Trial Outcomes & Findings for An Extended Access Program for Bardoxolone Methyl in Patients With CKD (EAGLE) (NCT NCT03749447)

NCT ID: NCT03749447

Last Updated: 2025-06-03

Results Overview

An AE is any untoward medical occurrence in a participant administered a pharmaceutical product that does not necessarily have a causal relationship with this treatment. An SAE is any untoward medical occurrence that at any dose results in death, places the participant at immediate risk of death, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, results in a congenital anomaly/birth defect, or is a medically important event. AEs and SAEs that occurred within 30 days after the last dose were considered treatment-emergent. The study follow-up assessment was collected within 14 to 35 days after the last dose.

Recruitment status

TERMINATED

Study phase

PHASE3

Target enrollment

270 participants

Primary outcome timeframe

From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)

Results posted on

2025-06-03

Participant Flow

Participants were enrolled at the investigative sites in the United States, Australia, Japan, Spain, Puerto Rico and France from 08 March 2019 to 23 August 2023.

A total of 270 eligible participants who participated in the previous qualifying studies i.e., 402-C-1603 (NCT03019185) and 402-C-1808 (NCT03918447) of bardoxolone methyl were enrolled in this study. Data was summarized as per the treatment received in the previous qualifying studies.

Participant milestones

Participant milestones
Measure
Prior Placebo to Bardoxolone Methyl
Participants who received placebo in the previous qualifying studies, 402-C-1603 (NCT03019185) or 402-C-1808 (NCT03918447), and received bardoxolone methyl in this study. Adult participants received bardoxolone methyl capsules, once daily (QD) at a starting dose of 5 milligrams (mg), followed by dose- escalation to 10 mg at Week 2 (Day 14 ± 3), and to 20 mg at Week 4 (Day 28 ± 3). Based on the eligibility urine albumin to creatinine ratio (UACR) \>300 milligrams per gram (mg/g), the dose was increased to 30 mg starting from Week 6 (Day 42 ± 3) until the end of the study. Participants under 18 years of age received bardoxolone methyl capsules at a starting dose of 5 mg every other day during the first week and QD during the second week of the study, followed by dose-escalation to 10 mg at Week 2 and to 20 mg at Week 4. Based on the eligibility UACR \>300 mg/g, the dose was increased to 30 mg starting from Week 6 until the end of the study.
Prior Bardoxolone Methyl to Bardoxolone Methyl
Participants who received bardoxolone methyl in the previous qualifying studies, 402-C-1603 (NCT03019185) or 402-C-1808 (NCT03918447), and received bardoxolone methyl in this study. Adult participants received bardoxolone methyl capsules, QD at a starting dose of 5 mg, followed by dose-escalated to 10 mg at Week 2 (Day 14 ± 3), and to 20 mg at Week 4 (Day 28 ± 3). Based on the eligibility UACR \>300 mg/g, the dose was increased to 30 mg starting from Week 6 (Day 42 ± 3) until the end of the study. Participants under 18 years of age received bardoxolone methyl capsules at a starting dose of 5 mg every other day during the first week and QD during the second week of the study, followed by dose-escalation to 10 mg at Week 2 and to 20 mg at Week 4. Based on the eligibility UACR \>300 mg/g, the dose was increased to 30 mg starting from Week 6 until the end of the study.
Overall Study
STARTED
143
127
Overall Study
COMPLETED
0
0
Overall Study
NOT COMPLETED
143
127

