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BAY94-8862 Dose Finding Trial in Subjects With Chronic Heart Failure and Mild (Part A) or Moderate (Part B) Chronic Kidney Disease (ARTS)

Primary Purpose

Heart Failure

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
BAY94-8862
BAY94-8862
BAY94-8862
BAY94-8862
Placebo
Spironolactone
Sponsored by
Bayer
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Heart Failure focused on measuring Chronic Heart Failure

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Men aged 18 years and older or postmenopausal women aged 55 years and older or women aged 18 years and older without childbearing potential based on surgical treatment such as bilateral tubal ligation, bilateral ovarectomy, or hysterectomy
  • Clinical diagnosis of CHF (chronic heart failure), either ischemic or non-ischemic, NYHA (New York Heart Association) class II - III, treated with evidenced-based therapy for CHF, e.g. beta-blockers and ACE (angiotensin-converting enzyme) inhibitors or ARB (angiotensin receptor blocker) as well as diuretics, unless contraindicated or not tolerated
  • Known kidney damage for >/= 3 months, as defined by structural or functional abnormalities of the kidney, and

    • Part A: 60 mL/min/1.73 m*2 </= eGFR (estimated Glomerular Filtration Rate) < 90 mL/min/1.73 m*2 (MDRD, Modification of Diet in Renal Disease) at the screening visit
    • Part B: 30 mL/min/1.73 m*2 </= eGFR <= 60 mL/min/1.73 m*2 (MDRD) at the screening visit
  • Serum potassium </= 4.8 mmol/L at the screening visit
  • Systolic blood pressure >/= 90 mmHg without signs or symptoms of hypotension at the screening visit

Exclusion Criteria:

  • Known hypersensitivity to the study drug (active substance or excipients) or spironolactone and respective excipients (Part B only)
  • Subjects with anuria, acute renal failure, or Addison's disease
  • Acute coronary syndrome or unstable coronary artery disease within 30 days prior to randomization
  • Valvular heart disease requiring surgical intervention during the course of the study
  • History of hospitalization for hyperkalemia or acute renal failure induced by previous aldosterone antagonist treatment

Sites / Locations

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm Type

Experimental

Experimental

Experimental

Experimental

Placebo Comparator

Active Comparator

Arm Label

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm Description

Outcomes

Primary Outcome Measures

Change of serum potassium

Secondary Outcome Measures

Change in serum magnesium
Change in blood pressure
Change in heart rate

Full Information

First Posted
April 29, 2011
Last Updated
January 27, 2022
Sponsor
Bayer
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1. Study Identification

Unique Protocol Identification Number
NCT01345656
Brief Title
BAY94-8862 Dose Finding Trial in Subjects With Chronic Heart Failure and Mild (Part A) or Moderate (Part B) Chronic Kidney Disease
Acronym
ARTS
Official Title
A Randomized, Double-blind, Multi-center Study to Assess Safety and Tolerability of Different Oral Doses of BAY94-8862 in Subjects With Stable Chronic Heart Failure With Left Ventricular Systolic Dysfunction and Mild (Part A) or Moderate (Part B) Chronic Kidney Disease Versus Placebo (Part A) or Versus Placebo and Spironolactone (Part B)
Study Type
Interventional

2. Study Status

Record Verification Date
January 2022
Overall Recruitment Status
Completed
Study Start Date
May 9, 2011 (Actual)
Primary Completion Date
May 30, 2012 (Actual)
Study Completion Date
July 16, 2012 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Bayer

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
A placebo (Part A) and placebo and active comparator controlled (Part B), double-blind and randomized study to assess safety and tolerability of a new drug (BAY94-8862) given orally

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Heart Failure
Keywords
Chronic Heart Failure

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
457 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Arm 1
Arm Type
Experimental
Arm Title
Arm 2
Arm Type
Experimental
Arm Title
Arm 3
Arm Type
Experimental
Arm Title
Arm 4
Arm Type
Experimental
Arm Title
Arm 5
Arm Type
Placebo Comparator
Arm Title
Arm 6
Arm Type
Active Comparator
Intervention Type
Drug
Intervention Name(s)
BAY94-8862
Intervention Description
Two 1.25 mg BAY94-8862 and 2 placebo tablets for duration of 4 weeks
Intervention Type
Drug
Intervention Name(s)
BAY94-8862
Intervention Description
Four 1.25 mg BAY94-8862 tablets for duration of 4 weeks
Intervention Type
Drug
Intervention Name(s)
BAY94-8862
Intervention Description
One 10 mg BAY94-8862 tablet for duration of 4 weeks
Intervention Type
Drug
Intervention Name(s)
BAY94-8862
Intervention Description
Part B only: Four 1.25 mg BAY94-8862 tablets in the morning and four tablets in the evening for duration of 4 weeks
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Placebo tablets for duration of 4 weeks
Intervention Type
Drug
Intervention Name(s)
Spironolactone
Intervention Description
Part B only: 25 mg spironolactone once daily with up-titration to 50 mg once daily starting at day 15, if serum potassium is less or equal to 4.8 mmol/L, for duration of 4 weeks
Primary Outcome Measure Information:
Title
Change of serum potassium
Time Frame
4 weeks
Secondary Outcome Measure Information:
Title
Change in serum magnesium
Time Frame
Day 8, Day 15, Day 22, Day 29
Title
Change in blood pressure
Time Frame
Day 8, Day 15, Day 22, Day 29
Title
Change in heart rate
Time Frame
Day 8, Day 15, Day 22, Day 29

