UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000007340
Receipt number R000008517
Scientific Title Sitagliptin Acute Coronary Syndrome Randomised Investigation Registry
Date of disclosure of the study information 2012/02/24
Last modified on 2019/07/17 18:58:30

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Basic information

Public title

Sitagliptin Acute Coronary Syndrome Randomised Investigation Registry

Acronym

SAMURAI-REGISTRY

Scientific Title

Sitagliptin Acute Coronary Syndrome Randomised Investigation Registry

Scientific Title:Acronym

SAMURAI-REGISTRY

Region

Japan


Condition

Condition

acute coronary syndrome requiring coronary stent implantation in patients with type 2 diabetes

Classification by specialty

Cardiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The purpose of this study is to elucidate the inhibitory effect of blood lowering therapy with DPP-4 Inhibitor on the neointimal formation and progression of arteriosclerosis in high-risk type-2 diabetic patients.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Major Adverse Cardiac and Cerebrovascular Events (MACCE)

Key secondary outcomes

intimal thickness at 8 months evaluated by IVUS, OCT and carotid vascular echography


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -but assessor(s) are blinded

Control

Active

Stratification

YES

Dynamic allocation

YES

Institution consideration

Institution is not considered as adjustment factor.

Blocking

NO

Concealment

Numbered container method


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

For Type 2 diabetic patients (HbA1c level: 6.5%-9.0%) with acute coronary syndrome, who had undergone coronary intervention with bare metal stent (Liberte; Coronary Stent System), Sitagliptin Phosphate Hydrate (DPP-4 Inhibitor) is initiated at a dose of 50mg per day post stenting and titrated up as needed to 100mg per day to reach the target level of HbA1c within 6.5%. Major Adverse Cardiac and Cerebrovascular Events (MACCE) at 8 months will be estimated. Estimation of arteriosclerosis is examined at baseline and at 8 months by imaging diagnostics modalities (coronary angiography, IVUS, OCT, and carotid vascular echography).

Interventions/Control_2

For Type 2 diabetic patients (HbA1c level: 6.5%-9.0%) with acute coronary syndrome, who had undergone coronary intervention with bare metal stent (Liberte; Coronary Stent System), conventional antidiabetic agent is initiated to reach the target level of HbA1c within 6.5%. Major Adverse Cardiac and Cerebrovascular Events (MACCE) at 8 months will be estimated. Estimation of arteriosclerosis is examined at baseline and at 8 months by imaging diagnostics modalities (coronary angiography, IVUS, OCT, and carotid vascular echography).

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

1)Patients with acute coronary syndrome, who had undergone percutaneous coronary intervention with bare metal stent (Liberte; Coronary Stent System)
2)Patients, whose left main trunk or the other coronary stem than ostial of each coronary artery are treated.
3)Patients who are treated with single stent.
4)Patients who are treated with the under 3.5mm sized stents.
5)Patients who fit one of following three cases, as well as who are diagnosed as type 2 diabetic patients of not being well controlled.*

*Type 2 diabetic patients whose latest HbA1c are above 6.5%, under 9.0%.
*Type 2 diabetic patients who have above 126mg/dl in their interdigestive rate or above 200mg/dl in the rate after 2 hours of glucose tolerance test or regularly.
*Type 2 diabetic patients who has been already taking diabetes drug, and 5.8% above in HbA1c. (= well controlled HbA1c)

6)Patients over 20 years old, under 80 years old.
7)Patients with written agreements.(signed contracts)

Key exclusion criteria

1)Type 1 diabetic patients
2) Patients who have histories of serious ketosis, diabetic coma or entire coma within 6 months.
3)Patients with serious infections, or before and after the operations, or who have serious/critical external injuries.
4)Patients with moderate to severe renal insufficiency.
(serum creatinine level: 1.5mg/dL or above (male), 1.3mg/dL or above (female)
5)Patients with serious/critical valve diseases such as mitral stenosis or aortic regurgitation.
6)Patients who are prescribed some DPP-4 inhibitory drug other than Sitagliptin.
7)Patients who are continuously prescribed glinide and insulin, when the researching drug (Sitagliptin) is administered.
8)Patients of over 140mg/dL in their LDL-C rates.
9)Women during lactation, pregnant women and women suspected of being pregnant
10)Patients who have histories of hypersensitivity to researching drug.
11)Patients who are not available for administration of anti-thrombotic medicines.
12)Any other patients who are evaluated as inappropriate by the doctor in attendance.

Target sample size

50


Research contact person

Name of lead principal investigator

1st name Kinzo
Middle name
Last name Ueda

Organization

Rakuwakai Marutamachi Hospital

Division name

Kyoto Cardiovascular Intervention Center

Zip code

604-8401

Address

9 Kurumazaka-cho Nishinokyo Nakagyo-ku Kyoto

TEL

075-801-0351

Email

kin-ueda@mbc.ocn.ne.jp


Public contact

Name of contact person

1st name Shigeru
Middle name
Last name Nakamura

Organization

Kyoto Katsura Hospital

Division name

Cardiovascular Center

Zip code

615-8256

Address

17 Yamadahirao-cho Nishikyo-ku Kyoto

TEL

075-382-3185

Homepage URL


Email

kcvc.nakamura@katsura.com


Sponsor or person

Institute

Association of Kansai Cardiovascular Treatment Study

Institute

Department

Personal name



Funding Source

Organization

Regional Medical Research Fund

Organization

Division

Category of Funding Organization

Non profit foundation

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Kyoto Katsura Hospital

Address

17 Yamadahirao-cho Nishikyo-ku Kyoto

Tel

075-382-3185

Email

kcvc.nakamura@katsura.com


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

洛和会丸太町病院(京都府)、京都桂病院(京都府)、康生会武田病院(京都府)、医仁会武田総合病院(京都府)、草津ハートセンター(滋賀県)、近江八幡市立総合医療センター(滋賀県)、神戸大学大学院医学研究科(兵庫県)


Other administrative information

Date of disclosure of the study information

2012 Year 02 Month 24 Day


Related information

URL releasing protocol

https://upload.umin.ac.jp/cgi-open-bin/ctr/ctr_view.cgi?recptno=R000008517

Publication of results

Unpublished


Result

URL related to results and publications

https://upload.umin.ac.jp/cgi-open-bin/ctr/ctr_view.cgi?recptno=R000008517

Number of participants that the trial has enrolled

32

Results

Because of Supply (Liberte stent) stop, this study was ended on the half way.

Results date posted

2019 Year 07 Month 17 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

Total 32cases were entered.Conventional therapy 12cases,Sitagliptin 20cases.

Participant flow

2012.3.5 Entry start.
2015.8.2 Last entry

Adverse events

Nothing

Outcome measures

No results.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Terminated

Date of protocol fixation

2011 Year 11 Month 22 Day

Date of IRB

2012 Year 01 Month 10 Day

Anticipated trial start date

2012 Year 02 Month 01 Day

Last follow-up date

2013 Year 10 Month 01 Day

Date of closure to data entry

2013 Year 12 Month 01 Day

Date trial data considered complete

2013 Year 12 Month 01 Day

Date analysis concluded

2014 Year 02 Month 01 Day


Other

Other related information



Management information

Registered date

2012 Year 02 Month 21 Day

Last modified on

2019 Year 07 Month 17 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000008517


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name