UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000014541
Receipt number R000016914
Scientific Title Clinical trial on the relationship between oral contraceptives and thromboembolism in the patient with thrombophilia
Date of disclosure of the study information 2014/07/22
Last modified on 2019/06/12 11:17:32

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Basic information

Public title

Clinical trial on the relationship between oral contraceptives and thromboembolism in the patient with thrombophilia

Acronym

Clinical trial on the relationship between oral contraceptives and thromboembolism in the patient with thrombophilia

Scientific Title

Clinical trial on the relationship between oral contraceptives and thromboembolism in the patient with thrombophilia

Scientific Title:Acronym

Clinical trial on the relationship between oral contraceptives and thromboembolism in the patient with thrombophilia

Region

Japan


Condition

Condition

Thromboembolism

Classification by specialty

Hematology and clinical oncology Obstetrics and Gynecology

Classification by malignancy

Others

Genomic information

YES


Objectives

Narrative objectives1

To evaluate the relationship between the reduction rate of protein S levels after oral contraceptives and thrombophilia.

Basic objectives2

Pharmacodynamics

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

1. The reduction rate of protein S levels after oral contraceptives
2. The relationship between protein S levels and thrombophilia

Key secondary outcomes

1. The prevalence of thromboembolism
2. The relationship between thromboembolism and thrombophilia


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


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

18 years-old <=

Age-upper limit

50 years-old >

Gender

Female

Key inclusion criteria

Women who are planning oral contraceptives

Key exclusion criteria

1. Women who took oral contraceptives within three months
2. Women who delivered within three months
3. Women who take anticoagulant and/or antiplatelet agents
4. Emergency contraception
5. Women who are less than 18 years-old
6. Women who do not wish for disclosing the individual results such as hereditary disposition

Target sample size

1350


Research contact person

Name of lead principal investigator

1st name Jun
Middle name
Last name Yoshimatsu

Organization

National Cerebral and Cardiovascular Center of Japan

Division name

Department of Perinatology and Gynecology

Zip code

565-8565

Address

5-7-1 Fujishiro-dai, Suita, Osaka 565-8565, Japan

TEL

+81-6-6833-5012

Email

yoshimatsu.jun.hp@ncvc.go.jp


Public contact

Name of contact person

1st name Takekazu
Middle name
Last name Miyoshi

Organization

National Cerebral and Cardiovascular Center of Japan

Division name

Department of Perinatology and Gynecology

Zip code

565-8565

Address

5-7-1 Fujishiro-dai, Suita, Osaka 565-8565, Japan

TEL

+81-6-6833-5012

Homepage URL


Email

gomiyoshi0327@yahoo.co.jp


Sponsor or person

Institute

National Cerebral and Cardiovascular Center of Japan

Institute

Department

Personal name



Funding Source

Organization

National Cerebral and Cardiovascular Center of Japan

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor

Chayamachi Ladies Clinic

Name of secondary funder(s)

Japan Cardiovascular Research Foundation


IRB Contact (For public release)

Organization

Institutional Ethics Committee of National Cerebral and Cardiovascular Center

Address

5-7-1 Fujishiro-dai, Suita, Osaka 565-8565, Japan

Tel

+81-6-6833-5012

Email

plandiv@ml.ncvc.go.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

国立循環器病研究センター(大阪府)/ National Cerebral and Cardiovascular Center of Japan(Osaka, Japan)
茶屋町レディースクリニック(大阪府)/Chayamachi Ladies Clinic (Osaka, Japan)


Other administrative information

Date of disclosure of the study information

2014 Year 07 Month 22 Day


Related information

URL releasing protocol

NA

Publication of results

Published


Result

URL related to results and publications

https://www.ncbi.nlm.nih.gov/pubmed/30891674

Number of participants that the trial has enrolled

394

Results

Free PS antigen and activity levels and antithrombin activity levels decreased significantly. PC activity levels increased significantly. Larger reductions in free PS antigen and activity levels occurred with COC comprising either 30ug ethinylestradiol/desogestrel or 20ug ethinylestradiol/drospirenone than that comprising 35ug ethinylestradiol/norethisterone. In four women with the Japanese-specific PS K196E mutation, mean PS activity was 65% before COC use and 57% during COC use.

Results date posted

2019 Year 06 Month 12 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results

2019 Year 04 Month 19 Day

Baseline Characteristics

All subjects were healthy Japanese women aged 18-49 years seen at the Chayamachi Ladies Clinic of Japan between July 2014 and November 2016 who were beginning to use low-dose COCs.

Participant flow

After the control menstrual cycle, women selected 1 of 5 categories of low-dose COC commonly available in Japan at their own discretion. Blood samples were taken at enrollment and the third or fourth week after COC use began.

Adverse events

Thrombosis event was observed in three cases (0.8%) during the first cycle of low-dose COC use.

Outcome measures

We investigated the effects of low-dose
COCs and the Japanese-specific PS K196E mutation on anticoagulation factors in Japanese women.
Plasma levels of PS, PC, and AT antigen and activity were measured. In all women, the PS K196E (rs121918474) genotype was determined.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2014 Year 05 Month 30 Day

Date of IRB

2014 Year 06 Month 13 Day

Anticipated trial start date

2014 Year 07 Month 22 Day

Last follow-up date

2016 Year 11 Month 30 Day

Date of closure to data entry

2017 Year 07 Month 14 Day

Date trial data considered complete

2018 Year 01 Month 14 Day

Date analysis concluded

2018 Year 02 Month 17 Day


Other

Other related information

Protein S antigen and activity
Protein C antigen and activity
Antithrombin antigen and activity
Protein S K196E mutation

Because the accumulation of the cases was delayed, we extended a case registration period for two years from six months.


Management information

Registered date

2014 Year 07 Month 12 Day

Last modified on

2019 Year 06 Month 12 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000016914


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name