UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000013095
Receipt number R000015046
Scientific Title Multicenter study of the efficacy of tolvaptan for patients with refractory ascites.
Date of disclosure of the study information 2014/03/01
Last modified on 2020/08/12 10:00:39

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Basic information

Public title

Multicenter study of the efficacy of tolvaptan for patients with refractory ascites.

Acronym

Eeffect of tolvaptan on refractory ascites.

Scientific Title

Multicenter study of the efficacy of tolvaptan for patients with refractory ascites.

Scientific Title:Acronym

Eeffect of tolvaptan on refractory ascites.

Region

Japan


Condition

Condition

Liver cirrhosis with refractory ascites.

Classification by specialty

Medicine in general Gastroenterology Hepato-biliary-pancreatic medicine
Endocrinology and Metabolism

Classification by malignancy

Others

Genomic information

YES


Objectives

Narrative objectives1

To elucidate the efficacy of tolvaptan, competitive vasopressin receptor 2 antagonist, for cirrhotic patients with reflactory ascites.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase



Assessment

Primary outcomes

Decrease of body weight.

Key secondary outcomes

Improvement of ascites.


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

Use tolvaptan for a refractory ascites patients.

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)Patients over 20 years old
2)Patients obtained written informed consent
3) Life expectancy of at least 4 weeks
4) Adequate organ function
a) Hb>= 8.0g/dL
b) neutrophil: >= 1,500/mm3
c) Platelet: >= 30,000/mm3
d) Total bilirubin:< 4.0 mg/dL
e) ALT and AST: <= within 6 folds of normal limit
f) Serum creatine: <= 2.0 mg/dL
g) Serum natrium: >= 120mEq/L

Key exclusion criteria

1) Adequate cardiac organ function
a) Patients with conjestive heart failure above NYHA class3
b) Patients with severe hypertension
2) Patients with severe and active infectious disease (exclude HBV,HCV hepatitis)
3) Patients with HIV
4) Patients taking dialysis
5) Patients with portal tumor thrombosis (Vp3 or Vp4)
6) Patients with hepatic encephalopathy
7) Patients with crutial digestive bleedings within 4 weeks
8) Patients with the following treatment
a) Systemic chemotherapy
b) Being treated with invasive surgical therapy within 4 weeks
9) Patients with oral intake difficulty
10)Patients with severe digestive diseases
11)Patients taking a tablet which would affect this clinical study
12)Pregnant woman, lactating woman, or a woman suspected of pregnancy
13)Patients with severe allergic reaction to Tolvaptan
14)Patients with drug abuse or psycological disorders
15) Patients concluded to be inappropriate to participate in this study by their physitians

Target sample size

100


Research contact person

Name of lead principal investigator

1st name Hideto
Middle name
Last name Kawaratani

Organization

Nara Medical University

Division name

The third department of internal medicine

Zip code

634-8522

Address

Shijyo-cho 840, Kashihara, Nara, Japan

TEL

0744-22-3051(3415)

Email

kawara@naramed-u.ac.jp


Public contact

Name of contact person

1st name Hideto
Middle name
Last name Kawaratani

Organization

Nara Medical University

Division name

The third department of internal medicine

Zip code

634-8522

Address

Shijyo-cho 840, Kashihara, Nara, Japan

TEL

0744-22-3051(3415)

Homepage URL


Email

kawara@naramed-u.ac.jp


Sponsor or person

Institute

Tht third department of internal medicine, Nara Medical University

Institute

Department

Personal name



Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor

None

Name of secondary funder(s)



IRB Contact (For public release)

Organization

Nara Medical University

Address

840 Shijo-cho, Kashihara, Nara

Tel

0744-22-3051

Email

ino_rinri@naramed-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

奈良県立医科大学附属病院(奈良県)
奈良県立奈良病院(奈良県)
独立行政法人国立病院機構 奈良医療センター(奈良県)
県立五條病院(奈良県)
国保中央病院(奈良県)
県立三室病院(奈良県)
高の原中央病院(奈良県)
西奈良中央病院(奈良県)
大倭病院(奈良県)
高宮病院(奈良県)
服部記念病院(奈良県)
平成記念病院(奈良県)
済生会御所病院(奈良県)
ベルランド総合病院(大阪府)
医真会八尾総合病院(大阪府)
堺若葉会病院(大阪府)
その他臨床研究賛同施設


Other administrative information

Date of disclosure of the study information

2014 Year 03 Month 01 Day


Related information

URL releasing protocol

https://upload.umin.ac.jp/cgi-bin/icdr/ctr_up_reg_f5.cgi

Publication of results

Unpublished


Result

URL related to results and publications

https://upload.umin.ac.jp/cgi-bin/icdr/ctr_up_reg_f5.cgi

Number of participants that the trial has enrolled

413

Results

GWAS were performed. Gene A was identified.

Results date posted

2020 Year 02 Month 18 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

413 patients with liver cirrhosis were enrolled.

Participant flow

413 patients with liver cirrhosis were enrolled.

Adverse events

No

Outcome measures

GWAS were preformed.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2014 Year 01 Month 30 Day

Date of IRB

2013 Year 12 Month 13 Day

Anticipated trial start date

2014 Year 03 Month 01 Day

Last follow-up date

2017 Year 03 Month 31 Day

Date of closure to data entry

2020 Year 03 Month 02 Day

Date trial data considered complete

2020 Year 08 Month 31 Day

Date analysis concluded

2020 Year 12 Month 31 Day


Other

Other related information

Factors to consider the relevance and results


Management information

Registered date

2014 Year 02 Month 06 Day

Last modified on

2020 Year 08 Month 12 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000015046


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name