Unique ID issued by UMIN | UMIN000008942 |
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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 |
A Randomized Trial Assessing the Effect of Intensive Control of Hyperuricemia on Kidney Function in CKD Patients
Hyperuricemia and CKD trial (URIC TRIAL)
A Randomized Trial Assessing the Effect of Intensive Control of Hyperuricemia on Kidney Function in CKD Patients
Hyperuricemia and CKD trial (URIC TRIAL)
Japan |
Patients with CKD stage G4 (KDIGO 2012) and hyperuricemia (7.0mg/dl<=)
Medicine in general | Nephrology |
Others
NO
To investigate whether the intensive control of hyperuricemia slows the rate of decline in eGFR in patients with CKD
Efficacy
Confirmatory
Pragmatic
Not applicable
the changes in eGFR levels between before and after the drug intervention
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
Interventional
Parallel
Randomized
Individual
Open -but assessor(s) are blinded
Active
NO
YES
Institution is not considered as adjustment factor.
NO
Central registration
2
Treatment
Medicine |
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.
Control group: patients' UA levels are controlled in between 7 and 10 mg/dL with conventional drugs during 24 months observation period.
20 | years-old | <= |
Not applicable |
Male and Female
(1)15mL/min/1.73m2 <= eGFR < 30 mL/min/1.73m2
(2)the serum UA levels are higher than 7.0 mg/dL
(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.
200
1st name | Masashi |
Middle name | |
Last name | Mukoyama |
Kumamoto University Graduate School of Medical Sciences
Department of Nephrology
8608556
1-1-1 Honjo, Chuo-ku, Kumamoto-City, Kumamoto 860-8556, Japan
096-373-5164
mmuko@kumamoto-u.ac.jp
1st name | Kengo |
Middle name | |
Last name | Kajiwara |
National Hospital Organization Kumamoto Medical Center
Division of Nephrology
8600008
1-5 Ninomaru, Chuo-ku, Kumamoto-City, Kumamoto 860-0008, Japan
096-353-6501
kengoffice@yahoo.co.jp
National Hospital Organization Kumamoto Medical Center
none
Self funding
Japan
Kumamoto University Graduate School of Medical Sciences
1-1-1 Honjo, Chuo-ku, Kumamoto-City, Kumamoto 860-8556, Japan
096-373-5657
ski-shien@jimu.kumamoto-u.ac.jp
NO
2012 | Year | 09 | Month | 19 | Day |
Unpublished
Open public recruiting
2012 | Year | 08 | Month | 01 | Day |
2012 | Year | 08 | Month | 21 | Day |
2012 | Year | 09 | Month | 25 | Day |
2021 | Year | 03 | Month | 31 | Day |
2012 | Year | 09 | Month | 19 | Day |
2021 | Year | 03 | Month | 22 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000010412
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