A Study to Learn About How Well BAY3283142 Works and Its Safety in Participants With Chronic Kidney Disease

NCT ID: NCT06522997

Last Updated: 2025-11-05

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

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE2

Total Enrollment

700 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-08-08

Study Completion Date

2026-03-17

Brief Summary

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Researchers are looking for a better way to treat people who have chronic kidney disease (CKD), CKD is a condition in which the kidneys' ability to work properly gradually decreases over time. A common sign of decreasing kidney function is the body losing too much of a protein called albumin in the urine. This condition is known as albuminuria. This can lead to a faster decline in kidney function. People who have high blood pressure and diabetes are more likely to have CKD and are at a higher risk of complications related to it.

BAY3283142 is a new drug that is being developed to treat people with CKD. It works by activating a protein that helps relax blood vessels and is thought to have beneficial effects in CKD.

In this study, researchers want to learn about how well different doses of BAY3283142 work when taken with standard treatment for CKD in reducing albumin in the urine of participants with CKD. They will compare the results of the change in the urine albumin-creatinine ratio (UACR) after 16 weeks for BAY3283142 with a placebo. A placebo looks like the study drug but does not have any medicine in it.

During the study, participants will take either of the following drugs:

* BAY3283142: Participants will take BAY3283142 as tablets by mouth.
* Placebo: Participants will take it in the same way as BAY3283142. Participants will continue taking the available standard treatment for CKD and other conditions they may have (for example, heart conditions and diabetes).

At the start of this study, the researchers will check the medical history and current medications of the participants. They will also perform a complete health check-up of all the participants. Researchers will take urine and blood samples from the participants at different time points to measure UACR and eGFR.

Participants will be divided equally into different groups. Only 1 group will receive placebo and the other groups will receive BAY3283142. Participants will take their assigned treatment for 16 weeks.

No one will know who receives which drug or dose of BAY3283142 during the study.

Participants will be in this study for around 23 weeks. This includes the time for screening before the start of treatment and follow-up with participants after treatment.

People can join this study if they:

* are 18 years of age or older and have been diagnosed with CKD
* have poor kidney function according to the eGFR test
* have abnormally high levels of albumin in the urine according to the UACR test
* have been taking certain drugs at a stable dose for management of high blood pressure, diabetes, kidney disease, etc. for at least 4 weeks before the start of the study

People cannot join this study if they:

* have low blood pressure
* have had a stroke or a heart attack, or were hospitalized because of heart failure in the 3 months before the start of the study
* have a serious liver disease
* have a kidney disease for which they need to take drugs that control the immune system The detailed requirements will be discussed between the study doctors and people considering joining this study.

Participants may or may not get the expected benefits of treatment with BAY3283142, but they will receive thorough medical check-ups during this study. These can help to improve individual treatment in the future and to identify unknown medical risks.

Some participants may experience medical problems during this study including pain and discomfort when blood samples are taken. Researchers will closely monitor and manage any medical problems the participants may have. They will not include people who should not take BAY3283142 due to known safety concerns.

The findings from this study may contribute to developing a new treatment option for people with CKD who have excess albumin in the urine.

Detailed Description

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Conditions

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Chronic Kidney Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

5+1 parallel-arm
Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors
In this double-blind study, participants will be randomly assigned to receive study intervention. Investigators, participants and study personnel will remain blinded to each participant's assigned study intervention throughout the course of the study

Study Groups

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Arm 1

Placebo OD and sham titration after 14 days and after 28 days

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Matching with BAY3283142

Arm 2

BAY3283142 (dose 1) OD and sham titration after 14 days and after 28 days

Group Type EXPERIMENTAL

BAY3283142

Intervention Type DRUG

Tablet, intake orally once daily

Arm 3

BAY3283142 (dose 2) OD and sham titration after 14 days and after 28 days

Group Type EXPERIMENTAL

BAY3283142

Intervention Type DRUG

Tablet, intake orally once daily

Arm 4

BAY3283142 (dose 2) OD and uptitration to dose 3 OD after 14 days and sham titration after 28 days

Group Type EXPERIMENTAL

BAY3283142

Intervention Type DRUG

Tablet, intake orally once daily

Arm 5

BAY3283142 (dose 2) OD and uptitration to dose 3 OD after 14 days and to dose 4 OD after 28 days

Group Type EXPERIMENTAL

BAY3283142

Intervention Type DRUG

Tablet, intake orally once daily

Arm 6

BAY3283142 (dose 3) OD and uptitration to dose 5 OD after 14 days and sham titration after 28 days

