UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000020044
Receipt number R000022459
Scientific Title Tadalafil treatment for Fetus with Early onset growth Restriction
Date of disclosure of the study information 2015/12/03
Last modified on 2016/09/03 14:45:40

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Basic information

Public title

Tadalafil treatment for Fetus with Early onset growth Restriction

Acronym

Tadalafil treatment for Fetus with Early onset growth Restriction(TADAFER)

Scientific Title

Tadalafil treatment for Fetus with Early onset growth Restriction

Scientific Title:Acronym

Tadalafil treatment for Fetus with Early onset growth Restriction(TADAFER)

Region

Japan


Condition

Condition

fetal growth restriction

Classification by specialty

Obstetrics and Gynecology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the safety of tadalafil study and estimate the maximum tolerated dose, to determine the recommended dose in Phase 2 trial

Basic objectives2

Safety

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Phase I


Assessment

Primary outcomes

Evaluation time: until after the end of the study four weeks from the start of study
Safety of maternal and fetal
(Maternal: biochemistry, urinalysis, electrocardiogram, concentration in the drug blood
Fetus: chest abdominal X-ray, heart ultrasound examination, head ultrasound, blood drug concentration)

Key secondary outcomes

The maximum tolerated dose, the optimal dose, fetal abdominal circumference, estimated fetal weight, neonatal death, perinatal death, obstetric complications (gestational hypertension, preterm labor, placental abruption), birth weight, birth weeks, Apgar score, umbilical artery blood gas, fetal arterial blood flow test, fetal venous blood flow test, uterine artery blood flow test


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Dose comparison

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

3

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

The administration period: until delivery (after 34 weeks the judgment of the physician, up to 37 weeks)
Dose and method: 3 cases cohort
Cohort 1: tadalafil once a day, once 10 mg <Zalutia(5 mg) 2 tablets> daily administration


Interventions/Control_2

The administration period: until delivery (after 34 weeks the judgment of the physician, up to 37 weeks)
Dose and method: 3 cases cohort
Cohort 2: tadalafil once a day, once 20 mg <Adcirca(20 mg) 1 tablet> daily administration

Interventions/Control_3

The administration period: until delivery (after 34 weeks the judgment of the physician, up to 37 weeks)
Dose and method: 3 cases cohort
Cohort 3: tadalafil once a day, once 40 mg <Adcirca(20 mg) 2 tablets> daily administration

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

Female

Key inclusion criteria

1) Fetal growth restriction (less than -1.5SD)
2) Healthy pregnancy 22 weeks after less than 34 weeks
3) Single pregnancy
4) 20 years of age or older
5) For the test participation, it has consent is obtained in writing from the patient.

Key exclusion criteria

1) Patients with allergic to tadalafil
2) Patients are taking the drug, which is contraindicated to tadalafil
3) Patients are undergoing kidney dialysis, with severe renal impairment(creatinine clearance<30mL / min)
4) Patients with severe liver failure [AST (GOT) or ALT (GPT)>100 IU / L]
5) Patients with uncontrolled arrhythmias, hypotension (blood pressure <90 / 50mmHg), or uncontrolled high blood pressure (blood pressure> 170 / 100mmHg)
6) Fetus with chromosomal abnormality can be considered from ultrasonography
7) Retinitis pigmentosa patients
8) Patients with bleeding disorders or peptic ulcer
9) Patients with pulmonary venous occlusive disease
10) Patient is determined to be unsuitable as a study subject

Target sample size

12


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Tomoaki Ikeda

Organization

Mie University Faculty of Medicine

Division name

Department of Obstetrics & Gynecology

Zip code


Address

2-174 Edobashi Tsu-city Mie

TEL

059-232-1111

Email

t-ikeda@clin.medic.mie-u.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Michiko Kubo

Organization

Mie University Faculty of Medicine

Division name

Department of Obstetrics & Gynecology

Zip code


Address

2-174 Edobashi Tsu-city Mie

TEL

059-232-1111

Homepage URL


Email

mkubo@clin.medic.mie-u.ac.jp


Sponsor or person

Institute

Department of Obstetrics & Gynecology Mie University Faculty of Medicine

Institute

Department

Personal name



Funding Source

Organization

Department of Obstetrics & Gynecology Mie University Faculty of Medicine

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization

Japan


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

三重大学医学部附属病院産科婦人科(三重県)


Other administrative information

Date of disclosure of the study information

2015 Year 12 Month 03 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

2015 Year 11 Month 30 Day

Date of IRB


Anticipated trial start date

2015 Year 12 Month 03 Day

Last follow-up date

2017 Year 10 Month 31 Day

Date of closure to data entry

2017 Year 10 Month 31 Day

Date trial data considered complete

2017 Year 10 Month 31 Day

Date analysis concluded

2017 Year 10 Month 31 Day


Other

Other related information



Management information

Registered date

2015 Year 12 Month 03 Day

Last modified on

2016 Year 09 Month 03 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000022459


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name