Cochrane Renal Group

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autoid 94
crg_id CRG010600030
titleoftrial Multicenter, Randomized, Parallel Study of Angiotensin Receptor Blockade (Olmesartan) in Chronic Hemodialysis Patients Among OKIDS Group
acronymnoftrial Olmesartan Clinical Trial in Okinawan Patients Under OKIDS
website http://
identificationno
leadprefix A/Prof
leadsurname Iseki
leadgivennames Kunitoshi
leadposition Associate Professor of Medicine
leaddepartment Dialysis Unit
leadorganisation University Hospital of The Ryukyus
leadaddress 207 Uehara, Nishihara, Okinawa 903-0215, Japan
leademail chihokun@med.u-ryukyu.ac.jp
leadphone +81-98-895-1341
leadfax +81-98-895-1416
leadsuffix
contactprefix Prof
contactsurname Ueda
contactgivennames Shinichiro
contactposition Professor of medicine
contactdepartment Clinical pharmacology
contactorganisation Faculty of medicine, University of The Ryukyus
contactaddress 207 Uehara, Nishihara, Okinawa 903-0215, Japan
contactemail
contactphone
contactfax
funding other
otherfunding Own funds gather ed at the dialysis unit
fundingnameofsponsors
ethicsapproval yes
studytype randomised
studytype_other
groupassignment parallel
blinding_patients no
blinding_investigators no
blinding_outcomes no
blinding_analysts no
proposedstart 2006/04/01
actualstart
proposedcompletiondate 2009/03/31
actualcompletiondate
multi_center_study yes
numberofcentres 21-25
multi_national_study no
countrycentres Japan
researchquestion 1. Is Olmesartan (angiotensin receptor blockade) useful to reduce mortality rate and cardiovascular morbidity?
2. Is predialysis blood pressure useful as a target of control of hypertension?
study_status_recruitment not_yet_recruiting
study_status_recruitment_follow ongoing
healthcarecondition chronic hemodialysis patients (3/week)
intervention1 Chronic hemodialysis, hypertension
intervention2 angiotensin receptor blockade
intervention3
intervention4
participants_gender both
participants_other adults
age 20-79
totalrecruitment 1200
inclusion 1. Chronic hemodialysis patients (3/week),
2. High predialysis systolic blood pressure >140mmHg or
High predialysis diastolic blood pressure >90mmHg, or Both

exclusion 1. Recent onset (within one month) of cardiovascular disease and congestive heart failure
2. Severe hypertension (high predialysis systolic blood pressure >200mmHg or high predialysis diastolic blood pressure >100mmHg
3. Patient on angiotensin converting enzyme inhibitors (ACEI) or other angiotensin receptor blockades (ARB), (washoout at least one month)

primaryoutcomes 1. Any cause of death
secondaryoutcomes 1. New onset of cardiovascular disease such as acute myocardial infarction, stroke, and congestive heart failure
2. Occlusion of blood access
3. Change in Home Blood Pressure
reference Iseki K, Tokuyama K, Shiohira Y, Higa A, Hirano H, Toma S, et al. Olmesartan clinical trial in Okinawan patients under OKIDS (OCTOPUS) study: design and methods.Clinical & Experimental Nephrology 2009 Apr;13(2):145-51.