UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000001907
Receipt number R000002318
Scientific Title Assessment of gastroesophageal reflex disease (GERD) with FSSG score in hemodialysis patients
Date of disclosure of the study information 2009/04/25
Last modified on 2010/12/04 13:41:45

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Basic information

Public title

Assessment of gastroesophageal reflex disease (GERD) with FSSG score in hemodialysis patients

Acronym

Frequency Invistigation of GERD in Hemodialysis Therapy: FIGHT

Scientific Title

Assessment of gastroesophageal reflex disease (GERD) with FSSG score in hemodialysis patients

Scientific Title:Acronym

Frequency Invistigation of GERD in Hemodialysis Therapy: FIGHT

Region

Japan


Condition

Condition

Gastroesophageal reflux disease (GERD)
Chronic hemodialysis patients

Classification by specialty

Gastroenterology Nephrology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Study 1) The first aim of this study is to assess the scores of FSSG in hemodialysis patients.
Study 2) The second aim is to assess the improvement of FSSG scores and GIF findings after PPI treatment.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

Study 1) FSSG (Frequency scale for the symptom of GERD) scores and findings of gastrointestinal fiber (GIF).
Study 2) Reduction in FSSG scores.

Key secondary outcomes

Association between concomitant drugs and FSSG scores.


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

80 years-old >

Gender

Male and Female

Key inclusion criteria

Chronic hemodialysis patients

Key exclusion criteria

1) Patients with malignancy whose prognoses are predicted less than 6 months.
2) Patients with severe heart failure or hepatic failure.
3) Patients who have epigastric symptoms other than GERD.
4) Patients who have histories of renal transplantation.

Target sample size

150


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Enyu Imai

Organization

Osaka University Graduate School of Medicine

Division name

Nephrology

Zip code


Address

Box: B6, 2-2, Yamadaoka, Suita-city, Osaka, Japan

TEL

06-6879-3857

Email



Public contact

Name of contact person

1st name
Middle name
Last name Yasuyuki Nagasawa

Organization

Osaka University Graduate School of Medicine

Division name

Nephrology

Zip code


Address

Box: B6, 2-2, Yamadaoka, Suita-city, Osaka, Japan

TEL

06-6879-3857

Homepage URL


Email

nagasawa@kid.med.osaka-u.ac.jp


Sponsor or person

Institute

Osaka University Hospital

Institute

Department

Personal name



Funding Source

Organization

Grants-in-aid for scientific research

Organization

Division

Category of Funding Organization

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor

Tanaka-Kitanoda Hospital, Akagaki Clinic, Imai Clinic, Kajimoto Clinic

Name of secondary funder(s)

None


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

2009 Year 04 Month 25 Day


Related information

URL releasing protocol


Publication of results

Partially published


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results

Results
Their average age was 66 years (58-73), with average hemodialysis duration of 5 years. A positive FSSG result (score>=8) was recorded by 21 patients out of 167 subjects, indicating the existence of GERD, despite almost 80% of subjects already on Proton pump inhibitors, Histamine receptor 2 antagonists and/or Gastromucosal protective agent (GMP). To avoid the effect of advanced age upon gastroesophageal symptoms, we analyzed 112 hemodialysis patients under 70 years old. The average age was 62 years (56-66), with average hemodialysis duration of 7 years. 11.6% of hemodialysis patients under 70 yielded positive FSSG results (score>8). GMP use negatively correlated with the dysmotility score (p=0.013). Multivariate logistic regression analysis also confirmed that calcium channel blocker use, common in dialysis patients, correlated with the acid reflux score (p=0.042). No correlation was seen between endoscopic findings and FSSG scores.

Conclusion
12.5% of hemodialysis patients yielded positive FSSG results (score>8), indicating the presence of GERD. The FSSG shows promise as a useful tool in the diagnosis of GERD in hemodialysis patients.

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

2008 Year 10 Month 07 Day

Date of IRB


Anticipated trial start date

2009 Year 04 Month 01 Day

Last follow-up date

2011 Year 12 Month 01 Day

Date of closure to data entry

2011 Year 12 Month 01 Day

Date trial data considered complete

2011 Year 12 Month 01 Day

Date analysis concluded

2011 Year 12 Month 01 Day


Other

Other related information

In general population, those who have higher FSSG score than 8 account 17%. However, there is no report on dialysis patients.


Management information

Registered date

2009 Year 04 Month 25 Day

Last modified on

2010 Year 12 Month 04 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000002318


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name