Reasons for withdrawal

Reasons for withdrawal
Measure
Prior Placebo to Bardoxolone Methyl
Participants who received placebo in the previous qualifying studies, 402-C-1603 (NCT03019185) or 402-C-1808 (NCT03918447), and received bardoxolone methyl in this study. Adult participants received bardoxolone methyl capsules, once daily (QD) at a starting dose of 5 milligrams (mg), followed by dose- escalation to 10 mg at Week 2 (Day 14 ± 3), and to 20 mg at Week 4 (Day 28 ± 3). Based on the eligibility urine albumin to creatinine ratio (UACR) \>300 milligrams per gram (mg/g), the dose was increased to 30 mg starting from Week 6 (Day 42 ± 3) until the end of the study. Participants under 18 years of age received bardoxolone methyl capsules at a starting dose of 5 mg every other day during the first week and QD during the second week of the study, followed by dose-escalation to 10 mg at Week 2 and to 20 mg at Week 4. Based on the eligibility UACR \>300 mg/g, the dose was increased to 30 mg starting from Week 6 until the end of the study.
Prior Bardoxolone Methyl to Bardoxolone Methyl
Participants who received bardoxolone methyl in the previous qualifying studies, 402-C-1603 (NCT03019185) or 402-C-1808 (NCT03918447), and received bardoxolone methyl in this study. Adult participants received bardoxolone methyl capsules, QD at a starting dose of 5 mg, followed by dose-escalated to 10 mg at Week 2 (Day 14 ± 3), and to 20 mg at Week 4 (Day 28 ± 3). Based on the eligibility UACR \>300 mg/g, the dose was increased to 30 mg starting from Week 6 (Day 42 ± 3) until the end of the study. Participants under 18 years of age received bardoxolone methyl capsules at a starting dose of 5 mg every other day during the first week and QD during the second week of the study, followed by dose-escalation to 10 mg at Week 2 and to 20 mg at Week 4. Based on the eligibility UACR \>300 mg/g, the dose was increased to 30 mg starting from Week 6 until the end of the study.
Overall Study
Adverse Event
11
3
Overall Study
Death
1
1
Overall Study
Lost to Follow-up
2
2
Overall Study
Reason Not Specified
0
3
Overall Study
Physician Decision
4
3
Overall Study
Protocol-Specified Withdrawal Criteria Met
1
3
Overall Study
Study Terminated By Sponsor
112
105
Overall Study
Withdrawal by Subject
12
6
Overall Study
Non-compliance With Study Drug
0
1

Baseline Characteristics

An Extended Access Program for Bardoxolone Methyl in Patients With CKD (EAGLE)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Prior Placebo to Bardoxolone Methyl
n=143 Participants
Participants who received placebo in the previous qualifying studies, 402-C-1603 (NCT03019185) or 402-C-1808 (NCT03918447), and received bardoxolone methyl in this study. Adult participants received bardoxolone methyl capsules, QD at a starting dose of 5 mg, followed by dose- escalation to 10 mg at Week 2 (Day 14 ± 3), and to 20 mg at Week 4 (Day 28 ± 3). Based on the eligibility UACR \>300 mg/g, the dose was increased to 30 mg starting from Week 6 (Day 42 ± 3) until the end of the study. Participants under 18 years of age received bardoxolone methyl capsules at a starting dose of 5 mg every other day during the first week and QD during the second week of the study, followed by dose-escalation to 10 mg at Week 2 and to 20 mg at Week 4. Based on the eligibility UACR \>300 mg/g, the dose was increased to 30 mg starting from Week 6 until the end of the study.
