UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000046107
Receipt number R000052634
Scientific Title Impact of diuretics use in long-term management of congestive heart failure patients to prevent re-hospitalization using the Diagnosis Procedure Combination Database
Date of disclosure of the study information 2021/11/20
Last modified on 2022/06/07 09:51:08

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Basic information

Public title

Impact of diuretics use in long-term management of congestive heart failure patients to prevent re-hospitalization using the Diagnosis Procedure Combination Database

Acronym

Impact of diuretics use in long-term management of congestive heart failure patients to prevent re-hospitalization using the Diagnosis Procedure Combination Database

Scientific Title

Impact of diuretics use in long-term management of congestive heart failure patients to prevent re-hospitalization using the Diagnosis Procedure Combination Database

Scientific Title:Acronym

Impact of diuretics use in long-term management of congestive heart failure patients to prevent re-hospitalization using the Diagnosis Procedure Combination Database

Region

Japan


Condition

Condition

Heart failure

Classification by specialty

Cardiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To investigate factors affecting re-hospitalization for heart failure.

Basic objectives2

Safety

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

Rate of readmissions due to HF and time to readmission during the second post-discharge follow-up period (after 1 year)

Key secondary outcomes

In-hospital death


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

1. Patients who have two or more hospitalizations for the target disease within the inclusion period.
2. Patients who were prescribed the target drug during the above hospitalization and who were continuously prescribed the target drug after discharge from the hospital.
3. Any medical intervention has been performed at least once after the second discharge.

Key exclusion criteria

1.Patients younger than 20 years at the time of the second hospitalization for the disease of interest

Target sample size

4000


Research contact person

Name of lead principal investigator

1st name Miyuki
Middle name
Last name Matsukawa

Organization

Otsuka Pharmaceutical Co., Ltd.

Division name

Medical Affairs Department

Zip code

540-0021

Address

3-2-27, Otedori, Chuo-ku, Osaka-shi, Osaka 540-0021, Japan

TEL

080-6791-7646

Email

Matsukawa.Miyuki@otsuka.jp


Public contact

Name of contact person

1st name Miyuki
Middle name
Last name Matsukawa

Organization

Otsuka Pharmaceutical Co., Ltd.

Division name

Medical Affairs Department

Zip code

540-0021

Address

3-2-27, Otedori, Chuo-ku, Osaka-shi, Osaka 540-0021, Japan

TEL

080-6791-7646

Homepage URL


Email

Matsukawa.Miyuki@otsuka.jp


Sponsor or person

Institute

Otsuka Pharmaceutical Co., Ltd.
Medical Affairs Department

Institute

Department

Personal name



Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

RIHDS Ethics Review Board

Address

2-5-5 Shibadaimon, Minato-ku, Tokyo Sumitomo Shibadaimon Building 12th floor, inside JMDC Co., Ltd.

Tel

03-5733-5010

Email

rihds@jmdc.co.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

2021 Year 11 Month 20 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

11257

Results

In this study, compared to loop diuretics, additional tolvaptan treatment was not shown to be effective for the time to readmission due to heart failure. Re-hospitalization for heart failure has been shown to be associated with age, Na, creatinine, and prescriptions of ACE inhibitors or ARBs and thiazides. On the other hand, additional treatment with tolvaptan was shown to be significantly longer in terms of time to in-hospital death.

Results date posted

2022 Year 06 Month 07 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

(Cohort)
Tolvaptan male 57.4%
Furosemide male 53.2%
Tolvaptan age 78.0(years)
Furosemide age 78.5(years)

Participant flow

N/A

Adverse events

N/A

Outcome measures

Heart failure hospitalization
In-hospital death

Plan to share IPD

No

IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2020 Year 09 Month 30 Day

Date of IRB

2020 Year 09 Month 11 Day

Anticipated trial start date

2020 Year 10 Month 06 Day

Last follow-up date

2021 Year 09 Month 30 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded

2021 Year 12 Month 25 Day


Other

Other related information

Examination of the relationship between diuretic administration and readmission and in-hospital death due to heart failure.


Management information

Registered date

2021 Year 11 Month 18 Day

Last modified on

2022 Year 06 Month 07 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000052634