UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000035377
Receipt number R000040263
Scientific Title Study of Idiopathic Normal Pressure Hydrocephalus on Neurological Improvement part 3 -Effectiveness and safety of shunt surgery for idiopathic normal pressure hydrocephalus patients with Alzheimer's disease pathology
Date of disclosure of the study information 2019/04/01
Last modified on 2024/01/10 09:20:43

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Basic information

Public title

Study of Idiopathic Normal Pressure Hydrocephalus on Neurological Improvement part 3 -Effectiveness and safety of shunt surgery for idiopathic normal pressure hydrocephalus patients with Alzheimer's disease pathology

Acronym

SINPHONI-3

Scientific Title

Study of Idiopathic Normal Pressure Hydrocephalus on Neurological Improvement part 3 -Effectiveness and safety of shunt surgery for idiopathic normal pressure hydrocephalus patients with Alzheimer's disease pathology

Scientific Title:Acronym

SINPHONI-3

Region

Japan


Condition

Condition

idiopathic normal pressure hydrocephalus

Classification by specialty

Neurology Psychiatry Radiology
Neurosurgery Rehabilitation medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To verify the efficacy and safety of shunt surgery for idiopathic normal pressure hydrocephalus patients with Alzheimer's disease pathology in a randomized controlled trial

Basic objectives2

Others

Basic objectives -Others

To assess long-term benefits of shunt surgery for idiopathic normal pressure hydrocephalus

Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

More than 1 level improvement on modified Rankin scale 24 months after randomization

Key secondary outcomes

1)More than 1 level improvement on modified Rankin scale 12 months after randomization
2)Improvement of gait, cognitive, and urinary dysfunction every 3 months after randomization
3)Longitudinal changes of the value of CSF biomarker


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -but assessor(s) are blinded

Control

Active

Stratification

NO

Dynamic allocation

YES

Institution consideration

Institution is considered as adjustment factor in dynamic allocation.

Blocking

NO

Concealment

Central registration


Intervention

No. of arms

3

Purpose of intervention

Treatment

Type of intervention

Maneuver

Interventions/Control_1

To assess an incidence of one point or more improvement on modified Rankin scale at 24 months after randomization in idiopathic normal pressure hydrocephalus with Alzheimer's disease pathology

Interventions/Control_2

To assess an incidence of one point or more improvement on modified Rankin scale at 24 months after randomization with rehabilitation or standard treatment for Alzheimer's disease in idiopathic normal pressure hydrocephalus with Alzheimer's disease pathology

Interventions/Control_3

To assess an incidence of one point or more improvement on modified Rankin scale at 24 months after allocation in idiopathic normal pressure hydrocephalus without Alzheimer's disease pathology

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

60 years-old <=

Age-upper limit

85 years-old >

Gender

Male and Female

Key inclusion criteria

1) 60 - 84 years old
2)gait disturbance caused by idiopathic normal pressure hydrocephalus
3)ventriculomegaly (Evans index > 0.3)
4)high convexity tightness in coronal MRI
5)idiopathic

Key exclusion criteria

1) unpromising improvement due to motor, visceral or psychiatric disorders
2)association with malignancy or difficulty in one-year follow-up
3)hemorrhagic diathesis, coagulopathy or hemorrhagic disorders(intracerebral hemorrhage, subarachnoid hemorrhage)
4)hepatic failure
5)renal failure requiring artificial dialysis
6)planned major surgery during the study period
7)on medication with anticoagulant or antiplatelet agents without interruption
8)unsuitable by the decision of doctors

Target sample size

150


Research contact person

Name of lead principal investigator

1st name Etsuro
Middle name
Last name Mori

Organization

Osaka University United Graduate School of Child Development

Division name

Department of Behavioral Neurology and Neuropsychiatry

Zip code

565-0871

Address

2-2, Yamadaoka, Suita Osaka

TEL

06-6879-3373

Email

dbnn@psy.med.osaka-u.ac.jp


Public contact

Name of contact person

1st name Etsuro
Middle name
Last name Mori

Organization

Osaka University United Graduate School of Child Development

Division name

Department of Behavioral Neurology and Neuropsychiatry

Zip code

565-0871

Address

2-2, Yamadaoka, Suita Osaka

TEL

06-6879-3373

Homepage URL


Email

dbnn@psy.med.osaka-u.ac.jp


Sponsor or person

Institute

The Japanese Society of NPH

Institute

Department

Personal name



Funding Source

Organization

Ministry of Health, Labour and Welfare

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Osaka University Clinical Research Review Committee

Address

2-2, Yamadaoka, Suita Osaka

Tel

06-6210-8296

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

2019 Year 04 Month 01 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

No longer recruiting

Date of protocol fixation

2018 Year 11 Month 14 Day

Date of IRB

2019 Year 05 Month 27 Day

Anticipated trial start date

2019 Year 08 Month 01 Day

Last follow-up date

2026 Year 01 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2018 Year 12 Month 27 Day

Last modified on

2024 Year 01 Month 10 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000040263


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name