Group Type EXPERIMENTAL

BAY3283142

Intervention Type DRUG

Tablet, intake orally once daily

Interventions

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BAY3283142

Tablet, intake orally once daily

Intervention Type DRUG

Placebo

Matching with BAY3283142

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Participant must be ≥18 years of age
* eGFR (Chronic Kidney Disease Epidemiology Collaboration formula) ≥20 and ≤75 mL/min /1.73 m\^2 at Screening Note: One re-assessment of eGFR based on central laboratory values is allowed during the Screening period"
* UACR ≥200 mg/g and \<3500 mg/g as determined by the geometric mean (as calculated by the central laboratory) of 3 morning void urine specimens obtained at Screening
* Treatment with the highest tolerated labeled dose of either angiotensin-converting enzyme inhibitor (ACEI) or angiotensin receptor blockers (ARB), unless such treatment is either not tolerated or contraindicated. Treatment dose must be stable dose for at least 4 weeks before Screening with no planned change of the therapy during the study
* If the participant receives any of the following treatments it should be stable for 4 weeks prior to Screening: sodium-glucose co-transporter-2 (SGLT2) inhibitor, finerenone, diuretics, endothelin-receptor antagonists, or glucagon-like peptide (GLP) receptor agonist

Exclusion Criteria

* Systolic blood pressure (SBP) \<100 mmHg at Visit 2 (baseline)
* Patients with a tendency for clinically relevant orthostatic hypotension at Screening and Visit 2 (baseline) as judged by the investigator
* SBP ≥160 mmHg, unless treated with ≥3 blood pressure lowering medications, at Screening or at Visit 2 (baseline)
* History of secondary hypertension other than CKD
* Hepatic impairment corresponding to Child-Pugh B or C or other significant liver disease (e.g., acute hepatitis, chronic active hepatitis, cirrhosis as indicated by e.g. AST or ALT \>3x ULN or total bilirubin \>2x ULN) at Screening
* Polycystic kidney disease, lupus nephritis or ANCA-associated vasculitis and any other kidney disease requiring immunosuppressive therapy within 6 months prior to Screening
Minimum Eligible Age

18 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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Nephrology Consultants, LLC

Huntsville, Alabama, United States

Site Status

Balboa Research SMO+ - Chula Vista - West

Chula Vista, California, United States

Site Status

Balboa Research SMO+ - La Mesa

La Mesa, California, United States

Site Status

California Kidney Specialists - San Dimas

San Dimas, California, United States

Site Status

Yale University School of Medicine

New Haven, Connecticut, United States

Site Status

Nova Clinical Research - Blake Medical Center

Bradenton, Florida, United States

Site Status

Renstar Medical Research - Deerwood Clinic

Ocala, Florida, United States

Site Status

Elixia Central Florida

Orlando, Florida, United States

Site Status

Florida Institue for Clinical Research

Orlando, Florida, United States

Site Status

Southeastern Clinical Research Institute, LLC

Augusta, Georgia, United States

Site Status

Research by Design, LLC | Chicago, IL

Chicago, Illinois, United States

Site Status

Nephrology Associates of Northern Illinois and Indiana - Hinsdale

Hinsdale, Illinois, United States

Site Status

Triad Internal Medicine - Asheboro

Asheboro, North Carolina, United States

Site Status

Eastern Nephrology Associates - New Bern

New Bern, North Carolina, United States

Site Status

Brookview Hills Research Associates, LLC

Winston-Salem, North Carolina, United States

Site Status

Knoxville Kidney Center, PLLC

Knoxville, Tennessee, United States

Site Status

Vanderbilt University Medical Center

Nashville, Tennessee, United States

Site Status

Renal Disease Research Institute | Landry

Dallas, Texas, United States

Site Status

Southwest Houston Research, Ltd.

Houston, Texas, United States

Site Status

Clinical Advancement Center, PLLC

San Antonio, Texas, United States

Site Status

Utah Kidney Research Institute | Salt Lake City, UT

South Salt Lake, Utah, United States

Site Status

Peninsula Kidney Associates - Hampton

Hampton, Virginia, United States

Site Status

Manassas Clinical Research Center

Manassas, Virginia, United States

Site Status

Salem VA Medical Center - Cardiology

Salem, Virginia, United States

Site Status

Mendez Center For Clinical Research | Woodbridge, VA

Woodbridge, Virginia, United States

Site Status

Centro de Investigaciones Metabolicas | Ciudad de Autonoma de Buenos Aires, Argentina

