UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000021695
Receipt number R000024989
Scientific Title PREVENTion of Contrast-Induced Nephropathy after Cardiovascular catheterization and intervention by high dose statin therapy in Japan
Date of disclosure of the study information 2016/05/09
Last modified on 2022/11/09 16:22:01

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Basic information

Public title

PREVENTion of Contrast-Induced Nephropathy after Cardiovascular catheterization and intervention by high dose statin therapy in Japan

Acronym

PREVENTion of Contrast-Induced Nephropathy after Cardiovascular catheterization and intervention by high dose statin therapy in Japan (Prevent CINC-J study)

Scientific Title

PREVENTion of Contrast-Induced Nephropathy after Cardiovascular catheterization and intervention by high dose statin therapy in Japan

Scientific Title:Acronym

PREVENTion of Contrast-Induced Nephropathy after Cardiovascular catheterization and intervention by high dose statin therapy in Japan (Prevent CINC-J study)

Region

Japan


Condition

Condition

Coronary artery disease with dyslipidemia and chronic kidney disease

Classification by specialty

Medicine in general Cardiology Nephrology
Radiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the effect of high dose statin therapy in preventing contrast induced nephropathy after cardiovascular catheterization and intervention

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Contrast-induced nephropathy; an increase in serum creatinine level of 0.5 mg/dL or 25% at 48 hours after contrast medium exposure

Key secondary outcomes

1) Acute kidney injury; an increase in serum creatinine level of 0.3 mg/dL or 50% at 48 hours after contrast medium exposure
2) Change in serum creatinine level 24 hours and 48 hours after coronary angiography
3) Urinary Neutrophil Gelatinase-Associated Lipocalin (NGAL) level and urinary NGAL/ urinary creatinine on the day, 24 hours and 48 hours after coronary angiography
4) All cause death, cardiac death, stroke, and hospitalization for heart failure at 12 moths
5) Newly required dialysis and more than 2 x baseline serum creatinine level at 12 months
6) Adverse drug reaction; myalgia, eczema, nausea, elevation of GOT or GPT, elevation of CPK


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Prevention

Type of intervention

Medicine

Interventions/Control_1

Additional treatment
Standard hydration with sodium chloride plus single bolus intravenous administration of sodium bicarbonate (20 mEq) and short-term high dose pitavastatin (4mg/day x 4days) therapy

Interventions/Control_2

Conventional treatment
Standard hydration with sodium chloride plus single bolus intravenous administration of sodium bicarbonate (20 mEq)

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

Patients undergoing elective coronary angiography satisfied following inclusion criteria
1. Age>=20 years old
2. eGFR<60ml/min/1.73 m2 or proteinuria
3. Taking statin or LDL>=120 without coronary artery disease or LDL>=100 with coronary artery disease.
4. Written informed consent

Key exclusion criteria

1. Contraindication to statin treatment
2. Contraindication to contrast medium
3. Treatment with fibrate
4. Treatment with cyclosporine
5. Severe liver dysfunction (acute hepatitis, liver cirrhosis, liver cancer, jaundice, GOT or GPT>=100IU/l)
6. Severe renal dysfunction (acute renal failure, maintenance dialysis, serum creatinine>=3mg/dl)
7. CPK>=350IU/L
8. Patients receiving high dose statin (atorvastatine;>=15mg/day,rosvastatin;>=7.5mg/day,pitavastatin;>=3mg/day) before enrollment
9. Familial hypercholesterolemia
10. Nephrotic syndrome
11. Contrast medium administration within the previous 10 days
12. Pregnant, becoming pregnant, breast feeding
13. Inadequate to this study

Target sample size

420


Research contact person

Name of lead principal investigator

1st name Yoshihiko
Middle name
Last name Saito

Organization

Nara Medical University

Division name

Department of Cardiovascular Medicine

Zip code

634-8521

Address

840 Shijocho Kashihara Nara

TEL

0744-22-3051

Email

saitonaramed@gmail.com


Public contact

Name of contact person

1st name Makoto
Middle name
Last name Makoto Watanabe

Organization

Prevent CINC-J study group

Division name

Department of Cardiovascular Medicine, Nara Medical University

Zip code

634-8521

Address

840 Shijocho Kashihara Nara

TEL

0744-22-3051

Homepage URL


Email

prevent-cinc-j@naramed-u.ac.jp


Sponsor or person

Institute

Nara Medical University

Institute

Department

Personal name



Funding Source

Organization

Abbott Japan Corporation

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Nara Medical University Hospital Institutional Review Board

Address

840,Shijo-cho,Kashihara-city,Nara

Tel

0744-22-3051

Email

ychiken@naramed-u.ac.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



Other administrative information

Date of disclosure of the study information

2016 Year 05 Month 09 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

2016 Year 03 Month 30 Day

Date of IRB

2016 Year 06 Month 01 Day

Anticipated trial start date

2016 Year 05 Month 09 Day

Last follow-up date

2019 Year 11 Month 04 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded

2021 Year 06 Month 30 Day


Other

Other related information



Management information

Registered date

2016 Year 03 Month 30 Day

Last modified on

2022 Year 11 Month 09 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000024989


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name