UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000005657
Receipt number R000006685
Scientific Title The Measurement and Influence of estimated Salt intake in 24-hour urine collection in chrOnic kidneY disease in Okayama Study
Date of disclosure of the study information 2011/05/26
Last modified on 2012/01/30 19:31:02

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Basic information

Public title

The Measurement and Influence of estimated Salt intake in 24-hour urine collection in chrOnic kidneY disease in Okayama Study

Acronym

The MISOY-Okayama study

Scientific Title

The Measurement and Influence of estimated Salt intake in 24-hour urine collection in chrOnic kidneY disease in Okayama Study

Scientific Title:Acronym

The MISOY-Okayama study

Region

Japan


Condition

Condition

chronic kidney disease

Classification by specialty

Nephrology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

There is a considerable body of literature linking higher salt intake with higher blood pressure, increased cardiovascular risk and renal dysfunction. It is recommended that the intake of dietary salt should be less than 6g per day in CKD practice guideline 2009 provided by Japanese Society of Nephrology. However, the effect of dietary salt intake on proteinuria, blood pressure and progression of chronic kidney disease (CKD) is still uncertain. Moreover, few studies based their assessments on 24-hour urinary sodium excretion, the most accurate approach to assess salt intake. The aim of this study is to determine the effect of salt intake estimated by 24-hour sodium excretion on blood pressure, proteinuria, and renal outcome.

Basic objectives2

Others

Basic objectives -Others

cross sectional study and observational study

Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

doubling of serum creatinine or introducing of renal replacement therapy

Key secondary outcomes

blood pressure, rate of estimated glomerular filtration rate and rate of urinary protein excretion


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


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

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Outpatients of the Department of Nephrology of Okayama University Hospital who underwent 24-hour urine collection between April and June in 2007, not receiving renal replacement therapy

Key exclusion criteria

Patients who were lost to follow-up within 90 days from the initiation of observation
Patients who already received renal replacement therapy (hemodialysis, peritoneal dialysis and renal transplantation)

Target sample size

200


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Hiroshi Morinaga

Organization

Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences

Division name

Department of Medicine and Clinical Science

Zip code


Address

2-5-1 Shikata-cho, Kita-ku, Okayama City

TEL

086-235-7235

Email



Public contact

Name of contact person

1st name
Middle name
Last name Hiroshi Morinaga

Organization

Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences

Division name

Department of Medicine and Clinical Science

Zip code


Address


TEL


Homepage URL


Email

morinaga@md.okayama-u.ac.jp


Sponsor or person

Institute

Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences

Institute

Department

Personal name



Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Self funding

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



Other administrative information

Date of disclosure of the study information

2011 Year 05 Month 26 Day


Related information

URL releasing protocol


Publication of results

Published


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results

The median follow-up period was 36 months, during which time, sixteen of 159 patients reached the renal composite endpoint (10.1%). A significant correlation between the baseline systolic blood pressure and urinary sodium excretion was detected in both all individuals (r=0.2602; P=0.0009) and in female subjects (r=0.3308; P=0.0029). A similar correlation was found between log-transformed value of the baseline urinary protein excretion and urinary sodium excretion in the whole (r=0.1838; P=0.0239) and in the female (r=0.2766; P=0.0136) subjects. When the patients with CKD stage 4 and 5 were stratified according to the quartile levels of urinary sodium excretion of each gender, increase in urinary sodium excretion was a risk for the renal composite endpoint only in female subjects (P=0.0107, Log rank test). In the Cox regression analysis, the level of urinary sodium excretion was independently associated with the endpoint, but the risk was not independent of the urinary protein excretion.

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

Completed

Date of protocol fixation

2011 Year 05 Month 26 Day

Date of IRB


Anticipated trial start date

2011 Year 05 Month 01 Day

Last follow-up date

2011 Year 06 Month 01 Day

Date of closure to data entry

2011 Year 06 Month 01 Day

Date trial data considered complete

2011 Year 06 Month 01 Day

Date analysis concluded

2011 Year 11 Month 01 Day


Other

Other related information

The median follow-up period was 36 months, during which 16 reached the renal composite endpoint.


Management information

Registered date

2011 Year 05 Month 26 Day

Last modified on

2012 Year 01 Month 30 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000006685


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name