stop_circleTerminated/Withdrawn

Chronic Kidney Disease, Diabetic Kidney Disease

A trial to learn more about how BAY2327949 works and how safe it is in patients whose kidneys are damaged due to high blood sugar levels or high blood pressures, and with a further disease of the heart or the blood vessels.

Trial purpose

In people with type 2 diabetes (T2D), the body makes insulin, but cannot use it well. This results in high blood sugar levels causing damage to the blood vessels inside the kidneys.

High blood pressure is a common condition that can cause damage to the blood vessels and heart if it is untreated. High blood pressure is also known as hypertension.

Patients with type 2 diabetes (T2D) or high blood pressure are at a higher risk of having chronic kidney disease (CKD). In people with CKD, the kidneys become damaged and do not work as they should. Over time, the function of the kidney declines more, and this can lead to the requirement for dialysis or kidney transplantation. Most people with CKD are also at risk of heart conditions, such as heart attack or stroke.

In this trial, the researchers want to learn if BAY2327949 reduces the amount of protein in the participants’ urine. Protein in the urine is one of the signs of CKD. The researchers will compare the effects of BAY2327949 to a placebo. A placebo looks like the study drug but does not have any medicine in it. BAY2327949 is assumed to increase the blood flow through the kidneys, which may slow down the worsening of the disease. The researchers will use a placebo to learn if the changes seen in the participants are due to BAY2327949 or if the results could be due to chance.

This trial will include about 120 men and women over the age of 45 who have CKD. The participants will have T2D or high blood pressure, and a further disease of the heart or blood vessels.

During the trial, the participants will take either BAY2327949 or a placebo once a day for 28 days. The participants will visit their trial site about 9 times during the trial, and need to provide urine samples to check the participants’ CKD symptoms. At the visits, the doctors will ask them if they have any health problems. They will also take blood samples to perform laboratory assessments.

Key Participants Requirements

Sex

All

Age

45 - N/A
  • - A clinical diagnosis of chronic kidney disease (CKD) with estimated glomerular filtration rate (eGFR) ≥ 25 mL/min/1.73 m^2 but ≤ 60 mL/min/1.73 m^2 (estimated using the CKD-EPI [Epidemiology Collaboration] equation) as assessed during Visit 1, and albuminuria (as measured by urine albumin-to-creatinine ratio [UACR]) in the range of ≥ 30 but ≤ 3000 mg/g, based on the first assessment for Visit 1.
    - CKD with a clinical cause of either T2D or hypertension:  -- if T2D is the clinical cause, history of type 2 diabetes mellitus as defined by the American Diabetes Association (on treatment with glucose-lowering medications and/or insulin) for at least 2 years before randomization and on a stable therapy with sodium-glucose transport protein 2 (SGLT2) inhibitor for at least 3 months before randomization;  -- if hypertension is the clinical cause, patients must have a history of systolic blood pressure (BP) values ≥ 140 mmHg and/or diastolic BP values ≥ 90 mmHg, and on hypertension medication for at least 5 years before randomization.
    - Stable treatment with either angiotensin converting enzyme (ACE) inhibitors or angiotensin receptor blockers (ARBs) at the maximal tolerated labelled daily dose and otherwise stable antihypertensive treatment both for at least 3 months before randomization. If taking an SGLT2 inhibitor, the participant must be on stable treatment for at least 3 months before randomization without any planned changes in dosing during the study period. All treatments must be expected to remain stable over the study period without any planned dose adjustments.
    - Body mass index within the range of 18-38 kg/m^2 as evaluated for Visit 1.
    - Male participants must agree to use barrier contraception (condoms). Female participants must be of non-child-bearing potential.
  • - Known non-diabetic or non-hypertensive renal disease (e.g. autosomal dominant polycystic kidney disease or autosomal recessive polycystic kidney disease, bilateral clinically relevant renal artery stenosis, lupus nephritis, or ANCA-associated vasculitis, or
    any other secondary glomerulonephritis).
    - Clinical diagnoses of heart failure and persistent symptoms (NYHA [New York Heart Association] class III – IV), or hospitalization for worsening heart failure in the last 3 months prior to signing the informed consent form (ICF).
    - Uncontrolled hypertension indicated by >160 mmHg systolic BP or ≥100 mmHg diastolic BP at Visit 1 or Visit 2 or at any unscheduled visit before randomization.
    - History of secondary hypertension (i.e., renal artery stenosis, primary aldosteronism, or
    pheochromocytoma); stroke, transient ischemic cerebral attack, acute coronary syndrome in the last 3 months prior to signing the ICF.
    - Dialysis for acute renal failure within the previous 6 months prior to signing the ICF.
    - Renal allograft in place or a scheduled kidney transplant within the next 18 weeks from signing the ICF (being on a waiting list does not exclude the participant).
    - Hepatic insufficiency classified as Child-Pugh B or C or other significant liver disease (e.g., acute hepatitis, chronic active hepatitis, cirrhosis as indicated by e.g. AST/ALT >3x ULN).
    - Active malignancy. Previous malignancies are allowed if there is a 5-year remission- and treatment-free time before signing the ICF.
    - Any surgical or medical condition, which in the opinion of the investigator, may place the participant at higher risk from his/her participation in the study, or is likely to prevent the participant from complying with the requirements of the study or completing the study.
    - For participants without diabetes: receiving off-label treatment with an SGLT2 inhibitor.
    - Indication for immunosuppressants, receiving cytotoxic therapy, immunosuppressive therapy, or other immunotherapy within 6 months prior to signing ICF.
    - Combination use of an ACE inhibitor and ARB within 3 months prior to signing ICF.
    - Concomitant therapy with drugs that strongly induce or inhibit CYP3A4 (cytochrome P-450 3A4), or that are inhibitors of P-gp (P-glucoprotein).
    - Planned change of concomitant medications or dose adjustments during participation in this study.
    - Participation in another clinical study with treatment with another investigational product
    90 days prior to signing ICF.
    - HbA1c > 11% at Visit 1.

