UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000025792
Receipt number R000028795
Scientific Title A Multicenter, randomized, parallel-group study assessing efficacy of actual support of renal replacement therapy modality selection program(CKD-SMD app) and home blood pressure measurement system in patients with chronic kidney disease(CKD)
Date of disclosure of the study information 2017/01/22
Last modified on 2019/07/27 15:14:35

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Basic information

Public title

A Multicenter, randomized,
parallel-group study assessing efficacy of actual support of renal replacement therapy modality selection program(CKD-SMD app) and
home blood pressure measurement system in patients with chronic kidney disease(CKD)

Acronym

A Multicenter, randomized,
parallel-group study assessing efficacy of actual support of renal replacement therapy modality selection program(CKD-SMD app) and
home blood pressure measurement system in chronic kidney disease(CKD)

Scientific Title

A Multicenter, randomized,
parallel-group study assessing efficacy of actual support of renal replacement therapy modality selection program(CKD-SMD app) and
home blood pressure measurement system in patients with chronic kidney disease(CKD)

Scientific Title:Acronym

A Multicenter, randomized,
parallel-group study assessing efficacy of actual support of renal replacement therapy modality selection program(CKD-SMD app) and
home blood pressure measurement system in chronic kidney disease(CKD)

Region

Japan


Condition

Condition

Patients with chronic kidney disease(CKD)

Classification by specialty

Nephrology Nursing Adult

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

This study aimed to develop a support decision making (SDM) application for patients with chronic kidney disease (CKD), to prevent their future disease progression and support decision making regarding renal replacement therapy (RRT) and uncover the effect of SDM application for patients with CKD, to prevent their future disease progression and support decision making RRT .

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

*The data of blood pressure:(Changes in the data of home blood pressure)

Key secondary outcomes

*Renal function:Blood sampling data (Hb,Ht,RBC.eGFR, S-cre, BUN), Spot urine measured on one occasion (proteinuria or albuminuria) s
*Self efficacy,Kidney disease burden,Knowledge level of self management in CKD,Kind of decision for renal replacement therapy


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

No treatment

Stratification

YES

Dynamic allocation

NO

Institution consideration


Blocking

NO

Concealment

Numbered container method


Intervention

No. of arms

2

Purpose of intervention

Educational,Counseling,Training

Type of intervention

Device,equipment Behavior,custom Other

Interventions/Control_1

Intervention: Subjects receive usual care from the attending physician and we lend them the tablet equipped with CKD-SMD app and they are gotten browse by self during 8 weeks.(From the time of the start of the survey to next time outpatient visits). Its content is composed "Lets study CKD" and "What is RRT?"On the other hand, the advanced levels included 4 menus: "Learn and consent CKD" "The reality of hemodialysis" "The reality of peritoneal dialysis" "The reality of peritoneal dialysis" and "The reality of kidney transplantation".In addition, we lend procedure of blood pressure measurement method and sphygmomanometer with communication function for subjects,they use it to get the data of blood pressure measurement for 8 weeks. After that we will recover the machines from them. And they answer the questionnaire three times(baseline and next time outpatient visits and after 6 months finished the examination).

Interventions/Control_2

Control : Subjects receive usual care from the attending physician.In addition, we lend procedure of blood pressure measurement method andsphygmomanometer with communication function for subjects,they use it to get the data of blood pressure measurement for 8 weeks.After that we will recover the machine from them. And they answer the questionnaire three times baseline and next time outpatient visits and after 6 months finished the examination).

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

The inclusion criteria are patients in the kidney internal medicine hospital and to be assure by doctor.
Patients before renal replacement therapy selection and eGFR<60.
To participate in this study received sufficient information, obtained the written consent by the free will of the individual.

Key exclusion criteria

Investigator or investigator be inappropriate as determined.
After renal transplantation.
they are likely to introduce renal replacement therapy within one month.
Minor

Target sample size

68


Research contact person

Name of lead principal investigator

1st name Shiho
Middle name
Last name Shiho Kosaka

Organization

Department of Sophia University

Division name

Nursing

Zip code

1618550

Address

4-16-11,shimo-otiai shinjyukuku, Tokyo

TEL

03-3950-6159

Email

skosaka-tky@umin.ac.jp


Public contact

Name of contact person

1st name Shiho
Middle name
Last name Kosaka

Organization

Department of Sophia University

Division name

Nursing

Zip code

1618550

Address

4-16-11,shimo-otiai shinjyukuku, Tokyo

TEL

03-3950-6159

Homepage URL


Email

skosaka-tky@umin.ac.jp


Sponsor or person

Institute

Department of Sophia University

Institute

Department

Personal name



Funding Source

Organization

MEXT(Japan)

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor

Toranomon Hospital Kajigaya, Department of Internal Medicine, Hospital Kidney Center.

Name of secondary funder(s)



IRB Contact (For public release)

Organization

Sophia University IRB

Address

4 Yonbancho Chiyoda Tokyo

Tel

03-3238-4050

Email

farie3@sophia.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

虎の門病院分院 腎センター(神奈川)


Other administrative information

Date of disclosure of the study information

2017 Year 01 Month 22 Day


Related information

URL releasing protocol

https://upload.umin.ac.jp/cgi-open-bin/icdr/ctr_regist.cgi?recptno=R000028795&flwp_key=9005eSwtTcNA7

Publication of results

Partially published


Result

URL related to results and publications

https://upload.umin.ac.jp/cgi-bin/icdr/ctr_up_reg_f5.cgi

Number of participants that the trial has enrolled

54

Results

All participants baseline data were the mean (SD) age, eGFR, and HBPM (morning and evening) of participants were 70.7(11.0) years, 37.0ml/min per 1.73 m2, and 133.7/78.3 and 130.5/76.0mmHg, respectively. No significant differences between groups were observed at baseline. In the female intervention group, the morning systolic blood pressure (SBP) difference significantly decreased, -7.7 vs. -2.6 mmHg (p<0.05).

Results date posted

2019 Year 07 Month 27 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

This study was a randomized, controlled trial involving 54 patients with stage 3, 4, or 5 non-dialysis CKD

Participant flow

The intervention group was provided with a tablet equipped with the CKD-SDM app. An automated sphygmomanometer for home blood pressure monitoring (HBPM) was used in both groups for 8 weeks.

Adverse events

nothing

Outcome measures

change in HBPM,changes in renal functions and self-management knowledge level

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Main results already published

Date of protocol fixation

2017 Year 02 Month 27 Day

Date of IRB

2017 Year 02 Month 27 Day

Anticipated trial start date

2017 Year 03 Month 07 Day

Last follow-up date

2018 Year 06 Month 30 Day

Date of closure to data entry

2018 Year 09 Month 30 Day

Date trial data considered complete

2018 Year 12 Month 31 Day

Date analysis concluded

2020 Year 03 Month 31 Day


Other

Other related information



Management information

Registered date

2017 Year 01 Month 22 Day

Last modified on

2019 Year 07 Month 27 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000028795


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name