A Double-blind Study to Investigate Efficacy, Safety and Tolerability of BAY1142524 in Patients With Type II Diabetes and a Clinical Diagnosis of Diabetic Kidney Disease

NCT ID: NCT03412006

Last Updated: 2022-03-03

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

152 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-02-02

Study Completion Date

2019-10-10

Brief Summary

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The purpose of the trial is the analysis of safety and efficacy of the chymase inhibitor BAY1142524 at a dose of 25 mg BID in comparison to placebo using a 6 months treatment period in type II diabetic patients with a clinical diagnosis of diabetic kidney disease. BAY1142524 or placebo will be given on top of evidence-based standard of care for diabetic kidney disease. Primary objective is the analysis of first signs of efficacy as determined by favourable changes in urinary albumin creatinine ratio. Secondary objective is the analysis of safety and tolerability as evidenced by the incidence and severity of adverse events. 64 valid patients have to complete treatment with verum and 32 valid patients have to complete treatment with placebo.

Detailed Description

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Conditions

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Diabetic Kidney Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Fulacimstat (BAY1142524)

Patients have to have a clinical diagnosis of diabetic kidney disease and have to be treated with standard of care for this condition

Group Type EXPERIMENTAL

Fulacimstat (BAY1142524)

Intervention Type DRUG

25 mg BAY1142524 are given twice daily over a treatment period of 6 months

Placebo

Patients have to have a clinical diagnosis of diabetic kidney disease and have to be treated with standard of care for this condition

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Matching placebo tablets are given twice daily over a treatment period of 6 months

Interventions

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Fulacimstat (BAY1142524)

25 mg BAY1142524 are given twice daily over a treatment period of 6 months

Intervention Type DRUG

Placebo

Matching placebo tablets are given twice daily over a treatment period of 6 months

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Patients with Type 2 Diabetes Mellitus and a clinical diagnosis of diabetic kidney disease (DKD) (as judged by the investigator) who have finished their up-titration with an angiotensin receptor blocker (ARB) or an ACEI (angiotensin-converting enzyme inhibitor) to their maximum tolerated dose at least 3 months prior to the screening visit, whereby the maximum tolerated dose has to be at least as high as the minimal recommended dose of an ARB or ACEI according to local and/or international guidelines. Patients have to be treated with an ARB or ACEI, but not with both simultaneously, without any adjustments to this therapy for at least 4 weeks prior to the screening visit.
* UACR \>50 mg/g and \<3000 mg/g in 2 out of 3 consecutive morning void samples at the screening and the baseline visit
* estimated glomerular filtration rate (eGFR) ≥30 mL/min/1.73 m\*2 and \<90 mL/min/1.73 m\*2 (Chronic Kidney Disease Epidemiology Collaboration \[CKD-EPI\]) at the screening visit and the baseline visit

Exclusion Criteria

* Non-DKD if it is the main diagnosis contributory to chronic kidney disease (CKD), as judged by the investigator
* Known bilateral clinical relevant renal artery stenosis (\>75%)
* New York Heart Association (NYHA) Class IV
* Acute kidney injury or dialysis within the last 3 months before the screening visit
* Renal replacement therapy during study conduct
* Renal allograft in place or a scheduled kidney transplant during study conduct
* Stroke, transient ischemic cerebral attack, acute coronary syndrome, or hospitalization for heart failure in the last 3 months prior to screening visit
* Clinically relevant hepatic dysfunction
* Uncontrolled hypertension as evidenced by systolic blood pressure \>160 mmHg, diastolic blood pressure \>100 mmHg (mean of triplicate values at the screening or baseline visit)
Minimum Eligible Age

18 Years

Maximum Eligible Age

79 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Bayer

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Med Centre Diamedical 2013

Dimitrovgrad, , Bulgaria

Site Status

MCOMH Preventsia-2000

Stara Zagora, , Bulgaria

Site Status

Med. Center Equita

Varna, , Bulgaria

Site Status

Rigshospitalet

Copenhagen, , Denmark

Site Status

Steno Diabetes Center Copenhagen

Gentofte Municipality, , Denmark

Site Status

Nordsjællands Hospital

Hillerød, , Denmark

Site Status

Pihlajalinna ITE Kuopio

Kuopio, , Finland

Site Status

Terveystalo Oulu

Oulu, , Finland

Site Status

TAYS TKI Keskus Tutkimusvastaanotto

Tampere, , Finland

Site Status

Turun yliopistollinen keskussairaala, kantasairaala

Turku, , Finland

Site Status

Barzilai Medical Center

Ashkelon, , Israel

Site Status

Edith Wolfson Medical Center

Holon, , Israel

Site Status

Hadassah Hebrew University Hospital Ein Kerem

Jerusalem, , Israel

Site Status

The Nazareth Trust Hospital EMMS

Nazareth, , Israel

Site Status

DMC - Diabetes Medical Center

Tel Aviv, , Israel

Site Status

Shamir Medical Center (Assaf Harofeh)

Ẕerifin, , Israel

Site Status

IRCCS Casa Sollievo della Sofferenza

Foggia, Apulia, Italy

Site Status

A.O.U. Policlinico Federico II Napoli

Napoli, Campania, Italy

Site Status

Univ. Alma Mater - Dip. Medicina Spec, Diagnostica e Sperim

Bologna, Emilia-Romagna, Italy

Site Status

A.O.U. di Padova

Padua, Veneto, Italy

Site Status

Complexo Hospitalario Universitario de Ferrol

Ferrol, A Coruña, Spain

Site Status

Hospital de Galdakao

Galdakao, Vizcaya, Spain

Site Status

Hospital Fundació Puigvert

Barcelona, , Spain

Site Status

Centralsjukhuset Kristianstad

Kristianstad, , Sweden

Site Status

Universitetssjukhuset Örebro

Örebro, , Sweden

Site Status

Akardo MedSite AB

Stockholm, , Sweden

Site Status

S3 Clinical Research Centers

Vällingby, , Sweden

Site Status

Countries

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Bulgaria Denmark Finland Israel Italy Spain Sweden

Related Links

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http://www.clinicaltrialsregister.eu/

Click here to find information about studies related to Bayer Healthcare products conducted in Europe.

https://clinicaltrials.bayer.com/

Click here to find results for studies related to Bayer Healthcare products.

Other Identifiers

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2017-000656-26

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

18933

Identifier Type: -

Identifier Source: org_study_id

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