UMIN-CTR Clinical Trial

Unique ID issued by UMIN C000000129
Receipt number R000000190
Scientific Title Post-marketing study of cilostazol: Study to Confirm Efficacy in Preventing Recurrent Cerebral Infarction in Comparison with Aspirin
Date of disclosure of the study information 2005/09/13
Last modified on 2009/02/09 11:23:54

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Basic information

Public title

Post-marketing study of cilostazol: Study to Confirm Efficacy in Preventing Recurrent Cerebral Infarction in Comparison with Aspirin

Acronym

Post-marketing study of cilostazol (Cilostazol Stroke Prevention Study II: CSPS II)

Scientific Title

Post-marketing study of cilostazol: Study to Confirm Efficacy in Preventing Recurrent Cerebral Infarction in Comparison with Aspirin

Scientific Title:Acronym

Post-marketing study of cilostazol (Cilostazol Stroke Prevention Study II: CSPS II)

Region

Japan


Condition

Condition

Patients with cerebral infarction (excluding cardiogenic cerebral embolism)

Classification by specialty

Medicine in general Cardiology Neurology
Geriatrics Neurosurgery Rehabilitation medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To investigate the efficacy of cilostazol in preventing recurrence of cerebral infarction and the safety of long-term administration of the drug (100 mg, twice daily) in patients with cerebral infarction (excluding cardiogenic cerebral embolism) in a multi-center, double-blind, parallel-group comparison with aspirin (81 mg, once daily)

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2


Developmental phase

Phase IV


Assessment

Primary outcomes

Occurrence of cerebral stroke (cerebral infarction, cerebral hemorrhage, or subarachnoid hemorrhage)

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit


Blinding

Double blind -all involved are blinded

Control

Active

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Cilostazol 200 mg group: Two 50-mg tablets of cilostazol and one aspirin placebo tablet will be administered after a meal in the morning, and two 50-mg tablets of cilostazol, after a meal in the evening. Duration of treatment: Minimum of 1 year and maximum of 5 years

Interventions/Control_2

Aspirin 81 mg group: One 81-mg tablet of aspirin and two cilostazol placebo tablets will be administered after a meal in the morning, and two cilostazol placebo tablets, after a meal in the evening. Duration of treatment: Minimum of 1 year and maximum of 5 years

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

20 years-old <=

Age-upper limit

80 years-old >

Gender

Male and Female

Key inclusion criteria

(1)Patients with stable medical conditions for 182 days (26 weeks) after occurrence of cerebral infarction
(2)Patients in whom the infarct-related foci was detected by X-ray CT scan or MRI (3)Patients aged 20 to 80 years (inclusive) at time of consent
(4)Patients with none of the following cardiac diseases that may be associated with cardiogenic cerebral embolism: mitral stenosis, prosthetic heart valve, endocarditis, myocardial infarction within 6 weeks after occurrence, ventricular aneurysm, endocardial thrombosis, mitral valve prolapse (patients less than 45 years of age in whom no other cause was identified), atrial fibrillation, sick sinus syndrome, idiopathic cardiomyopathy, and patent foramen ovale
(5)Patients without asymptomatic cerebral infarction
(6)Patients who have neither undergone nor are scheduled to undergo percutaneous transluminal angioplasty or revascularization for the treatment of cerebral infarction
(7)Patients without severe disturbances/impairments following occurrence of cerebral

Key exclusion criteria

(1)Patients with hemorrhage or bleeding tendency (hemophilia, capillary fragility, intracranial hemorrhage, hemorrhage in the digestive tract, hemorrhage in the urinary tract, hemoptysis, and hemorrhage in the vitreous body)
(2)Pregnant, possibly pregnant, or nursing women
(3)Patients with ischemic heart failure
(4)Patients with peptic ulcer
(5)Patients with severer blood disorders
(6)Patients with severe hepatic or renal
(7)Patients with malignant neoplasm or patients who have received any therapy for malignant neoplasm within 5 years prior to entering the study
(8)Patients with a history of hypersensitivity to salicylic acid formulations or ingredients of cilostazol tablets
(9)Patients with aspirin asthma (asthma attacks induced by nonsteroidal antiinflammatory analgesic agents) or a history of aspirin asthma
(10)Patients who are being treated with ticlopidine hydrochloride
(11)Patients who are participating in another study for an investigational drug(12)Patients who are otherwise judged inappropriate for inclusion in the study by the investigators

Target sample size

2600


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Yukito Shinohara

Organization

Federation of National Personnel Mutual Aid Associations, Tachikawa Hospital

Division name

Internal Medicine

Zip code


Address

4-2-22, Nishiki-cho, Tachikawa, Tokyo, 190-8531, Japan

TEL


Email



Public contact

Name of contact person

1st name
Middle name
Last name

Organization

Otsuka Pharmaceutical Co., Ltd.

Division name

Department of Clinical and Research Development

Zip code


Address


TEL


Homepage URL


Email

otsuka-com@umin.ac.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

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

YES

Study ID_1

NCT00234065

Org. issuing International ID_1

CliniclTrials.com

Study ID_2

JapicCTI-050034

Org. issuing International ID_2

Japan Pharmaceutical Information Center

IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2005 Year 09 Month 13 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

Completed

Date of protocol fixation

2003 Year 09 Month 16 Day

Date of IRB


Anticipated trial start date

2003 Year 12 Month 01 Day

Last follow-up date

2008 Year 12 Month 01 Day

Date of closure to data entry

2009 Year 09 Month 01 Day

Date trial data considered complete

2009 Year 11 Month 01 Day

Date analysis concluded

2010 Year 02 Month 01 Day


Other

Other related information

Pharmaceuticals and Medical Devices Agency
http://www.info.pmda.go.jp/go/pack/3399002F1028_1_07/Package insert (in Japanese)


Management information

Registered date

2005 Year 09 Month 07 Day

Last modified on

2009 Year 02 Month 09 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000000190


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name