UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000056716
Receipt number R000063807
Scientific Title Effect of lipid management treatment flow on patients with coronary artery disease: A multicenter, open-label, prospective, single-arm intervention study (Yokohama Coronary Lipid Study: YCLS)
Date of disclosure of the study information 2025/01/14
Last modified on 2025/01/15 13:20:56

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Basic information

Public title

Effect of lipid management treatment flow on patients with coronary artery disease

Acronym

Yokohama Coronary Lipid Study: YCLS

Scientific Title

Effect of lipid management treatment flow on patients with coronary artery disease: A multicenter, open-label, prospective, single-arm intervention study (Yokohama Coronary Lipid Study: YCLS)

Scientific Title:Acronym

Yokohama Coronary Lipid Study: YCLS

Region

Japan


Condition

Condition

Coronary artery disease, hypercholesterolemia

Classification by specialty

Cardiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

For the secondary prevention of patients with coronary artery disease, the European Society of Cardiology's "Guidelines for the Management of Dyslipidemia 2019" set the management goal as "an LDL-C reduction of >=50% from baseline and LDL-C < 55 mg/dL." In this study, we will examine whether the achievement rate of LDL-C < 70 mg/dL will be improved by introducing a lipid management treatment flow with the management goal of "an LDL-C reduction of >=50% from baseline and LDL-C < 55 mg/dL," setting the achievement rate of LDL-C < 70 mg/dL (25.4%) as the performance goal for secondary prevention in high-risk patients with coronary artery disease in a published paper using Japanese DPC data.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Achievement rate of LDL-C < 70 mg/dL at 1 year

Key secondary outcomes



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 Other

Interventions/Control_1

Lipid management treatment flow with the goal of "an LDL-C reduction of >= 50% from baseline and LDL-C < 55 mg/dL"

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

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

(1) Patients aged 18 years or older at the time of enrollment
(2) Patients diagnosed with coronary artery disease
(3) Patients diagnosed with hypercholesterolemia (hypercholesterolemia: LDL-C >= 140 mg/dL, or taking cholesterol-lowering medication)
(4) Patients who provide written informed consent to participate in this study

Key exclusion criteria

(1) Patients who are expected to have difficulty visiting the hospital
(2) Patients whose prognosis is expected to be within one year
(3) Patients with statin hypersensitivity, ezetimibe hypersensitivity, or evolocumab hypersensitivity
(4) Patients with the following conditions considered to have impaired liver metabolic function (acute hepatitis, acute exacerbation of chronic hepatitis, liver cirrhosis, liver cancer, jaundice)
(5) Patients who are pregnant, may be pregnant, or wish to become pregnant during treatment
(6) Patients receiving cyclosporine, glecaprevir, or pibrentasvir
(7) Patients with a history of treatment with evolocumab or inclisiran
(8) Patients who have participated in clinical trials of drugs or medical devices at the same time as this study or within 30 days prior to enrollment in this study
(9) Patients who are otherwise deemed inappropriate as subjects by a physician

Target sample size

339


Research contact person

Name of lead principal investigator

1st name Kiyoshi
Middle name
Last name Hibi

Organization

Yokohama City University Graduate School of Medicine

Division name

Department of Cardiology

Zip code

236-0004

Address

3-9 Fukuura, Kanazawa-ku, Yokohama, Kanagawa-ken

TEL

045-787-2800

Email

hibikiyo@yokohama-cu.ac.jp


Public contact

Name of contact person

1st name Masaomi
Middle name
Last name Gohbara

Organization

Yokohama City University Medical Center

Division name

Division of Cardiology

Zip code

232-0024

Address

4-57 Urafune-cho, Minami-ku, Yokohama, Kanagawa-ken

TEL

045-261-5656

Homepage URL


Email

gocchi3@yokohama-cu.ac.jp


Sponsor or person

Institute

Yokohama City University

Institute

Department

Personal name



Funding Source

Organization

Yokohama City University

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Yokohama City University, Ethics Committee for Medical Research Involving Human Subjects

Address

3-9 Fukuura, Kanazawa-ku, Yokohama, Kanagawa-ken

Tel

045-370-7627

Email

rinri@yokohama-cu.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

横浜市立大学附属病院(神奈川県)、横浜市立大学附属市民総合医療センター(神奈川県)、済生会横浜市南部病院(神奈川県)、藤沢市民病院(神奈川県)、神奈川県立循環器呼吸器病センター(神奈川県)、横須賀市立うわまち病院[横須賀市立総合医療センター](神奈川県)、 国立病院機構相模原病院(神奈川県)、国際親善総合病院(神奈川県)、茅ヶ崎市立病院(神奈川県)、大森赤十字病院(東京都)、藤沢湘南台病院(神奈川県) 、JCHO横浜保土ケ谷中央病院(神奈川県)、秦野赤十字病院(神奈川県)


Other administrative information

Date of disclosure of the study information

2025 Year 01 Month 14 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


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

Open public recruiting

Date of protocol fixation

2024 Year 10 Month 21 Day

Date of IRB

2025 Year 01 Month 09 Day

Anticipated trial start date

2025 Year 01 Month 15 Day

Last follow-up date

2027 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded

2028 Year 12 Month 31 Day


Other

Other related information



Management information

Registered date

2025 Year 01 Month 14 Day

Last modified on

2025 Year 01 Month 15 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000063807