Trial Condition(s):
A study to learn how well the treatment combination of finerenone and empagliflozin works and how safe it is compared to each treatment alone in adult participants with long-term kidney disease (chronic kidney disease) and type 2 diabetes (CONFIDENCE)
21839
2023-506981-30-00
フィネレノンは、ミネラルコルチコイド受容体というタンパク質を阻害して作用します。ミネラルコルチコイド受容体による刺激が増加すると腎臓の傷害や炎症が引き起こされることが知られており、CKDにも関与すると考えられています。
エンパグリフロジンは、血液中のブドウ糖の尿中排泄を促し、血糖値を低下させます。
本試験では、フィネレノンおよびエンパグリフロジンについて、それぞれの単独治療よりも併用療法の方が被験者の腎機能悪化を遅らせる効果があることを調べることを目的としています。このため、尿中のタンパク値を測定します。また、単独療法と比べ併用療法の安全性についても調べたいとしています。
治療群により、被験者はフィネレノンおよびエンパグリフロジンを併用、フィネレノンをプラセボと併用、またはエンパグリフロジンをプラセボと併用し、1日1回経口で服用します。プラセボの見かけは治験薬と同じですが、有効成分は何も含まれていません。重要なことは、被験者はCKDおよびT2Dに対して現在服用している薬剤も継続して服用することです。
被検者は最長7.5 ヵ月治験に参加し、6 ヵ月間治療を受けます。治験期間中、被験者には治験実施施設に7回、来院していただきます。
治験チームは次のことを行います。
• collect blood and urine samples
• check the participants’ vital signs
• do a physical examination including height and weight
• check the participants’ heart health by using an electrocardiogram (ECG)
• monitor the participants’ blood pressure
• ask the participants questions about how they are feeling and what adverse events they may be having
有害事象とは、治験中に起こる問題のことです。医師は、それらの事象が治験の治療とは関連がないと思われる場合でも、試験期間中に発生するあらゆる事象を記録します。
- Participant with a clinical diagnosis of chronic kidney disease (CKD) and the following: -- In Part A: eGFR 40-90 ml/min/1.73m^2 (with no more than 20% having an eGFR >75 ml/min/1.73m^2) using Chronic Kidney Disease Epidemiology Collaboration (CKD EPI) formula at screening visit and at least one historical value of eGFR <60 mL/min/1.73 m^2 within 3 months or have a registered diagnosis of CKD. -- In Part B: eGFR 30-90 ml/min/1.73m^2 (with no more than 20% having an eGFR >75 ml/min/1.73m^2) using CKD-EPI formula at screening visit and at least one historical value of eGFR <60 mL/min/1.73 m^2 within 3 months or have a registered diagnostic of CKD. -- 100 ≤UACR <5000 mg/g at screening visit (mean value from 3 morning void samples) and documentation of albuminuria/proteinuria (quantitative or semi-quantitative measurement) in the participant’s medical records at least 3 months prior to screening - Participant with type 2 diabetes (T2D) as defined by the American Diabetes Association (ADA 2021), with glycated hemoglobin (HbA1c) at screening <11%. - Participant treated with the clinically maximum tolerated dose, as per investigator judgment, of angiotensin-converting enzyme inhibitor (ACEi) or angiotensin receptor blocker (ARB), but not both, for more than 1 month at screening visit.
- Participants with type 1 diabetes (T1D). - Participant with hepatic insufficiency classified as Child-Pugh C. - Participant with blood pressure at Day 1 visit (Visit 2) higher than 160 systolic blood pressure (SBP) or 100 diastolic blood pressure (DBP) or SBP lower than 90 mmHg. - Participant currently treated with a sodium/glucose cotransporter-2 inhibitor (SGLT2i) or SGLT-1/2i or who received a SGLT2i or SGLT-1/2i which cannot be discontinued at least 8 weeks prior to the screening visit and during study intervention treatment. - Participant treated with another mineralocorticoid receptor antagonist (MRA) (e.g., eplerenone, esaxerenone, spironolactone, canrenone), a renin inhibitor, potassium supplements, a potassium sparing diuretic (e.g., amiloride, triamterene), a potassium binder agent, or angiotensin receptor-neprilysin inhibitor (ARNI) which cannot be discontinued at least 8 weeks prior to the screening visit and during study intervention treatment. - Participants currently treated or who were treated with Finerenone (Kerendia©) within 8 weeks prior to the screening visit. - Participant with serum/plasma potassium (K+) above 4.8 mmol/L at screening visit (central laboratory value).