Ciudad Autónoma de Buenos Aire, Buenos Aires, Argentina

Site Status

Centro de Investigaciones Medicas Temperley | Buenos Aires, Argentina

Temperley, Buenos Aires, Argentina

Site Status

CEDIC Centro de Investigación Clínica | Buenos Aires, Argentina

CABA, Ciudad Auton. de Buenos Aires, Argentina

Site Status

Centro de Especialidades Medicas (Cemedic) | Cardiology Department

Villa Luro, Ciudad Auton. de Buenos Aires, Argentina

Site Status

Centro de Educacion Medica e Investigaciones Clinicas "Norberto Quirno" (CEMIC)

Buenos Aires, , Argentina

Site Status

Centro Privado San Vicente Diabetes

Córdoba, , Argentina

Site Status

Centro de Rehabilitacion Cardiovascular | San Luis, Argentina

San Luis, , Argentina

Site Status

Fundacion Centro de Salud e Investigaciones Medicas | Santa Rosa, Argentina

Santa Rosa, , Argentina

Site Status

Epicura / Nephrology

Baudour, , Belgium

Site Status

UZ Gent / Nephrology

Ghent, , Belgium

Site Status

Jan Yperman Ziekenhuis / Nephrology

Ieper, , Belgium

Site Status

UZ Brussel Nephrology

Jette, , Belgium

Site Status

UZ Leuven / Nephrology

Leuven, , Belgium

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AZ Delta / Nephrology

Roeselare, , Belgium

Site Status

The First Affiliated Hospital of Xiamen University

Xiamen, Fujian, China

Site Status

The First Affiliated Hospital of Guangzhou University of TCM

Guangzhou, Guangdong, China

Site Status

The Third Xiangya Hospital of Central South University

Changsha, Hunan, China

Site Status

Huai'an First People's Hospital, Nanjing Medical University

Huai'an, Jiangsu, China

Site Status

The Second Affiliated Hospital of Nanjing Medical university

Nanjing, Jiangsu, China

Site Status

The Second Hospital of Jilin University

Changchun, Jilin, China

Site Status

Shandong Provincial Hospital

Jinan, Shandong, China

Site Status

Taizhou Hospital of Zhejiang Province

Taizhou, Zhejiang, China

Site Status

Capital Medical University (CMU) - Beijing Anzhen Hospital (BAH)

Beijing, , China

Site Status

Peking University People's Hospital

Beijing, , China

Site Status

Sichuan University - West China Hospital

Chengdu, , China

Site Status

Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital (SAMSPH)

Chengdu, , China

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The First People's Hospital - Foshan

Foshan, , China

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Southern Medical University - Nanfang Hospital (Southern Hospital)

Guangzhou, , China

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Jiangsu Province Hospital of Traditional Chinese Medicine (TCM)

Nanjing, , China

Site Status

Renji Hospital Shanghai JiaoTong University of Medicine

Shanghai, , China

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Huadong Hospital, Affiliated to Fudan University

Shanghai, , China

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Shanxi Bethune Hospital

Taiyuan, , China

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General Hospital of Athens LAIKO

Athens, , Greece

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University General Hospital of Heraklion - Department of Paediatrics

Heraklion, , Greece

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University of Thessaly - General University Hospital of Larissa (UHL)

Larissa, , Greece

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University Hospital of Ioannina (UHI)

Nisos Ioanninon, , Greece

Site Status

University General Hospital of Patras | Nephrology Clinic

Pátrai, , Greece

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Hippokration General Hospital of Thessaloniki - 3rd Department of Paediatrics, Nephrology Unit'

Thessaloniki, , Greece

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General Hospital of Thessaloniki Papageorgiou

Thessaloniki, , Greece

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Hellenic Republic Ministry of Health & Welfare - General Hospital of Thessaloniki (George Papanikolaou)

Thessaloniki, , Greece

Site Status

Mavani Research Center

Ahmedabad, Gujarat, India

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Life Care Clinic (LifeCare Clinic & Research Centre (LCRC))

Bangalore, , India

Site Status

Madras Diabetes Research Foundation

Chennai, , India

Site Status

The Institute of Post Graduate Medical Education & Research (IPGMER) (SSKM Hospital)

Kolkata, , India

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All India Institute of Medical Sciences (AIIMS) - New Delhi

New Delhi, , India

Site Status

Max Super Speciality Hospital, Saket (West Block), (A unit of Max Healthcare Institute Limited)

New Delhi, , India

Site Status

Azienda Ospedaliero-Universitaria Di Bologna IRCCS_Policlinico Sant'Orsola - Nefrologia, Dialisi e Trapianto