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Men aged 18 years and older or postmenopausal women aged 55 years and older or women aged 18 years and older without childbearing potential based on surgical treatment such as bilateral tubal ligation, bilateral ovarectomy, or hysterectomy Clinical diagnosis of CHF (chronic heart failure), either ischemic or non-ischemic, NYHA (New York Heart Association) class II - III, treated with evidenced-based therapy for CHF, e.g. beta-blockers and ACE (angiotensin-converting enzyme) inhibitors or ARB (angiotensin receptor blocker) as well as diuretics, unless contraindicated or not tolerated Known kidney damage for >/= 3 months, as defined by structural or functional abnormalities of the kidney, and Part A: 60 mL/min/1.73 m*2 </= eGFR (estimated Glomerular Filtration Rate) < 90 mL/min/1.73 m*2 (MDRD, Modification of Diet in Renal Disease) at the screening visit Part B: 30 mL/min/1.73 m*2 </= eGFR <= 60 mL/min/1.73 m*2 (MDRD) at the screening visit Serum potassium </= 4.8 mmol/L at the screening visit Systolic blood pressure >/= 90 mmHg without signs or symptoms of hypotension at the screening visit Exclusion Criteria: Known hypersensitivity to the study drug (active substance or excipients) or spironolactone and respective excipients (Part B only) Subjects with anuria, acute renal failure, or Addison's disease Acute coronary syndrome or unstable coronary artery disease within 30 days prior to randomization Valvular heart disease requiring surgical intervention during the course of the study History of hospitalization for hyperkalemia or acute renal failure induced by previous aldosterone antagonist treatment
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Bayer Study Director
Organizational Affiliation
Bayer
Official's Role
Study Director
Facility Information:
City
Linz
State/Province
Oberösterreich
ZIP/Postal Code
4010
Country
Austria
City
Graz
State/Province
Steiermark
ZIP/Postal Code
8036
Country
Austria
City
Wien
ZIP/Postal Code
1100
Country
Austria
City
Brasschaat
ZIP/Postal Code
2930
Country
Belgium
City
Bruxelles - Brussel
ZIP/Postal Code
1200
Country
Belgium
City
Roeselare
ZIP/Postal Code
8800
Country
Belgium
City
Brno
ZIP/Postal Code
625 00
Country
Czechia
City
Liberec
ZIP/Postal Code
460 63
Country
Czechia
City
Praha 2
ZIP/Postal Code
12808
Country
Czechia
City
Praha 5
ZIP/Postal Code
15030
Country
Czechia
City
Copenhagen Ø
ZIP/Postal Code
2100
Country
Denmark
City
Esbjerg
ZIP/Postal Code
6700
Country
Denmark
City
Frederiksberg
ZIP/Postal Code
2000
Country
Denmark
City
Hellerup
ZIP/Postal Code
2900
Country
Denmark
City
Herlev
ZIP/Postal Code
2730
Country
Denmark
City
Hvidovre
ZIP/Postal Code
2650
Country
Denmark
City
København NV
ZIP/Postal Code
2400
Country
Denmark
City
Køge
ZIP/Postal Code
4600
Country
Denmark
City
Odense
ZIP/Postal Code
5000
Country
Denmark
City
Svendborg
ZIP/Postal Code
5700
Country
Denmark
City
Viborg
ZIP/Postal Code
8800
Country
Denmark
City
Helsinki
ZIP/Postal Code
FIN-00260
Country
Finland
City
Jyväskylä
ZIP/Postal Code
FI-40620
Country
Finland
City
Turku
ZIP/Postal Code
FIN-20520
Country
Finland
City
Frankfurt
State/Province
Hessen
ZIP/Postal Code
60596
Country
Germany
City
Köln
State/Province
Nordrhein-Westfalen
ZIP/Postal Code
50968
Country
Germany
City
Dresden
State/Province
Sachsen
ZIP/Postal Code
01277
Country
Germany
City
Wermsdorf
State/Province
Sachsen
ZIP/Postal Code
04779
Country
Germany
City
Wedel
State/Province
Schleswig-Holstein
ZIP/Postal Code
22880
Country
Germany
City
Erfurt
State/Province
Thüringen
ZIP/Postal Code
99084
Country
Germany
City
Berlin
ZIP/Postal Code
13353
Country
Germany
City
Afula
ZIP/Postal Code
1834111
Country
Israel
City
Ashkelon
ZIP/Postal Code
7830604
Country
Israel
City
Hadera
ZIP/Postal Code
3810101
Country
Israel
City
Petah Tikva
ZIP/Postal Code
4941492
Country
Israel
City
Rehovot
ZIP/Postal Code
7610001
Country
Israel
City
Tel Aviv
ZIP/Postal Code
64239
Country
Israel
City
Zefat
ZIP/Postal Code
1311001
Country
Israel
City
Oslo
ZIP/Postal Code
0450
Country
Norway
City
Stavanger
Country
Norway
City
Krakow
ZIP/Postal Code
30-082
Country
Poland
City
Piotrkow Trybunalski
ZIP/Postal Code
97-635
Country
Poland
City
Szczecin
ZIP/Postal Code
70-965
Country
Poland
City
Warszawa
ZIP/Postal Code
04-635
Country
Poland
City
Wroclaw
ZIP/Postal Code
50-981
Country
Poland
City
Kristianstad
ZIP/Postal Code
29185
Country
Sweden
City
Lund
ZIP/Postal Code
222 21
Country
Sweden
City
Stockholm
ZIP/Postal Code
111 35
Country
Sweden
City
Stockholm
ZIP/Postal Code
118 83
Country
Sweden
City
Stockholm
Country
Sweden

