UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000008909
Receipt number R000010296
Scientific Title Effects of febuxostat on serum uric acid and arteriosclerosis in allopurinol-treated hyperuricemia patients with chronic kidney disease
Date of disclosure of the study information 2012/10/01
Last modified on 2015/03/16 21:51:27

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Basic information

Public title

Effects of febuxostat on serum uric acid and arteriosclerosis in allopurinol-treated hyperuricemia patients with chronic kidney disease

Acronym

Effects of febuxostat on arteriosclerosis in hyperuricemia patients with CKD

Scientific Title

Effects of febuxostat on serum uric acid and arteriosclerosis in allopurinol-treated hyperuricemia patients with chronic kidney disease

Scientific Title:Acronym

Effects of febuxostat on arteriosclerosis in hyperuricemia patients with CKD

Region

Japan


Condition

Condition

Hyperuricemia patients with chronic kidney disease G3a, G3b

Classification by specialty

Medicine in general Cardiology Endocrinology and Metabolism
Nephrology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the effects of febuxostat on serum uric acid and arteriosclerosis in allopurinol-treated hyperuricemia patients with chronic kidney disease G3a, G3b

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

Changes of the below parameters
1) Serum uric acid level
2) Indexes of arteriosclerosis (cardio-ankle vascular index, carotid intima-media thickness)

Key secondary outcomes

1) Changes of the below parameters
Systolic/diastolic blood pressure, estimated glomerular filtration rate, cystatin C, C-reactive protein, urinary protein/albumin excretion
2) Achievement ratio of less than 7.0mg/dl in serum uric acid level
(Achievement ratio of less than 6.0mg/dl in patients with the past history of gout or hypertension)
3) Incidence of gout/urolithiasis
4) Incidence of cardio-vascular diseases
5) Incidence of dialysis therapy
6) Incidence of detrimental events


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Change of hyperuricemia drugs from allopurinol to febuxostat and administration of febuxostat for a period of 48 weeks

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

1) Estimated glomerular filtration rate (ml/min/1.73m2) is more than 30 and less than 60.
2) Serum uric acid level has not lowered at less than 7.0mg/dl in two consecutive tests before checking the eligibility, when the patient has been treated by less than 100mg/day allopurinol.
3) Serum uric acid level has not lowered at less than 6.0mg/dl on the above condition in patients with the past history of gout or hypertension).
4) Patients with the informed consent to this study

Key exclusion criteria

1) Patients treated by febuxostat currently or within 24 weeks before checking the eligibility
2) Patients with past hypersensitivity to febuxostat
3) Past histories of gout or urolithiasis within 24 weeks before checking the eligibility
4) Patients with diabetes controlled insufficiently (HbA1c level is more than 8.4%)
5) Patients whose systolic or diastolic blood pressure show more than 160mmHg or more than 100mmHg, respectively
6) Patients whose AST or ALT show twice more than the upper limit of reference values
7) Past hospitalization within 24 weeks before checking the eligibility
8) Patients with current or past malignant tumor
However, patients who have not been treated for malignant tumor within 5 years before checking the eligibility and show no recurrence when checking the eligibility are not excluded.
9) Patients with severe cardiovascular diseases
10) Patients currently treated for inflammatory or consumptive diseases
11) Patients currently treated for acute renal failure, active nephritis or nephrotic syndrome
12) Patients treated by steroids or immunosuppressive agents
13) Patients treated by one of the below drugs when checking the eligibility
Mercaptopurine hydrate, azathioprine, vidarabine, didanosine
14) Patients with administration, dose change or discontinuance of one of the below drugs within 4 weeks before checking the eligibility
Losartan, fenofibrate, thiazide or loop diuretic
15) Patients currently treated by salicylate drugs
However, patients treated by low-dose aspirin (less than 324mg/day) are not excluded.
16) Patients with hormone replacement therapy by estrogen
17) Patients who have participated in the other clinical study (trial) within 24 weeks before checking the eligibility
18) Female in current or expected pregnancy
19) Patients judged as unsuitable for participating in this study by the attending physician

Target sample size

50


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Norio Komai

Organization

Kawasaki Medical School

Division name

Department of Nephrology and Hypertension

Zip code


Address

577 Matsushima, Kurashiki, Okayama 701-0192

TEL

086-462-1111

Email

komai@med.kawasaki-m.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Tamehachi Namikoshi

Organization

Kawasaki Medical School

Division name

Department of Nephrology and Hypertension

Zip code


Address

577 Matsushima, Kurashiki, Okayama 701-0192

TEL

086-462-1111

Homepage URL


Email

tnamikoshi@med.kawasaki-m.ac.jp


Sponsor or person

Institute

Department of Nephrology and Hypertension, Kawasaki Medical School

Institute

Department

Personal name



Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization

None


Other related organizations

Co-sponsor

None

Name of secondary funder(s)

None


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

川崎医科大学附属病院(岡山県)


Other administrative information

Date of disclosure of the study information

2012 Year 10 Month 01 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

Completed

Date of protocol fixation

2012 Year 09 Month 10 Day

Date of IRB


Anticipated trial start date

2012 Year 10 Month 01 Day

Last follow-up date

2015 Year 03 Month 11 Day

Date of closure to data entry

2015 Year 03 Month 11 Day

Date trial data considered complete

2015 Year 03 Month 16 Day

Date analysis concluded

2015 Year 03 Month 16 Day


Other

Other related information



Management information

Registered date

2012 Year 09 Month 12 Day

Last modified on

2015 Year 03 Month 16 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000010296


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name