Prior Bardoxolone Methyl to Bardoxolone Methyl
n=127 Participants
Participants who received bardoxolone methyl in the previous qualifying studies, 402-C-1603 (NCT03019185) or 402-C-1808 (NCT03918447), and received bardoxolone methyl in this study. Adult participants received bardoxolone methyl capsules, QD at a starting dose of 5 mg, followed by dose-escalated to 10 mg at Week 2 (Day 14 ± 3), and to 20 mg at Week 4 (Day 28 ± 3). Based on the eligibility UACR \>300 mg/g, the dose was increased to 30 mg starting from Week 6 (Day 42 ± 3) until the end of the study. Participants under 18 years of age received bardoxolone methyl capsules at a starting dose of 5 mg every other day during the first week and QD during the second week of the study, followed by dose-escalation to 10 mg at Week 2 and to 20 mg at Week 4. Based on the eligibility UACR \>300 mg/g, the dose was increased to 30 mg starting from Week 6 until the end of the study.
Total
n=270 Participants
Total of all reporting groups
Age, Continuous
48.8 years
STANDARD_DEVIATION 13.26 • n=5 Participants
48.3 years
STANDARD_DEVIATION 13.82 • n=7 Participants
48.6 years
STANDARD_DEVIATION 13.5 • n=5 Participants
Sex: Female, Male
Female
88 Participants
n=5 Participants
78 Participants
n=7 Participants
166 Participants
n=5 Participants
Sex: Female, Male
Male
55 Participants
n=5 Participants
49 Participants
n=7 Participants
104 Participants
n=5 Participants
Race/Ethnicity, Customized
Race · American Indian or Alaska Native
2 Participants
n=5 Participants
0 Participants
n=7 Participants
2 Participants
n=5 Participants
Race/Ethnicity, Customized
Race · Asian
17 Participants
n=5 Participants
16 Participants
n=7 Participants
33 Participants
n=5 Participants
Race/Ethnicity, Customized
Race · Black or African American
9 Participants
n=5 Participants
9 Participants
n=7 Participants
18 Participants
n=5 Participants
Race/Ethnicity, Customized
Race · Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race/Ethnicity, Customized
Race · White
112 Participants
n=5 Participants
96 Participants
n=7 Participants
208 Participants
n=5 Participants
Race/Ethnicity, Customized
Race · Other
3 Participants
n=5 Participants
5 Participants
n=7 Participants
8 Participants
n=5 Participants
Race/Ethnicity, Customized
Ethnicity · Hispanic/Latino
15 Participants
n=5 Participants
12 Participants
n=7 Participants
27 Participants
n=5 Participants
Race/Ethnicity, Customized
Ethnicity · Non-Hispanic/Latino
128 Participants
n=5 Participants
115 Participants
n=7 Participants
243 Participants
n=5 Participants