12. IPD Sharing Statement

Plan to Share IPD
No
IPD Sharing Plan Description
Availability of this study's data will later be determined according to Bayer's commitment to the EFPIA/PhRMA "Principles for responsible clinical trial data sharing". This pertains to scope, timepoint and process of data access. As such, Bayer commits to sharing upon request from qualified researchers patient-level clinical trial data, study-level clinical trial data, and protocols from clinical trials in patients for medicines and indications approved in the US and EU as necessary for conducting legitimate research. This applies to data on new medicines and indications that have been approved by the EU and US regulatory agencies on or after January 01, 2014. Interested researchers can use www.clinicalstudydatarequest.com to request access to anonymized patient-level data and supporting documents from clinical studies to conduct research. Information on the Bayer criteria for listing studies and other relevant information is provided in the Study sponsors section of the portal.
Citations:
PubMed Identifier
22562554
Citation
Pitt B, Filippatos G, Gheorghiade M, Kober L, Krum H, Ponikowski P, Nowack C, Kolkhof P, Kim SY, Zannad F. Rationale and design of ARTS: a randomized, double-blind study of BAY 94-8862 in patients with chronic heart failure and mild or moderate chronic kidney disease. Eur J Heart Fail. 2012 Jun;14(6):668-75. doi: 10.1093/eurjhf/hfs061. Epub 2012 May 4.
Results Reference
result
PubMed Identifier
23713082
Citation
Pitt B, Kober L, Ponikowski P, Gheorghiade M, Filippatos G, Krum H, Nowack C, Kolkhof P, Kim SY, Zannad F. Safety and tolerability of the novel non-steroidal mineralocorticoid receptor antagonist BAY 94-8862 in patients with chronic heart failure and mild or moderate chronic kidney disease: a randomized, double-blind trial. Eur Heart J. 2013 Aug;34(31):2453-63. doi: 10.1093/eurheartj/eht187. Epub 2013 May 27.
Results Reference
result
PubMed Identifier
33107592
Citation
Chung EY, Ruospo M, Natale P, Bolignano D, Navaneethan SD, Palmer SC, Strippoli GF. Aldosterone antagonists in addition to renin angiotensin system antagonists for preventing the progression of chronic kidney disease. Cochrane Database Syst Rev. 2020 Oct 27;10(10):CD007004. doi: 10.1002/14651858.CD007004.pub4.
Results Reference
derived
Links:
URL
http://www.clinicaltrialsregister.eu/
Description
Click here to find information about studies related to Bayer products conducted in Europe
URL
http://clinicaltrials.bayer.com/
Description
Click here to find results for studies related to Bayer products

Learn more about this trial

BAY94-8862 Dose Finding Trial in Subjects With Chronic Heart Failure and Mild (Part A) or Moderate (Part B) Chronic Kidney Disease

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