Evaluate the Efficacy and Safety of Once Daily Administration of Atrasentan Tablets (Low and High) Compared to Placebo in Reducing Residual Albuminuria in Type 2 Diabetic Patients With Nephropathy Who Are Treated With the Maximum Tolerated Labeled Dose of a Renin Angiotensin System (RAS) Inhibitor
NCT01356849 · Status: COMPLETED · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 149
Last updated 2013-08-28
Summary
Prospective, Randomized, Double-Blind, Placebo-Controlled Multicenter Study. The objective of the study is to evaluate the efficacy and safety of once daily administration of atrasentan tablets (low dose and high dose) compared to placebo in reducing residual albuminuria in Type 2 diabetic patients with nephropathy who are treated with the maximum tolerated labeled dose of a Renin Angiotensin System (RAS) inhibitor. If the patient is already receiving a maximum tolerated labeled daily dose of RAS inhibitor and a diuretic, he/she will complete 4 weeks of the Run-in Period on a dose that has not been adjusted. If the patient is currently not receiving a maximum labeled daily dose of a RAS inhibitor then the dose will be titrated up to the maximum tolerated labeled dose over the course of 4 to 8 weeks during the Run-in Period. It is expected that subjects not receiving a diuretic will have a diuretic added or titrated during this period to maximize RAS inhibition. Following titration to the maximum tolerated labeled dose, the patient will complete an additional 4 weeks of Run-In Period on an unchanged doses of RAS inhibitor and diuretics, unless medically contraindicated. The randomization will be stratified based on country where subjects are enrolled into the study, and the Week -1 Urinary Albumin to Creatinine Ratio (UACR) levels (\< or = 1000 mg/g \[113 mg/mmol\], or \> 1000 mg/g \[113 mg/mmol\]). Within each stratum, subjects will be randomly assigned in a 1:2:2 ratio to one of the following blinded treatment groups: Group A - Placebo once daily (QD) Group B - low dose atrasentan QD Group C - high dose atrasentan QD After the 12 weeks of study drug treatment, subjects will be followed up to 30 days.
Conditions
- Chronic Kidney Disease
- Diabetic Nephropathy
Interventions
- DRUG
-
Subjects will take two tablets daily of either low dose Atrasentan QD or high dose Atrasentan QD for 12 weeks during the treatment period.
- DRUG
-
Subjects will take two tablets daily of placebo QD for 12 weeks during the treatment period.
Sponsors & Collaborators
-
AbbVie (prior sponsor, Abbott)
lead INDUSTRY
Principal Investigators
-
Blai Coll, MD · AbbVie
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- QUADRUPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2011-04-30
- Primary Completion
- 2012-08-31
- Completion
- 2012-08-31
Countries
- United States
- Canada
- Puerto Rico
- Taiwan
Study Locations
More Related Trials
-
Triple Blockade of the Renin Angiotensin Aldosterone System in Diabetic (Type 1&2) Proteinuric Patients
NCT00961207 ·Status: TERMINATED ·Phase: PHASE4
-
Time Course of the Antiproteinuric and Blood Pressure Lowering Effects After Initiation of Renin Inhibition With Aliskiren in Type 2 Diabetes
NCT00461136 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Evaluation of a Renin Inhibitor, Aliskiren, Compared to Enalapril, in C3 Glomerulopathy
NCT04183101 ·Status: RECRUITING ·Phase: PHASE2
-
Subacute Effect of Tolvaptan on Total Kidney Volume in Adult Patients With Autosomal Dominant Polycystic Kidney Disease
NCT03596957 ·Status: UNKNOWN ·Phase: PHASE4
-
Pilot Study of Aprepitant Effect on Aldosterone Secretion in Diabetic Patient (Diabetes Mellitus) With Hypertension Associated With Low Renin
NCT02811055 ·Status: COMPLETED ·Phase: PHASE2
-
Safety and Efficacy of Two Year of RAAS Alone or in Combination With Spironolactone Therapy
NCT03502031 ·Status: UNKNOWN ·Phase: PHASE4
-
A Study to Assess the Effect of ASP1585 on Pharmacokinetics of Enalapril in Healthy Volunteers
NCT01115946 ·Status: COMPLETED ·Phase: PHASE1
-
Efficacy and Safety of Lorundrostat in Addition to Sodium-Glucose Cotransporter-2 Inhibitors (SGLT2i) in Subjects With Hypertension and Chronic Kidney Disease (CKD) With Albuminuria
NCT06150924 ·Status: COMPLETED ·Phase: PHASE2
-
High Dose Ace Inhibitor Therapy Versus Combination of ACE and ARB Therapy
NCT00212901 ·Status: COMPLETED ·Phase: NA
-
Effects of Angiotensin Receptor Antagonist on Prohibiting Cardiovascular Events on Hemodialysis Patients
NCT00530595 ·Status: COMPLETED ·Phase: NA
-
Maximizing the Benefit of Renin-Angiotensin Blocking Drugs in Diabetic Renal Disease.
NCT00240019 ·Status: COMPLETED ·Phase: NA
-
To Study the Effects of Aliskiren on Albuminuria and Various Biomarkers in Patients With Nephropathy
NCT01302899 ·Status: TERMINATED ·Phase: PHASE2
-
Aldosterone Breakthrough During Diovan, Tekturna, and Combination Therapy in Patients With Proteinuric Kidney Disease
NCT01129557 ·Status: TERMINATED ·Phase: PHASE4
-
A Study of the Effect and Safety of Sparsentan in the Treatment of Patients With IgA Nephropathy
NCT03762850 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE3
-
To Determine the Effects of Avosentan on Doubling of Serum Creatinine, End Stage Renal Disease and Death in Diabetic Nephropathy
NCT00120328 ·Status: TERMINATED ·Phase: PHASE3
-
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
NCT02358096 ·Status: COMPLETED ·Phase: PHASE2
-
Efficacy of Telmisartan and the Combination of Telmisartan and Ramipril in type1 Diabetes Patients With Nephropathy
NCT00738660 ·Status: COMPLETED ·Phase: PHASE3
-
Short-term Renal Hemodynamic Effects of Tolvaptan in Subjects With Autosomal Dominant Polycystic Kidney Disease (ADPKD)
NCT01336972 ·Status: COMPLETED ·Phase: PHASE2
-
EASi-KIDNEY™ (The Studies of Heart & Kidney Protection With BI 690517 in Combination With Empagliflozin)
NCT06531824 ·Status: RECRUITING ·Phase: PHASE3
-
VA NEPHRON-D: Diabetes iN Nephropathy Study
NCT00555217 ·Status: TERMINATED ·Phase: PHASE3
-
Efficacy of Candesartan on Symptomatic Heart Failure in Treating Diabetic and Hypertensive Patients.
NCT00775840 ·Status: COMPLETED ·Phase: PHASE3
-
Adalat XL vs Diltiazem on Proteinuria and Blood Pressure in Hypertensive Diabetic Patients
NCT00713011 ·Status: WITHDRAWN ·Phase: PHASE3
-
Preventing ESRD in Overt Nephropathy of Type 2 Diabetes
NCT00494715 ·Status: COMPLETED ·Phase: PHASE3
-
Safety and Efficacy Study of Add On Aliskiren in Patients With Heart Failure and Renal Impairment
NCT00881439 ·Status: TERMINATED ·Phase: PHASE2
-
Antiproteinuric Effect of Imidapril Versus Ramipril in Type 2 Diabetic and Hypertensive Patients With Microalbuminuria
NCT01230034 ·Status: UNKNOWN ·Phase: PHASE3