UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000006504
Receipt number R000007716
Scientific Title Assessment of beneficial effects on left ventricular hypertrophy and diastolic function by metformin in hypertensive patients with type2 DM
Date of disclosure of the study information 2011/10/07
Last modified on 2018/04/12 23:18:05

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Basic information

Public title

Assessment of beneficial effects on left ventricular hypertrophy and diastolic function by metformin in hypertensive patients with type2 DM

Acronym

Assessment of beneficial effects on left ventricular hypertrophy and diastolic function by metformin

Scientific Title

Assessment of beneficial effects on left ventricular hypertrophy and diastolic function by metformin in hypertensive patients with type2 DM

Scientific Title:Acronym

Assessment of beneficial effects on left ventricular hypertrophy and diastolic function by metformin

Region

Japan


Condition

Condition

Hypertension,
Type 2 diabetes mellitus

Classification by specialty

Medicine in general Cardiology Endocrinology and Metabolism
Geriatrics

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To assess beneficial effects on left ventricular hypertrophy and diastolic function by metformin in hypertensive patients with type 2 diabetes mellitus using left ventricular mass index of echocardiography and blood biomarkers of heart failure

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Explanatory

Developmental phase

Phase IV


Assessment

Primary outcomes

1) Left ventricular mass and diastolic function by echocardiography (LVMI, E/A, DT, E/e')
2) Blood biomarker of heart failure (BNP, NT-proBNP)

Key secondary outcomes

1) Left ventricular mass by cardiac MRI
2) Electrocardiogram (assessment of autonomic function by R-R variation)
3) Exploratory analysis
To search a patient group in which metformin is useful by carrying out a stratified analysis of patient background male/female, extent and duration of diabetes mellitus, BMI, etc)


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

Oral diabetic agents except metformin, and pioglitazone

Interventions/Control_2

Metgluco (drug code) 500-1, 500mg/day p.o.

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

75 years-old >

Gender

Male and Female

Key inclusion criteria

1) 30=<age<75 years old (male and female)
2) Patients with hypertension (blood pressure is less than 140/90mmHg and stable for at least 1 month. The subjects include patients who receive antihypertensive medication. LVEF>=50%)
3) Type 2 diabetes mellitus patients with HbA1c>=6.5%. These exclude patients who receive medication with metformin and pioglitazone for 3 months before enrollment. These also exclude patients who receive insulin therapy for 1 year before enrollment.
4) Patients without renal dysfunction (Serum creatinine: <1.3mg/dL (male), <1.2 mg/dL (female))
5) Patients with informed consent of taking part in clinical research

Key exclusion criteria

1) Patients with type 1 and 2 diabetes mellitus under insulin treatment or secondary diabetes patients
2) Patients with serious hepatic dysfunction/hepatic cirrhosis
3) Patients with unstable angina, acute myocardial infarction, severe coronary artery disease patients (Left Main Trunk or triple-vessel disease)
4) Patients with chronic atrial fibrillation or pacemaker patients
5) Patients with past lactic acidosis
6) Patients with severe dysfunction in cardiovascular system, pulmonary function disabled shock (such as heart failure, myocardial infarction, pulmonary embolism) and with easy to develop other hypoxemia
7) Heavy drinker
8) Patients with gastrointestinal disorder such as diarrhea and vomiting that worried dehydration
9) Patients with severe ketosis, diabetic coma orprecoma patients
10) Patients with severe infection, perioperative, severe injury
11) Those with malnutrition, starvation, debilitation, pituitary insufficiency or adrenal insufficiency patients
12) Those with allergic response for the object medicine
13) Pregnant and lactating patients or the patient who wishes to become pregnant
14) Those who judged inappropriate for the clinical trial

Target sample size

440


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Koh Ono

Organization

National Hospital Organization Kyoto Medical Center

Division name

Division of Translational Research

Zip code


Address

1-1 Mukaihata-cho, Fukakusa, Fushimi-ku, Kyoto, Japan

TEL

075-641-9161

Email

kohono@kuhp.kyoto-u.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Koji Hasegawa

Organization

National Hospital Organization Kyoto Medical Center

Division name

Division of Translational Research

Zip code


Address

1-1 Mukaihata-cho, Fukakusa, Fushimi-ku, Kyoto, Japan

TEL

075-641-9161

Homepage URL


Email

koj@kuhp.kyoto-u.ac.jp


Sponsor or person

Institute

National Hospital Organization Kyoto Medical Center

Institute

Department

Personal name



Funding Source

Organization

National Hospital Organization Kyoto Medical Center

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization

National Hospital Organization Kyoto Medical Center


Other related organizations

Co-sponsor

Graduate School of Medicine, Kyoto University

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

北海道がんセンター(北海道)、北海道医療センター(北海道)、函館病院(北海道)、八戸病院(青森県)、岩手病院(岩手県)、栃木病院(栃木県)、宇都宮病院(栃木県)、高崎総合医療センター(群馬県)、西群馬病院(群馬県)、埼玉病院(埼玉県)、東京医療センター(東京都)、横浜医療センター(神奈川県)、金沢医療センター(石川県)、鈴鹿病院(三重県)、滋賀病院(滋賀県)、京都医療センター(京都府)、大阪医療センター(大阪府)、神戸医療センター(兵庫県)、姫路医療センター(兵庫県)、兵庫中央病院(兵庫県)、南和歌山医療センター(和歌山県)、浜田医療センター(島根県)、岡山医療センター(岡山県)、呉医療センター(広島県)、東広島医療センター(広島県)、東徳島医療センター(徳島県)、高松医療センター(香川県)、愛媛病院(愛媛県)、九州医療センター(福岡県)、大牟田病院(福岡県)、嬉野医療センター(佐賀県)、長崎川棚医療センター(長崎県)、熊本医療センター(熊本県)、大分医療センター(大分県)、宮崎東病院(宮崎県)、鹿児島医療センター(鹿児島県)


Other administrative information

Date of disclosure of the study information

2011 Year 10 Month 07 Day


Related information

URL releasing protocol

https://www.nhocrc.jp/ABLEMETpage.html

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

Completed

Date of protocol fixation

2011 Year 09 Month 16 Day

Date of IRB


Anticipated trial start date

2011 Year 10 Month 01 Day

Last follow-up date

2015 Year 09 Month 01 Day

Date of closure to data entry

2016 Year 09 Month 01 Day

Date trial data considered complete

2016 Year 09 Month 01 Day

Date analysis concluded



Other

Other related information



Management information

Registered date

2011 Year 10 Month 07 Day

Last modified on

2018 Year 04 Month 12 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000007716


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name