries and surrounding tissues, and may increase complications. In overseas RCT reports, there are two reports on the examination quality and complications of renal biopsy influenced by the size of the needle for biopsy of the kidney. It is reported that the larger the size of the kidney biopsy needle, the better the quality of diagnosis, but the pain is increased as a complication. There is no choice but to consider it an inadequate review. Japanese people are smaller in physical size and smaller in kidney size than in foreign countries, so it may be difficult to adapt as is the case with foreign RCT background factors. In this study, we will compare the quality and complication of diagnosis of kidney biopsy using 16G and 18G kidney biopsy needles, and aim to help selection of more effective biopsy needles.

Basic objectives2

Safety

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

Is there a difference in safety regardless of the difference in the biopsy needle? In particular, is the amount of bleeding different between two groups? Is there a difference in the number of collected glomeruli?

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Cluster

Blinding

Open -no one is blinded

Control

Active

Stratification

NO

Dynamic allocation

NO

Institution consideration


Blocking


Concealment

Pseudo-randomization


Intervention

No. of arms

2

Purpose of intervention

Diagnosis

Type of intervention

Device,equipment

Interventions/Control_1

We randomly assign renal biopsy patients to be performed at our hospital to those using a 16G puncture needle and those using an 18G puncture needle. All other methods are performed with the same protocol in both groups, with the only difference being the gauge of the needle. Record changes in bleeding volume, Hb, renal function, etc. in both groups. Count the number of glomeruli of collected samples and examine whether there is a difference between the two groups

Interventions/Control_2

We randomly assign renal biopsy patients to be performed at our hospital to those using a 16G puncture needle and those using an 18G puncture needle. All other methods are performed with the same protocol in both groups, with the only difference being the gauge of the needle. Record changes in bleeding volume, Hb, renal function, etc. in both groups. Count the number of glomeruli of collected samples and examine whether there is a difference between the two groups

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

16 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Patients with chronic kidney disease who undergo a kidney biopsy at our hospital are included in this study. Patients should be informed after sufficient explanation.

Key exclusion criteria

Patients who do not give consent.
Those who have a tendency to bleed. Specifically, those who are abnormal in the platelet count and PT and APTT tests are excluded.

Target sample size

100


Research contact person

Name of lead principal investigator

1st name Seiji
Middle name
Last name Hashimoto

Organization

Kinan Hospital

Division name

Department of Nephrology

Zip code

646-8588

Address

46-70 Shinjyou-machi, Tanabe

TEL

0739-22-5000

Email

seijinih@med.hokudai.ac.jp


Public contact

Name of contact person

1st name seiji
Middle name
Last name Hashimoto

Organization

Kinan Hospital

Division name

Department Of Nephrology

Zip code

646-8588

Address

46-70 Shinjyou-machi, Tanabe

TEL

0739-22-5000

Homepage URL


Email

seijinih@med.hokudai.ac.jp


Sponsor or person

Institute

Kinan Hospital, Deprtment of Nephrology

Institute

Department

Personal name



Funding Source

Organization

Kinan Hospital, Deprtment of Nephrology

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

Kinan

Address

46-70 Shinjyou-machi, Tanabe

Tel

0739-22-5000

Email

shomu@kinan-hp.tanabe.wakayama.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 07 Month 31 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


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

Preinitiation

Date of protocol fixation

2019 Year 07 Month 25 Day

Date of IRB


Anticipated trial start date

2019 Year 08 Month 01 Day

Last follow-up date

2029 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

2019 Year 07 Month 25 Day

Last modified on

2019 Year 07 Month 25 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000042734