UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000006415
Receipt number R000006054
Scientific Title The Multicenter Study for Effects of Eplerenone on Cardiac Diastolic Dysfunction in Hypertensive Patients
Date of disclosure of the study information 2011/09/27
Last modified on 2017/04/03 08:44:10

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Basic information

Public title

The Multicenter Study for Effects of Eplerenone on Cardiac Diastolic Dysfunction in Hypertensive Patients

Acronym

The Multicenter Study for Effects of Eplerenone on Cardiac Diastolic Dysfunction in Hypertensive Patients (MELODY STUDY)

Scientific Title

The Multicenter Study for Effects of Eplerenone on Cardiac Diastolic Dysfunction in Hypertensive Patients

Scientific Title:Acronym

The Multicenter Study for Effects of Eplerenone on Cardiac Diastolic Dysfunction in Hypertensive Patients (MELODY STUDY)

Region

Japan


Condition

Condition

Hypertensive patients with cardiac diastolic dysfunction and preserved ejection fraction

Classification by specialty

Medicine in general Cardiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To evaluate effects of eplerenone on biomarkers of hypertensive patients with cardiac diastolic dysfunction

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Changes in Plasma levels of B-type natriuretic peptide (BNP) from baseline to 12 months of treatment
(if BNP logarithmic transformation does not follow normal distribution, consider using percent changes in BNP from baseline to 12 months of treatment)

Key secondary outcomes

Serum biomarkers
high-sensitive troponin T level, P3NP, hsCRP, Big-endothelin

Urinary biomarkers
urinary albumin, 8-OHdG

Tissue Doppler Echocardiography findings
E, e', E/e'

A composite of hospitalization or death due to cardiovascular event and significant exacerbation of cardio- and cerebro-vascular diseases (at 12 and 24 months from enrollment).

Relationship between onset of cardiovascular event and biomarkers (exploratory)


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -but assessor(s) are blinded

Control

Active

Stratification

YES

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

Eplerenone (25-50mg/day) is added to baseline treatment. The dose is adjusted according to conditions of patients with judgement of the physician in charge. Treatment period is for two years. The target blood pressure level is 135/85mmHg.

Interventions/Control_2

Usual treatment without using eplerenone or spilonoractone. The target blood pressure level is 135/85mmHg.

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

85 years-old >=

Gender

Male and Female

Key inclusion criteria

1. Ejection Fraction>=50%(The modified simpson method in an echocardiography or Left ventriculography or MRI or RI)
2.High blood pressure with anti-hypertensives)
3.E/e'>=15, or 15>E/e'>=8 and BNP>=100pg/ml (Measurement of E/e' is preferred to use both interventricular septum and side wall, though use of only either one of them is also acceptable complying to the usual method of each institution)
4.No evidence of hospitalization due to heart failure in the past 6 months

Key exclusion criteria

1.Patients with severe renal failure (Ccr<=50ml/mi. Kakuta Y et al. Clin Exp Nephrol. 2010,14(1):63-7.)
2.Serum potassium level is equal or more than 5.0 mEq/L
3.Patients with severe hepatic insufficiency (Child-Pugh Score class C)
4.Patients currently under treatment of Itraconazole, Ritonavir, or Nelfinavir.
5.Patients with hypertrophic obstructive cardiomyopathy, cardiac amyloidosis, cardiac sarcoidosis, connective tissue disease, or malignancy
6.Patients with evere valvular disease
7.Patients with secondary hypertension
8.Patients underwent operative treatment or coronary angioplasty in the past one month
9.Patients treated with eplerenone or spironolactone in the past three months
10.Women who are wising to be pregnant, or of childbearing potential
11.Patients whose physicians determined inadequate to participate the study

Target sample size

180


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Hisao Ogawa

Organization

Graduate School of Medical Sciences, Kumamoto University

Division name

Cardiovascular medicine

Zip code


Address

Honjyo 1-1-1, Kumamoto

TEL

0963735175

Email

ogawah@kumamoto-u.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Megumi Yamamuro

Organization

Graduate School of Medical Sciences, Kumamoto University

Division name

Cardiovascular medicine

Zip code


Address

Honjyo 1-1-1, Kumamoto

TEL

0963735175

Homepage URL

http://www.kumadai-junnai.com/

Email

yamamuro@kumamoto-u.ac.jp


Sponsor or person

Institute

Graduate School of Medical Sciences, Kumamoto University

Institute

Department

Personal name



Funding Source

Organization

Graduate School of Medical Sciences, Kumamoto University

Organization

Division

Category of Funding Organization

Other

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

熊本大学生命科学研究部


Other administrative information

Date of disclosure of the study information

2011 Year 09 Month 27 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

2011 Year 02 Month 21 Day

Date of IRB


Anticipated trial start date

2011 Year 02 Month 21 Day

Last follow-up date

2015 Year 01 Month 01 Day

Date of closure to data entry

2017 Year 06 Month 30 Day

Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2011 Year 09 Month 27 Day

Last modified on

2017 Year 04 Month 03 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000006054


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name