UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000053140
Receipt number R000060646
Scientific Title Investigation of Atrial Fibrillation Incidence in Hypertensive Patients
Date of disclosure of the study information 2023/12/18
Last modified on 2024/12/19 14:59:52

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Basic information

Public title

Incidence of Atrial Fibrillation in Hypertensive Patients and Development of Risk Factor Management Methods to Prevent the Atrial Fibrillation

Acronym

Investigation of Atrial Fibrillation Incidence in Hypertensive Patients

Scientific Title

Investigation of Atrial Fibrillation Incidence in Hypertensive Patients

Scientific Title:Acronym

Investigation of Atrial Fibrillation Incidence in Hypertensive Patients

Region

Japan


Condition

Condition

hypertension

Classification by specialty

Cardiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The purpose of this study is to understand the incidence of new onset of atrial fibrillation in hypertensive patients and to develop a risk factor management method utilizing PHR.

Basic objectives2

Others

Basic objectives -Others

Identification of risk factors and development of an AI model for the prevention of atrial fibrillation and its management

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Detection rate of new atrial fibrillation in hypertensive patients over 60 years of age by continuous electrocardiographic recordings over a 3-month period.

Key secondary outcomes



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

60 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

(1) Patients with a history of hypertension and taking antihypertensive medication
(2) Patients 60 years of age or older
(3) Patients with consent

Key exclusion criteria

(1) Patients currently participating or planning to participate in an interventional trial
(2) Patients with a confirmed diagnosis of atrial fibrillation (self-reported)
(3) Patients on anticoagulants (self-reported)
(4) Patients with an implanted pacemaker or defibrillator
(5) Patients residing outside Japan
(6) Patients who are judged to be inappropriate to participate in the study by the physician in charge

Target sample size

4000


Research contact person

Name of lead principal investigator

1st name Keitaro
Middle name
Last name Senoo

Organization

Kyoto Prefectural University of Medicine

Division name

Department of Cardiac Arrhythmia Research and Innovation

Zip code

602-8566

Address

465 Kajiichou, Hirokouji, Kawaramachi, Kamigyo-ku, Kyoto

TEL

08031117168

Email

k-senoo@koto.kpu-m.ac.jp


Public contact

Name of contact person

1st name Keitaro
Middle name
Last name Senoo

Organization

Kyoto Prefectural University of Medicine

Division name

Department of Cardiac Arrhythmia Research and Innovation

Zip code

602-8566

Address

465 Kajiichou, Hirokouji, Kawaramachi, Kamigyo-ku, Kyoto

TEL

0752515511

Homepage URL


Email

k-senoo@koto.kpu-m.ac.jp


Sponsor or person

Institute

Kyoto Prefectural University of Medicine

Institute

Department

Personal name



Funding Source

Organization

Omron healthcare company

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

IRB center Kyoto Prefectural University of Medicine

Address

465 Kajiichou, Hirokouji, Kawaramachi, Kamigyo-ku, Kyoto

Tel

0752515337

Email

rinri@koto.kpu-m.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 12 Month 18 Day


Related information

URL releasing protocol

https://www.thieme-connect.com/products/ejournals/abstract/10.1055/a-2484-0641

Publication of results

Published


Result

URL related to results and publications

https://www.thieme-connect.com/products/ejournals/abstract/10.1055/a-2484-0641

Number of participants that the trial has enrolled

4000

Results

After excluding those with no measurement data (n = 258), AF detection was 5.8% (n = 220/3,820), and the time to AF detection was 3 to 109 days (median 28 days).

Results date posted

2024 Year 12 Month 19 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

Between April 2022 and July 2023, 4,078 hypertensive patients taking antihypertensive medications from across the country participated in this study (Figure S1). The baseline characteristics of the overall participants are summarized in Table 1. The mean age was 66.3years, and the proportion of men was 80.3%. As the mean BMI was 24.6, the proportion of metabolic syndrome was 31.8%. The median CHA2DS2-VASc score was 2.1. Among them, 258 patients were identified to have registered but never had a measurement record after the registration. Of the remaining 3,820, 225 had no morning or evening BP measurements and 25 had AF detected during the first 7-day period. Excluding those participants, the distribution of the systolic BP (SBP) and diastolic BP (DBP) at baseline for 3,570 participants are described in Figure.

Participant flow

The study was a DCT and the enrolment procedure is described below. During the enrolment period, to recruit participants, in-up messages (invitations to participate in the study) were distributed within the app to app users registered on the Omron Connect app (https://www.healthcare.omron.co.jp/service/, Omron Healthcare Corporation, Kyoto, Japan). The Omron Connect app is a health management app provided by Omron Healthcare. It allows users to easily transfer and manage data acquired by the company's blood pressure (BP) monitors, body composition analysers, and pedometers via Bluetooth communication on their smartphones. Because targeting only users of the Omron Connect app might preferentially include patients with easy access to high-tech technology, volunteers over 60 years old who were not users of the Omron Connect app were also recruited via the website. Participants reviewed the study outline and implementation details on the guidance website. Those wishing to participate were transferred from the information website to the application website. Within that site, participants were assessed for their eligibility for the study. Participants who were judged eligible reviewed the explanatory document on the website and obtained consent on the website. The research office sent the Complete by post in the order of the participants who completed the enrolment. After receiving the device, the participants were asked to record their electrocardiogram and BP for three months.

Adverse events

NA

Outcome measures

screening-detected AF during the 3 months.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Main results already published

Date of protocol fixation

2021 Year 03 Month 31 Day

Date of IRB

2021 Year 03 Month 31 Day

Anticipated trial start date

2022 Year 04 Month 01 Day

Last follow-up date

2023 Year 07 Month 31 Day

Date of closure to data entry

2023 Year 10 Month 31 Day

Date trial data considered complete

2023 Year 11 Month 30 Day

Date analysis concluded

2024 Year 03 Month 31 Day


Other

Other related information

sub analysis underway.


Management information

Registered date

2023 Year 12 Month 18 Day

Last modified on

2024 Year 12 Month 19 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000060646