UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000007862
Receipt number R000008878
Scientific Title Development/validation of Outcome-based Prediction-tool for Survival in Patients after Initiation of Dialysis Treatment
Date of disclosure of the study information 2012/05/01
Last modified on 2015/06/24 09:34:23

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Basic information

Public title

Development/validation of Outcome-based Prediction-tool for Survival in Patients after Initiation of Dialysis Treatment

Acronym

Development of Prediction-tool for Survival in Dialysis Patients

Scientific Title

Development/validation of Outcome-based Prediction-tool for Survival in Patients after Initiation of Dialysis Treatment

Scientific Title:Acronym

Development of Prediction-tool for Survival in Dialysis Patients

Region

Japan


Condition

Condition

Chronic Kidney Disease

Classification by specialty

Nephrology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To develop and to validate a prediction tool for survival in patients after initiation of dialysis treatment

Basic objectives2

Others

Basic objectives -Others

usefulness

Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

Survival after onset of end stage renal disease, eGFR 10 ml/min/1.73m2

Key secondary outcomes

Duration between onset of dialysis-related complications and onset of end stage renal disease, eGFR 10 ml/min/1.73m2


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

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Patient initiated dialysis from April 2006 to March 2011
Observed more than 1 year or reached endpoint
Date of reached eGFR 10 ml/min/1.73m2 were able to be detected

Key exclusion criteria

Disagreement
Patient underwent transplantation

Target sample size

1000


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Ken-ei Sada

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 700-8558, Japan

TEL

086-235-7234

Email

sadakenn@md.okayama-u.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Sada Ken-ei

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 700-8558, Japan

TEL

086-235-7234

Homepage URL


Email

sadakenn@md.okayama-u.ac.jp


Sponsor or person

Institute

Department of Medicine and Clinical Science, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences

Institute

Department

Personal name



Funding Source

Organization

Institute for Health Outcomes & Process Evaluation research

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

岡山大学(岡山県)、広島大学(広島県)、安城更生病院(愛知県)、新潟大学(新潟県)、帯広協会病院(北海道)、中部ろうさい病院(愛知県)、静岡県立総合病院(静岡県)、聖マリアンナ医科大学(神奈川県)、柏友千代田クリニック(大阪府)、昭和大学病院(東京都)、日野クリニック(大阪府)、虎の門病院分院(神奈川県)、高陵クリニック(富山県)、麻生飯塚病院(福岡県)、加美川クリニック(広島県)、久留米大学(福岡県)、東京女子医科大学(東京都)、京都大学(京都府)、国立病院機構熊本医療センター(熊本県)


Other administrative information

Date of disclosure of the study information

2012 Year 05 Month 01 Day


Related information

URL releasing protocol


Publication of results

Published


Result

URL related to results and publications

http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0129180

Number of participants that the trial has enrolled


Results

A total of 688 patients were enrolled, and 62 (9.0%) patients died within one year of HD initiation. The following variables were retained in the final model: eGFR, serum albumin, calcium, Charlson Comorbidity Index excluding diabetes and renal disease (modified CCI), performance status (PS), and usage of erythropoiesis-stimulating agent (ESA). Their beta-coefficients were transformed into integer scores: three points were assigned to modified CCI>3 and PS 3-4; two to calcium>8.5 mg/dL, modified CCI 1-2, and no use of ESA; and one to albumin<3.5 g/dL, eGFR>7 mL/min per 1.73 m2, and PS 1-2. Predicted 1-year mortality risk was 2.5% (score 0-4), 5.5% (score 5-6), 15.2% (score 7-8), and 28.9% (score 9-12). The area under the receiver operating characteristic curve was 0.83 (95% confidence interval, 0.79-0.89).

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

2012 Year 03 Month 22 Day

Date of IRB


Anticipated trial start date

2012 Year 04 Month 01 Day

Last follow-up date

2012 Year 07 Month 01 Day

Date of closure to data entry

2013 Year 06 Month 30 Day

Date trial data considered complete

2013 Year 09 Month 30 Day

Date analysis concluded

2014 Year 12 Month 31 Day


Other

Other related information

Patients are randomly assigned to 2 subgroups. We develop the prognosis predictive scale considering lead-time bias based on clinical parameter at initiation of dialysis in one subgroup. After that we evaluated our prognosis predictive scale in another subgroup.


Management information

Registered date

2012 Year 04 Month 29 Day

Last modified on

2015 Year 06 Month 24 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000008878


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name