Bologna, Emilia-Romagna, Italy

Site Status

ASST Papa Giovanni XXIII | Ospedale di Bergamo - SC Malattie Endocrine-Diabetologia

Bergamo, , Italy

Site Status

Azienda Ospedaliera Universitaria Gaetano Martino Messina - Nefrologia e Dialisi

Messina, , Italy

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Azienda Ospedaliero Universitaria di Modena_Policlinico - Nefrologia, Dialisi e Trapianto di Rene

Modena, , Italy

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Istituti Clinici Scientifici Maugeri S.p.A._Pavia - Nefrologia

Pavia, , Italy

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Kasugai Municipal Hospital

Kasugai, Aichi-ken, Japan

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Chubu Rosai Hospital

Nagoya, Aichi-ken, Japan

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Juntendo University Urayasu Hospital

Urayasu, Chiba, Japan

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Saiseikai Matsuyama Hospital

Matsuyama, Ehime, Japan

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Fukui Prefectural Hospital

Fukui-shi, Fukui, Japan

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Kokura Memorial Hospital

Kitakyushu, Fukuoka, Japan

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Steel Memorial Yawata Hospital

Kitakyushu, Fukuoka, Japan

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Hirohata Naika Clinic

Kitakyushu, Fukuoka, Japan

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Jiyugaoka Yamada Internal Medicine Clinic

Obihiro, Hokkaido, Japan

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Naka Kinen Clinic

Naka, Ibaraki, Japan

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Komatsu Municipal Hospital

Komatsu, Ishikawa-ken, Japan

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Shonan Kamakura General Hospital

Kamakura, Kanagawa, Japan

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Saiseikai Yokohamashi Nanbu Hospital

Yokohama, Kanagawa, Japan

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Yokohama City University Hospital

Yokohama, Kanagawa, Japan

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Katta General Hospital

Shiroishi, Miyagi, Japan

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Rinku General Medical Center

Izumisano, Osaka, Japan

Site Status

Hamamatsu University Hospital

Hamamatsu, Shizuoka, Japan

Site Status

NTT Medical Center Tokyo

Shinagawa-ku, Tokyo, Japan

Site Status

University of Yamanashi Hospital

Chūō, Yamanashi, Japan

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Japanese Red Cross Fukuoka Hospital

Fukuoka, , Japan

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Ehime Prefectural Central Hospital

Matsuyama, , Japan

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Nara Prefecture General Medical Center

Nara, , Japan

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Osaka General Medical Center

Osaka, , Japan

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Japanese Red Cross Saitama Hospital

Saitama, , Japan

Site Status

Unidade Local de Saude Almada-Seixal | Hospital Garcia de Orta - Research Department

Almada, Lisbon District, Portugal

Site Status

Unidade Local De Saúde De Lisboa Ocidental E.P.E.

Carnaxide, Lisbon District, Portugal

Site Status

Unidade Local de Saude do Estuario do Tejo | Hospital de Vila Franca de Xira - Departamento de Formacao e Investigacao

Vila Franca de Xira, Lisbon District, Portugal

Site Status

Hospital Pedro Hispano | Clinical Research Center

Matosinhos Municipality, Porto District, Portugal

Site Status

Centro Hospitalar do Medio Tejo | Unidade de Torres Novas - Nephrology Department

Torres Novas, Santarém District, Portugal

Site Status

Centro Clinico Academico Braga | Braga, Portugal

Braga, , Portugal

Site Status

CHUC- Hospitais da Universidade de Coimbra - Nephrology Department

Coimbra, , Portugal

Site Status

Centro Hospitalar Universitario de Lisboa Central | Hospital Curry Cabral - Nephrology Department

Lisbon, , Portugal

Site Status

Associacao Protectora dos Diabeticos de Portugal | Departamento de Ensaios Clinicos

Lisbon, , Portugal

Site Status

Luz Saude | Hospital da Luz Lisboa - Centro de Investigacao Clinica

Lisbon, , Portugal

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National University Hospital Medical Centre

Singapore, , Singapore

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Singapore General Hospital

Singapore, , Singapore

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National Heart Centre Singapore

Singapore, , Singapore

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Tan Tock Seng Hospital

Singapore, , Singapore

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SingHealth Polyclinics - Pasir Ris

Singapore, , Singapore

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Changi General Hospital

Singapore, , Singapore

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Nemocnica Akademika L. Derera - UNB, Nefrologicka ambulancia

Bratislava, , Slovakia

Site Status

DIABEDA s.r.o.

Bratislava, , Slovakia

Site Status

MEDISPEKTRUM s.r.o.

