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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT04847531
Registration number
NCT04847531
Ethics application status
Date submitted
29/03/2021
Date registered
19/04/2021
Titles & IDs
Public title
REVEAL-CKD: Prevalence and Consequences of Undiagnosed Chronic Kidney Disease
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Scientific title
REVEAL-CKD: A Retrospective, Multinational Observational Study to Determine the Prevalence and Consequences of Undiagnosed Chronic Kidney Disease
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Secondary ID [1]
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D169AR00003
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Universal Trial Number (UTN)
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Trial acronym
REVEAL-CKD
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Chronic Kidney Disease
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Condition category
Condition code
Renal and Urogenital
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Kidney disease
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Renal and Urogenital
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Other renal and urogenital disorders
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Intervention/exposure
Study type
Observational
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Patient registry
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Stage 3 chronic kidney disease patients - Patients with two consecutive eGFR measurements indicating stage 3 CKD (=30 and \<60 mL/min/1.73m2) during the observation period
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Prevalence of undiagnosed stage 3 chronic kidney disease (CKD)
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Assessment method [1]
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Undiagnosed stage 3A-3B CKD identified as having no healthcare encounter with a diagnosis code for CKD any time before or up to six months post index date (date of second consecutive estimated glomerular filtration rate \[eGFR\] value indicating stage 3 CKD recorded at least 90 days after the first abnormal eGFR value), assessed overall and by calendar year
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Timepoint [1]
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From 2015 assessed throughout the study, up to a maximum of 8 years
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Primary outcome [2]
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Time to CKD diagnosis
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Assessment method [2]
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Time to CKD diagnosis in patients no CKD diagnosis code any time prior to laboratory measurements indicating stage 3 CKD
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Timepoint [2]
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From second abnormal eGFR value until the date of CKD diagnosis or end of follow-up, assessed throughout the study period, up to a maximum of 5 years
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Secondary outcome [1]
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Describe proportion of patients comorbidities and other patient characteristics
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Assessment method [1]
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Describe patient characteristics including demographics, clinical assessments, family history, procedures, laboratory measurements, treatment patterns and clinical history (comorbidities) stratified by CKD diagnosis status
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Timepoint [1]
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From 2015 assessed throughout the study, up to a maximum of 8 years
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Secondary outcome [2]
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Proportion of patients monitored for kidney function and complications
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Assessment method [2]
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* Serum Cr test (outpatient)
* Patients receiving a UACR test (outpatient)
* Serum calcium
* Phosphate
* Albumin
* Bicarbonate
* Potassium
* Hemoglobin
* Albuminuria
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Timepoint [2]
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From six months after the second abnormal eGFR measurement, assessed throughout the study period until end of follow-up, up to a maximum 18 months
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Secondary outcome [3]
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Proportion of patients tested for CKD
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Assessment method [3]
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- UACR test
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Timepoint [3]
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From six months after the second abnormal eGFR measurement, assessed throughout the study period until end of follow-up, up to a maximum 6 months
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Secondary outcome [4]
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Proportion of patients prescribed selected medications
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Assessment method [4]
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* Statin prescription
* Angiotensin converting enzyme inhibitors (ACEis) or angiotensin receptor blockers (ARBs)
* Sodium-glucose cotransporter-2 (SGLT2) inhibitors
* Vaccination (influenza)
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Timepoint [4]
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From six months after the second abnormal eGFR measurement, assessed throughout the study period until the end of follow-up, up to a maximum 5 years
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Secondary outcome [5]
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Proportion of patients monitored for high blood pressure
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Assessment method [5]
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* Patients receiving BP measurement
* BP measurement =140/90
* BP measurement = 130/80 in patients with evidence of albuminuria and/or diabetes
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Timepoint [5]
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From six months after the second abnormal eGFR measurement, assessed throughout the study period until end of follow-up, up to a maximum 5 years
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Secondary outcome [6]
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Proportion of patients monitored for glycaemic control
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Assessment method [6]
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- HbA1c test in patients with diabetes
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Timepoint [6]
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From six months after the second abnormal eGFR measurement, assessed throughout the study period until end of follow-up, up to a maximum 5 years
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Secondary outcome [7]
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Proportion of patients receiving kidney function monitoring after initiation of angiotensin receptor blocker or angiotensin converting enzyme inhibitors
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Assessment method [7]
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- An outpatient serum creatinine measurement
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Timepoint [7]
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From six months after the second abnormal eGFR measurement, assessed throughout the study period until end of follow-up, up to a maximum 5 years
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Eligibility
Key inclusion criteria
* At least two consecutive eGFR laboratory tests with values =30 and <60 mL/min/1.73 m2 (Stage 3A or 3B) that are >90 and =730 days apart. The index date is the date of the second eGFR measure meeting the criteria for stage 3 CKD
* At least 12 months of continuous presence in the database or registration in the data prior to the first qualifying eGFR (for data sources with information on enrolment)
* Age =18 years at index date
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Solid organ transplant before the study index date
* Any evidence of advanced CKD (stage 4, 5) based on CKD diagnostic codes, or renal replacement therapy before the index date
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Study design
Purpose
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Duration
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Selection
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Timing
Retrospective
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
15/12/2020
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
13/11/2023
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Sample size
Target
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Accrual to date
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Final
1006361
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment hospital [1]
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Research Site - Sydney
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Recruitment postcode(s) [1]
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2040 - Sydney
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Recruitment outside Australia
Country [1]
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United States of America
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State/province [1]
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Kentucky
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Country [2]
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United States of America
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State/province [2]
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Massachusetts
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Country [3]
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United States of America
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State/province [3]
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Michigan
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Country [4]
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Brazil
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State/province [4]
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Sao Paulo
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Country [5]
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Canada
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State/province [5]
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Ontario
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Country [6]
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China
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State/province [6]
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Guangdong
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Country [7]
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France
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State/province [7]
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Boulogne-Billancourt
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Country [8]
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Germany
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State/province [8]
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Frankfurt
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Country [9]
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Italy
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State/province [9]
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Milan
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Country [10]
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Japan
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State/province [10]
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Kyoto
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Country [11]
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Spain
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State/province [11]
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Madrid
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Country [12]
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United Kingdom
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State/province [12]
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Greater London
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
AstraZeneca
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
This is a retrospective, multinational, non-interventional, observational study. A series of cohort studies will be conducted to assess the prevalence of undiagnosed stage 3 CKD in each region. The study will also assess the current state of CKD management in patients with undiagnosed CKD
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Trial website
https://clinicaltrials.gov/study/NCT04847531
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Navdeep Tangri
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Address
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University of Manitoba
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal. All request will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure. Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared.
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When will data be available (start and end dates)?
AstraZeneca will meet or exceed data availability as per the commitments made to the EFPIA Pharma Data Sharing Principles. For details of our timelines, please rerefer to our disclosure commitment at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.
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Available to whom?
When a request has been approved AstraZeneca will provide access to the deidentified individual patient-level data in an approved sponsored tool . Signed Data Sharing Agreement (non-negotiable contract for data accessors) must be in place before accessing requested information. Additionally, all users will need to accept the terms and conditions of the SAS MSE to gain access. For additional details, please review the Disclosure Statements at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.
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Available for what types of analyses?
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How or where can data be obtained?
IPD available at link: https://astrazenecagroup-dt.pharmacm.com/DT/Home
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT04847531