UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000041821
Receipt number R000047711
Scientific Title Prospective capillaroscopic observation of angiogenesis and new induction vessels by warming in systemic sclerosis
Date of disclosure of the study information 2020/09/26
Last modified on 2023/12/25 16:01:56

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Basic information

Public title

Prospective capillaroscopic observation of angiogenesis and new induction vessels by warming in systemic sclerosis

Acronym

AGNI study

Scientific Title

Prospective capillaroscopic observation of angiogenesis and new induction vessels by warming in systemic sclerosis

Scientific Title:Acronym

AGNI study

Region

Japan


Condition

Condition

Systemic sclerosis

Classification by specialty

Medicine in general Clinical immunology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To know whether the peripheral capillary density increase or capillary morphology change due to continuous warming in systemic sclerosis, capillaroscopic observation is performed to the patients.

Basic objectives2

Others

Basic objectives -Others

To find out if capillary changes can occur with sustained thermal stimulation.

Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Capillary density of the nail fold observed by capillaroscopy

Key secondary outcomes

Morphological modification of the nail fold capillary observed by capillaroscopy,
The concentrations of angiogenesis related factors in fingertip blood (angiopoietin-1, angiopoietin-2, endostatin, VEGF)


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Self control

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Device,equipment

Interventions/Control_1

Warming the upper lateral surface areas of both elbow joints using disposable warmer pads.

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

90 years-old >

Gender

Male and Female

Key inclusion criteria

1. Patients over 20 years old and under 90 years old.
2. Patients who have Raynaud's phenomenon(RP) and meet the 2013 Classification Criteria for Systemic Sclerosis (ACR/EAULAR).
3. Patients visiting the outpatient of Osaka University Hospital.
4. Patients who give written informed consent.

Key exclusion criteria

1. Another skin disease except systemic sclerosis at the site of wearing
2. Chronic febrile disease including infectious disease
3. Diabetes mellitus
4. Incapable of taking off the warmer by themselves
5. Peripheral neuropathy of upper extremities or past medical history of that
6. Vascular shunt on the arm for hemodialysis
7. Others (judged as ineligible by the responsible researcher)

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

565-0871

Address

1-3Yamada-oka, Suita, Osaka5650871, Japan

TEL

06-6105-5710

Email

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


Public contact

Name of contact person

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

565-0871

Address

1-3Yamada-oka, Suita, Osaka5650871, Japan

TEL

06-6105-5710

Homepage URL


Email

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


Sponsor or person

Institute

Osaka University Hospital

Institute

Department

Personal name



Funding Source

Organization

Kobayashi Pharmaceuticals Co.,Ltd.

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

Osaka University Clinical Research Review Committee

Address

2-2 Yamada-oka, Suita, Osaka5650871

Tel

06-6210-8289

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

2020 Year 09 Month 26 Day


Related information

URL releasing protocol

https://www.med.osaka-u.ac.jp/pub/thermo/research04.html

Publication of results

Unpublished


Result

URL related to results and publications

Unpublished

Number of participants that the trial has enrolled

20

Results

Angiopoietin-1 levels in blood at the fingertip increased after heating. This increase persisted at four weeks after the end of heating.
Capillary density changes in the anteriormost capillaries did not show a consistent trend.
The percentage of capillaries in the anterior-most row with normal hairpin shape increased after the heating.

Results date posted

2023 Year 03 Month 28 Day

Results Delayed

Delay expected

Results Delay Reason

We are writing the manuscript about this study.

Date of the first journal publication of results


Baseline Characteristics

In nineteen subjects, excluding one case without any intervension for even one day,the average age was 55.9 years old, 3 males and 16 females. There were 14 patients with lcSSc and 5 patients with dcSSc. The mean disease duration was 13.3 years. The average mRSS was 4 points.

Participant flow

Twenty patients with systemic sclerosis (SSc) participated; one dropped out without a day's intervention due to hospitalization for causes other than SSc; two participants withdrew of their own volition; 17 participants completed the entire procedure.

Adverse events

The following adverse evets were observed; skin striae:1, reticular dermatitis:1, skin redness:1, burns:3, skin itching:1. Of these, 2 burns were treated with topical agents. Others recovered without treatment.

Outcome measures

Concentration of Angiopoietin-1 in fingertip blood, number of nail canal capillaries in the front row of the 4th finger observed by capillaroscopy, and their morphology

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

No longer recruiting

Date of protocol fixation

2020 Year 09 Month 09 Day

Date of IRB

2020 Year 09 Month 24 Day

Anticipated trial start date

2020 Year 10 Month 01 Day

Last follow-up date

2021 Year 06 Month 30 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2020 Year 09 Month 17 Day

Last modified on

2023 Year 12 Month 25 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000047711


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name