UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000051525
Receipt number R000058784
Scientific Title Analysis of factors associated with blood pressure reductions in hypertensive patients treated with esaxerenone -Integrated analysis from esaxerenone clinical studies-
Date of disclosure of the study information 2023/07/10
Last modified on 2025/02/12 16:36:15

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Basic information

Public title

Analysis of factors associated with blood pressure reductions in hypertensive patients treated with esaxerenone
-Integrated analysis from esaxerenone clinical studies-

Acronym

Integrated analysis from esaxerenone clinical studies

Scientific Title

Analysis of factors associated with blood pressure reductions in hypertensive patients treated with esaxerenone
-Integrated analysis from esaxerenone clinical studies-

Scientific Title:Acronym

Integrated analysis from esaxerenone clinical studies

Region

Japan


Condition

Condition

Hypertension

Classification by specialty

Medicine in general Cardiology Endocrinology and Metabolism
Nephrology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To explore factors associated with blood pressure reduction and serum potassium elevation in hypertensive patients treated with esaxerenone by integrating data from its clinical studies.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Factors associated with change in morning BP (systolic BP and diastolic BP) from baseline to end of treatment (Week 12)

Key secondary outcomes

Secondary endpoint;
Factors associated with change in bedtime BP and office sitting BP (systolic BP and diastolic BP) from baseline to end of treatment (Week 12)

Safety endpoint;
Factors associated with number of patients with serum potassium elevation (5.5 mEq/L and more) to Week 12


Base

Study type

Others,meta-analysis etc


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

Patients who were enrolled to esaxerenone clinical studies (5 studies in total)

Key exclusion criteria

Not applicable

Target sample size

493


Research contact person

Name of lead principal investigator

1st name Tetsuya
Middle name
Last name Kimura

Organization

Daiichi Sankyo Co., Ltd.

Division name

Primary Medical Science Department

Zip code

103-8426

Address

3-5-1, Nihonbashi-Honcho, Chuo-ku, Tokyo, Japan

TEL

03-6225-1111

Email

kimura.tetsuya.d2@daiichisankyo.co.jp


Public contact

Name of contact person

1st name Takashi
Middle name
Last name Taguchi

Organization

Daiichi Sankyo Co., Ltd.

Division name

Primary Medical Science Department

Zip code

103-8426

Address

3-5-1, Nihonbashi-Honcho, Chuo-ku, Tokyo, Japan

TEL

03-6225-1111

Homepage URL


Email

taguchi.takashi.ft@daiichisankyo.co.jp


Sponsor or person

Institute

Daiichi Sankyo Co., Ltd.

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

Medical Corporation TOUKEIKAI Kitamachi Clinic ERB

Address

1-1-3, Kichijoji-kitamachi, Musashino-shi, Tokyo, 180-0001, Japan

Tel

03-6779-8116

Email

chi-pr-ec-kitamachi@cmicgroup.com


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 07 Month 10 Day


Related information

URL releasing protocol

https://pubmed.ncbi.nlm.nih.gov/39090179/

Publication of results

Published


Result

URL related to results and publications

https://pubmed.ncbi.nlm.nih.gov/39090179/

Number of participants that the trial has enrolled

493

Results

The factors associated with a strong BP-lowering effect of esaxerenone

Morning home BP
-Female
-Use of RAS inhibitors as a basal antihypertensive drug
-Office pulse rate(beats/min):<60
-UACR(mg/gCr):30to<300

Bedtime home BP
-Female
-Use of RAS inhibitors as a basal antihypertensive drug

Safety Endpoint
Patients with baseline serum potassium levels of 4.5 mEq/L and more had an increased risk of developing elevated serum potassium levels(5.5mEq/L and more) after esaxerenone treatment

Results date posted

2025 Year 02 Month 12 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

Baseline Characteristics(FAS:479patients)
-Male:57.8%
-Mean Age:66.5years, plus or minus 11.3years.
-BMI:25.9kg/m2, plus or minus 4.2kg/m2
-Morning home BP:
Systolic BP: 138.4mmHg, plus or minus 12.1 mmHg
Diastolic BP: 83.5mmHg, plus or minus 10.5 mmHg

-eGFRcreat:66.0 mL/min/1.73 m2, plus or minus 18.1 mL/min/1.73 m2
-Serum Potassium:4.2mEq/L, plus or minus 0.4 mEq/L
-Prevalence of Diabetes: 58.2%
-Basal antihypertensive drugs:
RAS inhibitor: 41.3%
Calcium Channel Blocker (CCB): 34.2%
RAS inhibitor/CCB: 24.4%

Participant flow

This study utilized data from registered patients in a domestic specific clinical study for esaxerenone (five clinical studies).
FAS (Full Analysis Set): 479 patients
Safety Analysis Set: 492 patients

Adverse events

N/A

Outcome measures

Blood Pressure Change

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2023 Year 05 Month 24 Day

Date of IRB

2023 Year 06 Month 21 Day

Anticipated trial start date

2023 Year 07 Month 10 Day

Last follow-up date

2023 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

Integrated analysis from esaxerenone clinical studies


Management information

Registered date

2023 Year 07 Month 05 Day

Last modified on

2025 Year 02 Month 12 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000058784