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場所 Asian Kidney Hospital and Medical Centre Nagapur, India, 440010 | Contact Us: E-mail: [email protected] Phone: (+)1-888-84 22937 |
場所 Nizam's Institute of Medical Sciences (NIMS) Hyderabad, India, 500082 | Contact Us: E-mail: [email protected] Phone: (+)1-888-84 22937 |
場所 Dunes Clinical Research LLC Dakota Dunes, United States, 57049 | Contact Us: E-mail: [email protected] Phone: (+)1-888-84 22937 |
場所 DarSalud Care / LifeDOC Research Memphis, United States, 38119 | Contact Us: E-mail: [email protected] Phone: (+)1-888-84 22937 |
場所 West Orange Endocrinology & Clinical Research Ocoee, United States, 34761-4547 | Contact Us: E-mail: [email protected] Phone: (+)1-888-84 22937 |
場所 Innovative Research Institute Port Charlotte, United States, 33952 | Contact Us: E-mail: [email protected] Phone: (+)1-888-84 22937 |
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場所 South Shore Nephrology Plymouth, United States, 02360 | Contact Us: E-mail: [email protected] Phone: (+)1-888-84 22937 |
場所 Global Kidney Center Houston, United States, 77008 | Contact Us: E-mail: [email protected] Phone: (+)1-888-84 22937 |
場所 Oakland Medical Center Dakota Dunes, United States, 48085 | Contact Us: E-mail: [email protected] Phone: (+)1-888-84 22937 |
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場所 Thyroid, Endocrinology, and Diabetes (TED) PA Dallas, United States, 75208-2362 | Contact Us: E-mail: [email protected] Phone: (+)1-888-84 22937 |
場所 Lake Michigan Nephrology Saint Joseph, United States, 49085 | Contact Us: E-mail: [email protected] Phone: (+)1-888-84 22937 |
場所 North Texas Kidney Disease Associates, PLLC Lewisville, United States, 75057 | Contact Us: E-mail: [email protected] Phone: (+)1-888-84 22937 |
場所 Florida Kidney Physicians Delray Beach, United States, 33445 | Contact Us: E-mail: [email protected] Phone: (+)1-888-84 22937 |
場所 Southeast Kidney Associates East Point, United States, 30344 | Contact Us: E-mail: [email protected] Phone: (+)1-888-84 22937 |
場所 Touro University California Vallejo, United States, 94592 | Contact Us: E-mail: [email protected] Phone: (+)1-888-84 22937 |
場所 Northridge Hospital Northridge, United States, 91325 | Contact Us: E-mail: [email protected] Phone: (+)1-888-84 22937 |
場所 Olive View - UCLA Medical Center Sylmar, United States, 91342-1437 | Contact Us: E-mail: [email protected] Phone: (+)1-888-84 22937 |
場所 Southwest Kidney Institute, PLC Surprise, United States, 85374 | Contact Us: E-mail: [email protected] Phone: (+)1-888-84 22937 |
場所 Metabolic Research Institute, Inc. West Palm Beach, United States, 33401-3430 | Contact Us: E-mail: [email protected] Phone: (+)1-888-84 22937 |
場所 University of Texas Health Science Center San Antonio, United States, 78249 | Contact Us: E-mail: [email protected] Phone: (+)1-888-84 22937 |
場所 Jiyugaoka Yamada Internal Medicine Clinic Obihiro, Japan, 080-0848 | Contact Us: E-mail: [email protected] Phone: (+)1-888-84 22937 |
場所 Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico - Endocrinologia Milano, Italy, 20122 | Contact Us: E-mail: [email protected] Phone: (+)1-888-84 22937 |
場所 Università degli Studi "G. D'Annunzio" di Chieti - Endocrinologia Chieti, Italy, 66100 | Contact Us: E-mail: [email protected] Phone: (+)1-888-84 22937 |
場所 William Osler Health centre, Sakuara Medical Mississauga, Canada, L5H4K9 | Contact Us: E-mail: [email protected] Phone: (+)1-888-84 22937 |
場所 Onze-Lieve-Vrouwziekenhuis (OLVZ) - Campus Aalst Aalst, Belgium, 9300 | Contact Us: E-mail: [email protected] Phone: (+)1-888-84 22937 |
場所 Clalit Health | Soroka Medical Center - Internal Medicine Department Beer Sheva, Israel, 8410101 | Contact Us: E-mail: [email protected] Phone: (+)1-888-84 22937 |
場所 Kyung Hee University Hospital at Gangdong Seoul, Unmapped, 5278 | Contact Us: E-mail: [email protected] Phone: (+)1-888-84 22937 |
場所 Seoul National University Bundang Hospital Seongnam-si, Unmapped, 13620 | Contact Us: E-mail: [email protected] Phone: (+)1-888-84 22937 |
場所 Hanyang University Guri Hospital Gyeonggi-do, Unmapped, 11923 | Contact Us: E-mail: [email protected] Phone: (+)1-888-84 22937 |
場所 Hallym University Kangnam Sacred Heart Hospital Seoul, Unmapped, 7442 | Contact Us: E-mail: [email protected] Phone: (+)1-888-84 22937 |
場所 Korea University Ansan Hospital Gyeonggi-do, Unmapped, 425-707 | Contact Us: E-mail: [email protected] Phone: (+)1-888-84 22937 |
場所 The Catholic University of Korea, Incheon St.Mary's Hospital Incheon, Unmapped, 21431 | Contact Us: E-mail: [email protected] Phone: (+)1-888-84 22937 |
場所 Public Central Hospital of Matto Ishikawa | Clinical Trial Management Office Hakusan, Japan, 924-8588 | Contact Us: E-mail: [email protected] Phone: (+)1-888-84 22937 |
場所 Soon Chun Hyang University Cheonan Hospital Cheonan, Unmapped, 31151 | Contact Us: E-mail: [email protected] Phone: (+)1-888-84 22937 |
場所 Hadassah University Medical Center (HUMC) Jerusalem, Israel, 911200 | Contact Us: E-mail: [email protected] Phone: (+)1-888-84 22937 |
場所 Max Super Speciality Hospital (MSSH) - Saket New Delhi, India, 110017 | Contact Us: E-mail: [email protected] Phone: (+)1-888-84 22937 |
場所 All India Institute of Medical Sciences Bhubaneswar, India, 751019 | Contact Us: E-mail: [email protected] Phone: (+)1-888-84 22937 |
A parallel-group treatment, Phase 2, double-blind, three-arm study to assess efficacy and safety of finerenone plus empagliflozin compared with either finerenone or empagliflozin alone in participants with chronic kidney disease and type 2 diabetes.
Trial Type:
Interventional
Intervention Type:
Drug
Trial Purpose:
Treatment
Allocation:
Randomized
Blinding:
該当なし
Assignment:
Parallel Assignment
Trial Arms:
3