UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000021594
Receipt number R000023574
Scientific Title An increase dose of CCB or ARB as an add-on intensive DEpressor therapy in type 2 diabetes MellItus patients with uncontrolled Essential hypertension.
Date of disclosure of the study information 2016/03/24
Last modified on 2019/02/07 22:27:46

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Basic information

Public title

An increase dose of CCB or ARB as an add-on intensive DEpressor therapy in type 2 diabetes MellItus patients with uncontrolled Essential hypertension.

Acronym

Intensive depressor therapy in diabetes mellItus patients with hypertension (ACADEMIE Study)

Scientific Title

An increase dose of CCB or ARB as an add-on intensive DEpressor therapy in type 2 diabetes MellItus patients with uncontrolled Essential hypertension.

Scientific Title:Acronym

Intensive depressor therapy in diabetes mellItus patients with hypertension (ACADEMIE Study)

Region

Japan


Condition

Condition

Hypertension

Classification by specialty

Cardiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The patients with type 2 diabetes mellitus who do not reach target blood pressure (BP), although they have received combination therapy with middle doses of calcium channel blocker (CCB) and angiotensin type 1 receptor blocker (ARB), are enrolled. They receive an increase dose of CCB or ARB as an add-on intensive depressor therapy, and the differential depressor effect between the two kinds of therapies are analyzed. In addition, the differential effects of renal protection and anti-inflammation between the two groups are also examined.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Explanatory

Developmental phase

Not applicable


Assessment

Primary outcomes

Changes in home systolic BP early in the morning between at baseline and after 12 weeks

Key secondary outcomes

Changes in various parameters between at baseline and after 12 weeks as follows (No. 1-14):
1.Home diastolic BP early in the morning
2.Office BP
3.Home BP before going to the bed
4.Home BP in sleeping
5.Percentage of the patients who reach the target BP (Office BP and BP early in the morning)
6.Variability and coefficient of BP
7.Brachial-ankle pulse wave veocity
8.High-sensitivity C reactive protein
9.Pentraxin-3
10.Adiponectin
11.Brain natriuretic peptide
12.Urinary albumin
13.Cystatin C
14.L-FABP
15.Side effects


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification

YES

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

The patients with hypertension under treatment with middle dose of ARB + amlodipine 5 mg/day are enrolled. The patients receive a middle dose of ARB + amlodipine 10 mg/day and treated for 12 weeks.

Interventions/Control_2

The patients with hypertension under treatment with middle dose of ARB + amlodipine 5 mg/day are enrolled. The patients receive a high dose of ARB + amlodipine 5 mg/day and treated for 12 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.Patients with diabetes mellitus according to the Japan Diabetes Society guideline
2.Patients with essential hypertension who had SBP = or > 130 mmHg and/or DBP = or > 80 mmHg and received a middle dose of ARB + amlodipine 5 mg/day at least for 4 weeks.
3.Age is 20 years old or more.
4.Patients who gave their informed consent to participate for the present study.

Key exclusion criteria

1.The patients with secondary hypertension
2.The patients who had SBP < 130 mmHg and DBP < 80 mmHg before starting the study
3.Severe liver dysfunction.
4.Severe renal dysfunction.
5.Pregnancy or lactation in women.
6.Patients with a history of allergy to any component of the study medications.
7.Patients corresponding to the contraindication of study medications.
8.Participating in other clinical trials or within 3 months after retirement of prior clinical trial,
9.Ineligible based on the judgment of the physician

Target sample size

120


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Shin-ichiro Miura

Organization

Fukuoka University Hospital

Division name

Department of Cardiology

Zip code


Address

7-45-1 Nanakuma, Jonan-Ku, Fukuoka.

TEL

81-92-801-1011

Email

miuras@cis.fukuoka-u.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Shin-ichiro Miura

Organization

Fukuoka University Hospital

Division name

Department of Cardiology

Zip code


Address

7-45-1 Nanakuma, Jonan-Ku, Fukuoka.

TEL

81-92-801-1011

Homepage URL


Email

miuras@cis.fukuoka-u.ac.jp


Sponsor or person

Institute

Department of Cardiology, Fukuoka University Hospital

Institute

Department

Personal name



Funding Source

Organization

Sumitomo Dainippon Pharma Co., Ltd.

Organization

Division

Category of Funding Organization

Profit organization

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

福岡大学病院(福岡県)


Other administrative information

Date of disclosure of the study information

2016 Year 03 Month 24 Day


Related information

URL releasing protocol


Publication of results

Published


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

2016 Year 02 Month 29 Day

Date of IRB


Anticipated trial start date

2016 Year 03 Month 24 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

2016 Year 03 Month 24 Day

Last modified on

2019 Year 02 Month 07 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000023574


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name