UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000027717
Receipt number R000031752
Scientific Title The investigation about bone metabolism and sarcopenia among chronic hepatitis C patients and the impacts of DAAs combination therapy.
Date of disclosure of the study information 2017/06/11
Last modified on 2023/06/16 18:15:42

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Basic information

Public title

The investigation about bone metabolism and sarcopenia among chronic hepatitis C patients and the impacts of DAAs combination therapy.

Acronym

The investigation about bone metabolism and sarcopenia among CHC patients and the impacts of DAAs.

Scientific Title

The investigation about bone metabolism and sarcopenia among chronic hepatitis C patients and the impacts of DAAs combination therapy.

Scientific Title:Acronym

The investigation about bone metabolism and sarcopenia among CHC patients and the impacts of DAAs.

Region

Japan


Condition

Condition

Chronic hepatitis C

Classification by specialty

Hepato-biliary-pancreatic medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The purpose of this study is to investigate the actual situation of bone metabolism and sarcopenia among the CHC patients, and to clarify the impacts of DAAs combination therapy for CHC patients by analyzing the change of bone metabolism and sarcopenia before and after DAAs combination therapy.

Basic objectives2

Others

Basic objectives -Others

To clarify the changes of bone density, biochemical markers about bone metabolism, and muscular strength among the chronic hepatitis C patients who achieved SVR after DAAs combination therapy.

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

The changes of bone density, biochemical markers about bone metabolism, and muscular strength among the chronic hepatitis C patients who achieved SVR after DAAs combination therapy.

Key secondary outcomes



Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


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

85 years-old >

Gender

Male and Female

Key inclusion criteria

The patients with chronic hepatitis C

Key exclusion criteria

1. Patient who already takes some medicine affecting bone density
2. Patient who is nursing or pregnant
3. Patient with uncontrolled heart failure
4. Patient with uncontrolled hypertension or diabetes
5. Patient with chronic renal failure
6. Patient with decompensated liver cirrhosis
7. Patient with other liver diseases, including autoimmune hepatitis, primary biliary cirrhosis and alcoholic hepatitis
8. Patient with positive result for hepatitis B surface antigen and antibody to human immunodeficiency virus type-1
9. Patient Judged by investigators not to be appropriate for inclusion in this study

Target sample size

200


Research contact person

Name of lead principal investigator

1st name Masanori
Middle name
Last name Atsukawa

Organization

Nippon Medical School Chiba Hokusoh Hospital

Division name

Division of Gastroenterology

Zip code

2701196

Address

1715,Kamakari,Inzai,Chiba, Japan

TEL

0476-99-1111

Email

atsukawa-nms@umin.ac.jp


Public contact

Name of contact person

1st name Chisa
Middle name
Last name Kondo

Organization

Nippon Medical School Chiba Hokusoh Hospital

Division name

Division of Gastroenterology

Zip code

2701196

Address

1715,Kamakari,Inzai,Chiba, Japan

TEL

0476-99-1111

Homepage URL


Email

s8042@nms.ac.jp


Sponsor or person

Institute

Nippon Medical School Chiba Hokusoh Hospital

Institute

Department

Personal name



Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Ehtics comitee of Nippon Medical School Chiba Hokusoh Hospital

Address

1715,Kamakari,Inzai,Chiba,

Tel

+81476991111

Email

araraki@nms.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 06 Month 11 Day


Related information

URL releasing protocol

https://pubmed.ncbi.nlm.nih.gov/31914479/

Publication of results

Partially published


Result

URL related to results and publications

https://pubmed.ncbi.nlm.nih.gov/31914479/

Number of participants that the trial has enrolled

204

Results

The prevalence of sarcopenia in the cirrhotic patients was significantly higher than that in the noncirrhotic patients. Sarcopenia was diagnosed in 27.5% of the 160 patients with vitamin D deficiency, and 4.5% of the 44 patients without vitamin D deficiency. On multivariate analysis, advanced age, low bodymass index and low serum 25(OH)D3 level were significant independent factors associated with sarcopenia. Serum 25(OH)D3 was positively correlated with grip strength and skeletal muscle mass index.

Results date posted

2023 Year 06 Month 16 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

This study included a total of 204 patients with chronic liver disease,comprising 43.1% men and 56.9% women with a median age of 67 years(range 24-88 years).
The causes of liver disease were CHC (n = 85), CHB (n = 17), alcoholic liver disease (n = 25), non-alcoholic fatty liver disease (n = 36), primary biliary cholangitis
(n = 19), autoimmune hepatitis (n =13), and others/unknown etiology (n = 9). A total of 18 (8.8%) patients had undergone hepatocellular carcinoma treatment.
In the study cohort, 76 (37.3%) patients were diagnosed with cirrhosis, whereas the remaining 128 (62.7%) patients did not receive a diagnosis of cirrhosis.
The median serum 25(OH)D3 level was 14.3 ng/mL.

Participant flow

This study included 204 patients with chronic liver disease who visited Nippon Medical School Chiba Hokusoh Hospital in Chiba, Japan, between March 2017 and September 2018. The primary inclusion criteria were as follows; chronic hepatitis diagnosed by laboratory tests and imaging modalities, such as computed tomography and ultrasonography,(ii) patient age >20 years, (iii) no supplementation with calcium or vitamin D, (iv) acquisition of written informed consent for analyses of serum, and (v) absence of parathyroid dysfunction and liver failure.The exclusion criteria were as follows; (i) pregnancy, (ii) pacemaker use, and (iii) presence of uncontrollable ascites.

Adverse events

None

Outcome measures

The factors associated with sarcopenia, including serum vitamin D level, in patients with chronic liver disease.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Main results already published

Date of protocol fixation

2017 Year 02 Month 01 Day

Date of IRB

2014 Year 12 Month 16 Day

Anticipated trial start date

2017 Year 02 Month 01 Day

Last follow-up date

2022 Year 01 Month 30 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

This study is an observational study analyzed the data of consecutive patients with chronic hepatitis C from February, 2017.


Management information

Registered date

2017 Year 06 Month 11 Day

Last modified on

2023 Year 06 Month 16 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000031752


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name