UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000007895
Receipt number R000009301
Scientific Title Effects of nilvadipine on the progression of visual field defects in patients with retinitis pigmentosa
Date of disclosure of the study information 2012/06/01
Last modified on 2021/07/02 11:37:49

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Basic information

Public title

Effects of nilvadipine on the progression of visual field defects in patients with retinitis pigmentosa

Acronym

Effects of nilvadipine on the progression of retinitis pigmentosa

Scientific Title

Effects of nilvadipine on the progression of visual field defects in patients with retinitis pigmentosa

Scientific Title:Acronym

Effects of nilvadipine on the progression of retinitis pigmentosa

Region

Japan


Condition

Condition

retinitis pigmentosa

Classification by specialty

Ophthalmology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To investigate the effects of oral administration of nilvadipine on the progression of central visual field defect in patients with retinitis pigmentosa

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Phase II


Assessment

Primary outcomes

To clarify if the degrees in progression of visual field defect are different between patients with retinitis pigmentosa who take nilvadipine for 30 months and those who do not.

Key secondary outcomes

To clarify if the degrees in progression of visual field defect are different between patients with retinitis pigmentosa who take nilvadipine for longer than 30 months and those who do not.


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -but assessor(s) are blinded

Control

Active

Stratification

NO

Dynamic allocation

YES

Institution consideration

Institution is not considered as adjustment factor.

Blocking

YES

Concealment

Pseudo-randomization


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Treated group: oral administration of nilvadipine 4mg per day

Interventions/Control_2

Control group: herenien, tocoferol or no medication as patients' requests

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

Fundus examination showing typical features of retinitis pigmentosa.
Rod-cone degeneration type with rod-predominant degeneration shown on electroretinography and/or subjective symptomes.
Constriction of visual field defects evaluated by either Golfmann perimetry or a Humphrey Visual Field Analyzer.
Residual central visual field better than -35.0dB as evaluated by the 10-2 SITA FAST program
Best corrected visual acuity better than 0.1

Key exclusion criteria

Cataract extraction or other intraocular surgery during observation periods
Systolic blood pressure less than 110 mmHg
Presence of cataract or other media opacities that would disturb fundus examination and/or visual field examination
Use of other calcium antagonists to treat systemic illnesses
Pigmented retinal degeneration secondary to inflammation or presence of ocular diseases other than retinitis pignebtosa

Target sample size

40


Research contact person

Name of lead principal investigator

1st name Mitsuru
Middle name
Last name Nakazawa

Organization

Hirosaki University Graduate School of Medicine

Division name

Department of Ophthalmology

Zip code

036-8562

Address

5 Zaihu-cho, Hirosaki, Japan

TEL

0172-39-5094

Email

mitsuru@hirosaki-u.ac.jp


Public contact

Name of contact person

1st name Mitsuru
Middle name
Last name Nakazawa

Organization

Hirosaki University Graduate School of Medicine

Division name

Department of Ophthalmology

Zip code

036-8562

Address

5 Zaihu-cho

TEL

0172-39-5094

Homepage URL


Email

mitsuru@hirosaki-u.ac.jp


Sponsor or person

Institute

Department of Ophthalmology, Hirosaki University Graduate School of Medicine

Institute

Department

Personal name



Funding Source

Organization

Department of Ophthalmology, Hirosaki University Graduate School of Medicine

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Hirosaki University Graduate School of Medicine, Committee of Ethics for Medical Researches

Address

5 Zaifu-cho, Hirosaki 036-8562, Japan

Tel

0172-39-5043

Email

rinri@hirosaki-u.ac.jp


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

弘前大学医学部附属病院(青森県)


Other administrative information

Date of disclosure of the study information

2012 Year 06 Month 01 Day


Related information

URL releasing protocol

http://www.med.hirosaki-u.ac.jp/~ophthal/

Publication of results

Published


Result

URL related to results and publications

http://www.med.hirosaki-u.ac.jp/~ophthal/

Number of participants that the trial has enrolled

50

Results

Mean regression coefficients calculated fronm averaged MD values in the 2 groups during initial 30 months were -035 (dB/y) in the treated group and -0.75 (dB/y) in the control group ( p<0.01, Mann-Whitney).

Results date posted

2021 Year 07 Month 02 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

patients with retinitis pigmentosa and their systolic blood pressure is greater than 110mmHg

Participant flow

prescribed 20mg of nilvadipine a day and measured 10-2 Humphry's Fiels Analyzer

Adverse events

none

Outcome measures

MD slope

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2001 Year 04 Month 01 Day

Date of IRB

2001 Year 04 Month 01 Day

Anticipated trial start date

2001 Year 07 Month 01 Day

Last follow-up date

2013 Year 03 Month 01 Day

Date of closure to data entry

2013 Year 04 Month 01 Day

Date trial data considered complete

2013 Year 05 Month 01 Day

Date analysis concluded

2013 Year 05 Month 01 Day


Other

Other related information

published in the following paper
Nakazawa M, Ohguro H, Takeuchi K, Miyagawa Y, Ito T, Metoki T.
Effect of nilvadipine on central visual field in retinitis pigmentosa: a 30-month clinical trial. Ophthalmologica, 225: 120-126, 2011.
Nakazawa M, Suzuki Y, Ito T, Metoki T, Kudo T, Ohguro H.
Long-term effects of nilvadipine against progression of the central visual field defect in retinitis pigmentosa: An extended study. Biomed Res Int 2013; 2013:585729. Doi: 10.1155/585729. Epub 2013 Nov 12.


Management information

Registered date

2012 Year 05 Month 07 Day

Last modified on

2021 Year 07 Month 02 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000009301


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name