UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000005511
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

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Basic information

Public 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

Acronym

An Exploratory Study to Evaluate the
Improvement of Myocardial Perfusion Reserve and Coronary Flow Reserve by Aliskiren Treatment in Patients with Prior Myocardial Infarction

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

Scientific Title:Acronym

An Exploratory Study to Evaluate the
Improvement of Myocardial Perfusion Reserve and Coronary Flow Reserve by Aliskiren Treatment in Patients with Prior Myocardial Infarction

Region

Japan


Condition

Condition

Hypertension

Classification by specialty

Cardiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

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.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

Myocardial Perfusion Reserve (MPR) and Ccoronary Flow Reserve (CFR) by magnetic resonance imaging (MRI) after 24 weeks

Key secondary outcomes

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


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is 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

Aliskiren added on the basal treatment

Interventions/Control_2

Non-RAS antihyperetensive drugs added on the basal traetment

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

80 years-old >

Gender

Male and Female

Key inclusion criteria

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 na&iuml;ve 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

Key exclusion criteria

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

Target sample size

40


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Ryozo Nagai

Organization

University of Tokyo

Division name

Department of Cardiovascular medicine, Graduate School of Medeicine and Faculty of Medicine

Zip code


Address

7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan

TEL

03-3815-5411

Email



Public contact

Name of contact person

1st name
Middle name
Last name Masao Takahashi, Yasunobu Hirata

Organization

University of Tokyo

Division name

Department of Cardiovascular medicine, Graduate School of Medeicine and Faculty of Medicine

Zip code


Address

7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan

TEL

03-3815-5411

Homepage URL


Email

masaotakahashi-gi@umin.ac.jp


Sponsor or person

Institute

The University of Tokyo, department of cardiovascular medicine

Institute

Department

Personal name



Funding Source

Organization

Novartis Pharma K.K.

Organization

Division

Category of Funding Organization

Profit organization

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

東京大学病院(東京都)


Other administrative information

Date of disclosure of the study information

2011 Year 05 Month 01 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 04 Month 12 Day

Date of IRB


Anticipated trial start date

2011 Year 05 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

2011 Year 04 Month 26 Day

Last modified on

2013 Year 05 Month 30 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000006533


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name