UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000051288
Receipt number R000058496
Scientific Title Low versus Moderate Sodium Diet in Hospitalized Patients with Acute Decompensated Heart Failure
Date of disclosure of the study information 2023/06/10
Last modified on 2023/07/03 18:59:37

* This page includes information on clinical trials registered in UMIN clinical trial registed system.
* We don't aim to advertise certain products or treatments


Basic information

Public title

Low versus Moderate Sodium Diet in Hospitalized Patients with Acute Decompensated Heart Failure

Acronym

SODIUM ADHF Pilot Study

Scientific Title

Low versus Moderate Sodium Diet in Hospitalized Patients with Acute Decompensated Heart Failure

Scientific Title:Acronym

SODIUM ADHF Pilot Study

Region

Japan


Condition

Condition

heart failure

Classification by specialty

Cardiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

This study aimed to determine whether providing a sodium low-restricted diet equivalent to 8 g of salt per day compared to a sodium restricted diet equivalent to 6 g of salt per day improves total energy intake and total energy intake sufficiency for 7 days after intervention for 65 years and older patients with heart failure in hospital.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

The primary outcomes are average total daily energy intake and average total energy intake sufficiency rate from the start of the intervention diet to the time of discharge if the patient is discharged within 7 days of the start of the intervention diet and within 7 days of the start of the intervention diet.

Key secondary outcomes

1. Average daily salt intake during the first 7 days of intervention
2. Average daily nutrient sufficiency rate during the first 7 days of intervention
3. Serum sodium values after 7 days intervention
4. Urinary sodium values after 7 days intervention
5. Change in CFS level before hospitalization and on day 7 of the intervention
6. Changes in BNP values on day 7 from the start of the intervention
7. Change in PNI level on day 7 from the start of the intervention
8. Change in JSNAQ value on day 7 from the start of the intervention
9. Change in grip strength on day 7 from the start of the intervention
10. Events occurring up to 60 days of intervention (cardiac death, heart failure death, cardiovascular death, sudden cardiac death, non-cardiac death, all cause death, heart failure exacerbation, heart failure hospitalization, cardiovascular hospitalization, non-cardiac hospitalization, infections, falls, emergency visits, low serum sodium, low Hb)
11. Average daily total energy intake from discharge to first nutrition counseling
12. Estimated daily salt intake from discharge to first nutrition counseling
13. Average daily nutrient sufficiency rate from discharge to first nutrition counseling


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification

NO

Dynamic allocation

NO

Institution consideration

Institution is not considered as adjustment factor.

Blocking

NO

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Behavior,custom

Interventions/Control_1

Mildly sodium restricted diet equivalent to 8 g of salt per day for 7 days

Interventions/Control_2

Sodium restricted diet equivalent to 6 g of salt per day for 7 days

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

65 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1. Patient is hospitalized with a diagnosis of heart failure that meets Framingham criteria.
2. Patient is receiving appropriate treatment according to the guidelines and is hemodynamically stable.
3. Patient is 65 years old or older
4. Patient is able to take oral diet
5. Patients with systolic blood pressure less than 140 mmHg or diastolic blood pressure less than 90 mmHg
6. Patients with a Barthel Index of 85 or higher
7. Written consent for participation in the study has been obtained from the patients themselves

Key exclusion criteria

1. Heart failure patients who required endotracheal intubation or treatment with an assistive circulatory device after hospitalization
2. End-stage renal failure eGFR<15mL/min/1.73m2
3. Serum Na<130 mmol/L
4. Patients who require restrictions other than salt and energy intake as a therapeutic diet
5. Patients with dysgeusia and receiving treatment for dysgeusia
6. Patients with malignant tumors under treatment
7. Patients who are under palliative care or whose prognosis for life is estimated to be less than one year
8. Patients who have difficulty understanding the treatment or research
9. Patients with a history of heart transplantation, or patients who have or are scheduled to receive an artificial heart.
10. In addition to the above, patients who are deemed inappropriate for the study by the principal investigator, research coordinator, or collaborating physicians.

Target sample size

76


Research contact person

Name of lead principal investigator

1st name Neiko
Middle name
Last name Ozasa

Organization

Kyoto University Hospital

Division name

Department of Cardiology

Zip code

606-8507

Address

54, Shogoin Kawahara-cho, Sakyo-ku, Kyoto

TEL

075-751-4255

Email

nei126@kuhp.kyoto-u.ac.jp


Public contact

Name of contact person

1st name Neiko
Middle name
Last name Ozasa

Organization

Kyoto University Hospital

Division name

Department Cardiology

Zip code

606-8507

Address

54, Shogoin Kawahara-cho, Sakyo-ku, Kyoto

TEL

075-751-4255

Homepage URL


Email

nei126@kuhp.kyoto-u.ac.jp


Sponsor or person

Institute

Kyoto University

Institute

Department

Personal name

Koichi Washida


Funding Source

Organization

undecided

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Kyoto University Hospital

Address

54 Shogoin Kawahara-cho, Sakyo-ku

Tel

075-751-4899

Email

trans@kuhp.kyoto-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

2023 Year 06 Month 10 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

2023 Year 06 Month 01 Day

Date of IRB


Anticipated trial start date

2023 Year 11 Month 01 Day

Last follow-up date

2024 Year 01 Month 30 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2023 Year 06 Month 07 Day

Last modified on

2023 Year 07 Month 03 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000058496