UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000003741
Receipt number R000004524
Scientific Title Efficacy and Safety of Valsartan and Aliskiren Combination Therapy in Patients with Diabetic Nephropathy and Hypertension
Date of disclosure of the study information 2010/06/13
Last modified on 2013/06/17 14:50:59

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Basic information

Public title

Efficacy and Safety of Valsartan and Aliskiren Combination Therapy in Patients with Diabetic Nephropathy and Hypertension

Acronym

Valsartan and Aliskiren Combination Therapy

Scientific Title

Efficacy and Safety of Valsartan and Aliskiren Combination Therapy in Patients with Diabetic Nephropathy and Hypertension

Scientific Title:Acronym

Valsartan and Aliskiren Combination Therapy

Region

Japan


Condition

Condition

Type 2 diabetes with nephropathy and hypertension

Classification by specialty

Nephrology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To test the efficacy and safety of Valsartan and Aliskiren combination therapy in patients with diabetic nephropathy and hypertension.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

1)estimated GFR
2)Urinary protein excretion(g/gCr)
3)Urinaru Albumin Creatinine Ratio

Key secondary outcomes

1)Change in office and home blood pressure
2)Brain natriuretic peptide
3)Oxidative stress:urinary 8-isoprostane
4)Marker for inflammation: hs-CRP
5)Endthelial function:Flow-mediated vasodilatation(FMD)
6)Arterial stiffness:brachial-ankle pulse wave velocity(baPWV)
7)Arterial thickness:Intima-media thickness of carotid artery(IMT)
8)Renal damage:L-FABP
9)HbA1C, Blood glucose
10)Safety
1.Laboratory data (ALT, AST, BUN, Cr, UA, K)
2.Symptom


Base

Study type

Interventional


Study design

Basic design

Parallel

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


Concealment

Numbered container method


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Administration of 80 mg of valsartan
8 weeks after:
administration of 150 mg of aliskiren
4 weeks after administration of aliskiren:
Increase of dose; 300 mg of aliskiren
8 weeks after
Add 1 mg of trichlormethiazide
12 weeks after:
Add 2mg of doxazocin

Interventions/Control_2

Administration of 80 mg of valsartan
8 weeks after:
administration of 5 mg of amlodipine
4 weeks after administration of amlodipine:
Increase of dose;10mg of amlodipine
8 weeks after
Add 1 mg of trichlormethiazide
12 weeks after:
Add 2mg of doxazocin

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

30 years-old <=

Age-upper limit

80 years-old >=

Gender

Male and Female

Key inclusion criteria

1) Urinary protein<1g/day: systolic BP>=130 mmHg or diastolic BP>=80 mmHg (office BP), or systolic BP>=125 mmHg or diastolic BP>=75 mmHg (home BP) under valsartan treatment
Urinary protein>=1g/day: systolic BP>=125 mmHg or diastolic BP>=75 mmHg (office BP) under valsartan treatment
2) Type 2 diabetes
3) HbA1C<8.0%
4) Urinary albumin/creatinine ratio(UACR)>=100mg/gCr
5) Cr<=3.0 mg/dL
6) Written informed consent is obtained

Key exclusion criteria

1)Taking corticosteroid
2)Secondary hypertension or maliganant hypertension
3)Acute myocardial infarction within 24 weeks
4)Stroke within 12 weeks
5)Severe ventricular tachyarrhythmia or advanced AV block
6)Cardiogenic shock
7)Bilateral renal artery stenosis
8)Sever liver dysfunction
9)Severe hematopoietic disorder or carcinoma
10)Type 1 diabetes
11)Taking cyclosporine A
12)Pregnancy
13)Drug allergy
14) not qualified

Target sample size

80


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Nobuyuki Takahashi

Organization

Kansai Medical University

Division name

The Second Department of Internal Medicine

Zip code


Address

2-3-1 Shinmachi, Hirakata City, Osaka

TEL

072-804-0101

Email



Public contact

Name of contact person

1st name
Middle name
Last name Nobuyuki Takahashi

Organization

Kansai Medical University

Division name

The Second Department of Internal Medicine

Zip code


Address

2-3-1 Shinmachi, Hirakata City, Osaka

TEL

072-804-0101

Homepage URL


Email



Sponsor or person

Institute

Kansai Medical University

Institute

Department

Personal name



Funding Source

Organization

Novartis Pharma Corp

Organization

Division

Category of Funding Organization

Profit organization

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

関西医科大学


Other administrative information

Date of disclosure of the study information

2010 Year 06 Month 13 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

Terminated

Date of protocol fixation

2009 Year 12 Month 27 Day

Date of IRB


Anticipated trial start date

2010 Year 06 Month 01 Day

Last follow-up date

2012 Year 06 Month 01 Day

Date of closure to data entry

2012 Year 09 Month 01 Day

Date trial data considered complete

2012 Year 09 Month 01 Day

Date analysis concluded

2012 Year 09 Month 01 Day


Other

Other related information



Management information

Registered date

2010 Year 06 Month 12 Day

Last modified on

2013 Year 06 Month 17 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000004524


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name