Unique ID issued by UMIN | UMIN000005511 |
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Receipt number | R000006533 |
Scientific Title | A Single Center, Open-label, Randomized Comparative Study to Evaluate the Effect of Aliskiren on Myocardial Perfusion Reserve and Coronary Flow Reserve in Hypertensive Patients with a history of Myocardial Infarction |
Date of disclosure of the study information | 2011/05/01 |
Last modified on | 2013/05/30 16:53:34 |
A Single Center, Open-label, Randomized Comparative Study to Evaluate the Effect of Aliskiren on Myocardial Perfusion Reserve and Coronary Flow Reserve in Hypertensive Patients with a history of Myocardial Infarction
An Exploratory Study to Evaluate the
Improvement of Myocardial Perfusion Reserve and Coronary Flow Reserve by Aliskiren Treatment in Patients with Prior Myocardial Infarction
A Single Center, Open-label, Randomized Comparative Study to Evaluate the Effect of Aliskiren on Myocardial Perfusion Reserve and Coronary Flow Reserve in Hypertensive Patients with a history of Myocardial Infarction
An Exploratory Study to Evaluate the
Improvement of Myocardial Perfusion Reserve and Coronary Flow Reserve by Aliskiren Treatment in Patients with Prior Myocardial Infarction
Japan |
Hypertension
Cardiology |
Others
NO
The purpose of this study is to assess the effect of aliskiren on myocardial perfusion reserve and coronary flow reserve in hypertensive patients with a history of myocardial infarction.
Efficacy
Exploratory
Pragmatic
Not applicable
Myocardial Perfusion Reserve (MPR) and Ccoronary Flow Reserve (CFR) by magnetic resonance imaging (MRI) after 24 weeks
1.Left ventricule mass, End-diastolic and end-systolic left ventricular volume (EDV and ESV) after 24 weeks
2.Change from baseline in systolic and diastolic blood pressure after 12 and 24 weeks
3.Biomarkers including BNP, hs-CRP, PRA and plasma aldosterone after 12 and 24 weeks
Interventional
Parallel
Randomized
Individual
Open -no one is blinded
Active
YES
YES
Institution is not considered as adjustment factor.
NO
Central registration
2
Treatment
Medicine |
Aliskiren added on the basal treatment
Non-RAS antihyperetensive drugs added on the basal traetment
20 | years-old | <= |
80 | years-old | > |
Male and Female
History of MI more than 6 months prior to the registration, which was treated with standard of care and he/she has been clinically stable, including naïve or standard-dose antihypertensives of RAS blockade (ACE inhibitor or ARB), CCB, diuretics, and/or beta-blocker
Diagnosed with hypertension, ( home BP >125/75 mmHg or clinic BP >130/80mmHg)
Not treated with Aliskiren during 1 month prior to the registration
Treated with standard dose of RAS blockade, that were not modified during 1 month prior to the registration and not scheduled to be modified during the study
Age=20 or >20, and <80 years old
Able to provide written informed consent
1.Intolerance, anaphylaxis, or any history of hypersensitivity to aliskiren
2.Treated with high dose of RAS blockade
3.Initiation or change-a-dose/discontinuation of statin during 3 months prior to the registration, or planned change in a dose of statin during participating to this study
4.History of coronary artery bypass graft surgery
5.With any contraindication for MRI
a)Pacemaker or ICD
b)Implanted inner ear device
c)Artificial tooth (regarded as an aberration if provided, however, that physician decided it doesn't matter)
d)patient undergoing bronchial asthma treatment
e)History of artificial vessel replacement for aortic aneurysm
f)History of surgical clip therapy for brain aneurysm
g)eGFR<50mL/min/1.73 m2 during 1 month prior to the MRI examination
h)Judged as "Imcompetent for the study" by investigators
i)Intolerance, anaphylaxis, or any history of hypersensitivity to Gd-DTPA
6.Uncontrolled severe diabetes ( HbA1c>9)
7.Unstable angina or a history of acute MI or stroke during 3 months prior to the registration
8.LVEF <30%
9.Severe liver dysfunction
10.Severe kidney disease
11.Pregnant, Women of Child Bearing Potential or using effective methods of contraception as defined by local Health Authority
12.Nursing (lactating) women
13.Hyperkalemia ( plasma K >5.5mEq/l)
14.eGFR<50mL/min/1.73 m2 during 1 month prior to the registration
15.Judged as "Imcompetent for the study" by investigators
40
1st name | |
Middle name | |
Last name | Ryozo Nagai |
University of Tokyo
Department of Cardiovascular medicine, Graduate School of Medeicine and Faculty of Medicine
7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan
03-3815-5411
1st name | |
Middle name | |
Last name | Masao Takahashi, Yasunobu Hirata |
University of Tokyo
Department of Cardiovascular medicine, Graduate School of Medeicine and Faculty of Medicine
7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan
03-3815-5411
masaotakahashi-gi@umin.ac.jp
The University of Tokyo, department of cardiovascular medicine
Novartis Pharma K.K.
Profit organization
NO
東京大学病院(東京都)
2011 | Year | 05 | Month | 01 | Day |
Unpublished
No longer recruiting
2011 | Year | 04 | Month | 12 | Day |
2011 | Year | 05 | Month | 01 | Day |
2011 | Year | 04 | Month | 26 | Day |
2013 | Year | 05 | Month | 30 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000006533
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