UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000056795
Receipt number R000064900
Scientific Title A survey on the management of parenteral nutrition during fasting in patients with chronic kidney disease and association between the prescribed doses of parenteral nutrition and prognosis: a cohort study using a medical database
Date of disclosure of the study information 2025/01/23
Last modified on 2025/01/23 15:12:11

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Basic information

Public title

A survey on the management of parenteral nutrition during fasting in patients with chronic kidney disease and association between the prescribed doses of parenteral nutrition and prognosis: a cohort study using a medical database

Acronym

Management of parenteral nutrition during fasting and prognosis for patients with chronic kidney disease (CKD)

Scientific Title

A survey on the management of parenteral nutrition during fasting in patients with chronic kidney disease and association between the prescribed doses of parenteral nutrition and prognosis: a cohort study using a medical database

Scientific Title:Acronym

Management of parenteral nutrition during fasting and prognosis for patients with chronic kidney disease (CKD)

Region

Japan


Condition

Condition

Chronic kidney disease

Classification by specialty

Medicine in general Nephrology Intensive care medicine

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

This study aimed to clarify the management of parenteral nutrition during fasting and investigate the association between the prescribed doses of parenteral nutrition and prognosis for patients with CKD

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

In-hospital mortality (mortality during hospitalization)

Key secondary outcomes

(1) All-cause mortality (mortality during hospitalization and rehospitalization)
(2) 30-day mortality (all-cause mortality within 30 days after the 10th day of fasting)
(3) Readmission (readmission within 30 days after discharge)
(4) Activities of daily living
(5) Length of stay
(6) Medical costs


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

(1) Patients with CKD who were hospitalized between January 1, 2012 and December 31, 2023
(2) Patients who were confirmed to have fasted for >= 10 consecutive days
(3) Patients aged >= 18 years upon hospitalization

Key exclusion criteria

None in particular

Target sample size

30000


Research contact person

Name of lead principal investigator

1st name Michihiro
Middle name
Last name Hosojima

Organization

Niigata University Graduate School of Medical and Dental Sciences

Division name

Department of Clinical Nutrition Science, Kidney Research Center

Zip code

951-8510

Address

1-757 Asahimachi-dori, Chuo-ku, Niigata-shi, Niigata

TEL

025-368-9312

Email

hoso9582@med.niigata-u.ac.jp


Public contact

Name of contact person

1st name Ryoto
Middle name
Last name Hamamoto

Organization

Otsuka Pharmaceutical Factory, Inc.

Division name

Medical Affairs Department

Zip code

101-0048

Address

2-9 Kanda Tsukasamachi, Chiyoda-ku Tokyo

TEL

03-5217-5954

Homepage URL


Email

Hamamoto.Ryoto@otsuka.jp


Sponsor or person

Institute

Department of Clinical Nutrition Science, Kidney Research Center, Niigata University Graduate School of Medical and Dental Sciences

Institute

Department

Personal name



Funding Source

Organization

Otsuka Pharmaceutical Factory, Inc.

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization



Other related organizations

Co-sponsor

Otsuka Pharmaceutical Factory, Inc.

Name of secondary funder(s)



IRB Contact (For public release)

Organization

Ethics Committee of Niigata University

Address

1-754 Asahimachi-dori, Chuo-ku, Niigata-shi, Niigata, 951-8580, Japan

Tel

025-227-2625

Email

ethics@adm.niigata-u.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

2025 Year 01 Month 23 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 12 Month 27 Day

Date of IRB

2024 Year 12 Month 27 Day

Anticipated trial start date

2025 Year 02 Month 17 Day

Last follow-up date

2025 Year 06 Month 30 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

Study design
A cohort study

Data source
A medical database by Medical Data Vision Co. Ltd. The database is based on the DPC data/medical claims database and covers approximately 23% of all DPC hospitals in Japan. All data is anonymized for personal information protection.

(1) Survey of nutritional management
Nutritional management is surveyed based on the prescription and treatment records available in the database. We analyze the following items.
・Trends in parenteral nutrition prescription amounts
・Types of prescribed infusion preparations
・Distribution of parenteral nutrition prescription amounts

(2) Association between the nutritional prescription doses and prognosis
The association between the nutritional prescription doses and prognosis are investigated by multivariable logistic analysis using estimated odds ratios and 95% confidence intervals adjusted for patient backgrounds as confounding factors.


Management information

Registered date

2025 Year 01 Month 23 Day

Last modified on

2025 Year 01 Month 23 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000064900