UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000007033
Receipt number R000008286
Scientific Title Management of Cardiac Dysfunction Associated With Dystrophinopathy
Date of disclosure of the study information 2012/01/07
Last modified on 2013/02/27 13:23:22

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Basic information

Public title

Management of Cardiac Dysfunction Associated With Dystrophinopathy

Acronym

MAC-D Study

Scientific Title

Management of Cardiac Dysfunction Associated With Dystrophinopathy

Scientific Title:Acronym

MAC-D Study

Region

Japan


Condition

Condition

cardiac dysfunction associated with dystrophinopathy

Classification by specialty

Cardiology Neurology Pediatrics

Classification by malignancy

Others

Genomic information

YES


Objectives

Narrative objectives1

In cardiac dysfunction associated with dystrophinopathy, we sought to determine whether the clinical outcomes of beta-blockade are related to the administered dose or the degree of heart rate reduction. Moreover, integrated evaluation by serum tenascin C, osteopontin, cTnI, BNP, ECG and echocardiography will be examined.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

Clinical composite response

Key secondary outcomes

1) All-cause death
2) Cardiovascular Death
3) All-cause Hospitalization
4) Hospitalization for cardiovascular Disease
5) Hospitalization for heart failure
6) Hospitalization for AMI, ACS, PCI or CABG
7) Cereblar Stroke


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Single blind -investigator(s) and assessor(s) are 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

50 patients with dose-escalation based on tolerability

Interventions/Control_2

50 patients with dose-escalation based on heart rate reduction

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

Inclusion criteria are cardiac dysfunction associated with muscular dytrophinopathy, not currently taking carvedilol, and an inpatient or outpatient status.
Male or female patients at any age are required to meet the following criteria:
Left ventricular ejection fraction 50% or less, based on echocardiography.
Chronic or transient atrial fibrillation, non-sustained ventricular tachycardia or severe premature ventricular contraction.
Progressing cardiac dysfunction, aggravated arrhythmias or heart failure
The patient must give written informed consent prior to enrolment into this study.

Key exclusion criteria

Patients with the following conditions were excluded: valvular heart disease, hypertrophic obstructive, restrictive, arrhythmogenic right ventricular or advanced inflammatory cardiomyopathy, cardiogenic shock, systolic blood pressure under (80 mm Hg or less at rest, supine), bradycardia (50 orless/min at rest), grade II or III atrioventricular block, life-threatening arrhythmia, and unstable angina, and resting angina. Patients were also excluded if myocardial infarction, coronary artery bypass grafting or percutaneous coronary intervention had occurred within the preceding 3 months and cerebral stroke (transient ischemia, infarction, hemorrhage) had occurred within the preceding 6 months. Severe asthma or other chronic obstructive pulmonary disease and pulmonale. Patients with past history of malignancy or other life threatening diseases diagnosed within 5 years before informed consent. Arteriosclerosis obliterans1 (>Fontaine degree II) Severe anemia (Hb:6.0mg or less/dL). Uncontrolled diabetes mellitus. Significant renal impairment defined as a creatinine value 3.0mg/dL or more. Significant hepatic impairment defined as ALT or AST value 100 or more. Uncontrolled thyroid function disorder. Pregnancy. Allergy or known hypersensitivity to beta blockade. Significant disease, which in the investigator's opinion would exclude the patient from the study.

Target sample size

100


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Hiroshi Okamoto

Organization

National Hospital Organization Hokkaido Medical Center

Division name

Department of Cardiovascular Medicine

Zip code


Address

Yamanote 5-7, Nishi-ku, Sapporo 063-0005, Japan

TEL

+81-11-611-8111

Email



Public contact

Name of contact person

1st name
Middle name
Last name Hiroshi Okamoto

Organization

National Hospital Organization Hokkaido Medical Center

Division name

Department of Cardiovascular Medicine

Zip code


Address

Yamanote 5-7, Nishi-ku, Sapporo 063-0005, Japan

TEL

+81-11-611-8111

Homepage URL

http://poppy.ac/mac-d/

Email

okamotoh@hok-mc.hosp.go.jp


Sponsor or person

Institute

National Hospital Organization

Institute

Department

Personal name



Funding Source

Organization

National Hospital Organization

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization

Japan


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

2012 Year 01 Month 07 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

Terminated

Date of protocol fixation

2011 Year 11 Month 04 Day

Date of IRB


Anticipated trial start date

2012 Year 01 Month 01 Day

Last follow-up date

2014 Year 02 Month 01 Day

Date of closure to data entry

2014 Year 02 Month 01 Day

Date trial data considered complete

2014 Year 03 Month 01 Day

Date analysis concluded

2014 Year 03 Month 01 Day


Other

Other related information



Management information

Registered date

2012 Year 01 Month 07 Day

Last modified on

2013 Year 02 Month 27 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000008286


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name