UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000000667
Receipt number R000000802
Scientific Title Effects of renal dysfunction and sleep apnea on ambulatory blood pressure profile, cardiovascular function, and glucose and lipid metabolism: cross-sectional and prognosis study.
Date of disclosure of the study information 2008/11/01
Last modified on 2015/09/21 23:06:08

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Basic information

Public title

Effects of renal dysfunction and sleep apnea on ambulatory blood pressure profile, cardiovascular function, and glucose and lipid metabolism: cross-sectional and prognosis study.

Acronym

Effects of renal dysfunction and sleep apnea on ambulatory blood pressure profile, cardiovascular function, and glucose and lipid metabolism: cross-sectional and prognosis study.

Scientific Title

Effects of renal dysfunction and sleep apnea on ambulatory blood pressure profile, cardiovascular function, and glucose and lipid metabolism: cross-sectional and prognosis study.

Scientific Title:Acronym

Effects of renal dysfunction and sleep apnea on ambulatory blood pressure profile, cardiovascular function, and glucose and lipid metabolism: cross-sectional and prognosis study.

Region

Japan


Condition

Condition

Hypertensionj

Classification by specialty

Medicine in general Cardiology Endocrinology and Metabolism
Nephrology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1


The aim of this study was to examine possible effects of renal dysfunction and sleep apnea on ambulatory blood pressure profile, cardiovascular function, and glucose and lipid metabolism by cross-sectional and prognosis study.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

1) casual blood pressure
2) ambulatory blood pressure monitoring
3) sleep apnea test
4) renal function: creatinine clearance by Cockcroft-Gault formula
5) glucose metabolism: fasting blood glucose, fasting IRI, HOMA-IR
6) lipid metabolism: total cholesterol, LDL, HDL, TG, adiponectin
7) cardiac function: ANP, BNP, UCG
8) vascular function: ABI/BWV, carotid echogram
9) sympathetic nerve activity and renin-angiotensin system
10) inflammatory and oxidative markers: CRP, fibrinogen, MDA-LDL, AGE.

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

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Blood pressure >= 130/80

Key exclusion criteria

acute myocardial infarction, collagen disease, acute renal failure

Target sample size

500


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Kouichi TAMURA

Organization

Yokohama City University School of Medicine

Division name

Department of Cardiorenal Medicine

Zip code


Address

3-9 Fukuura, Kanazawa-ku, Yokohama 236-0004, JAPAN

TEL

045-787-2635

Email

tamukou@med.yokohama-cu.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Kazukai Uchino

Organization

Yokohama City University School of Medicine

Division name

Department of Medical Science

Zip code


Address

3-9 Fukuura, Kanazawa-ku

TEL

045-787-2634

Homepage URL


Email

uchinok@med.yokohama-cu.ac.jp


Sponsor or person

Institute

Yokohama City University School of Medicine

Institute

Department

Personal name



Funding Source

Organization

Department of Medical Science and Cardiorenal Medicine, Yokohama City University School of Medicine

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

2008 Year 11 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

Main results already published

Date of protocol fixation

2005 Year 04 Month 01 Day

Date of IRB


Anticipated trial start date

2005 Year 04 Month 01 Day

Last follow-up date

2015 Year 03 Month 01 Day

Date of closure to data entry

2020 Year 03 Month 01 Day

Date trial data considered complete

2021 Year 03 Month 01 Day

Date analysis concluded

2022 Year 03 Month 01 Day


Other

Other related information

Ambulatory blood pressure (BP) monitoring allows the acquisition of information not only on the average 24-h BP, but also on the variations that characterize BP values in the course of daily life. Ambulatory BP monitoring has also allowed an easier and more accurate determination of the circadian rhythm of BP under different pathological conditions, and has enabled to evaluate the effects of antihypertensive drugs (Mancia G, Parati G. Ambulatory blood pressure monitoring and organ damage. Hypertension 2000: 36: 894-900; Imai Y. Prognostic significance of ambulatory blood pressure. Blood Press Monit 1999: 4: 249-256).
Ambulatory BP monitoring has allowed an easier and more accurate determination of the circadian rhythm of BP under different pathophysiological conditions. This circadian pattern of BP in patients with diabetes has been found to have a blunted nocturnal dipping in BP, which is associated with autonomic neuropathy and nephropathy. The loss of nocturnal dipping in BP has been considered to be a risk factor for the progression of nephropathy itself, and to be of prognostic value with respect to target organ damage and cardiovascular morbidity in both diabetic and hypertensive patients. However, the factors involved in the BP variability observed in diabetic patients are not elucidated and may themselves play an independent role in the cardiovascular complications in diabetic patients. More and better evidence on BP variability could lead to a more precise understanding of the pathogenesis of hypertension with diabetes.
In this study we will examine possible effects of renal dysfunction and sleep apnea on ambulatory blood pressure profile, cardiovascular function, and glucose and lipid metabolism by cross-sectional and prognosis study.


Management information

Registered date

2007 Year 04 Month 02 Day

Last modified on

2015 Year 09 Month 21 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000000802


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name