UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000002851
Receipt number R000003481
Scientific Title A large-scale clinical study to investigate the secondary preventive effect of strict antihypertensive therapy in patients with a previous history of strok
Date of disclosure of the study information 2010/01/31
Last modified on 2021/05/23 16:12:49

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Basic information

Public title

A large-scale clinical study to investigate the secondary preventive effect of strict antihypertensive therapy in patients with a previous history of strok

Acronym

Recurrent Stroke Prevention Clinical Outcome Study(RESPECT-Study)

Scientific Title

A large-scale clinical study to investigate the secondary preventive effect of strict antihypertensive therapy in patients with a previous history of strok

Scientific Title:Acronym

Recurrent Stroke Prevention Clinical Outcome Study(RESPECT-Study)

Region

Japan


Condition

Condition

Essential hypertension with history of Stroke

Classification by specialty

Cardiology Endocrinology and Metabolism Nephrology
Neurology Geriatrics Vascular surgery
Rehabilitation medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To investigate the effect of stringent blood pressure lowering for prevention of recurrence of stroke

Basic objectives2

Others

Basic objectives -Others

Correlation between Blood pressure vs recurrence of stroke

Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Phase IV


Assessment

Primary outcomes

Recurrence of cerebral infarction and cerebral hemorrhage 244 cesed will be collected based on event driven method

Key secondary outcomes

Duration from date of IC taken up to end of observation period
1 cerebral infarction with TOAST's definition
2 cerebral hemorrhage
3 subaracunoid hemorrhage
4 tansit ischemic attack
5 myocardial infarction
6 composit cardiovascular event cerdiovascular death nonfatal stroke nofatal myocardial infarction
7 total death
8 total death nonfatal stroke nonfatal myocardial infarction


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Single blind -investigator(s) and assessor(s) are blinded

Control

Active

Stratification

NO

Dynamic allocation

YES

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

Blood pressure manegement usig antihypertensive agents as range SBP LT 140 mmHg or DBP LT 90 mmHg

Interventions/Control_2

Blood pressure manegemrnt using antihypertensive agents as range SBP LT 120 mmHg or DBP 80 mmHg

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

50 years-old <=

Age-upper limit

85 years-old >=

Gender

Male and Female

Key inclusion criteria

Subjects for this study are patients with essential hypertension who satisfy the following criteria
1 Receiving outpatient treatment
2 Onset of cerebral infarction or cerebral hemorrhage at least 30 days prior to IC taken
3 Treatment compliance of more than 80% during the screening period
4 Mean of 2 times outpatient BP measurements at baseline being
SBP LT 180mmhg-MT 140 mmHg and DBP LT 110mmHg-MT 80mmHg
5 Severity of cerebral infarction on the modified Rankin score LT 3

Key exclusion criteria

1 Women who are pregnant, wish to become pregnant, or are breastfeeding
2 Secondary hypertension
3 Concurrent of severe hypertension baseline SBP MT 180mmHg or baseline DBP MT 110mmHg
4 Onset of myocardial infarction or undergoing angioplasty within 3 months before recruiting
5 Concurrent or history of heart failure with NYHA functional classification class III or more, or EF <35%
6 Severe bilateral carotid stenosis or major cerebral artery occlusion
7 Severe paralysis due to stroke (Modified Rankin Scale MT 4)
8 Significant renal dysfunction identified in laboratory test within 1 year prior to IC taken Serum creatine MT 2.0mg/dL
9 Significant liver dysfunction identified in laboratory test within 1 year prior to IC taken AST(GOT) MT 100IU/mL or ALT(GPT) MT 100IU/mL
10 Patient with oral administration of 4 or more anti-hypertensive agents prior to IC taken
11 Hypersensitivity or allergy to losartan and other AII antagonists, HCTZ or sulfonamide derivative
12 Patients who will be scheduled receiving any surgery within a study period
13 Being treated with other investigational products within 30 days prior to IC taken
14 Patients who are required any treatmentfor or history of malignant neoplasm
15 Concurrent or history of subarrachnoid hemmorhage
16 Patient with a definit dementia
17 Patients from whom it is difficult to obtain informed consents
18 Patients who are determined by the primary investigator or co-investigator to be unsuitable

Target sample size

2000


Research contact person

Name of lead principal investigator

1st name Kazuyuki
Middle name
Last name Shimada

Organization

Shin-Oyama City Hospital

Division name

Cardiology

Zip code

323-0827

Address

2251-1, oaza hitotonoya, Oyama City, Tochigi Pf.

TEL

0285-36-0203

Email

kazuyuki@hospital.oyama.tochigi.jp


Public contact

Name of contact person

1st name Hiroko
Middle name
Last name Usami

Organization

RESPECT-Study Group

Division name

Secretariat & Data Center

Zip code

192-0902

Address

584-1-908 Kitano-cho Hachiouji-City Tokyo

TEL

042-649-1113

Homepage URL

http://www.respect-study.com

Email

respect-study@respect-study.jp


Sponsor or person

Institute

Nonprofit Organization RESPECT Study Group

Institute

Department

Personal name



Funding Source

Organization

Nonprofit Organaization RESPECT Study group

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Nonprofit Organaization RESPECT Study group

Address

584-1-908 Kitano-cho Hachioji-City Tokyo Japan 192-0906

Tel

042-649-1113

Email

respect-study@respect-study.jp


Secondary IDs

Secondary IDs

YES

Study ID_1

Clinical Trial.gov Identifier:NCT01198496

Org. issuing International ID_1

The SERVICE of the US National Institutes of Health

Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

自治医科大学(栃木県)、札幌医科大学(北海道)、北海道大学(北海道)、京都府立医科大学(京都府)、京都大学(京都府)、大阪大学(大阪府)、国立循環器病研究センター(大阪府)、東京女子医科大学(東京都)、埼玉医科大学国際医療センター(埼玉県)計193施設


Other administrative information

Date of disclosure of the study information

2010 Year 01 Month 31 Day


Related information

URL releasing protocol

http://www.respect-study.com

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

No longer recruiting

Date of protocol fixation

2009 Year 11 Month 05 Day

Date of IRB

2010 Year 10 Month 04 Day

Anticipated trial start date

2010 Year 10 Month 20 Day

Last follow-up date

2016 Year 12 Month 31 Day

Date of closure to data entry

2017 Year 01 Month 31 Day

Date trial data considered complete

2017 Year 10 Month 31 Day

Date analysis concluded

2018 Year 09 Month 30 Day


Other

Other related information



Management information

Registered date

2009 Year 12 Month 06 Day

Last modified on

2021 Year 05 Month 23 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000003481


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name