UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000003206
Receipt number R000003865
Scientific Title Evaluation of improvement effects of angiotensin II receptor blockers on glycemic and lipid metabolism in renal transplant patients
Date of disclosure of the study information 2011/02/18
Last modified on 2012/08/20 15:24:55

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Basic information

Public title

Evaluation of improvement effects of angiotensin II receptor blockers on glycemic and lipid metabolism in renal transplant patients

Acronym

Evaluation of improvement effects of ARB on glycemic and lipid metabolism in renal transplant patients

Scientific Title

Evaluation of improvement effects of angiotensin II receptor blockers on glycemic and lipid metabolism in renal transplant patients

Scientific Title:Acronym

Evaluation of improvement effects of ARB on glycemic and lipid metabolism in renal transplant patients

Region

Japan


Condition

Condition

Stable hypertensive patient who is administering ARB after renal transplant

Classification by specialty

Endocrinology and Metabolism

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To compare improvement effects of telmisartan and candesartan on serum glucose level and lipid level in hypertensive patients after renal transplant

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Changes in serum triglyceride level and adiponectin level from baseline to 12 weeks after

Key secondary outcomes

Casual blood pressure, fasting blood glucose, HbA1c, glycoalbumin, fasting insulin, HOMA-IR (calculation from blood glucose level and insulin level), LDL-C, HDL-C, serum creatinine, eGFR (calculation from serum creatinine level), urinary albumin-to-creatinine ratio, adverse event


Base

Study type

Interventional


Study design

Basic design

Cross-over

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

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

Telmisartan-preceding group:
Previous ARB is switched to equivalent amount of telmisartan without washout period and then telmisartan is administered with once-daily dosing for 12 weeks. After 12 weeks telmisartan is switched to equivalent amount of candesartan without washout period and candesartan is administered with once-daily dosing for 12 weeks.

Interventions/Control_2

Candesartan-preceding group:
Previous ARB is switched to equivalent amount of candesartan without washout period and then candesartan is administered with once-daily dosing for 12 weeks. After 12 weeks candesartan is switched to equivalent amount of telmisartan without washout period and telmisartan is administered with once-daily dosing for 12 weeks.

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

75 years-old >

Gender

Male and Female

Key inclusion criteria

1.Patient who passed six months or more after renal transplant and patients to whom the dosages of calcineurin inhibitor (tacrolimus or cyclosporine), antimetabolic drug (mycophenolate mofetil or mizoribine) and steroid are steady
2.Stable hypertensive patient (less than BP 130/80) on antihypertensive with an angiotensin II receptor blocker
3.Gender free, and from 20 years old to less than 75 years old
4.Patient who obtained written informed consent

Key exclusion criteria

1.Ptient with graft loss
2.Patient who has a history of hypersensitivity
3.Patient who is pregnant or a female patient who is expecting to become pregnant
4.Patient with extremely bad secretion of bile (total bilirubin: >= 2.0 mg/dL)
5.Patient who has serious hepatic disorder (GOT or GPT: >= 100 IU/L)
6.Patient who has serious renal disorder (serum creatinine: >= 3.0 mg/dL)
7.Patient with hyperkalemia (K: >= 5.5 mEq/L)
8.Patient who is currently receiving pioglitazone
9.Patient who is currently receiving angiotensin converting enzyme inhibitor
10.Patient who is currently receiving lipid-lowering therapy with fibrate agent
11.Patient who began taking statin within two months before start of the study
12.Patient with whom the physician-in-charge considered inappropriate as a subject of the study

Target sample size

46


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name hidehisa kitada

Organization

medical faculty of Kyushu university

Division name

kidney care unit/Department of Surgery and Oncology

Zip code


Address

3-1-1maedashi higasiku fukuokasi

TEL

0926425443

Email



Public contact

Name of contact person

1st name
Middle name
Last name yoshifumi miura

Organization

medical faculty of Kyushu university

Division name

Department of Surgery and Oncology

Zip code


Address

3-1-1maedashi higasiku fukuokasi

TEL

0926425443

Homepage URL


Email

ym704@surg1.med.kyushu-u.ac.jp


Sponsor or person

Institute

Department of Surgery and Oncology
Graduate School of Medical Sciences
Kyushu University

Institute

Department

Personal name



Funding Source

Organization

Transplant/Blood Vessel Group
Department of Surgery and Oncology
Graduate School of Medical Sciences
Kyushu University

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


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

九州大学病院(福岡県)


Other administrative information

Date of disclosure of the study information

2011 Year 02 Month 18 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

No longer recruiting

Date of protocol fixation

2010 Year 11 Month 30 Day

Date of IRB


Anticipated trial start date

2011 Year 02 Month 01 Day

Last follow-up date


Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2010 Year 02 Month 18 Day

Last modified on

2012 Year 08 Month 20 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000003865


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name