UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000056178
Receipt number R000064150
Scientific Title An observational study evaluating the efficacy and safety of balloon pulmonary angioplasty and selexipag combination therapy in chronic thromboembolic pulmonary hypertension
Date of disclosure of the study information 2024/12/01
Last modified on 2024/11/18 10:02:50

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Basic information

Public title

An observational study evaluating the efficacy and safety of balloon pulmonary angioplasty and selexipag combination therapy in chronic thromboembolic pulmonary hypertension

Acronym

An observational study evaluating the efficacy and safety of balloon pulmonary angioplasty and selexipag combination therapy in chronic thromboembolic pulmonary hypertension

Scientific Title

An observational study evaluating the efficacy and safety of balloon pulmonary angioplasty and selexipag combination therapy in chronic thromboembolic pulmonary hypertension

Scientific Title:Acronym

An observational study evaluating the efficacy and safety of balloon pulmonary angioplasty and selexipag combination therapy in chronic thromboembolic pulmonary hypertension

Region

Japan


Condition

Condition

Chronic thromboembolic pulmonary hypertension

Classification by specialty

Cardiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Chronic thromboembolic pulmonary hypertension (CTEPH) is a chronic obstruction of the pulmonary arteries caused by an organic thrombus, which is complicated by pulmonary hypertension and dyspnea on exertion. In Japan, balloon pulmonary angioplasty (BPA) and pulmonary vasodilators are widely used in many patients with CTEPH, and the only pulmonary vasodilators indicated for CTEPH are riociguat (Adempas) and selexipag (Uptravi). As selexipag is a relatively new indication for CTEPH, there is little information on its usefulness in combination therapy with BPA. On the other hand, selexipag is thought to have the advantage of fine-tuning the dose, allowing treatment to be tailored to the medical condition and comorbidities of patients with CTEPH. The objective of this study is to evaluate clinical data from CTEPH patients treated with a combination of BPA and selexipag to assess their benefit and to make recommendations for the treatment of CTEPH.

Basic objectives2

Safety

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Hemodynamic changes from baseline (time of diagnosis) 6 months after last BPA

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

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

CTEPH patients treated at the Department of Cardiology, Keio University Hospital from 1 January 2021 to 31 December 2024.
Patients aged 18 or older
Patients with BPA implementation history
Patients receiving selexipag at 6 months after last BPA procedure

Key exclusion criteria

Patients who have requested that their information not be used by the patient or his/her family

Target sample size

40


Research contact person

Name of lead principal investigator

1st name Masaki
Middle name
Last name Ieda

Organization

Keio University School of Medicine

Division name

Department of Cardiology

Zip code

1608582

Address

35, Shinanomachi, Shinjyuku-ku, Tokyo, Japan

TEL

03-5363-3373

Email

mieda@keio.jp


Public contact

Name of contact person

1st name Atsushi
Middle name
Last name Anzai

Organization

Keio University School of Medicine

Division name

Department of Cardiology

Zip code

1608582

Address

35, Shinanomachi, Shinjyuku-ku, Tokyo, Japan

TEL

03-5363-3373

Homepage URL


Email

atsushi_anzai@keio.jp


Sponsor or person

Institute

Keio University

Institute

Department

Personal name



Funding Source

Organization

Nippon Shinyaku Co., Ltd.

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

Keio University School of Medicine

Address

35 Shinanomachi Shinjuku-ku Tokyo Japan

Tel

03-3353-1211

Email

info-med-keiyaku@adst.keio.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

2024 Year 12 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


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

Preinitiation

Date of protocol fixation

2024 Year 06 Month 20 Day

Date of IRB

2024 Year 09 Month 04 Day

Anticipated trial start date

2024 Year 11 Month 01 Day

Last follow-up date

2025 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

As exploratory outcomes, the change from baseline in hemodynamics, blood test, pulmonary function test and WHO functional class at the time point before the first BPA in patients who were started on selexipag prior to BPA. And adverse events and BPA complications are assessed as safety outcomes.


Management information

Registered date

2024 Year 11 Month 18 Day

Last modified on

2024 Year 11 Month 18 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000064150