UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000035333
Receipt number R000040254
Scientific Title Clinical study of the effect of disposable warmer on Vasodilatation/Angiogenesis for the patients with Upper limb Circulation disorder
Date of disclosure of the study information 2018/12/21
Last modified on 2024/01/19 19:20:45

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Basic information

Public title

Clinical study of the effect of disposable warmer on Vasodilatation/Angiogenesis for the patients with Upper limb Circulation disorder

Acronym

VANG-UCir

Scientific Title

Clinical study of the effect of disposable warmer on Vasodilatation/Angiogenesis for the patients with Upper limb Circulation disorder

Scientific Title:Acronym

VANG-UCir

Region

Japan


Condition

Condition

Systemic Sclerosis

Classification by specialty

Medicine in general

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

For patients with systemic sclerosis showing Raynaud's phenomenon, it is examined whether warming the cervix, elbow or hand joint with a warmer to see if the effect on the vasodilator and angiogenic factors in the periphery of the fingers appears .

Basic objectives2

Others

Basic objectives -Others

To explore the induction by the heat stimulation.

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Serum concentration of angiopoietin-1

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

80 years-old >

Gender

Male and Female

Key inclusion criteria

Out-patients of Osaka University Hospital
Patients who are participating the Clinical study of Usability and Safety under the use of disposable warmer on each site for the patients with Upper limb Circulation disorder (US-UCir).

Key exclusion criteria

1. Patients who conflict with exclusion criteria of the Clinical study of Usability and Safety under the use of disposable warmer on each site for the patients with Upper limb Circulation disorder (US-UCir).
2. Patients who have difficulty drawing blood from the elbow vein by curing limbs.
3. Patients with skin ulcer at the apex of the finger.
4. Patients judged by the researcher as inappropriate.

Target sample size

20


Research contact person

Name of lead principal investigator

1st name Yoshihito
Middle name
Last name Shima

Organization

Osaka University Graduate School of Medicine

Division name

Laboratory of Thermo-therapeutics for Vascular dysfunction

Zip code

5650871

Address

1-3 Yamada-oka, Suita city, 565-0871 Osaka, Japan

TEL

06(6105)5710

Email

ryanjin@imed3.med.osaka-u.ac.jp


Public contact

Name of contact person

1st name Akane
Middle name
Last name Watanabe

Organization

Osaka University Graduate School of Medicine

Division name

Laboratory of Thermo-therapeutics for Vascular dysfunction

Zip code

5650871

Address

1-3 Yamada-oka, Suita city, 565-0871 Osaka, Japan

TEL

06(6105)5710

Homepage URL


Email

a.watanabe@imed3.med.osaka-u.ac.jp


Sponsor or person

Institute

Osaka University

Institute

Department

Personal name



Funding Source

Organization

Joint research project of Osaka University with Kiribai Chemical Co.,Ltd. and Kobayashi Pharmaceutical Co.,Ltd.

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization

JP


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Ethical committee of Osaka University Hospital

Address

2-2 Yamada-oka, Suita city, 565-0871 Osaka, Japan

Tel

0668795111

Email

rinri@hp-crc.med.osaka-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

2018 Year 12 Month 21 Day


Related information

URL releasing protocol

https://academic.oup.com/mr/article/32/2/351/6363900?login=true

Publication of results

Published


Result

URL related to results and publications

https://academic.oup.com/mr/article/32/2/351/6363900?login=true

Number of participants that the trial has enrolled

15

Results

In cubital vein blood samples, no changes were observed in the average angiopoietin-1, angiopoietin-2, VEGF, and endostatin concentrations before and after warming the neck, both elbows, and both wrists.
In the fingertip blood samples, angiopoietin-1 concentration increased after warming any sites, and endostatin concentration increased after wrist warming. Angiopoietin-2 and VEGF were not detected in fingertip blood samples.

Results date posted

2024 Year 01 Month 19 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

The average age of 14 cases was 60 years old. The average disease period was 13 years. There were 10 women and 4 male cases. There were seven cases of diffuse cutaneous SSc, and seven cases of limited cutaneous SSc. There were seven prednisolone users, and the average dose was 7.38 mg/day. There were three beraprost users, and their average dose was 120microg/day. There were three bosentan users, and their average dose was 125 mg/day.

Participant flow

Sixteen SSc patients were enrolled in this study. One patient withdrew the consent, and one patient was not eligible. Fourteen participants finished all processes of this study.

Adverse events

There were five events of a minor burn; three occurred after the neck heating and the remaining two occurred after the elbow heating. All of them were epidermal and were cured. Eczema, probably due to increased sweating, was observed in one patient after neck heating. Two patients showed fingertip changes (epidermal peeling and laceration) during the interval period. One patient experienced parotid swelling during the pre-treatment observation period.

Outcome measures

Angiopoietin-1, a capillary stabilizing factor, was increased by heating the neck, elbow, and wrist in the fingertips of SSc patients whose peripheral capillaries are damaged. It is expected that heating these areas will reduce capillary damage of SSc patients' hands. In the UMINAAA study, warming of the neck and elbows was effective in improving Raynaud's phenomenon, and warming of the wrists was not effective. It is speculated that this may be related to the increase in endostatin, a capillary inhibitory factor, observed in this study after warming the wrist.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2018 Year 12 Month 12 Day

Date of IRB

2018 Year 11 Month 29 Day

Anticipated trial start date

2019 Year 01 Month 11 Day

Last follow-up date

2021 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

Serum angiopoietin-1 and eNOS concentrarion are going to measure.


Management information

Registered date

2018 Year 12 Month 21 Day

Last modified on

2024 Year 01 Month 19 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000040254


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name