UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000054727
Receipt number R000062539
Scientific Title A prospective observational study to examine the role of individual natriuretic peptides forms for left ventricular remodeling in patients with acute myocardial infarction
Date of disclosure of the study information 2024/07/01
Last modified on 2025/01/24 20:52:16

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Basic information

Public title

A prospective observational study to examine the role of individual natriuretic peptides forms for left ventricular remodeling in patients with acute myocardial infarction

Acronym

A prospective observational study to examine the role of individual natriuretic peptides forms for left ventricular remodeling in patients with acute myocardial infarction

Scientific Title

A prospective observational study to examine the role of individual natriuretic peptides forms for left ventricular remodeling in patients with acute myocardial infarction

Scientific Title:Acronym

A prospective observational study to examine the role of individual natriuretic peptides forms for left ventricular remodeling in patients with acute myocardial infarction

Region

Japan


Condition

Condition

Acute myocardial infarction

Classification by specialty

Cardiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

In patients with first acute myocardial infarction, individual components of the natriuretic peptides will be measured using a novel developed assay, and the clinical significance of each molecule concentrations will be examined to clarify their role of post-myocardial infarction remodeling and prognosis.

Basic objectives2

Others

Basic objectives -Others

Recent studies have shown the clinical significance measuring various molecular forms of natriuretic peptides in patients with heart diseases. In this study, we will measure plasma various forms of natriuretic peptides including precursor and active forms of natriuretic peptide as well as their surrounding hormones and their downstream molecules with clinical findings in patients with first acute myocardial infarction. This integrated analysis may provide a reliable method for predicting left ventricular remodeling after acute myocardial infarction and future events based on measurements of individualized molecules in the natriuretic peptide system.

Trial characteristics_1

Exploratory

Trial characteristics_2

Explanatory

Developmental phase

Not applicable


Assessment

Primary outcomes

Change in left ventricular volume and ejection fraction from 1 year to acute phase after index acute myocardial infarction

Key secondary outcomes

major adverse cardiac and cerebrovascular events composed of all-cause death, stroke, acute coronary syndrome (ACS), hospitalization for heart failure, fatal ventricular arrhythmias, and stroke


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

20 years-old <=

Age-upper limit

85 years-old >

Gender

Male and Female

Key inclusion criteria

(1) onset-to-reperfusion time within 24 hours, (2) first episode of acute myocardial infarction, (3) Killip Class 1-2, (4) serum creatinine levels below 1.5 mg/dl, and (6) hemoglobin levels of 11 g/dl or more

Key exclusion criteria

(1) no reperfusion or final thrombolysis in myocardial infarction grade of 0 or 1, (2) presence of multiple organ failure, (3) occurrence of mechanical complications of AMI or refractory cardiogenic shock, (4) undergoing emergent or urgent CABG as a reperfusion therapy, (5) history of any malignancy, (6) experiencing difficulty in self-judgment due to neurological disease, mental illness, or dementia.

Target sample size

170


Research contact person

Name of lead principal investigator

1st name Yasuhide
Middle name
Last name Asaumi

Organization

National Cerebral and Cardiovascular Center

Division name

Department of Cardiovascular Medicine

Zip code

564-8565

Address

6-1 Kishibe-shimmachi, Suita, Osaka

TEL

+81-6-6170-1070

Email

asaumiya@ncvc.go.jp


Public contact

Name of contact person

1st name Yasuhide
Middle name
Last name Asaumi

Organization

National Cerebral and Cardiovascular Center

Division name

Department of Cardiovascular Medicine

Zip code

564-8565

Address

6-1 Kishibe-shimmachi, Suita, Osaka

TEL

+81-6-6170-1070

Homepage URL


Email

asaumiya@ncvc.go.jp


Sponsor or person

Institute

National Cerebral and Cardiovascular Center

Institute

Department

Personal name



Funding Source

Organization

Ministry of Education, Culture, Sports, Science and Technology

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

National Cerebral and Cardiovascular Center

Address

6-1 Kishibe-shimmachi, Suita, Osaka, 564-8565, Japan

Tel

81-6-6170-1070

Email

rec-office-ac@ncvc.go.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

2024 Year 07 Month 01 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

161

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

Completed

Date of protocol fixation

2012 Year 07 Month 01 Day

Date of IRB

2012 Year 06 Month 07 Day

Anticipated trial start date

2012 Year 11 Month 01 Day

Last follow-up date

2025 Year 01 Month 25 Day

Date of closure to data entry

2025 Year 01 Month 25 Day

Date trial data considered complete

2025 Year 01 Month 25 Day

Date analysis concluded

2025 Year 01 Month 25 Day


Other

Other related information

A prospective observational study to examine the association of left ventricular remodeling and clinical outcomes with various molecular forms of natriuretic peptides in patients with first acute myocardial infarction.
To evaluate left ventricular remodeling, enrolled patients will undergo serial echocardiogram and cardiac magnetic resonance to evaluate left ventricular volume and function at acute (10 days) and chronic phase (10-12months) after acute myocardial infarction. Blood samples for assessing plasma concentrations of various molecular forms of natriuretic peptides and their second messengers were collected at eight time points: immediately after PPCI, 12 hours after PPCI, 3 days, 5 days, 10 days 1 month 3 months and 10 months after AMI.
Clinical follow-up data, based on a standard questionnaire, were obtained through correspondence with patients, relatives, or physicians, or from hospital records.


Management information

Registered date

2024 Year 06 Month 21 Day

Last modified on

2025 Year 01 Month 24 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000062539