Bratislava, , Slovakia

Site Status

B. Braun Avitum Nefrologicka Ambulancia | Galanta, Slovakia

Galanta, , Slovakia

Site Status

NephroCare | FMC-dialyzacne sluzby s.r.o. - Kosice

Košice, , Slovakia

Site Status

Univerzitna nemocnica Martin

Martin, , Slovakia

Site Status

Biodial | Puchov, Slovakia

Púchov, , Slovakia

Site Status

DIAB s.r.o

Rožňava, , Slovakia

Site Status

B. Braun Avitum Nefrologicka ambulancia | Sala, Slovakia

Šaľa, , Slovakia

Site Status

Gerencia de Gestion Integrada A Coruna | Department of Endocrinology and Nutrition

A Coruña, A Coruña, Spain

Site Status

Hospital Universitari de Bellvitge | Bellvitge Biomedical Research Institute - Nephrology Department

L'Hospitalet de Llobregat, Barcelona, Spain

Site Status

Hospital Clinico Universitario de Valencia | Nephrology Department

Missing, Valencia, Spain

Site Status

Hospital Quironsalud Barcelona | Internal Medicine Department

Barcelona, , Spain

Site Status

Complejo Hospitalario Universitario de Ferrol | Hospital Naval - Unidad de Hipertensión Arterial

Ferrol, , Spain

Site Status

Hospital Universitario Ramon Y Cajal - Medicina Interna

Madrid, , Spain

Site Status

Hospital Universitario Fundacion Jimenez Diaz | Nephrology and Hypertension Department

Madrid, , Spain

Site Status

Hospital Universitario Nuestra Senora de Valme | Internal Medicine Department

Seville, , Spain

Site Status

Hospital Universitario Doctor Peset | Nephrology Department

Valencia, , Spain

Site Status

Hospital Universitario Y Politecnico La Fe - Nefrologia

Valencia, , Spain

Site Status

Sahlgrenska Universitetssjukhuset - Njurkliniken

Gothenburg, , Sweden

Site Status

Universitetssjukhuset i Linköping

Linköping, , Sweden

Site Status

ProbareE Stockholm

Stockholm, , Sweden

Site Status

Center For Diabetes, Academic Specialist Center

Stockholm, , Sweden

Site Status

Akademiska sjukhuset (Uppsala University Hospital) - Njurkliniken

Uppsala, , Sweden

Site Status

Changhua Christian Hospital

Changhua, , Taiwan

Site Status

Chang Gung Memorial Hospital Kaohsiung

Kaohsiung City, , Taiwan

Site Status

Far Eastern Memorial Hospital

New Taipei City, , Taiwan

Site Status

Chi-Mei Medical Center, Liouyine

Tainan City, , Taiwan

Site Status

National Taiwan University Hospital

Taipei, , Taiwan

Site Status

Northern Care Alliance NHS Foundation Trust | Salford Royal Hospital - Nephrology

Salford, Manchester, United Kingdom

Site Status

University Hospitals Birmingham NHS Foundation Trust | Queen Elizabeth Hospital Birmingham - Clinical Research Facility

Birmingham, , United Kingdom

Site Status

Cardiff and Vale University Health Board | University Hospital of Wales - Nephrology and Transplant

Cardiff, , United Kingdom

Site Status

Epsom and St Helier University Hospitals NHS Trust | St Helier Hospital - Clinical Trials Unit

Carshalton, , United Kingdom

Site Status

Hull University Teaching Hospitals NHS Trust | Hull Royal Infirmary - Academic Renal Research Department

Hull, , United Kingdom

Site Status

Barts Health NHS Trust - Royal London Hospital - Nephrology

London, , United Kingdom

Site Status

King's College Hospital NHS Foundation Trust | King's College Hospital - Renal Research Department

London, , United Kingdom

Site Status

Manchester University NHS Foundation Trust | Manchester Royal Infirmary - Renal Care

Manchester, , United Kingdom

Site Status

Lakeside Healthcare | Lakeside Surgery - Research Department

Northamptonshire, , United Kingdom

Site Status

Countries

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United States Argentina Belgium China Greece India Italy Japan Portugal Singapore Slovakia Spain Sweden Taiwan United Kingdom

Related Links

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https://clinicaltrials.bayer.com/study/22040

Click here to find further information and, after study completion, the study results according to Bayer's transparency standards.

Other Identifiers

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2023-505755-40-00

Identifier Type: REGISTRY

Identifier Source: secondary_id

22040

Identifier Type: -

Identifier Source: org_study_id

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