UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000051706
Receipt number R000059001
Scientific Title Impact of online medical assistance using a smartphone for primary physicians and patients with chronic kidney disease on clinical practice and patients' outcome.
Date of disclosure of the study information 2023/08/01
Last modified on 2023/07/25 06:31:13

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Basic information

Public title

Impact of online medical assistance using a smartphone for primary physicians and patients with chronic kidney disease on clinical practice and patients' outcome.

Acronym

Effectiveness of smartphone based online medical assistance in chronic kidney disease

Scientific Title

Impact of online medical assistance using a smartphone for primary physicians and patients with chronic kidney disease on clinical practice and patients' outcome.

Scientific Title:Acronym

Effectiveness of smartphone based online medical assistance in chronic kidney disease

Region

Japan


Condition

Condition

Chronic kidney disease

Classification by specialty

Nephrology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the non-inferiority of online medical assistance for primary physicians and patients (Doctor to patients with doctor; D to P with D) compared to conventional face-to-face care by nephrologists, not only in improving family doctor and patient satisfaction, but also in preventing CKD progression and improving prognosis

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

1) Prognosis of renal function during the 2-year observation period
2) Patient and institution characteristics in face-to-face care and online medical assistance care

Key secondary outcomes

1) Assessment of institutional and patient satisfaction using questionnaires
2) Expanded MACE (non-fatal myocardial infarction and stroke, cardiovascular death, heart failure for hospitalization, unstable angina, percutaneous coronary intervention)during the 2-year observation period
3) Number of online medical assistance, number of visits to family doctors, and number of visits to nephrologists during the observation period


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

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Patients with CKD stage G3b-4 (eGFR 15-<45ml/min/1.73m2) aged 18 years or older who have given written consent to participate in this study and to receive online medical assistance, and family doctors that have agreed to participate in this study

Key exclusion criteria

1) Patients with suspected rapid progressive glomerulonephritis syndrome
2) Patients with suspected nephrotic syndrome
3) Heart failure (NYHA 3and 4)
4) Poorly controlled hypertension (systolic blood pressure 180mmHg or more, diastolic blood pressure 110mmHg or more)
5) Patients whose participation in this study is deemed inappropriate by the physician

Target sample size

400


Research contact person

Name of lead principal investigator

1st name Terumasa
Middle name
Last name Hayashi

Organization

Osaka General Medical Center

Division name

Department of Kidney Disease and Hypertension

Zip code

558-8558

Address

3-1-56 Bandaihigashi Sumiyoshi-ku, Osaka

TEL

06-6692-1201

Email

t-hayashi@abelia.ocn.ne.jp


Public contact

Name of contact person

1st name Terumasa
Middle name
Last name Hayashi

Organization

Osaka General Medical Center

Division name

Department of Kidney Disease and Hypertension

Zip code

558-8558

Address

3-1-56 Bandaihigashi Sumiyoshi-ku, Osaka

TEL

0666921201

Homepage URL


Email

t-hayashi@abelia.ocn.ne.jp


Sponsor or person

Institute

Osaka General Medical Center

Institute

Department

Personal name

Terumasa Hayashi


Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Clinical Medical Ethics Review Board, Osaka General Medical Center

Address

3-1-56 Bandaihigashi, Sumiyoshi-ku, Osaka

Tel

06-6692-1201

Email

kenkyu@gh.opho.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 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

Preinitiation

Date of protocol fixation

2023 Year 05 Month 18 Day

Date of IRB


Anticipated trial start date

2023 Year 08 Month 01 Day

Last follow-up date

2027 Year 07 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

Prospective observational study to examine the non-inferiority of the online medical assistance group to the in-person group for the primary endpoint (eGFR 50% reduction, eGFR <15 ml/min/1,73 m2, and initiation of renal replacement therapy) during a 2-year observation period


Management information

Registered date

2023 Year 07 Month 25 Day

Last modified on

2023 Year 07 Month 25 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000059001


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name