UMIN-CTR Clinical Trial

Unique ID issued by UMIN C000000386
Receipt number R000000479
Scientific Title Open label multi-center randomized parallel two-group comparison test of the effects of hemoglobin levels on cardiovascular complications, prognosis, and quality of life in chronic hemodialysis patients
Date of disclosure of the study information 2006/04/01
Last modified on 2009/09/30 09:10:24

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Basic information

Public title

Open label multi-center randomized parallel two-group comparison test of the effects of hemoglobin levels on cardiovascular complications, prognosis, and quality of life in chronic hemodialysis patients

Acronym

Multi-center randomized clinical studies of the effects of hemoglobin levels on cardiovascular complications in hemodialysis patients

Scientific Title

Open label multi-center randomized parallel two-group comparison test of the effects of hemoglobin levels on cardiovascular complications, prognosis, and quality of life in chronic hemodialysis patients

Scientific Title:Acronym

Multi-center randomized clinical studies of the effects of hemoglobin levels on cardiovascular complications in hemodialysis patients

Region

Japan


Condition

Condition

Patients on hemodialysis therapy due to end-stage renal failure

Classification by specialty

Nephrology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The aim of this study is to determine whether hemoglobin levels in the patients on hemodialysis may affect the prevalence of cardiovascular complication, quality of life, residual renal function, and shunt failure.

Basic objectives2

Others

Basic objectives -Others

To examine the efficacy of the treatment

Trial characteristics_1

Confirmatory

Trial characteristics_2


Developmental phase

Not applicable


Assessment

Primary outcomes

1) Patient death by any cause including accidental death and every kind of complications.
2) Newly diagnosed ischemic heart diseases: acute myocardial infarction, coronary heart disease diagnosed by coronary arteriography, percutaneous coronary intervention, coronary artery bypass grafting
3) Shunt failure: any procedures for reconstruction of A-V fistula due to decreased blood flow.
4) Newly diagnosed cereberovascular diseases: cerebral hemorrhage/infarction, subarachnoid hemorrhage
5) Newly diagnosed peripheral vessel disorders: intermittent claudication with definitive peripheral vascular disorders, newly developed ulcer or gangrene of extremities, delayed wound healing.

Key secondary outcomes

1) Changes in sf36 scores
2) Changes in urine volume
3) Changes in left ventricular mass index measured by echocardiography
4) Changes in pulse wave velocity
5) Hospitalization due to any diseases including hospitalization for clinical evaluation of the newly developed diseases


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Dose comparison

Stratification

NO

Dynamic allocation

NO

Institution consideration

Institution is not considered as adjustment factor.

Blocking

NO

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Adjust doses of iron erythropoietin to maintain hemoglobin level between 9.0 to 10.5 g/dl

Interventions/Control_2

Adjust doses of iron and erythropoietin to maintain hemoglobin level between 11.0 to 12.0 g/dl

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

21 years-old <=

Age-upper limit

80 years-old >=

Gender

Male and Female

Key inclusion criteria

Male and female patients; age between 21 years old and 80 years old.
Written informed consent must be obtained. Patients should be on hemodialysis for longer than 3 months and in stable medical condition.

Key exclusion criteria

1) Uncontrollable severe hypertension (systolic blood pressure >180 mmHg and/or diastolic blood pressure >110 mmHg) even with appropriate antihypertensive agents
2) Cardiovascular complication or shunt failure within 3 months
3) Malignant diseases
4) Patients contraindicated to erythropoietin or iron
5) Any patients who are considered to be inappropriate by physician

Target sample size

150


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Matsuhiko Hayashi

Organization

Keio University School of Medicine

Division name

Department of Internal Medicine

Zip code


Address

35 Shinanomachi, Shinjuku-ku, Tokyo

TEL

03-5363-3878

Email



Public contact

Name of contact person

1st name
Middle name
Last name Matsuhiko Hayashi

Organization

Keio University School of Medicine

Division name

Department of Internal Medicine

Zip code


Address

35 Shinanomachi, Shinjuku-ku, Tokyo

TEL

03-5363-3878

Homepage URL


Email

matuhiko@sc.itc.keio.ac.jp


Sponsor or person

Institute

Study group for appropriate hemoglobin level

Institute

Department

Personal name



Funding Source

Organization

self-funding

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



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

2006 Year 04 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

Completed

Date of protocol fixation

2006 Year 03 Month 08 Day

Date of IRB


Anticipated trial start date

2006 Year 07 Month 01 Day

Last follow-up date

2009 Year 01 Month 01 Day

Date of closure to data entry

2009 Year 12 Month 01 Day

Date trial data considered complete

2010 Year 06 Month 01 Day

Date analysis concluded

2010 Year 12 Month 01 Day


Other

Other related information



Management information

Registered date

2006 Year 03 Month 31 Day

Last modified on

2009 Year 09 Month 30 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000000479


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name