UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000052604
Receipt number R000060026
Scientific Title The efficacy of sacubitril/valsartan in patients with poorly controlled essential hypertension.
Date of disclosure of the study information 2023/10/25
Last modified on 2023/10/25 08:29:13

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Basic information

Public title

The efficacy of sacubitril/valsartan in patients with poorly controlled essential hypertension.

Acronym

The efficacy of sacubitril/valsartan in patients with poorly controlled essential hypertension.

Scientific Title

The efficacy of sacubitril/valsartan in patients with poorly controlled essential hypertension.

Scientific Title:Acronym

The efficacy of sacubitril/valsartan in patients with poorly controlled essential hypertension.

Region

Japan


Condition

Condition

Hypertension

Classification by specialty

Cardiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the efficacy of switching from azilsartan 20 mg to sacubitril valsartan 200 mg in patients with poorly controled essential hypertension despite taking azilsartan 20 mg and Ca antagonist.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

Home systolic and diastolic blood pressure at baseline, 8 weeks, 24 weeks and 48 weeks after the switch.

Key secondary outcomes

The rate of achieving the target blood pressure.
The change of pulse rate.
The change of laboratory test results, including as plasma BNP level, serum creatinine level, eGFR, serum potassium level, serum uric acid level, HbA1c.


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

For 8 weeks prior to observation period: azilsartan 20 mg, Ca antagonist
To 48 weeks: sacubitril/valsartan 200 mg, Ca antagonist
From 8 weeks to 48 weeks: increase, decrease, or discontinue Ca antagonist, or add other antihypertensive agents (except angiotensin-converting enzyme inhibitors and angiotensin II receptor blockers) if necessary

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


Not applicable

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1. Patients with essential hypertension with a systolic home systolic blood pressure of 135 mmHg or higher despite treatment with azilsartan 20 mg and Ca antagonist for at least 8 weeks.
2. Any age
3. Any gender
4. Patients who have never taken sacubitril/valsartan before
5. Outpatients
6. Patients who have given written informed consent to participate in the study.

Key exclusion criteria

1. Patients with secondary hypertension
2. Patients in non-sinus rhythm or with a history of atrial fibrillation
3. Patients under treatment for heart failure, plasma BNP level >=100 pg/mL, or with a history of heart failure
4. Patients with eGFR <30mL/min/1.73m2

Target sample size

50


Research contact person

Name of lead principal investigator

1st name Tsugiyoshi
Middle name
Last name Yamazaki

Organization

Tachibanadai Clinic

Division name

Department of Cardiology

Zip code

227-0046

Address

2-7-1 Tachibanadai, Aoba-ku, Yokohama, Japan

TEL

045-961-7835

Email

md021011@yahoo.co.jp


Public contact

Name of contact person

1st name Tsugiyoshi
Middle name
Last name Yamazaki

Organization

Tachibanadai clinic

Division name

Department of Cardiology

Zip code

227-0046

Address

2-7-1 Tachibanadai, Aoba-ku, Yokohama, Japan

TEL

045-961-7835

Homepage URL


Email

md021011@yahoo.co.jp


Sponsor or person

Institute

Tachibanadai clinic

Institute

Department

Personal name

Tsugiyoshi Yamazaki


Funding Source

Organization

Tachibanadai clinic

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

Isseikai Medical Corporation Ethics Committee

Address

2-2-1 Tachibanadai, Aoba-ku, Yokohama, Japan

Tel

045-962-3338

Email

n.yamada1216@tachibanadai.or.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

たちばな台クリニック


Other administrative information

Date of disclosure of the study information

2023 Year 10 Month 25 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

55

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

No longer recruiting

Date of protocol fixation

2022 Year 11 Month 08 Day

Date of IRB

2022 Year 11 Month 21 Day

Anticipated trial start date

2022 Year 11 Month 21 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



Management information

Registered date

2023 Year 10 Month 25 Day

Last modified on

2023 Year 10 Month 25 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000060026