UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000015222
Receipt number R000017686
Scientific Title Phase II clinical trial of combination therapy with medium-chain triglycerides and ghrelin in patients with chronic obstructive pulmonary disease
Date of disclosure of the study information 2014/10/01
Last modified on 2021/09/27 17:13:35

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Basic information

Public title

Phase II clinical trial of combination therapy with medium-chain triglycerides and ghrelin in patients with chronic obstructive pulmonary disease

Acronym

Therapy with medium-chain triglycerides and ghrelin for chronic obstructive pulmonary disease

Scientific Title

Phase II clinical trial of combination therapy with medium-chain triglycerides and ghrelin in patients with chronic obstructive pulmonary disease

Scientific Title:Acronym

Therapy with medium-chain triglycerides and ghrelin for chronic obstructive pulmonary disease

Region

Japan


Condition

Condition

COPD

Classification by specialty

Pneumology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

In this phase II clinical trial, underweight patients with COPD will receive 5-day treatment with medium-chain triglycerides (MCT) followed by 3-week combination treatment with MCT and ghrelin. The purpose of the present study is to investigate: i) whether the addition of ghrelin to treatment with medium-chain triglycerides (MCT) would be beneficial; and ii) the safety and effects of 3-week combination treatment on exercise capacity.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase

Phase II


Assessment

Primary outcomes

1) Peak oxygen uptake
2) SGRQ score

Key secondary outcomes

1) Plasma VEGF level
2) O2-pulse
3) VD/VT
4) VE/Vo2
5) VE/Vco2
6) Respiratory muscle strength
7) Plasma norepinephrine level
8) Body weight
9) CAT score
10) MRC dyspnea scale
11) Six-minute walk distance
12) Food intake
13) Circadian change of plasma active ghrelin level
14) Fatty acids fraction
15) Time course of serum growth hormone level


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 Food

Interventions/Control_1

1) Administration of edible oil consisting of medium-chain C8 triglyceride (octanoic acid)
<The administration schedule of edible oil>
5 g of edible oil consisting of medium-chain C8 triglyceride will be administered orally, twice daily, for 26 days (at breakfast and at lunch).

2) Administration of ghrelin
<The administration schedule of synthetic human ghrelin>
5-day treatment with medium-chain triglyceride (MCT) followed by 3-week combination treatment with MCT and synthetic human ghrelin will be performed. Synthetic human ghrelin (2 micro-gram/kg, dissolved in 10 mL of sterile saline) will be administered intravenously for 30 minutes and repeated twice daily (before breakfast and before lunch).

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

85 years-old >=

Gender

Male and Female

Key inclusion criteria

1) Patients with sever to very severe COPD (FEV1% < 70%, and %FEV1 < 50%)
2) Underweight patients (BMI < 21 kg/m2)
3) Patients whose conditions are stable and who are able to tolerate cardiopulmonary exercise testing to ensure adequate evaluation
4) Patients who have signed the agreement for participation in this study

Key exclusion criteria

1) Patients with malignant tumors
2) Patients with active infection
3) Patients with severe heart disease
4) Patients with hepatic failure (serum levels of AST and ALT greater than twice the normal upper limits)
5) Patients with renal failure (serum creatinine concentration >= 2.0 mg/dL)
6) Patients with asthma or who tested positive on an airway reversibility test
7) Patients who are or could be pregnant
8) Patients who are undergoing diabetes mellitus therapy or whose HbA1C>7.0
9) Patients whose drug regimen was changed within one month before participation in this study
10) In addition to the above exclusion criteria, patients judged to be inadequate to participate in this study by their physician

Target sample size

10


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Keisuke Miki

Organization

National Hospital Organization Toneyama National Hospital

Division name

Laboratory Chief, Laboratory of Respiratory Science, Division of Clinical Research

Zip code


Address

5-1-1 Toneyama, Toyonaka, Osaka, 560-8552, Japan

TEL

06-6853-2001

Email

mikisuke@toneyama.go.jp


Public contact

Name of contact person

1st name
Middle name
Last name Keisuke Miki

Organization

National Hospital Organization Toneyama National Hospital

Division name

Laboratory Chief, Laboratory of Respiratory Science, Division of Clinical Research

Zip code


Address

5-1-1 Toneyama, Toyonaka, Osaka, 560-8552, Japan

TEL

06-6853-2001

Homepage URL


Email

mikisuke@toneyama.go.jp


Sponsor or person

Institute

National Hospital Organization Toneyama National Hospital

Institute

Department

Personal name



Funding Source

Organization

Intramural Research Fund (25-3-1) for Cardiovascular Diseases of National Cerebral and Cardiovascular Center

Organization

Division

Category of Funding Organization

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)

Grant-in-Aid for Clinical Research from National Hospital Organization


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

2014 Year 10 Month 01 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

2014 Year 07 Month 24 Day

Date of IRB

2014 Year 09 Month 19 Day

Anticipated trial start date

2014 Year 10 Month 01 Day

Last follow-up date

2021 Year 09 Month 27 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2014 Year 09 Month 22 Day

Last modified on

2021 Year 09 Month 27 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000017686


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name