UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000026741
Receipt number R000030011
Scientific Title A trial to examine the effect of intensive UA-lowering therapy in patients with CKD and hyperuricemia
Date of disclosure of the study information 2017/03/28
Last modified on 2022/04/05 18:10:18

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Basic information

Public title

A trial to examine the effect of intensive UA-lowering therapy in patients with CKD and hyperuricemia

Acronym

A trial to examine the effect of intensive UA-lowering therapy in patients with CKD and hyperuricemia(TARGET-UA)

Scientific Title

A trial to examine the effect of intensive UA-lowering therapy in patients with CKD and hyperuricemia

Scientific Title:Acronym

A trial to examine the effect of intensive UA-lowering therapy in patients with CKD and hyperuricemia(TARGET-UA)

Region

Japan


Condition

Condition

Patients with CKD and hyperuricemia

Classification by specialty

Cardiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

efficacy

Basic objectives2

Safety

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

changes in urinary albumin-to-creatinine ratio

Key secondary outcomes



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

Treatment

Type of intervention

Medicine

Interventions/Control_1

Group A: Intensive therapy group with Topiroxostat
Target serum uric acid level: 4.0 mg/dL to 5.0 mg/dL
The treatment period: 12 months
Maximum usage of Topiroxostat is 160 mg per day.

Interventions/Control_2

Group B: Standard therapy group with Topiroxostat
Target serum uric acid level: 6.0 mg/dL to 7.0 mg/dL
The treatment period : 12 months
Maximum usage of Topiroxostat is 160 mg per day.

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

Including criteria
1.Patinets aged 20 years and older
2.Stage 3 CKD patients(30<=eGFR<60 ml/min/1.73m2)whose urinary protein excretion is less than 0.5g/gCre or urinary albumin excretion is less than 300mg/gCre.
3.Patients whose serum uric acid level is higher than 8.0 mg/dl,
or patients with allopurinol and/or benzbromarone whose serum uric acid level is higher than 7.0 mg/dl

Key exclusion criteria

Excluding criteria
1. History of hypersensitivity to topiroxostat
2. Being treated with either febuxostat or topiraxostat
3. History of repeated gouty arthritis attack
4. History of attacks of urinary stone within 6 months
5. Obstructive urinary tract disorders
6. Primary or secondary hyperuricemia (congenital myogenic hyperuricemia, hematopoietic tumor, solid tumor, secondary polycythemia, hemolytic anemia, tumor lysis syndrome, rhabdomyolysis, multiple sclerosis, multiple juvenile gout nephropathy, polycystic kidney etc.)
7. active malignancy
8. Severe hepatic dysfunctions (transaminase >= 100 IU / L)
9. Poorly controlled diabetes mellitus (HbA1c> 8.4%)
10. Severe hypertension (sBP >= 180 mm Hg or dBP >= 110 mm Hg)
11. Pregnant patients / lactating patients, female patients who wish to become pregnant during the study
12. Being or supposed to be under medication with mercaptopurine hydrate and azathioprine that are contraindicated with topiroxostat.
13. Any antihypertensive drugs have been changed within a month or will be changed after the trial registration
14. Currently participating in other intervention studies (no restrictions are applied to participation in other observational study)
15. Suffering acute illnesses that may affect the effectiveness and safety until the main registration after primary registration
16. The participation to this study is judged inappropriate by the attending physicianto

Target sample size

370


Research contact person

Name of lead principal investigator

1st name Yoshihiko
Middle name
Last name Saito

Organization

Nara medical Univ

Division name

Department of cardiovascular medicine

Zip code

634-8521

Address

840 Shijo-cho Kashihara Nara

TEL

0744-22-3051

Email

yssaito@naramed-u.ac.jp


Public contact

Name of contact person

1st name Masato
Middle name
Last name Kasahara

Organization

Nara Medical University Hospital

Division name

Institute for Clinical and Translational Science

Zip code

634-8522

Address

840 Shijo-cho Kashihara Nara

TEL

0744-22-3051

Homepage URL


Email

kasa@naramed-u.ac.jp


Sponsor or person

Institute

Nara medical Univ

Institute

Department

Personal name



Funding Source

Organization

FUJIYAKUHIN

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 Certified Review Board

Address

840 Shijo-cho Kashihara Nara

Tel

0744-29-8835

Email

ethics_nara@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

2017 Year 03 Month 28 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

2017 Year 03 Month 13 Day

Date of IRB

2017 Year 04 Month 17 Day

Anticipated trial start date

2017 Year 06 Month 01 Day

Last follow-up date

2021 Year 08 Month 31 Day

Date of closure to data entry

2021 Year 09 Month 24 Day

Date trial data considered complete

2021 Year 10 Month 31 Day

Date analysis concluded

2022 Year 03 Month 31 Day


Other

Other related information



Management information

Registered date

2017 Year 03 Month 28 Day

Last modified on

2022 Year 04 Month 05 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000030011


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name