UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000011274
Receipt number R000013213
Scientific Title The Cardiac Insufficiency BIsoprolol Study in Japanese Patients with Chronic Heart Failure
Date of disclosure of the study information 2013/07/25
Last modified on 2017/01/30 16:42:19

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Basic information

Public title

The Cardiac Insufficiency BIsoprolol Study in Japanese Patients with Chronic Heart Failure

Acronym

CIBIS-J

Scientific Title

The Cardiac Insufficiency BIsoprolol Study in Japanese Patients with Chronic Heart Failure

Scientific Title:Acronym

CIBIS-J

Region

Japan


Condition

Condition

Chronic heart failure

Classification by specialty

Medicine in general Cardiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To investigate the non-inferiority of bisoprolol to carvedilol by evaluating tolerability (The probability that administered maintenance dose reaches the maximum will be determined as an indicator) as a primary endpoint when bisoprolol or carvedilol is administered for 48 weeks to Japanese chronic heart failure patients. In addition, the safety and efficacy of bisoprolol will be investigated.

Basic objectives2

Others

Basic objectives -Others

Tolerability (The probability that administered maintenance dose reaches the maximum will be determined as an indicator)

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Tolerability: The probability that administered maintenance dose reaches the maximum
(bisoprolol 5 mg/day, carvedilol 20 mg/day)

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Active

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Bisoprolol group
Daily oral administration of bisoprolol 0.625 mg tablet once a day should be given (Step 1). If tolerability is confirmed by an investigator, the dose should be increased to 1.25 mg (bisoprolol 0.625 mg, 2 tablets; or bisoprolol 2.5 mg, half tablet; once daily) (Step 2). In the same manner, the doses should be increased to 2.5 mg (bisoprolol 2.5 mg, 1 tablet; or bisoprolol 5 mg, half tablet; once daily, Step 3), to 3.75 mg (bisoprolol 2.5 mg, 1.5 tablets once daily, Step 4), and to 5 mg (bisoprolol 2.5 mg, 2 tablets; or bisoprolol 5 mg, 1 tablet; once daily, Step 5).

Interventions/Control_2

Carvedilol group
Daily oral administration of carvedilol 1.25 mg, 1 tablet twice a day (after breakfast and supper) should be given (Step 1). If tolerability is confirmed by an investigator after administering 2.5 mg/day of carvedilol, the dose should be increased to 5 mg (xcarvedilol 2.5 mg, 1 tablet twice daily) (Step 2). In the same manner, the dose should be increased to 10 mg (carvedilol 2.5 mg, 2 tablets twice daily, Step 3), to 15 mg (carvedilol 2.5 mg, 3 tablets twice daily, Step 4), and to 20 mg (carvedilol 10 mg, 1 tablet twice daily, Step 5).

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

85 years-old >

Gender

Male and Female

Key inclusion criteria

As a result of diagnosis and tests before registration, a patient who is considered by an investigator to meet all requirements and to have ability to consent can be enrolled.
(1) Primary disease: In principle, ischemic heart disease or dilated cardiomyopathy.
(2) Heart failure patients with 40% or less of left ventricular ejection fraction (LVEF).
(3) Patients in NYHA functional classification Class II, III, or IV (including a medical history).
(4) Basic treatment: In principle, patients undergoing treatment with an ACE inhibitor (or angiotensin receptor blocker (ARB)), a diuretic, a digitalis preparation, etc.
(5) Patients who had not undergone treatment with a beta-blocker (except eye drops) within 8 weeks before the registration date.
(6) Age: Patients aged 20 to less than 85 on the day of obtaining written informed consent.
(7) Hospitalized/outpatient: Either hospitalized or outpatient status.
(8) Gender: Male or Female

Key exclusion criteria

Patients who meet any of the following exclusion criteria at the time of registration will be excluded:
(1) Patients who are considered not to be candidates for administration of bisoprolol or carvedilol.
(2) Patients who have developed acute myocardial infarction within 8 weeks before the registration day.
(3) Patients who have history of stroke or serious cerebrovascular accident within 1 year before the registration day.
(4) Patients with poor prognosis and life-threatening disease, such as malignant tumor, or such medical history within 5 years before the registration day.
(5) Patients who are scheduled to undergo coronary revascularization (CABG, PCI) during the study period.
(6) Patients who are pregnant, lactating, may become pregnant, or want to become pregnant during the study.
(7) Patients from whom written informed consent cannot be obtained.
(8) Patients who are judged by an investigator to be inappropriate for this study for any other reason.

Target sample size

220


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Hiroyuki Tsutsui

Organization

Hokkaido University Graduate School of Medicine

Division name

Department of Cardiovascular Medicine

Zip code


Address

Kita 15 Nishi 7, Kita-ku, Sapporo

TEL

011-706-6974

Email

htsutsui@med.hokudai.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Makoto Arai

Organization

Mebix, Inc.

Division name

CIBIS-J Research Operations Office

Zip code


Address

1-11-44 Akasaka, Minato-ku, Tokyo

TEL

03-6229-8936

Homepage URL


Email

cibis-j@mebix.co.jp


Sponsor or person

Institute

CIBIS-J study group

Institute

Department

Personal name



Funding Source

Organization

Mitsubishi Tanabe Pharma Corporation

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



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



Other administrative information

Date of disclosure of the study information

2013 Year 07 Month 25 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

2013 Year 04 Month 04 Day

Date of IRB


Anticipated trial start date

2013 Year 06 Month 01 Day

Last follow-up date

2015 Year 07 Month 31 Day

Date of closure to data entry

2016 Year 05 Month 29 Day

Date trial data considered complete

2016 Year 05 Month 30 Day

Date analysis concluded

2016 Year 05 Month 31 Day


Other

Other related information



Management information

Registered date

2013 Year 07 Month 25 Day

Last modified on

2017 Year 01 Month 30 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000013213


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name