A Study to Evaluate ASP8232 as Add-On Therapy to Angiotensin Converting Enzyme Inhibitor (ACEi) or Angiotensin Receptor Blocker (ARB) in Reducing Albuminuria in Patients With Type 2 Diabetes and Chronic Kidney Disease

NCT ID: NCT02358096

Last Updated: 2024-10-31

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

125 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-03-17

Study Completion Date

2017-03-15

Brief Summary

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The purpose of this study is to evaluate the efficacy of ASP8232 in reducing Urinary Albumin to Creatinine Ratio (UACR) in subjects with Type 2 Diabetes Mellitus (T2DM) and Chronic Kidney Disease (CKD) at 12 weeks compared to placebo.

Detailed Description

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Conditions

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Chronic Kidney Disease Type 2 Diabetes

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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ASP8232

ASP8232 administered once daily

Group Type EXPERIMENTAL

ASP8232

Intervention Type DRUG

oral capsule

Placebo

Placebo administered once daily

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

oral capsule

Interventions

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ASP8232

oral capsule

Intervention Type DRUG

Placebo

oral capsule

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Subject must have an estimated glomerular filtration rate (eGFR) ) \>=25 and \<75 ml/min/1.73m2.
* Subject must have a documented diagnosis of T2DM and received anti-diabetic medication (oral and/or parenteral) for at least 1 year prior to screening
* Subject's glycated hemoglobin (HbA1c) level is \< 11.0% (\<97 mmol/mol) at screening.
* Subject is on a stable therapy with an angiotensin-converting-enzyme (ACE) inhibitor or angiotensin receptor blockers (ARB) for at least 3 months prior to screening.
* Subject who receives anti-hypertensive treatment, non-insulin anti-diabetic agents and/or vitamin D receptor activators at screening needs to be on stable therapy for at least 3 months prior to screening. Subjects on insulin therapy may have the insulin type/dose/schedule adjusted even during the 3 months prior to screening.
* If the subject has been subjected to specific dietary interventions then this has to be stable over the past 3 months prior to screening visit.
* Subject's UACR is ≥ 200 and ≤ 3000 mg/g in a first morning void (FMV) sample at screening AND the geometric mean UACR of all FMV samples at visit 4 and at visit 5 is ≥ 200 and ≤ 3000 mg/g AND the UACR in at least 3 FMV samples at visit 4 and visit 5 is ≥ 200 mg/g.

Exclusion Criteria

* Subject is on, or previously received, renal replacement therapy (e.g. dialysis or kidney transplantation).
* Subject has obstructive uropathy or other causes of renal impairment not related to parenchymal renal disorder and/or disease of the kidney; or subject currently has or has had in the past renal disease secondary to malignancy.
* Subject's renal impairment and/or albuminuria is considered to be of other origin than Diabetic Kidney Disease.
* Subject has known (auto-) immune disorder and/or received immunosuppression for more than 2 weeks, cumulatively, within 12 weeks prior to screening or anticipated need for immuno-suppressive therapy during the study.
* Subject has active urinary tract infection which requires treatment or clinically significant infection at the time of screening or randomization
* Subject is diagnosed with type 1 diabetes mellitus or diabetes mellitus with unclear etiology.
* Subject has a sitting systolic blood pressure (SBP) \<90 or \>160 mmHg and/or a diastolic blood pressure (DBP) \>90 mmHg at screening.
Minimum Eligible Age

18 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Astellas Pharma Europe B.V.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Executive Director

Role: STUDY_DIRECTOR

Astellas Pharma Europe B.V.

Locations

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Site CZ42002

Brno, , Czechia

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Site CZ42003

České Budějovice, , Czechia

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Site CZ42005

Prague, , Czechia

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Site CZ42001

Prague, , Czechia

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Site CZ42004

Prague, , Czechia

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Site DK45016

Copenhagen, , Denmark

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Site DK45004

Gentofte Municipality, , Denmark

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Site DK45001

Herlev, , Denmark

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Site DK45002

Hillerød, , Denmark

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Site DK45007

Holsterbro, , Denmark

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Site DK45006

Viborg, , Denmark

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Site DE49004

Berlin, , Germany

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Site DE49002

Düsseldorf, , Germany

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Site DE49008

Elsterwerda, , Germany

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Site DE49003

Heidelberg, , Germany

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Site HU36002

Balatonfüred, , Hungary

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Site HU36016

Budapest, , Hungary

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Site HU36010

Budapest, , Hungary

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Site HU36003

Hatvan, , Hungary

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Site HU36012

Kaposvár, , Hungary

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Site HU36017

Székesfehérvár, , Hungary

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Site HU36007

Szigetvár, , Hungary

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Site HU36005

Szikszó, , Hungary

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Site HU36018

Veszprém, , Hungary

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Site IT39007

Bergamo, , Italy

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Site IT39005

Pavia, , Italy

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Site IT39002

Piacenza, , Italy

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Site IT39012

Rome, , Italy

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Site IT39004

Turin, , Italy

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Site NL31004

Rotterdam, South Holland, Netherlands

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Site NL31001

Dordrecht, , Netherlands

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Site NL31003

Hoogeveen, , Netherlands

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Site PL48026

Lodz, , Poland

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Site PL48008

Lodz, , Poland

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Site PL48004

Lodz, , Poland

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Site PL48027

Oświęcim, , Poland

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Site PL48001

Poznan, , Poland

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Site PL48003

Płock, , Poland

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Site PL48022

Radom, , Poland

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Site PL48006

Rzeszów, , Poland

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Site PL48005

Sopot, , Poland

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Site PL48002

Torun, , Poland

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Site PL48025

Warsaw, , Poland

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Site ES34001

Barcelona, , Spain

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Site ES34005

Barcelona, , Spain

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Site ES34004

Barcelona, , Spain

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Site ES34002

Barcelona, , Spain

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Site ES34007

Ciudad Real, , Spain

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Site ES34006

Lugo, , Spain

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Site ES34008

Madrid, , Spain

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Site ES34012

Madrid, , Spain

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Site ES34010

Majadahonda, , Spain

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Site ES34003

Palma de Mallorca, , Spain

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Site GB44004

Burton-on-Trent, , United Kingdom

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Site GB44001

Chester, , United Kingdom

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Site GB44005

London, , United Kingdom

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Site GB44003

South Yorkshire, , United Kingdom

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Countries

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Czechia Denmark Germany Hungary Italy Netherlands Poland Spain United Kingdom

References

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de Zeeuw D, Renfurm RW, Bakris G, Rossing P, Perkovic V, Hou FF, Nangaku M, Sharma K, Heerspink HJL, Garcia-Hernandez A, Larsson TE. Efficacy of a novel inhibitor of vascular adhesion protein-1 in reducing albuminuria in patients with diabetic kidney disease (ALBUM): a randomised, placebo-controlled, phase 2 trial. Lancet Diabetes Endocrinol. 2018 Dec;6(12):925-933. doi: 10.1016/S2213-8587(18)30289-4. Epub 2018 Nov 6.

Reference Type DERIVED
PMID: 30413396 (View on PubMed)

Related Links

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https://astellasclinicalstudyresults.com/study.aspx?ID=266

Link to results on the Astellas Clinical Study Results website

Other Identifiers

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2014-002349-23

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

8232-CL-0004

Identifier Type: -

Identifier Source: org_study_id

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