UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000058225
Receipt number R000066433
Scientific Title A descriptive study on the actual state of IgA nephropathy patients from urinalysis abnormalities in health checkups to diagnosis and treatment using health checkup data and health insurance claims data from the health insurance claims database in Japan
Date of disclosure of the study information 2025/07/01
Last modified on 2025/06/19 15:57:39

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Basic information

Public title

A study on the actual state of IgA nephropathy patients from urinalysis abnormalities in health checkups to diagnosis and treatment using health checkup data and health insurance claims data in Japan

Acronym

A study on the actual state of IgA nephropathy patients from urinalysis abnormalities in health checkups to diagnosis and treatment

Scientific Title

A descriptive study on the actual state of IgA nephropathy patients from urinalysis abnormalities in health checkups to diagnosis and treatment using health checkup data and health insurance claims data from the health insurance claims database in Japan

Scientific Title:Acronym

A descriptive study on the actual state of IgA nephropathy patients from urinalysis abnormalities in health checkups to diagnosis and treatment

Region

Japan


Condition

Condition

IgA nephropathy

Classification by specialty

Nephrology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To clarify the period and process from the urinalysis abnormalities in health checkups before diagnosis to diagnosis and the actual treatment state before and after diagnosis in IgA nephropathy patients.

Basic objectives2

Others

Basic objectives -Others

To clarify the period from the urinalysis abnormalities in health checkups before diagnosis to diagnosis in IgA nephropathy patients.

Trial characteristics_1

Others

Trial characteristics_2

Others

Developmental phase

Not applicable


Assessment

Primary outcomes

The period from the earliest abnormal hematuria or proteinuria, or both, to diagnosis (renal biopsy)

Key secondary outcomes

1. The period from the onset of abnormal hematuria to diagnosis (renal biopsy) and the period from the onset of abnormal proteinuria to diagnosis (renal biopsy)
2. The number and proportion of patients by category: those with abnormal hematuria prior to proteinuria, simultaneous abnormal hematuria and proteinuria, abnormal proteinuria prior to hematuria, and no abnormalities until the end of evaluation
3. The period from the onset of both abnormal hematuria and proteinuria to diagnosis (renal biopsy)
4. The number and proportion of patients who underwent urine tests at medical institutions after the earliest abnormal hematuria or proteinuria (by hospital bed count), the period from the earliest abnormal hematuria or proteinuria to the first urine test, and the period from the test to the renal biopsy
5. The number and proportion of patients who underwent quantitative tests for proteinuria between the urinalysis abnormalities in health checkups and the renal biopsy, and hospital bed distribution at medical institutions that performed quantitative tests for proteinuria
6. The period from the earliest abnormal hematuria or proteinuria to the first quantitative test for proteinuria, and from the test to the renal biopsy
7. The number and proportion of patients who underwent urine sediment tests between the urinalysis abnormalities in health checkups and the renal biopsy, and hospital bed distribution at medical institutions that performed urine sediment tests
8. The period from the earliest abnormal hematuria or proteinuria to the first urine sediment test, and from the test to the renal biopsy
9. Focusing on initial treatment, the period from diagnosis (renal biopsy) to the initiation of the first IgA nephropathy-related treatment and the period from diagnosis (renal biopsy) to the initiation of each IgA nephropathy-related treatment
10. The initial treatment content based on the most recent health checkup results before diagnosis (renal biopsy)


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

75 years-old >

Gender

Male and Female

Key inclusion criteria

1. The patient is registered in the subscriber register of the health insurance claims data provided by JMDC Inc. during the inclusion period.
2. The patient has been diagnosed with IgA nephropathy (ICD-10 code: N028) during the inclusion period.
3. The patient has undergone a renal biopsy (including procedures that are thought to be renal biopsies) during the inclusion period.
4. Among the above renal biopsies, there is at least one case where the diagnosis of IgA nephropathy (ICD-10 code: N028) was made within one year of the procedure.
5. At the time of the index date, the patient is aged 18 years or over but under 75 years of age.

Key exclusion criteria

NA

Target sample size

4500


Research contact person

Name of lead principal investigator

1st name Hitomi
Middle name
Last name Kurihara

Organization

Otsuka Pharmaceutical Co., Ltd.

Division name

Medical Affairs

Zip code

108-8242

Address

Shinagawa Grand Central Tower 2-16-4 Konan, Minato-ku, Tokyo 108-8242, Japan

TEL

03-6717-1400

Email

Kurihara.Hitomi@otsuka.jp


Public contact

Name of contact person

1st name Rikiya
Middle name
Last name Toda

Organization

Otsuka Pharmaceutical Co., Ltd.

Division name

Medical Affairs

Zip code

108-8242

Address

Shinagawa Grand Central Tower 2-16-4 Konan, Minato-ku, Tokyo 108-8242, Japan

TEL

03-6717-1400

Homepage URL


Email

Toda.Rikiya.a@otsuka.jp


Sponsor or person

Institute

Otsuka Pharmaceutical Co., Ltd.

Institute

Department

Personal name



Funding Source

Organization

Otsuka Pharmaceutical 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

Ethics Review Committee, Kitamachi Clinic, Fujikeikai Medical Corporation

Address

1-1-3, KichijojiKitamachi, Musashino-si. Tokyo

Tel

03-6779-8116

Email

chi-pr-ec-kitamachi@cmicgroup.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

2025 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


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

2025 Year 04 Month 24 Day

Date of IRB


Anticipated trial start date

2025 Year 07 Month 01 Day

Last follow-up date

2025 Year 08 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

To clarify the period and process from the urinalysis abnormalities in health checkups before diagnosis to diagnosis and the actual treatment state before and after diagnosis in IgA nephropathy patients.


Management information

Registered date

2025 Year 06 Month 19 Day

Last modified on

2025 Year 06 Month 19 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000066433