UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000008942
Receipt number R000010412
Scientific Title A Randomized Trial Assessing the Effect of Intensive Control of Hyperuricemia on Kidney Function in CKD Patients
Date of disclosure of the study information 2012/09/19
Last modified on 2021/03/22 08:54:48

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Basic information

Public title

A Randomized Trial Assessing the Effect of Intensive Control of Hyperuricemia on Kidney Function in CKD Patients

Acronym

Hyperuricemia and CKD trial (URIC TRIAL)

Scientific Title

A Randomized Trial Assessing the Effect of Intensive Control of Hyperuricemia on Kidney Function in CKD Patients

Scientific Title:Acronym

Hyperuricemia and CKD trial (URIC TRIAL)

Region

Japan


Condition

Condition

Patients with CKD stage G4 (KDIGO 2012) and hyperuricemia (7.0mg/dl<=)

Classification by specialty

Medicine in general Nephrology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To investigate whether the intensive control of hyperuricemia slows the rate of decline in eGFR in patients with CKD

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

the changes in eGFR levels between before and after the drug intervention

Key secondary outcomes

the changes in parameters listed below between before and after the drug intervention
1) serum UA levels
2) serum high-sensitive CRP levels
3) levels of albuminuria
4) urinary 8-OHdG levels
5) urinary L-FABP levels

End-stage kidney diseases requiring renal replacement therapy

Cardiovascular events

Any serious adverse events considered to be related to the drug intervention


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

NO

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Intensive treatment group: patients are administered febuxostat to reduce serum UA levels below 6 mg/dL during 24 months observation period. Initial dose is 20 mg/dL. The dose of febuxostat can be increased by 20 mg/day every 4 weeks up to 60mg/day to achieve the target UA levels.

Interventions/Control_2

Control group: patients' UA levels are controlled in between 7 and 10 mg/dL with conventional drugs during 24 months observation period.

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)15mL/min/1.73m2 <= eGFR < 30 mL/min/1.73m2
(2)the serum UA levels are higher than 7.0 mg/dL

Key exclusion criteria

(1)Patients who have active inflammatory diseases, active cerebro-cardiovascular diseases, and gastrointestinal diseases.
(2)severe hypertension defined as systolic blood pressure higher than 180mmHg or diastolic blood pressure higher than 110mmHg
(3)Uncontrolled diabetes: HbA1c > 8% (NGSP)
(4)Hyperkalemia: K > 6.0 mEq/L
(5)history of AKI over stage 2 within recent 3 months.
(6)Past history of renal transplantation
(7)Liver dysfunction: ASL or ALT levels more than three times as normal limit.
(8)Patients who are under treatment with mercaptopurine or azathioprine.
(9)Patients who have allergy for the drugs used in this trial.
(10)Patients who are pregnant, or how have possibility or willing of pregnancy.
(11)Patients who are breast-feeding.
(12)Patients with malignancy
(13)post-renal kidney diseases
(14)Patients who have gout attacks within recent one month
(15)Patients who are judged by the participating doctors as inappropriate participants.

Target sample size

200


Research contact person

Name of lead principal investigator

1st name Masashi
Middle name
Last name Mukoyama

Organization

Kumamoto University Graduate School of Medical Sciences

Division name

Department of Nephrology

Zip code

8608556

Address

1-1-1 Honjo, Chuo-ku, Kumamoto-City, Kumamoto 860-8556, Japan

TEL

096-373-5164

Email

mmuko@kumamoto-u.ac.jp


Public contact

Name of contact person

1st name Kengo
Middle name
Last name Kajiwara

Organization

National Hospital Organization Kumamoto Medical Center

Division name

Division of Nephrology

Zip code

8600008

Address

1-5 Ninomaru, Chuo-ku, Kumamoto-City, Kumamoto 860-0008, Japan

TEL

096-353-6501

Homepage URL


Email

kengoffice@yahoo.co.jp


Sponsor or person

Institute

National Hospital Organization Kumamoto Medical Center

Institute

Department

Personal name



Funding Source

Organization

none

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

Kumamoto University Graduate School of Medical Sciences

Address

1-1-1 Honjo, Chuo-ku, Kumamoto-City, Kumamoto 860-8556, Japan

Tel

096-373-5657

Email

ski-shien@jimu.kumamoto-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



Other administrative information

Date of disclosure of the study information

2012 Year 09 Month 19 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

Open public recruiting

Date of protocol fixation

2012 Year 08 Month 01 Day

Date of IRB

2012 Year 08 Month 21 Day

Anticipated trial start date

2012 Year 09 Month 25 Day

Last follow-up date

2021 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2012 Year 09 Month 19 Day

Last modified on

2021 Year 03 Month 22 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000010412


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name