UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000054882
Receipt number R000062707
Scientific Title Retrospective observational study on the efficacy and safety of SGLT2 inhibitors in heart failure patients
Date of disclosure of the study information 2024/07/04
Last modified on 2024/07/04 20:51:22

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Basic information

Public title

Retrospective observational study on the efficacy and safety of SGLT2 inhibitors in heart failure patients

Acronym

Retrospective observational study on the efficacy and safety of SGLT2 inhibitors in heart failure patients

Scientific Title

Retrospective observational study on the efficacy and safety of SGLT2 inhibitors in heart failure patients

Scientific Title:Acronym

Retrospective observational study on the efficacy and safety of SGLT2 inhibitors in heart failure patients

Region

Japan


Condition

Condition

Heart failure

Classification by specialty

Cardiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

In recent years, there has been a remarkable development in drugs for heart failure, including conventional beta-blockers (drugs that slow the pulse to give the heart a rest), the renin-angiotensin-aldosterone system inhibitors (drugs that prevent fluid retention and lower blood pressure). In addition to these drugs, SGLT2 inhibitors have been attracting attention for their ability to prevent hospitalization for heart failure, suppress cardiovascular events, and inhibit the progression of chronic kidney disease. The four drugs, which include SGLT2 inhibitors in addition to conventional anti-heart failure drugs, are called the "Fantastic four," and are expected to make a significant contribution to improving the prognosis of heart failure patients. On the other hand, SGLT2 inhibitors, which are originally used for diabetes treatment, have a hypoglycemic effect by inhibiting the reabsorption of sugar released into the urine by the kidneys. This may lead to sarcopenia (loss of muscle mass and thinning) in patients with low dietary intake and in the elderly. Therefore, this is a clinical trial to verify the efficacy and safety of SGLT2 inhibitors as a treatment for heart failure in the elderly.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase

Not applicable


Assessment

Primary outcomes

All-cause mortality and heart failure rehospitalization one year after discharge from initial heart failure hospitalization

Key secondary outcomes

Hospitalization for urinary tract infection, ischemic stroke, or dehydration one year after initial heart failure hospitalization and discharge


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

80 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Heart failure patients over 80 years old

Key exclusion criteria

Patients discharged from initial heart failure hospitalization with death

Target sample size

3000


Research contact person

Name of lead principal investigator

1st name Kenji
Middle name
Last name Kanenawa

Organization

Kokura Memorial Hospital

Division name

Department of Cardiology

Zip code

802-8555

Address

3-2-1 Asano, Kokurakita-ku, Kitakyushu, Japan

TEL

093-511-2000

Email

kanesannsann@yahoo.co.jp


Public contact

Name of contact person

1st name Kenji
Middle name
Last name Nakano

Organization

Kokura Memorial Hospital

Division name

Department of Cardiology

Zip code

802-8555

Address

3-2-1 Asano, Kokurakita-ku, Kitakyushu, Japan

TEL

093-511-2000

Homepage URL


Email

nakano.kenji55@gmail.com


Sponsor or person

Institute

other

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

Kokura Memorial Hospital Clinical Research Review Committee

Address

3-2-1 Asano, Kokurakita-ku, Kitakyushu, Japan

Tel

093-511-2000

Email

rinsyorinsyo@kokurakinen01.onmicrosoft.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

2024 Year 07 Month 04 Day


Related information

URL releasing protocol

http://www.kokurakinen.or.jp/bumon/rinsyoukenkyu/chiken/

Publication of results

Unpublished


Result

URL related to results and publications

none

Number of participants that the trial has enrolled

1559

Results

Of the 1559 cases, 1326 were included in the non-SGLT2i group and 233 in the SGLT2i group. The follow-up rate was 95.6%.

Results date posted

2024 Year 07 Month 04 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

Of the 1559 cases, 1326 were included in the non-SGLT2i group and 233 in the SGLT2i group. The follow-up rate was 95.6%.

Participant flow

Of the 1559 cases, 1326 were included in the non-SGLT2i group and 233 in the SGLT2i group. The follow-up rate was 95.6%.

Adverse events

There was no increase in the SGLT2i group with respect to safety endpoints.

Outcome measures

All-cause mortality and heart failure rehospitalization were reduced in the SGLT2i group

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

No longer recruiting

Date of protocol fixation

2018 Year 01 Month 01 Day

Date of IRB

2024 Year 07 Month 04 Day

Anticipated trial start date

2018 Year 01 Month 01 Day

Last follow-up date

2023 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

none


Management information

Registered date

2024 Year 07 Month 04 Day

Last modified on

2024 Year 07 Month 04 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000062707