To Study the Effects of Aliskiren on Albuminuria and Various Biomarkers in Patients With Nephropathy

NCT ID: NCT01302899

Last Updated: 2013-01-30

Study Results

Results available

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

8 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-01-31

Study Completion Date

2011-12-31

Brief Summary

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The study is designed to primarily assess the effect of aliskiren on albuminuria in patients with non-diabetic nephropathy when treated with ramipril and volume intervention.

Detailed Description

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Conditions

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Non-diabetic Nephropathy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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Ramipril (Ram) +HCTZ/Ram+Aliskiren (Ali)+HCTZ/Ram+Ali/Ram

Period 1(Day 1 to end of week 6): 1 tablet ramipril 10 mg once daily (o.d.) + 2 tablets placebo to aliskiren 150mg o.d. + 1 capsule Hydrochlorothiazide (HCTZ) 25 mg o.d.

Period 2 (Weeks 7 to 12): 1 tablet ramipril 10 mg o.d.+ 1 tablet aliskiren 150 mg in 1st week of period; thereafter, 2 tablets aliskiren 150mg o.d.+ 1 capsule HCTZ 25 mg o.d.

Period 3 (Weeks 13 to 18): 1 tablet ramipril 10 mg o.d. + 2 tablets aliskiren 150mg o.d. + 1 capsule placebo to HCTZ 25 mg o.d.

Period 4 (Weeks 19 to 26): 1 tablet ramipril 10 mg o.d. + 2 tablets placebo to aliskiren 150mg o.d. + 1 capsule placebo to HCTZ 25 mg o.d.

Group Type EXPERIMENTAL

Aliskiren

Intervention Type DRUG

Aliskiren 150 mg (Tablet)

Placebo to Aliskiren

Intervention Type DRUG

Aliskiren 150 mg Matching Placebo (Tablet)

Hydrochlorothiazide (HCTZ)

Intervention Type DRUG

HCTZ 25mg (Capsule)

Placebo to Hydrochlorothiazide (HCTZ)

Intervention Type DRUG

HCTZ 25mg (Capsule) Matching Placebo

Ramipril

Intervention Type DRUG

Ramipril 10mg (Tablet)

Ramipril (Ram) +HCTZ/Ram+Aliskiren (Ali)/Ram+Ali + HCTZ/Ram

Period 1(Day 1 to end of week 6): 1 tablet ramipril 10 mg once daily (o.d.) + 2 tablets placebo to aliskiren 150mg o.d. + 1 capsule Hydrochlorothiazide (HCTZ) 25 mg o.d.

Period 2 (Weeks 7 to 12): 1 tablet ramipril 10 mg o.d.+ 1 tablet aliskiren 150 mg in 1st week of period; thereafter, 2 tablets aliskiren 150mg o.d.+ 1 capsule placebo to HCTZ 25 mg o.d.

Period 3 (Weeks 13 to 18): 1 tablet ramipril 10 mg o.d. + 2 tablets aliskiren 150mg o.d. + 1 capsule HCTZ 25 mg o.d.

Period 4 (Weeks 19 to 26): 1 tablet ramipril 10 mg o.d. + 2 tablets placebo to aliskiren 150mg o.d. + 1 capsule placebo to HCTZ 25 mg o.d.

Group Type EXPERIMENTAL

Aliskiren

Intervention Type DRUG

Aliskiren 150 mg (Tablet)

Placebo to Aliskiren

Intervention Type DRUG

Aliskiren 150 mg Matching Placebo (Tablet)

Hydrochlorothiazide (HCTZ)

Intervention Type DRUG

HCTZ 25mg (Capsule)

Placebo to Hydrochlorothiazide (HCTZ)

Intervention Type DRUG

HCTZ 25mg (Capsule) Matching Placebo

Ramipril

Intervention Type DRUG

Ramipril 10mg (Tablet)

Interventions

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Aliskiren

Aliskiren 150 mg (Tablet)

Intervention Type DRUG

Placebo to Aliskiren

Aliskiren 150 mg Matching Placebo (Tablet)

Intervention Type DRUG

Hydrochlorothiazide (HCTZ)

HCTZ 25mg (Capsule)

Intervention Type DRUG

Placebo to Hydrochlorothiazide (HCTZ)

HCTZ 25mg (Capsule) Matching Placebo

Intervention Type DRUG

Ramipril

Ramipril 10mg (Tablet)

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Male and female subjects, age 18 years and above
* Patients with chronic kidney disease of non-diabetic origin
* Glomerular filtration rate \>30 ml/min/1.73m2
* Patients with a history of hypertension and msSBP (mean systolic blood pressure) of \<160 mm Hg and msDBP (mean diastolic blood pressure) \<105 mm Hg at screening and baseline.
* Subjects must have a body mass index (BMI) within the range of 18 and 35 kg/m2

Exclusion Criteria

* Previously treated (within 3 months of screening) with aliskiren or a combination of aliskiren and ramipril.
* Severe hypertension (msDBP ≥110 mmHg and msSBP ≥180 mmHg)
* Pregnant or nursing (lactating) women,
* A medical history of unstable coronary artery disease, myocardial infarction, coronary bypass surgery or cerebrovascular accident within the last six (6) months
* Diabetes mellitus, Heart failure
* High rate of renal function loss
* History of severe hypersensitivity or contraindications to any of the medications or drugs belonging to the similar therapeutic class as the study drugs and the excipients.
* History of liver disease, positive Hepatitis B surface antigen (HBsAg) or Hepatitis C test result
* History of immunodeficiency diseases, including a positive HIV (ELISA and Western blot) test result.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Novartis Pharmaceuticals

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Novartis Pharmaceuticals

Role: STUDY_DIRECTOR

Novartis Pharmaceuticals

Locations

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Novartis Investigative Site

Groningen, , Netherlands

Site Status

Novartis Investigative Site

Leeuwarden, , Netherlands

Site Status

Countries

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Netherlands

Other Identifiers

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2009-012196-10

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

CSPP100A2260

Identifier Type: -

Identifier Source: org_study_id

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