PRIMARY outcome

Timeframe: From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)

Population: The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.

An AE is any untoward medical occurrence in a participant administered a pharmaceutical product that does not necessarily have a causal relationship with this treatment. An SAE is any untoward medical occurrence that at any dose results in death, places the participant at immediate risk of death, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, results in a congenital anomaly/birth defect, or is a medically important event. AEs and SAEs that occurred within 30 days after the last dose were considered treatment-emergent. The study follow-up assessment was collected within 14 to 35 days after the last dose.

Outcome measures

Outcome measures
Measure
Prior Placebo to Bardoxolone Methyl
n=143 Participants
Participants who received placebo in the previous qualifying studies, 402-C-1603 (NCT03019185) or 402-C-1808 (NCT03918447), and received bardoxolone methyl in this study. Adult participants received bardoxolone methyl capsules, QD at a starting dose of 5 mg, followed by dose- escalation to 10 mg at Week 2 (Day 14 ± 3), and to 20 mg at Week 4 (Day 28 ± 3). Based on the eligibility UACR \>300 mg/g, the dose was increased to 30 mg starting from Week 6 (Day 42 ± 3) until the end of the study. Participants under 18 years of age received bardoxolone methyl capsules at a starting dose of 5 mg every other day during the first week and QD during the second week of the study, followed by dose-escalation to 10 mg at Week 2 and to 20 mg at Week 4. Based on the eligibility UACR \>300 mg/g, the dose was increased to 30 mg starting from Week 6 until the end of the study.
Prior Bardoxolone Methyl to Bardoxolone Methyl
n=127 Participants
Participants who received bardoxolone methyl in the previous qualifying studies, 402-C-1603 (NCT03019185) or 402-C-1808 (NCT03918447), and received bardoxolone methyl in this study. Adult participants received bardoxolone methyl capsules, QD at a starting dose of 5 mg, followed by dose-escalated to 10 mg at Week 2 (Day 14 ± 3), and to 20 mg at Week 4 (Day 28 ± 3). Based on the eligibility UACR \>300 mg/g, the dose was increased to 30 mg starting from Week 6 (Day 42 ± 3) until the end of the study. Participants under 18 years of age received bardoxolone methyl capsules at a starting dose of 5 mg every other day during the first week and QD during the second week of the study, followed by dose-escalation to 10 mg at Week 2 and to 20 mg at Week 4. Based on the eligibility UACR \>300 mg/g, the dose was increased to 30 mg starting from Week 6 until the end of the study.
Number of Participants With Treatment-emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)
AEs
128 Participants
105 Participants
Number of Participants With Treatment-emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)
SAEs
12 Participants
20 Participants

