UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000053556
Receipt number R000061115
Scientific Title Monitoring the Efficacy of Tafamidis in ATTR Cardiac Amyloidosis by MRI-ECV: A Systematic Review and Meta-Analysis
Date of disclosure of the study information 2024/02/06
Last modified on 2024/02/06 17:32:12

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Basic information

Public title

Monitoring the Efficacy of Tafamidis in ATTR Cardiac Amyloidosis by MRI-ECV: A Systematic Review and Meta-Analysis

Acronym

Monitoring the Efficacy of Tafamidis in ATTR Cardiac Amyloidosis by MRI-ECV: A Systematic Review and Meta-Analysis

Scientific Title

Monitoring the Efficacy of Tafamidis in ATTR Cardiac Amyloidosis by MRI-ECV: A Systematic Review and Meta-Analysis

Scientific Title:Acronym

Monitoring the Efficacy of Tafamidis in ATTR Cardiac Amyloidosis by MRI-ECV: A Systematic Review and Meta-Analysis

Region

Japan


Condition

Condition

Tafamidis is a drug that improves the prognosis of transthyretin amyloid cardiomyopathy (ATTR-CM), but its primary effect is inhibition rather than improvement of amyloid deposition, making it difficult to assess therapeutic efficacy. The usefulness of monitoring treatment response using extracellular volume fractions (ECVs) with magnetic resonance imaging (MRI) has been reported, and we will perform a meta-analysis to evaluate the usefulness of this method.

Classification by specialty

Medicine in general Cardiology Radiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Tafamidis is a drug that improves the prognosis of transthyretin amyloid cardiomyopathy (ATTR-CM), but its primary effect is inhibition rather than improvement of amyloid deposition, making it difficult to assess therapeutic efficacy. The usefulness of monitoring treatment response using extracellular volume fractions (ECVs) with magnetic resonance imaging (MRI) has been reported, and we will perform a meta-analysis to evaluate the usefulness of this method.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Inverse variance meta-analysis using a random effects model will be performed to evaluate the rate of change in MRI-ECV before and after tafamidis treatment. The analysis will also be performed by classifying patients into ATTR-CM types (wild-type or hereditary).

Key secondary outcomes



Base

Study type

Others,meta-analysis etc


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

90 years-old >

Gender

Male and Female

Key inclusion criteria

Search Strategy and Selection Criteria
Following the methodology proposed by the Cochrane Collaboration and adhering to the reporting criteria outlined in the 2020 Preferred Reporting Items for Systematic Review and Meta-analysis (PRISMA) guidelines, we conducted a comprehensive database search using PubMed, Web of Science Core Collection, Cochrane advanced search, and EMBASE electronic databases. Use the following keywords: "tafamidis", "extracellular volume fraction", "extracellular volume", "ECV", "MRI", "cardiac MRI". Eligibility criteria present pre- and post-treatment MRI-ECV values for tafamidis and encompass all articles discoverable with the specified keywords. Exclusion criteria will be limited to case reports, animal studies, and non-English language articles.

Key exclusion criteria

Search Strategy and Selection Criteria
Following the methodology proposed by the Cochrane Collaboration and adhering to the reporting criteria outlined in the 2020 Preferred Reporting Items for Systematic Review and Meta-analysis (PRISMA) guidelines, we conducted a comprehensive database search using PubMed, Web of Science Core Collection, Cochrane advanced search, and EMBASE electronic databases. Use the following keywords: "tafamidis", "extracellular volume fraction", "extracellular volume", "ECV", "MRI", "cardiac MRI". Eligibility criteria present pre- and post-treatment MRI-ECV values for tafamidis and encompass all articles discoverable with the specified keywords. Exclusion criteria will be limited to case reports, animal studies, and non-English language articles.

Target sample size



Research contact person

Name of lead principal investigator

1st name Shingo
Middle name
Last name Kato

Organization

Department of diagnostic Radiology, Yokohama City University

Division name

Department of Diagnostic Radiology

Zip code

236-0004

Address

3-9, Fukuura, Kanazawaku, Yokohama

TEL

045-787-2800

Email

shingo.m12226@gmail.com


Public contact

Name of contact person

1st name shingo
Middle name
Last name kato

Organization

Yokohama City University Hospital

Division name

Department of Diagnostic Radiology

Zip code

236-0004

Address

3-9, Fukuura, Kanazawaku, Yokohama

TEL

045-787-2800

Homepage URL


Email

shingo.m12226@gmail.com


Sponsor or person

Institute

Yokohama City University

Institute

Department

Personal name



Funding Source

Organization

self funding

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

IRB of Yokohama City University

Address

3-9, Fukuura, Kanazawaku, Yokohama

Tel

045-787-2800

Email

shingo.m12226@gmail.com


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

2024 Year 02 Month 06 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

2024 Year 02 Month 06 Day

Date of IRB


Anticipated trial start date

2024 Year 02 Month 06 Day

Last follow-up date

2024 Year 02 Month 06 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

Following the methodology proposed by the Cochrane Collaboration and adhering to the reporting criteria outlined in the 2020 Preferred Reporting Items for Systematic Review and Meta-analysis (PRISMA) guidelines, we conducted a comprehensive database search using PubMed, Web of Science Core Collection, Cochrane advanced search, and EMBASE electronic databases. Use the following keywords: "tafamidis", "extracellular volume fraction", "extracellular volume", "ECV", "MRI", "cardiac MRI". Eligibility criteria present pre- and post-treatment MRI-ECV values for tafamidis and encompass all articles discoverable with the specified keywords. Exclusion criteria will be limited to case reports, animal studies, and non-English language articles.


Management information

Registered date

2024 Year 02 Month 06 Day

Last modified on

2024 Year 02 Month 06 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000061115


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name