Trial summary

Enrollment Goal
0
Trial Dates
May 2021 - May 2022
Phase
Phase 2
Could I Receive a placebo
Yes
Products
BAY2327949
Accepts Healthy Volunteer
No

Where to participate

StatusInstitutionLocation
Withdrawn
ÖbackaklinikenHärnösand, 871 31, Sweden
Not yet recruiting
ProbarELund, 222 22, Sweden
Withdrawn
ProbarEStockholm, 111 37, Sweden
Not yet recruiting
Center For Diabetes, Academic Specialist CenterStockholm, 113 65, Sweden
Not yet recruiting
Akademiska SjukhusetUppsala, 751 85, Sweden
Withdrawn
Kliniska vetenskaper, DSDanderyd, 182 57, Sweden
Not yet recruiting
Carlanderska SjukhusetGöteborg, 405 45, Sweden
Not yet recruiting
Dalecarlia Clinical ResearchRättvik, 795 30, Sweden
Not yet recruiting
Regionshospitalet HerningHerning, 7400, Denmark
Not yet recruiting
Sydvestjysk Sygehus EsbjergEsbjerg, 6700, Denmark
Not yet recruiting
Aarhus Universitetshospital, SkejbyAarhus N, 8200, Denmark
Not yet recruiting
Odense UniversitetshospitalOdense C, DK-5000, Denmark
Withdrawn
Hvidovre HospitalHvidovre, 2650, Denmark
Not yet recruiting
Hvidovre HospitalHvidovre, 2650, Denmark
Not yet recruiting
Nordsjællands HospitalHillerød, 3400, Denmark
Not yet recruiting
Sykehuset Innlandet HF HamarHamar, 2326, Norway
Not yet recruiting
AKTIMED Helse ASHamar, 2317, Norway
Not yet recruiting
Oslo Universitetssykehus HF, RikshospitaletOslo, 0586, Norway
Withdrawn
Spesialistsenteret Pilestredet ParkOslo, 0176, Norway
Not yet recruiting
Skedsmo Medisinske SenterSkedsmokorset, 2020, Norway
Withdrawn
Oslo Universitetssykehus HF, RikshospitaletOslo, 0372, Norway
Not yet recruiting
Stavanger Helseforskning ASStavanger, 4011, Norway
Not yet recruiting
St. Olavs Hospital HFTrondheim, 7006, Norway
Not yet recruiting
Medizinische Universität GrazGraz, 8036, Austria
Not yet recruiting
Konventhospital Barmherzige Brüder LinzLinz, 4021, Austria
Not yet recruiting
Zentrum f. klinische Studien Dr. Hanusch GmbHWien, 1060, Austria
Not yet recruiting
Universitätsklinikum St. PöltenSt. Pölten, 3100, Austria
Not yet recruiting
Landeskrankenhaus FeldkirchFeldkirch, 6807, Austria
Not yet recruiting
Universitätsklinikum AKH WienWien, 1090, Austria
Not yet recruiting
Klinik HietzingWien, 1130, Austria
Not yet recruiting
Kantonsspital St. GallenSt. Gallen, 9007, Switzerland
Not yet recruiting
Inselspital Universitätsspital BernBern, 3010, Switzerland
Not yet recruiting
Centre Hospitalier Universitaire Vaudois (CHUV)Lausanne, 1011, Switzerland
Not yet recruiting
Turun yliopistollinen keskussairaala, kantasairaalaTurku, 20520, Finland
Not yet recruiting
Health Step Finland OyKuopio, 70100, Finland
Not yet recruiting
Oulun yliopistollinen sairaalaOulu, 90220, Finland
Not yet recruiting
Seinäjoen keskussairaalaSeinäjoki, FIN 60220, Finland
Not yet recruiting
Päijät-Hämeen keskussairaalaLahti, 15850, Finland
Not yet recruiting
Albert Schweitzer Ziekenhuis, locatie ZwijndrechtZWIJNDRECHT, 3331 LZ, Netherlands
Not yet recruiting
Maxima Medisch Centrum, locatie EindhovenEINDHOVEN, 5600 PD, Netherlands
Not yet recruiting
Albert Schweitzer Ziekenhuis, Locatie DordwijkDORDRECHT, 3318 AT, Netherlands
Not yet recruiting
Academisch Medisch Centrum (AMC)AMSTERDAM, 1105 AZ, Netherlands

Primary Outcome

  • Change from baseline in urine albumin-to-creatinine ratio (UACR) to the end of treatment (Visit 6)
    date_rangeTime Frame:
    Baseline and Visit 6 (28 days)

Secondary Outcome

  • Frequency of treatment-emergent adverse events (TEAEs)
    date_rangeTime Frame:
    From the first treatment with the study intervention until 7 days after the last dose, up to 5 weeks

Trial design

A randomized, double-blind, placebo-controlled, multi-center study to assess the efficacy and safety of BAY 2327949 in patients with chronic kidney disease (eGFR range from 25 to 60 mL/min/1.73 m²) due to type 2 diabetes or hypertension and at least one cardiovascular comorbidity
Trial Type
Interventional
Intervention Type
Drug
Trial Purpose
Treatment
Allocation
Randomized
Blinding
N/A
Assignment
Parallel Assignment
Trial Arms
2