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Protocol NumberM11-350

2011-09-01 - 2012-07-31

Phase II

Terminated3

ICD-10R80.0

Isolated proteinuria

ICD-10R80.1

Persistent proteinuria, unspecified

ICD-10R80.3

Bence Jones proteinuria

ICD-10R80.8

Other proteinuria

ICD-10R80.9

Proteinuria, unspecified

ICD-9791.0

Proteinuria

RADAR: Reducing Residual Albuminuria in Subjects with Diabetes and Nephropathy with Atrasentan- A Phase 2b, Prospective, Randomized, Double-Blind, Placebo-Controlled Trial to Evaluate Safety and Efficacy

  • Trial Applicant

    AbbVie

  • Sponsor

    Abbvie

  • Trial scale

    Multi-Regional Multi-Center

  • Update

    2025/08/20

Investigators and Locations

Principal Investigator Ching-Chu Chen Division of Endocrinology

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Terminated

Principal Investigator 許惠恒 Division of Endocrinology

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Terminated

Principal Investigator 何俊緯 Division of Endocrinology

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Terminated

Condition/Disease

Reduce residual albuminuria in patients with diabetes and kidney disease

Objectives

The purpose of this study was to evaluate the reduction in Atrasentan tablets (0.75 mg and 1.25 mg) taken once a day in patients with type 2 diabetes and nephropathy who were treated with the maximum tolerable label dose of RAS inhibitors compared with taking placebo. Efficacy and safety of residual proteinuria

Test Drug

ABT-627

Active Ingredient

Dosage Form

Dosage

0.5/0.75

Endpoints

The change in UACR (urinary albumin to creatinine acid ratio) from the baseline date to the 12th week will be performed by repeated measurement analysis using all the data collected at the baseline date and every visit after the baseline date. analysis. The UACR level will be determined using the median value of the first morning urine for each subject at the baseline date and each visit after the baseline date.
Pharmacokinetics: The population pharmacokinetic technique can be used to estimate the oral clearance (CL/F) and volume of distribution (V/F) of Atrasentan.
Pharmacodynamics: Group exposure and response techniques can be used to explore the relationship between Atrasentan exposure and clinical efficacy or safety response.

Inclution Criteria

1. The patient must have type 2 diabetes and have been treated with anti-hyperglycemic drugs at least once within 12 months before the screening period.
2. The patient is currently receiving ACEi or ARB (RAS inhibitor).
3. If the patient is a female, she is not currently breastfeeding and she is not pregnant (verified by a negative serum pregnancy test before the treatment period). patient
No fertility potential, defined as at least one year after menopause or having undergone ligation (bilateral tubal ligation, bilateral oophorectomy or hysterectomy)
Except), or have reproductive potential but use one of the following contraceptive methods:
-Double barrier method of contraception (any two of the following methods: condom, contraceptive cotton, contraceptive diaphragm with spermicidal cream)
-Use hormonal contraceptives (oral, intravenous or transdermal absorption) at least 3 months before and during the study drug
Or intrauterine contraceptive device [IUD], and use a barrier method (condom, contraceptive cotton, contraceptive diaphragm, contraceptive with spermicide
ring).
-Use a barrier method with a partner who has removed the vas deferens (condom, contraceptive cotton, contraceptive diaphragm with spermicidal cream)
-Total prohibition of sexual intercourse during the study period (abstinence for at least one full menstrual cycle before the study began)
Contraception must be used during the entire study period and for at least 4 weeks after receiving the last dose of study drug.
4. Before entering the dose adjustment period, the patient's screening laboratory laboratory test values ​​must meet the following requirements:
-According to the CKD Epidemiological Cooperation (EPI) formula, the estimated value is ≧30 and ≦75 mL/min/1.73m2
-UACR ≧300 and ≦3500 mg/g determined by the geometric mean of the first urine samples obtained from the screening visits in the two mornings
-Serum albumin concentration ≧3.0 g/dL
-BNP≦200 pg/mL
-The female patient's serum pregnancy test result was negative
-SBP≧110 mmHg and≦180 mmHg
-HbA1c≦12%
5. Before entering the treatment period, according to the laboratory test values ​​of the last visit during the dose adjustment period, the patient must meet the following requirements:
-The RAS inhibitor is the maximum tolerated label dose in the past 4 weeks, without dose adjustment
-Any dose of diuretic, unless there is a medical contraindication (cyclic diuretic furosemide QD≧120 mg, or bumetanide QD≧
3.3 mg, or etaneric acid QD ≧ 150 mg, or torasemide QD ≧ 60 mg)
-UACR ≧200 and ≦3500 mg/g determined by the median value of the first urine samples obtained in the first three mornings before the first week of consultation
-SBP≧110 mmHg and≦160 mmHg
-Serum potassium concentration≦5.5 mEq/L
-The female patient's serum pregnancy test result was negative.

Exclusion Criteria

1. Patients with a history of moderate or severe edema, facial edema or mucinous edema not related to trauma 6 months before screening.
2. Receiving ring diuretic furosemide QD≧120 mg, or bumetanide QD≧3.3 mg, or etaneric acid QD≧150 milligrams
Grams, or patients with torasemide QD≧60 mg.
3. Patients with a medical history of heart failure as defined by the American College of Cardiology/American Heart Association Diagnostic and Treatment Guidelines:
Stage C: Structural heart disease with previous or current heart failure, or
Stage D: Intractable heart failure requiring special intervention.
4. Patients who are currently receiving ACEi and ARB combination drugs, rosiglitazone, aliskiren or aldosterone blockers.
5. Patients who are currently receiving pioglitazone and have edema.

The Estimated Number of Participants

  • Taiwan

    20 participants

  • Global

    150 participants