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The Phase II Study of Bardoxolone Methyl in Patients With Chronic Kidney Disease and Type 2 Diabetes; TSUBAKI Study

Primary Purpose

Chronic Kidney Disease, Type 2 Diabetes

Status
Completed
Phase
Phase 2
Locations
Japan
Study Type
Interventional
Intervention
RTA 402
Placebo
Sponsored by
Kyowa Kirin Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Chronic Kidney Disease focused on measuring Diabetes Mellitus, Diabetes Mellitus, Type 2, Diabetic Nephropathies, Kidney Diseases, Renal Insufficiency, Chronic, Diabetes Complications, Endocrine System Diseases, Glucose Metabolism Disorders, Metabolic Diseases, Renal Insufficiency, Urologic Diseases, bardoxolone methyl

Eligibility Criteria

20 Years - 79 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • CKD patients with type 2 diabetes mellitus
  • Patients whose estimated GFR levels are eligible for this study
  • Patients being treated with stable dose of angiotensin converting enzyme (ACE) inhibitors and/or angiotensin II receptor blocker (ARB) etc.

Exclusion Criteria:

  • Patients with type 1 diabetes mellitus
  • Patients with known non-diabetic renal disease
  • Patients with a history of renal transplantation
  • Patients with mean systolic blood pressure > 160 mmHg or diastolic blood pressure > 90 mmHg
  • Patients with Hemoglobin A1c > 10%
  • Patients with cardiovascular disease specified in the study protocol etc.

Sites / Locations

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

bardoxolone methyl

Placebo

Arm Description

bardoxolone methyl capsules, dosage To Be Determined, once daily for 16 weeks

Placebo capsules, once daily for 16 weeks

Outcomes

Primary Outcome Measures

Safety: Number and types of adverse events
Count of adverse events, by type, in the bardoxolone methyl arm compared to the placebo arm
Change in glomerular filtration rate (GFR) measured by inulin clearance after 16 weeks of study drug administration, compared to baseline GFR
Change in GFR from baseline to 16 weeks

Secondary Outcome Measures

Change in estimated GFR (eGFR) after 16 weeks of study drug administration, compared to baseline eGFR
Change in eGFR from baseline to 16 weeks
Profiles of pharmacokinetics of plasma RTA 402 concentration: Trough (Pre-dose) and peak (2-4 hours post dose) concentrations of study drug at steady state
Relationship between the study drug dose and the trough (Pre-dose) and peak (2-4 hours post dose) concentrations of study drug at steady state

Full Information

First Posted
November 27, 2014
Last Updated
October 26, 2017
Sponsor
Kyowa Kirin Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT02316821
Brief Title
The Phase II Study of Bardoxolone Methyl in Patients With Chronic Kidney Disease and Type 2 Diabetes; TSUBAKI Study
Official Title
RTA 402 Phase 2 Clinical Trial (A Randomized, Double-blind, Placebo-controlled Clinical Trial in Patients With Chronic Kidney Disease and Type 2 Diabetes)
Study Type
Interventional

2. Study Status

Record Verification Date
October 2017
Overall Recruitment Status
Completed
Study Start Date
December 2014 (undefined)
Primary Completion Date
May 2016 (Actual)
Study Completion Date
September 2017 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Kyowa Kirin Co., Ltd.

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to assess the safety and efficacy of RTA 402 in chronic kidney disease (CKD) patients with type 2 diabetes in a double-blind, placebo-controlled study when this compound is administered once daily for 16 weeks in an intrapatient dose escalation design.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Chronic Kidney Disease, Type 2 Diabetes
Keywords
Diabetes Mellitus, Diabetes Mellitus, Type 2, Diabetic Nephropathies, Kidney Diseases, Renal Insufficiency, Chronic, Diabetes Complications, Endocrine System Diseases, Glucose Metabolism Disorders, Metabolic Diseases, Renal Insufficiency, Urologic Diseases, bardoxolone methyl

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
216 (Actual)

8. Arms, Groups, and Interventions

Arm Title
bardoxolone methyl
Arm Type
Experimental
Arm Description
bardoxolone methyl capsules, dosage To Be Determined, once daily for 16 weeks
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo capsules, once daily for 16 weeks
Intervention Type
Drug
Intervention Name(s)
RTA 402
Intervention Type
Drug
Intervention Name(s)
Placebo
Primary Outcome Measure Information:
Title
Safety: Number and types of adverse events
Description
Count of adverse events, by type, in the bardoxolone methyl arm compared to the placebo arm
Time Frame
Up to 16 weeks
Title
Change in glomerular filtration rate (GFR) measured by inulin clearance after 16 weeks of study drug administration, compared to baseline GFR
Description
Change in GFR from baseline to 16 weeks
Time Frame
Up to 16 weeks
Secondary Outcome Measure Information:
Title
Change in estimated GFR (eGFR) after 16 weeks of study drug administration, compared to baseline eGFR
Description
Change in eGFR from baseline to 16 weeks
Time Frame
Up to 16 weeks
Title
Profiles of pharmacokinetics of plasma RTA 402 concentration: Trough (Pre-dose) and peak (2-4 hours post dose) concentrations of study drug at steady state
Description
Relationship between the study drug dose and the trough (Pre-dose) and peak (2-4 hours post dose) concentrations of study drug at steady state
Time Frame
Baseline, week 2, 6, 10, and 4 weeks after completion of study treatment

10. Eligibility

Sex
All
Minimum Age & Unit of Time
20 Years
Maximum Age & Unit of Time
79 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: CKD patients with type 2 diabetes mellitus Patients whose estimated GFR levels are eligible for this study Patients being treated with stable dose of angiotensin converting enzyme (ACE) inhibitors and/or angiotensin II receptor blocker (ARB) etc. Exclusion Criteria: Patients with type 1 diabetes mellitus Patients with known non-diabetic renal disease Patients with a history of renal transplantation Patients with mean systolic blood pressure > 160 mmHg or diastolic blood pressure > 90 mmHg Patients with Hemoglobin A1c > 10% Patients with cardiovascular disease specified in the study protocol etc.
Facility Information:
City
Tokyo
Country
Japan

12. IPD Sharing Statement

Learn more about this trial

The Phase II Study of Bardoxolone Methyl in Patients With Chronic Kidney Disease and Type 2 Diabetes; TSUBAKI Study

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