UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000036201
Receipt number R000041238
Scientific Title Analysis of relation between itraconazole blood concentration and body clinical dynamics,laboratory test values
Date of disclosure of the study information 2019/03/14
Last modified on 2021/09/13 16:41:23

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Basic information

Public title

Analysis of relation between itraconazole blood concentration and body clinical dynamics,laboratory test values

Acronym

Analysis of relation between itraconazole blood concentration and body clinical dynamics,laboratory test values

Scientific Title

Analysis of relation between itraconazole blood concentration and body clinical dynamics,laboratory test values

Scientific Title:Acronym

Analysis of relation between itraconazole blood concentration and body clinical dynamics,laboratory test values

Region

Japan


Condition

Condition

Immunocompromised patients

Classification by specialty

Medicine in general

Classification by malignancy

Others

Genomic information

YES


Objectives

Narrative objectives1

In this study, itraconazole and its metabolites (OH - ITZ), keto form (keto - ITZ), dealkylated form (ND - ITZ)) were measured in patients with compromised infection. To clarify the relationship between the blood concentration of ITZ and clinical laboratory values, and to establish a prediction method of blood kinetics.

Basic objectives2

PK,PD

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

1) The total blood concentration and free form blood concentration (including optical isomers) of ITZ and its metabolites (OH - ITZ, Keto - ITZ, ND - ITZ)2) Free form fraction of ITZ and its metabolites
3) Blood kinetics Parameter fluctuation factors (clinical laboratory values, glycoalbumin, diseases, concomitant medications, inflammatory markers, liver and kidney function markers)
Study 1: Relationship between blood concentration and liver function marker (concentration of CYP3A active marker (4B hydroxylated cholesterol in the blood, 25 hydroxylated vitamin D3 in blood, miRNA-24b), drug metabolizing enzymes (CYP3A4, CYP3A5) Genetic polymorphism of drug transport carriers (OATP 1 B 1, OATP 1 B 3, ABCB 1, ABCC 2, ABCG 2, MATE 1, MATE 2), total bilirubin, coproporphyrin etc.)
Study 2: Relationship between blood concentration and kidney function marker (creatinine, cystatin C, BUN, etc.)

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


Not applicable

Gender

Male and Female

Key inclusion criteria

1) Patients who is over 20 years old and has been taking at least 14 days after starting taking itraconazole
2) Patients who judged that doctor can participate in this research
3) Patients who was able to obtain consent by signing the consent form by the person himself / herself to participate in this research
4) Patients who gained consent by consent form regarding use of the sample or information for research

Key exclusion criteria

exclusion criteria: (1) patients who were being co-treated with a strong inducer or inhibitor of CYPs, including macrolide antibiotics, rifampicin, and carbamazepine (2) patients who were receiving administration of cyclosporin A; (3) patients who were receiving ITZ oral solution except for before bedtime; (4) patients who were being co-treated with more than 1 g per day of sulfamethoxazole (5) patients who had severe bacterial or mycotic infections; (6) patients with hepatic dysfunction (serum total bilirubin > 2.0 mg/dL) before starting ITZ; (7) patients with more than 1.5 mg/dL of serum creatinine before staring ITZ; and (8) patients with poor adherence based on pharmacist interviews and medical records; (9) patients who judged that doctor is inappropriate ; (10) patients who did not obtain consent to participate in this research

Target sample size

120


Research contact person

Name of lead principal investigator

1st name Junichi
Middle name
Last name Kawakami

Organization

Hamamatsu University School of Medicine

Division name

Department of Hospital Pharmacy

Zip code

4313192

Address

1-20-1 Handayama, Higashi-ku, Hamamatsu 431-3192, Japan

TEL

0534352763

Email

kawakami-ham@umin.ac.jpp


Public contact

Name of contact person

1st name Yumi
Middle name
Last name Imoto

Organization

Hamamatsu University School of Medicine

Division name

Department of Hospital Pharmacy

Zip code

4313192

Address

1-20-1 Handayama, Higashi-ku, Hamamatsu 431-3192, Japan

TEL

0534352763

Homepage URL


Email

yimoto@hama-med.ac.jp


Sponsor or person

Institute

Hamamatsu University School of Medicine Department of Hospital Pharmacy

Institute

Department

Personal name



Funding Source

Organization

Self-procurement

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Institutional Review Board of Hamamatsu University Hospital

Address

1-20-1 Handayama, Higashi-ku, Hamamatsu 431-3192, Japan

Tel

0534352850

Email

maiko615@hama-med.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 03 Month 14 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

Enrolling by invitation

Date of protocol fixation

2017 Year 01 Month 27 Day

Date of IRB

2017 Year 03 Month 06 Day

Anticipated trial start date

2017 Year 03 Month 06 Day

Last follow-up date

2025 Year 02 Month 28 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

none


Management information

Registered date

2019 Year 03 Month 14 Day

Last modified on

2021 Year 09 Month 13 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000041238


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name