Adverse Events

Prior Placebo to Bardoxolone Methyl

Serious events: 12 serious events
Other events: 127 other events
Deaths: 1 deaths

Prior Bardoxolone Methyl to Bardoxolone Methyl

Serious events: 20 serious events
Other events: 104 other events
Deaths: 1 deaths

Serious adverse events

Serious adverse events
Measure
Prior Placebo to Bardoxolone Methyl
n=143 participants at risk
Participants who received placebo in the previous qualifying studies, 402-C-1603 (NCT03019185) or 402-C-1808 (NCT03918447), and received bardoxolone methyl in this study. Adult participants received bardoxolone methyl capsules, QD at a starting dose of 5 mg, followed by dose- escalation to 10 mg at Week 2 (Day 14 ± 3), and to 20 mg at Week 4 (Day 28 ± 3). Based on the eligibility UACR \>300 mg/g, the dose was increased to 30 mg starting from Week 6 (Day 42 ± 3) until the end of the study. Participants under 18 years of age received bardoxolone methyl capsules at a starting dose of 5 mg every other day during the first week and QD during the second week of the study, followed by dose-escalation to 10 mg at Week 2 and to 20 mg at Week 4. Based on the eligibility UACR \>300 mg/g, the dose was increased to 30 mg starting from Week 6 until the end of the study.
Prior Bardoxolone Methyl to Bardoxolone Methyl
n=127 participants at risk
Participants who received bardoxolone methyl in the previous qualifying studies, 402-C-1603 (NCT03019185) or 402-C-1808 (NCT03918447), and received bardoxolone methyl in this study. Adult participants received bardoxolone methyl capsules, QD at a starting dose of 5 mg, followed by dose-escalated to 10 mg at Week 2 (Day 14 ± 3), and to 20 mg at Week 4 (Day 28 ± 3). Based on the eligibility UACR \>300 mg/g, the dose was increased to 30 mg starting from Week 6 (Day 42 ± 3) until the end of the study. Participants under 18 years of age received bardoxolone methyl capsules at a starting dose of 5 mg every other day during the first week and QD during the second week of the study, followed by dose-escalation to 10 mg at Week 2 and to 20 mg at Week 4. Based on the eligibility UACR \>300 mg/g, the dose was increased to 30 mg starting from Week 6 until the end of the study.
Blood and lymphatic system disorders
Pancytopenia
0.70%
1/143 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
0.00%
0/127 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
Cardiac disorders
Atrial fibrillation
0.00%
0/143 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
0.79%
1/127 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
Cardiac disorders
Acute myocardial infarction
0.70%
1/143 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
0.00%
0/127 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
Eye disorders
Blindness
0.00%
0/143 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
0.79%
1/127 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
Gastrointestinal disorders
Abdominal pain
0.00%
0/143 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
0.79%
1/127 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
Gastrointestinal disorders
Abdominal pain upper
0.00%
0/143 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
0.79%
1/127 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
Gastrointestinal disorders
Colitis ischaemic
0.70%
1/143 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
0.00%
0/127 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
General disorders
Asthenia
0.00%
0/143 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
0.79%
1/127 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
Hepatobiliary disorders
Cholangitis acute
0.70%
1/143 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
0.00%
0/127 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
Hepatobiliary disorders
Portal vein thrombosis
0.70%
1/143 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
0.00%
0/127 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
Infections and infestations
Clostridium difficile infection
0.00%
0/143 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
0.79%
1/127 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
Infections and infestations
Gangrene
0.00%
0/143 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
0.79%
1/127 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
Infections and infestations
Pyelonephritis acute
0.00%
0/143 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
0.79%
1/127 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
Infections and infestations
Appendicitis
0.70%
1/143 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
0.00%
0/127 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
Infections and infestations
Bacterial pyelonephritis
0.70%
1/143 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
0.00%
0/127 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
Injury, poisoning and procedural complications
Wrist fracture
0.70%
1/143 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
0.79%
1/127 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
Injury, poisoning and procedural complications
Splenic rupture
0.00%
0/143 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
0.79%
1/127 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
Injury, poisoning and procedural complications
Road traffic accident
0.70%
1/143 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
0.00%
0/127 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
Investigations
Biopsy kidney
0.00%
0/143 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
0.79%
1/127 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
Metabolism and nutrition disorders
Hyperkalaemia
0.00%
0/143 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
1.6%
2/127 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
Metabolism and nutrition disorders
Diabetes mellitus
0.00%
0/143 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
0.79%
1/127 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
Musculoskeletal and connective tissue disorders
Rotator cuff syndrome
0.00%
0/143 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
0.79%
1/127 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
Musculoskeletal and connective tissue disorders
Flank pain
0.70%
1/143 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
0.00%
0/127 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
Musculoskeletal and connective tissue disorders
Osteoarthritis
0.70%
1/143 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
0.00%
0/127 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Uterine leiomyoma
0.00%
0/143 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
0.79%
1/127 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Breast cancer
0.70%
1/143 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
0.00%
0/127 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Invasive ductal breast carcinoma
0.70%
1/143 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
0.00%
0/127 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
Nervous system disorders
Cerebellar stroke
0.00%
0/143 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
0.79%
1/127 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
Nervous system disorders
Metabolic encephalopathy
0.00%
0/143 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
0.79%
1/127 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
Nervous system disorders
Subarachnoid hemorrhage
0.00%
0/143 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
0.79%
1/127 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
Nervous system disorders
Dizziness
0.70%
1/143 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
0.00%
0/127 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
Nervous system disorders
Headache
0.70%
1/143 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
0.00%
0/127 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
Renal and urinary disorders
End stage renal disease
0.00%
0/143 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
2.4%
3/127 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
Renal and urinary disorders
Chronic kidney disease
0.00%
0/143 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
1.6%
2/127 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
Renal and urinary disorders
Acute kidney injury
0.00%
0/143 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
0.79%
1/127 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
Reproductive system and breast disorders
Endometrial hyperplasia
0.00%
0/143 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
0.79%
1/127 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
Respiratory, thoracic and mediastinal disorders
Respiratory failure
0.00%
0/143 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
0.79%
1/127 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
Vascular disorders
Hypertension
0.70%
1/143 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
0.00%
0/127 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
Vascular disorders
Hypotension
0.70%
1/143 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
0.00%
0/127 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.

