UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000000739
Receipt number R000000888
Scientific Title Long-term evolution and changing associations of left ventricular hypertrophy after starting hemodialysis
Date of disclosure of the study information 2007/06/20
Last modified on 2007/06/13 13:43:56

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Basic information

Public title

Long-term evolution and changing associations of left ventricular hypertrophy after starting hemodialysis

Acronym

Evolution and associations of LVH

Scientific Title

Long-term evolution and changing associations of left ventricular hypertrophy after starting hemodialysis

Scientific Title:Acronym

Evolution and associations of LVH

Region

Japan


Condition

Condition

hemodialysis

Classification by specialty

Nephrology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

We examined the evolution of LVH after starting dialysis and the determinants of changes in LV mass.

Basic objectives2

Others

Basic objectives -Others

To examine the effect of cardiac function on all cause and cardiovascular mortality.

Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

changes in LV mass index (LVMI)

Key secondary outcomes

all cause and cardiovascular mortality.


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

15 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Patients had been receiving regular hemodialysis for at least 6 months at one of our three hospitals following the inception of dialysis therapy at Tsuchiura Kyodo General Hospital

Key exclusion criteria

Patients who had a technically unsatisfactory echocardiogram

Target sample size

200


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Atsushi Takeda

Organization

Tsuchiura Kyodo General Hospital

Division name

Kidney Center

Zip code


Address

11-7, Manabeshinmachi, Tsuchiura-shi, Ibaraki-ken, 300-0032, Japan

TEL

029-823-3111

Email



Public contact

Name of contact person

1st name
Middle name
Last name Atsushi Takeda

Organization

Midorino Clinic

Division name

Director

Zip code


Address

2526-1, Nishimura, Kutsukake, Bando-shi, Ibaraki-ken, 306-0515, Japan

TEL

0297-30-3311

Homepage URL


Email

atakeda@midorino.com


Sponsor or person

Institute

Tsuchiura Kyodo General Hospital

Institute

Department

Personal name



Funding Source

Organization

none

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

2007 Year 06 Month 20 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

At baseline, the mean LV mass index (LVMI) was 145.8 g/ m2 and 73 (68%) patients had LVH. During the mean follow-up period of 34.5 months, the mean LVMI decreased by 4.3 g/ m2. At last follow-up, the mean LVMI was 141.5 g/ m2 and 68 (64%) patients had LVH. For changes in LVMI, a significant correlation was found in changes in systolic blood pressure, LVMI at baseline, ischemic heart disease, and changes in serum albumin concentration. The relationship between changes in LVMI and systolic blood pressure was close during the 1st and 2nd intervals, but became weak gradually during the 3rd and 4th intervals.

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

1998 Year 06 Month 01 Day

Date of IRB


Anticipated trial start date

1998 Year 06 Month 01 Day

Last follow-up date

2005 Year 05 Month 01 Day

Date of closure to data entry

2005 Year 06 Month 01 Day

Date trial data considered complete

2005 Year 06 Month 01 Day

Date analysis concluded

2006 Year 02 Month 01 Day


Other

Other related information

Many patients had LVH at starting hemodialysis and continued to have LVH thereafter. The most important determinant of LV mass changes was systolic blood pressure control, but the effect decreased gradually with time. These results suggest that active antihypertensive treatment should be started early, even if a few years have elapsed after the initiation of dialysis, to regress LVH and prevent cardiovascular diseases.


Management information

Registered date

2007 Year 06 Month 13 Day

Last modified on

2007 Year 06 Month 13 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000000888


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name