UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000051595
Receipt number R000058865
Scientific Title Comparison of treatment status of patients with acute heart failure before and after the spread of COVID19 infection (Cohort observational study using DPC data)
Date of disclosure of the study information 2023/08/10
Last modified on 2023/07/12 18:02:37

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Basic information

Public title

Comparison of treatment status of patients with acute heart failure before and after the spread of COVID19 infection

Acronym

Comparison of treatment status of patients with acute heart failure before and after the spread of COVID19 infection

Scientific Title

Comparison of treatment status of patients with acute heart failure before and after the spread of COVID19 infection (Cohort observational study using DPC data)

Scientific Title:Acronym

Comparison of treatment status of patients with acute heart failure before and after the spread of COVID19 infection

Region

Japan


Condition

Condition

Heart failure

Classification by specialty

Cardiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The primary objective is to compare NPPV usage on admission days before and after the COVID-19 emergency declaration in COVID-19 non-infected acute heart failure inpatients who were urgently transported to a COVID-19 receiving facility. The secondary purpose is to compare the length of hospital stay, in-hospital death, tracheal intubation, high-flow oxygen therapy and cardiac rehabilitation, and the prescription conditions such as frosemid before and after the spread of COVID-19 infection in the target patients.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Explanatory

Developmental phase

Not applicable


Assessment

Primary outcomes

-Implementation of NPPV

Key secondary outcomes

- Hospitalization period
- In-hospital death
- Implementation of tracheal intubation


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

19 years-old <=

Age-upper limit

100 years-old >=

Gender

Male and Female

Key inclusion criteria

COVID-19 during each enrollment period before and after the declaration of an emergency,the name of injury or illness that triggered hospitalization was heart failure(see Table 8-5) and the patient was admitted to the emergency medical care hospital (the same patient was present).If so, give priority to the first hospitalization)

Key exclusion criteria

- Patients under the age of 18 as of Index Date.
- Patients undergoing dialysis within 2 days after admission.
- Patients with COVID-19 diagnosis (ICD-10: U07.1 COVID19 virus, identified) from 1 year before admission to the date of discharge.
- Patients with a diagnosis of respiratory infection (tonsillitis, upper respiratory tract inflammation, influenza, viral pneumonia, pneumonia, aspiration pneumonia, etc.) at the time of admission.
- Patients with "acute respiratory distress syndrome (J80)", "end-stage renal failure (N185)", "cardiopulmonary arrest at admission (I469)" at admission.

Target sample size

5000


Research contact person

Name of lead principal investigator

1st name Miyuki
Middle name
Last name Mastukawa

Organization

Otsuka Pharmaceutical Co., Ltd.

Division name

Medical Affairs

Zip code

5400021

Address

3-2-27 Otedori, Chuo-ku, Osaka 540-0021, Japan

TEL

06-6943-7722

Email

Matsukawa.Miyuki@otsuka.jp


Public contact

Name of contact person

1st name Miyuki
Middle name
Last name Matsukawa

Organization

Otsuka Pharmaceutical Co., Ltd.

Division name

Medical Affairs

Zip code

5400021

Address

3-2-27 Otedori, Chuo-ku, Osaka 540-0021, Japan

TEL

08067917646

Homepage URL


Email

matsukawa.miyuki@otsuka.jp


Sponsor or person

Institute

Otsuka Pharmaceutical Co., Ltd.

Institute

Department

Personal name



Funding Source

Organization

Otsuka Pharmaceutical 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

Otsuka Pharmaceutical Co., Ltd. Research Division Research Ethics Committee

Address

463-10 Kagasuno, Kawauchi Town, Tokushima City, Tokushima Prefecture

Tel

088-665-2126

Email

Imaizumi.Takashi@otsuka.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

2023 Year 08 Month 10 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

11909

Results

We found a significant decrease in NPPV implementation rate in the eligible patient population, and a decreasing trend in COVID-19 receiving facilities and emergency declaration response areas. Tracheal intubation was increased in all populations. In addition, the financial burden associated with the treatment for acute HF notably increased following the pandemic. The COVID-19 pandemic substantially affected our clinical practices in patients with acute HF.

Results date posted

2023 Year 07 Month 12 Day

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

Completed

Date of protocol fixation

2022 Year 08 Month 09 Day

Date of IRB

2022 Year 07 Month 26 Day

Anticipated trial start date

2022 Year 09 Month 20 Day

Last follow-up date

2023 Year 04 Month 04 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

N/A


Management information

Registered date

2023 Year 07 Month 12 Day

Last modified on

2023 Year 07 Month 12 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000058865


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name