UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000006258
Receipt number R000007409
Scientific Title Randomized controlled trial of tolvaptan and carperitide to fluid retention in patients with congestive heart failure
Date of disclosure of the study information 2011/09/01
Last modified on 2014/03/02 14:19:40

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Basic information

Public title

Randomized controlled trial of tolvaptan and carperitide to fluid retention in patients with congestive heart failure

Acronym

Randomized trial of tolvaptan and carperitide on heart failure patients

Scientific Title

Randomized controlled trial of tolvaptan and carperitide to fluid retention in patients with congestive heart failure

Scientific Title:Acronym

Randomized trial of tolvaptan and carperitide on heart failure patients

Region

Japan


Condition

Condition

Acute congestive heart failure (including acute exacerbation of chronic heart failure) patietnts

Classification by specialty

Cardiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To compare the acute effectiveness and long-term usefulness of tolvaptan on congestive heart failure patients

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Daily urine volume of first, second, third, fourth, seventh, and day 14th after admission (or dicharge)

Key secondary outcomes

Body weight of subjective symptoms


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Tolvaptan group: 7.5-15mg/day oral administration

Interventions/Control_2

Carperitide group: 0.0125-0.025µg/kg/min continuous intravenous administration (-0.2µg/kg depending on the condition)

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


Not applicable

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

(1) Patients with fluid retention in congestive heart failure
(2) Patients who were hospitalized for treatment of heart failure

Key exclusion criteria

(1) Patients with circulatory assist device
(2) Acute myocardial infarction
(3) Patients with dehydration
(4) Severe hypotension or cardiogenic shock
(5) Patients with right heart ventricular infarction
(6) Patients are considered undesirable rapid decrease in blood flow circulation
(7) Patietns with hypersensitivity to study drug
(8) Anuric patients
(9) Insensitivity to the thirst or difficult for the water intake
(10) Hypernatremia (serum Na>147mEq/L)
(11) Pregnant woman, lactational woman, patients may be willing to be pregnant or are pregnant
(12) In addition, patients were judged as inadequate by physician

Target sample size

100


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Yasuchika Takeishi

Organization

Fukushima Medical University

Division name

Deaprtment of Cardiology and Hematology

Zip code


Address

1 Hikarigaoka, Fukushima, 960-1295, Japan

TEL

024-547-1190

Email

takeishi@fmu.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Satoshi Suzuki

Organization

Fukushima Medical University

Division name

Deaprtment of Cardiology and Hematology

Zip code


Address

1 Hikarigaoka, Fukushima, 960-1295, Japan

TEL

024-547-1190

Homepage URL


Email

ssatoshi@fmu.ac.jp


Sponsor or person

Institute

Fukushima Medical University

Institute

Department

Personal name



Funding Source

Organization

Japanese Heart Foundation

Organization

Division

Category of Funding Organization

Non profit foundation

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor

Department of Cardiology, Pulmonology, and Nephrology, Yamagata University School of Medicine

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 09 Month 01 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

One hundred and nine hospitalized ADHF patients were enrolled and randomly assigned to tolvaptan or carperitide treatment groups. Subjective symptoms and plasma BNP level were similarly improved by treatment in both groups. Urine volume was significantly higher in the tolvaptan group (P<0.05), but volume of water intake was also higher in the tolvaptan group (P<0.05). Blood pressure was significantly lower in the carperitide group than in the tolvaptan group after treatment (P<0.05). Less adverse events such as worsening heart failure and hypotension requiring drug discontinuation were observed in the tolvaptan group (P=0.027). The average drug cost of tolvaptan was lower than that of carperitide (P<0.001).

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 01 Month 06 Day

Date of IRB


Anticipated trial start date

2011 Year 01 Month 01 Day

Last follow-up date

2013 Year 06 Month 01 Day

Date of closure to data entry

2013 Year 10 Month 01 Day

Date trial data considered complete

2013 Year 11 Month 01 Day

Date analysis concluded

2013 Year 12 Month 31 Day


Other

Other related information



Management information

Registered date

2011 Year 08 Month 31 Day

Last modified on

2014 Year 03 Month 02 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000007409


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name