Other adverse events

Other adverse events
Measure
Prior Placebo to Bardoxolone Methyl
n=143 participants at risk
Participants who received placebo in the previous qualifying studies, 402-C-1603 (NCT03019185) or 402-C-1808 (NCT03918447), and received bardoxolone methyl in this study. Adult participants received bardoxolone methyl capsules, QD at a starting dose of 5 mg, followed by dose- escalation to 10 mg at Week 2 (Day 14 ± 3), and to 20 mg at Week 4 (Day 28 ± 3). Based on the eligibility UACR \>300 mg/g, the dose was increased to 30 mg starting from Week 6 (Day 42 ± 3) until the end of the study. Participants under 18 years of age received bardoxolone methyl capsules at a starting dose of 5 mg every other day during the first week and QD during the second week of the study, followed by dose-escalation to 10 mg at Week 2 and to 20 mg at Week 4. Based on the eligibility UACR \>300 mg/g, the dose was increased to 30 mg starting from Week 6 until the end of the study.
Prior Bardoxolone Methyl to Bardoxolone Methyl
n=127 participants at risk
Participants who received bardoxolone methyl in the previous qualifying studies, 402-C-1603 (NCT03019185) or 402-C-1808 (NCT03918447), and received bardoxolone methyl in this study. Adult participants received bardoxolone methyl capsules, QD at a starting dose of 5 mg, followed by dose-escalated to 10 mg at Week 2 (Day 14 ± 3), and to 20 mg at Week 4 (Day 28 ± 3). Based on the eligibility UACR \>300 mg/g, the dose was increased to 30 mg starting from Week 6 (Day 42 ± 3) until the end of the study. Participants under 18 years of age received bardoxolone methyl capsules at a starting dose of 5 mg every other day during the first week and QD during the second week of the study, followed by dose-escalation to 10 mg at Week 2 and to 20 mg at Week 4. Based on the eligibility UACR \>300 mg/g, the dose was increased to 30 mg starting from Week 6 until the end of the study.
Blood and lymphatic system disorders
Anaemia
6.3%
9/143 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
4.7%
6/127 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
Gastrointestinal disorders
Nausea
8.4%
12/143 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
10.2%
13/127 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
Gastrointestinal disorders
Diarrhoea
11.2%
16/143 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
6.3%
8/127 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
Gastrointestinal disorders
Abdominal pain
6.3%
9/143 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
3.9%
5/127 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
General disorders
Fatigue
9.8%
14/143 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
6.3%
8/127 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
General disorders
Oedema peripheral
7.0%
10/143 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
8.7%
11/127 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
General disorders
Pyrexia
4.9%
7/143 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
5.5%
7/127 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
Infections and infestations
Corona virus infection
15.4%
22/143 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
21.3%
27/127 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
Infections and infestations
Upper respiratory tract infection
8.4%
12/143 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
9.4%
12/127 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
Infections and infestations
Nasopharyngitis
3.5%
5/143 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
6.3%
8/127 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
Infections and infestations
Sinusitis
3.5%
5/143 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
6.3%
8/127 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
Investigations
Alanine aminotransferase increased
25.9%
37/143 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
6.3%
8/127 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
Investigations
Aspartate aminotransferase increased
16.8%
24/143 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
5.5%
7/127 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
Investigations
N-terminal prohormone brain natriuretic peptide increased
9.1%
13/143 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
8.7%
11/127 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
Investigations
Brain natriuretic peptide increased
7.7%
11/143 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
3.9%
5/127 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
Investigations
Gamma-glutamyltransferase increased
7.7%
11/143 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
0.00%
0/127 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
Investigations
Blood creatinine increased
2.1%
3/143 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
5.5%
7/127 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
Metabolism and nutrition disorders
Hyperkalaemia
7.0%
10/143 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
8.7%
11/127 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
Metabolism and nutrition disorders
Hypomagnesaemia
7.0%
10/143 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
3.1%
4/127 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
Musculoskeletal and connective tissue disorders
Muscle spasms
39.9%
57/143 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
35.4%
45/127 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
Musculoskeletal and connective tissue disorders
Back pain
8.4%
12/143 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
9.4%
12/127 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
Musculoskeletal and connective tissue disorders
Pain in extremity
2.8%
4/143 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
5.5%
7/127 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
Nervous system disorders
Headache
11.2%
16/143 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
7.1%
9/127 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
Nervous system disorders
Dizziness
3.5%
5/143 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
5.5%
7/127 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
Respiratory, thoracic and mediastinal disorders
Cough
2.8%
4/143 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
8.7%
11/127 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
Vascular disorders
Hypertension
5.6%
8/143 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
7.1%
9/127 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
Infections and infestations
Urinary tract infection
5.6%
8/143 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.
9.4%
12/127 • From the first dose of the study drug (baseline) up to the end of the study follow-up (up to 4.2 years)
The safety population included all participants who had received at least 1 dose of bardoxolone methyl in the 402-C-1803 study.

Additional Information

US Biogen Clinical Trial Center

Biogen

Phone: 866-633-4636

Results disclosure agreements

  • Principal investigator is a sponsor employee Our agreement is subject to confidentiality but generally the PI can publish, for non-commercial purposes only, results and methods of the trial, but no other Sponsor Confidential Information. PI must give Sponsor no less than 60 days to review any manuscript for a proposed publication and must delay publication for up to an additional 90 days thereafter if Sponsor needs to file any patent application to protect any of Sponsor's intellectual property contained in the proposed publication.
  • Publication restrictions are in place

Restriction type: OTHER