UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000017678
Receipt number R000020463
Scientific Title Effect of cardiovascular remodeling under Low Ering Agent Febuxostat in Chronic Heart Failure patients with hyperuricemia
Date of disclosure of the study information 2016/11/14
Last modified on 2017/12/24 12:28:34

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Basic information

Public title

Effect of cardiovascular remodeling under Low Ering Agent Febuxostat
in Chronic Heart Failure patients with hyperuricemia

Acronym

Effect of vascular remodeling under uric acid control in CHF patients

Scientific Title

Effect of cardiovascular remodeling under Low Ering Agent Febuxostat
in Chronic Heart Failure patients with hyperuricemia

Scientific Title:Acronym

Effect of vascular remodeling under uric acid control in CHF patients

Region

Japan


Condition

Condition

Chronic heart failure patients with hyperuricemia

Classification by specialty

Cardiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the efficacy of Febuxostat, a urate lowering agent, on FGF23,Klotho and associated factors in patients with chronic heart failure (CHF) (NYHA functional class II and III) and hyperuricemia.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Explanatory

Developmental phase

Not applicable


Assessment

Primary outcomes

The change of FGF23 and Klotho from baseline after 24 week treatment

Key secondary outcomes

1)1) FGF23/Klotho associated factors
(FGF21,FGF19 etc) at baseline, after 24 weeks, and the amount of change
and %change from baseline

2) Values of the following cardiovascular
function parameters at baseline, after 24 weeks, and the amount of
change and %change from baseline (arbitrary
items)
Echocardiography, cardiovascular examination, blood pressure,
heart rate


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification

NO

Dynamic allocation

YES

Institution consideration

Institution is not considered as adjustment factor.

Blocking

NO

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Febuxostat administration for 24 weeks

Interventions/Control_2

Follow-up for 24 weeks

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)Male or female outpatients over 20 years old at time the subjects sign the Informed Consent Form (ICF).
(2)Serum uric acid level >7.0 mg/dL and <=10.0 mg/dL
(3)CHF, NYHA functional class II and III
(4)Serum BNP is >= 100 pg/mL or NT-proBNP >= 400 pg/mL
(Use measured value at each site for confirmation of eligibility)
(5)Systolic dysfunction, LVEF < 40% (Echocardiogram taken within 8 weeks can be used as confirmation of eligibility. However, echocardiogram at examination on admission cannot be used.)
(6)History of hospitalization due to worsening CHF within 2 years prior to confirmation of eligibility. Admission only for work up is excluded.
(7) Stable for 4 weeks prior to eligibility test, without changes in NYHA functional class and dose of drugs for heart failure such as angiotensin converting enzyme inhibitor (ACEI), angiotensin II receptor blocker (ARB), betablocker,and diuretics.
(8)Written informed consent by his/her own will.

Key exclusion criteria

(1) Drugs for hyperuricemia, within 2 weeks before confirmation of eligibility.
Allopurinol, Benzbromarone, Probenecid, Bucolome, Topiroxostat, Febuxostat
(2) Drugs at the time of confirmation of eligibility.
Mercaptopurinehydrate, Azathioprine, Vidarabine, Dinanosine
(3) Gouty tophus or certain symptom of gouty arthritis within 1 year before eligibility confirmation.
(4) Acute myocardial infarction or coronary arterial revascularization within 3 month before eligibility confirmation.
(5) Planned cardiac surgery such as coronary arterial valve operation, during participation of this study.
(6) Heart failure caused by valvular heart disease or congenital heart disease.
(7) Severe hepatic, or renal dysfunction, dialysis or malignancy disqualified from the study by the investigators.
Severe hepatic dysfunction is defined as twice the upper limit of baseline AST or ALT. Severe renal dysfunction is defined as eGFR <30/mL/min/1.73m2.
eGFR is calculated by formula shown in "CKD diagnostic guideline 2012 by Japanese Society of Nephropathy"
eGFR(mL/min/1.73m2)=194*Cr^(-1.094)*Age^(-0.287)(Female *0.739)
(8) Febuxostat hypersensitivity.
(9) Pregnant, possibly pregnant, brest-feeding, or expecting to conceive.
(10)Participated in other clinical study within 6 months before confirmation of eligibility.
(11)Considered to be inappropriate for the participation in this study by the investigators

Target sample size

30


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Masaaki Hoshiga

Organization

Osaka Medical College

Division name

Department of Cardiology

Zip code


Address

2-7 Daigakucho, Takatuski, Osaka

TEL

072-683-1221

Email

in1026@osaka-med.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Yumiko Kanzaki

Organization

Osaka Medical College

Division name

Department of Cardiology

Zip code


Address

2-7 Daigakucho, Takatuski, Osaka

TEL

072-683-1221

Homepage URL


Email

in3089@poh.osaka-med.ac.jp


Sponsor or person

Institute

Department of Cardiology
Osaka Medical College

Institute

Department

Personal name



Funding Source

Organization

Department of Cardiology
Osaka Medical College

Organization

Division

Category of Funding Organization

Self funding

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

大阪医科大学 循環器内科


Other administrative information

Date of disclosure of the study information

2016 Year 11 Month 14 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

No longer recruiting

Date of protocol fixation

2015 Year 04 Month 01 Day

Date of IRB


Anticipated trial start date

2015 Year 06 Month 01 Day

Last follow-up date


Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2015 Year 05 Month 26 Day

Last modified on

2017 Year 12 Month 24 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000020463


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name