UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000009970
Receipt number R000011602
Scientific Title A Factorial Randomized Controlled Trial of Correcting Anemia and Native Vitamin D Supplementation in Kidney Transplant Recipients: CANDLE-KIT trial
Date of disclosure of the study information 2013/02/06
Last modified on 2019/02/10 21:26:38

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Basic information

Public title

A Factorial Randomized Controlled Trial of Correcting Anemia and Native Vitamin D Supplementation in Kidney Transplant Recipients: CANDLE-KIT trial

Acronym

Correcting Anemia and Native Vitamin D Supplementation in Kidney Transplant Recipients: CANDLE-KIT trial

Scientific Title

A Factorial Randomized Controlled Trial of Correcting Anemia and Native Vitamin D Supplementation in Kidney Transplant Recipients: CANDLE-KIT trial

Scientific Title:Acronym

Correcting Anemia and Native Vitamin D Supplementation in Kidney Transplant Recipients: CANDLE-KIT trial

Region

Japan


Condition

Condition

Kidney transplantation

Classification by specialty

Nephrology Urology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the effect of anemia correction and vitamin D supplementation on allograft kidney function

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Phase IV


Assessment

Primary outcomes

Change in estimated glomerular filtration rate

Key secondary outcomes

- Urine markers of kidney injury at 6 months
1) L-FABP
2) NGAL
3) TGF-beta
4) Protein-creatinine ratio
- The dose of epoetin beta pegol required to maintain the target hemoglobin level
- C-reactive protein
- Change in blood pressure
- Cardiac biomarkers
1) BNP
2) Cardiac troponin-T
- left-ventricular mass index
- Biopsy-proven acute cellular rejection
- Bone-turnover markers
1) 1-84 PTH
2) Bone-type alkaline phosphatase
3) tartrate-resistant acid phosphatase 5b (TRACP-5b)
- Bone mineral density of lumber spine and femoral neck.
- Hypercalcemia (Corrected calcium >=11 mg/dL)
- Event-free survival for the following endpoints
1) Renal composite endpoint (50% increase in serum creatinine, subsequent transplantation, and reinitiation of dialysis)
2) Admission-required cardiovascular events (myocardial infarction, angina, congestive heart failure, stroke, and peripheral artery disease)
3) All-cause death
4) Cancer development or recurrence
5) Infections requiring hospitalization (e.g., Polyomavirus-associated nephropathy, tuberculosis, Pneumocystis carinii pneumonia, cytomegalovirus infection, herpes zoster, bacterial pneumonia)


Base

Study type

Interventional


Study design

Basic design

Factorial

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -but assessor(s) are blinded

Control

Active

Stratification

YES

Dynamic allocation

NO

Institution consideration

Institution is considered as a block.

Blocking

YES

Concealment

Central registration


Intervention

No. of arms

4

Purpose of intervention

Treatment

Type of intervention

Medicine Food

Interventions/Control_1

Conventional anemia management (Target Hb >=9.5 and <10.5 g/dL) with cholecalciferol (1,000 IU/day)

Interventions/Control_2

Conventional anemia management (Target Hb >=9.5 and <10.5 g/dL) without cholecalciferol

Interventions/Control_3

Aggressive anemia correction (Target Hb >=12.5 and <13.5 g/dL) with cholecalciferol (1,000 IU/day)

Interventions/Control_4

Aggressive anemia correction (Target Hb >=12.5 and <13.5 g/dL) without cholecalciferol

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

1) >=15 and <60 ml/min per 1.73 m2 of estimated glomerular filtration rate
2) Transplanted allograft kidney at least 1 year before
3) <10.5 g/dL of Hb without iron deficiency (serum ferritin level >=50 ng/ml) or on erythropoiesis stimulating agents treatment regardless of iron status
4) With written informed consent

Key exclusion criteria

1) On anticancer treatment
2) History of ischemic stroke or transient ischemic attack
3) Corrected serum calcium >=10.5 mg/dL
4) HIV virus infection
5) Anticipated refractory hypertension by using epoetin beta pegol
6) In pregnancy and lactation
7) Current use of native vitamin D supplement
8) Patients ineligible according to the investigator's judgement

Target sample size

272


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Takayuki Hamano

Organization

Osaka University Graduate School of Medicine

Division name

Department of Comprehensive Kidney Disease Research

Zip code


Address

2-2, Yamada-oka, Suita, Osaka 565-0871, Japan

TEL

06-6879-3857

Email

tsubakihara@kid.med.osaka-u.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Yoshitsugu Obi

Organization

Osaka University Graduate School of Medicine

Division name

Department of Nephrology

Zip code


Address

2-2, Yamada-oka, Suita, Osaka 565-0871, Japan

TEL

06-6879-3857

Homepage URL


Email

y-obi@kid.med.osaka-u.ac.jp


Sponsor or person

Institute

CANDLE-KIT Trial Study Group

Institute

Department

Personal name



Funding Source

Organization

Chugai pharmaceutical Co. Ltd.

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor

MID Co. Ltd.
Roche diagnostics

Name of secondary funder(s)

Japan Society for the Promotion of Science
The Kidney Foundation, Japan


IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

YES

Study ID_1

NCT01817699

Org. issuing International ID_1

ClinicalTrials.gov

Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

市立札幌病院(北海道)、北海道大学病院(北海道)、秋田大学医学部附属病院(秋田県)、仙台社会保険病院(宮城県)、新潟大学(新潟)、自治医科大学(栃木県)、国立水戸医療センター(茨城)、新潟大学(新潟県)、千葉東病院(千葉県)、虎の門病院(東京都)、東邦大学医療センター大森病院(東京都)、東京女子医科大学病院(東京都)、北里大学病院(神奈川県)、聖マリアンナ医科大学病院(神奈川県)、藤田保健衛生大学(愛知県)、名古屋第二赤十字病院(愛知県)、社会保険中京病院(愛知県)、サンシャインM&Dクリニック(岐阜県)、岐阜大学医学部附属病院(岐阜県)、奈良県立医科大学附属病院(奈良県)、大阪市立大学医学部附属病院(大阪府)、大阪府立急性期・総合医療センター(大阪府)、蒼龍会井上病院(大阪府)、愛仁会高槻病院(大阪府)、大阪船員保険病院(大阪府)、伊藤クリニック(大阪府)、日本赤十字社和歌山医療センター(和歌山県)、兵庫県立西宮病院(兵庫県)、岡山医療センター(岡山県)、香川大学(香川県)、熊本赤十字病院(熊本県)、九州大学病院(福岡県)、豊見城中央病院(沖縄県)


Other administrative information

Date of disclosure of the study information

2013 Year 02 Month 06 Day


Related information

URL releasing protocol

http://clinicaltrials.gov/ct2/show/NCT01817699?term=NCT01817699&rank=1

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

Terminated

Date of protocol fixation

2013 Year 02 Month 05 Day

Date of IRB


Anticipated trial start date

2013 Year 04 Month 15 Day

Last follow-up date

2018 Year 12 Month 01 Day

Date of closure to data entry

2019 Year 02 Month 28 Day

Date trial data considered complete

2019 Year 03 Month 10 Day

Date analysis concluded

2019 Year 03 Month 31 Day


Other

Other related information



Management information

Registered date

2013 Year 02 Month 05 Day

Last modified on

2019 Year 02 Month 10 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000011602


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name