UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000048321
Receipt number R000055072
Scientific Title Randomized controlled trial comparing zinc-BCAA combination therapy with BCAA monotherapy in liver cirrhosis patients with hypoalbuminemia
Date of disclosure of the study information 2022/07/11
Last modified on 2022/07/08 15:53:39

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Basic information

Public title

Randomized controlled trial comparing zinc-BCAA combination therapy with BCAA monotherapy in liver cirrhosis patients with hypoalbuminemia

Acronym

Randomized controlled trial comparing zinc-BCAA combination therapy with BCAA monotherapy in liver cirrhosis patients with hypoalbuminemia

Scientific Title

Randomized controlled trial comparing zinc-BCAA combination therapy with BCAA monotherapy in liver cirrhosis patients with hypoalbuminemia

Scientific Title:Acronym

Randomized controlled trial comparing zinc-BCAA combination therapy with BCAA monotherapy in liver cirrhosis patients with hypoalbuminemia

Region

Japan


Condition

Condition

Liver cirrhosis with hypoalbuminemia

Classification by specialty

Hepato-biliary-pancreatic medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the synergistic therapeutic effect of zinc and BCAA on hypoalbuminemia

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Changes of serum albumin

Key secondary outcomes

1)Achievement rate of serum albumin>3.5g/dL, value of serum albumin
2)Changes of child pugh score, ALBI score
3)Changes of Skeletal muscle index(BIA), grip strength, SARC-F
4)Cumulative incidence rate of HCC
5)Cumulative incidence rate of acute decompensation and ACLF
6)Overall survival
7)Achievement rate of serum zinc>80mcg/dl value, changes of serum zinc
8)Changes of NH3, BTR
9)Changes of liver fibrosis marker(type4 collagen 7s, autotaxine and M2BPGi) and scoring system(FIB4 index, APRI)


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Zinc + BCAA(12g/day). Starting dose of zinc is 50mg/day for <60kg, 75mg/day for 60kg-80kg, 100mg/day for >80kg.
For cases with the serum zinc level is less than 80 mcg/dl at 4 and 8 weeks of administration, the amount of zinc is increased by 25mg/day. Total administration period is 12 weeks.

Interventions/Control_2

BCAA(12g/day).
Total administration period is 12 weeks.

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

80 years-old >

Gender

Male and Female

Key inclusion criteria

Patients with hypozincemia and hypoalbuminemia due to liver cirrhosis, specifically patients who meet all the following conditions

1) Hypozincemia (<70mcg/dl)
2) hypoalbuminemia (<3.5g/dL)

Key exclusion criteria

1)Beyond Child-Pugh score 8.
2)Severe hypoalbuminemia (Serum albumin less than 2.8g/dL)
3)Past history of hepatic encephalopathy
4)Doubtful case of Wilson disease
5)Symptomatic hypozincemia
6)Severe renal dysfunction (serum creatinine more than 2.0 mg/dl)
7)Malabsorption due to digestive diseases
8)Poor oral intake due to alcohol use disorder and anorexia nervosa
9)Severe dementia

Target sample size

64


Research contact person

Name of lead principal investigator

1st name Nobuhiro
Middle name
Last name Nkamoato

Organization

Keio University, School of Medicine

Division name

Division of Gastroenterology and Hepatology

Zip code

1608582

Address

35 Shinanomachi Shinjuku-ku, Tokyo

TEL

+81-3-3353-1211

Email

nobuhiro@z2.keio.jp


Public contact

Name of contact person

1st name Ryosuke
Middle name
Last name Kasuga

Organization

Keio University, School of Medicine

Division name

Division of Gastroenterology and Hepatology

Zip code

1608582

Address

35 Shinanomachi Shinjuku-ku, Tokyo

TEL

+81-3-3353-1211

Homepage URL


Email

rk-keio2020@keio.jp


Sponsor or person

Institute

Keio University, School of Medicine

Institute

Department

Personal name



Funding Source

Organization

Keio University, School of Medicine

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

Keio University, School of Medicine

Address

35 Shinanomachi Shinjuku-ku, Tokyo

Tel

+81-3-3353-1211

Email

med-rinri-jimu@adst.keio.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

2022 Year 07 Month 11 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

2022 Year 06 Month 14 Day

Date of IRB

2022 Year 06 Month 14 Day

Anticipated trial start date

2022 Year 07 Month 11 Day

Last follow-up date

2027 Year 03 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

2022 Year 07 Month 08 Day

Last modified on

2022 Year 07 Month 08 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000055072