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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT05182840
Registration number
NCT05182840
Ethics application status
Date submitted
5/01/2022
Date registered
10/01/2022
Titles & IDs
Public title
A Study to Test Whether Different Doses of BI 690517 Alone or in Combination With Empagliflozin Improve Kidney Function in People With Chronic Kidney Disease
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Scientific title
Randomised, Double-blind, Placebo-controlled and Parallel Dose Group Trial to Investigate Efficacy and Safety of Multiple Doses of Oral BI 690517 Over 14 Weeks, Alone and in Combination With Empagliflozin, in Patients With Diabetic and Non-diabetic Chronic Kidney Disease
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Secondary ID [1]
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2021-001434-19
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Secondary ID [2]
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1378.5
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Kidney Disease, Chronic
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0
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Condition category
Condition code
Renal and Urogenital
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0
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Kidney disease
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Renal and Urogenital
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0
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0
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Other renal and urogenital disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - BI 690517
Treatment: Drugs - Placebo to BI 690517
Treatment: Drugs - Empagliflozin
Treatment: Drugs - Placebo to empagliflozin
Experimental: Run-in period: 10 mg empagliflozin -
Placebo comparator: Run-in period: Placebo to empagliflozin 10 mg -
Experimental: Treatment period: 10 mg empagliflozin + 3 mg BI 690517 -
Experimental: Treatment period: 10 mg empagliflozin + 10 mg BI 690517 -
Experimental: Treatment period: 10 mg empagliflozin + 20 mg BI 690517 -
Placebo comparator: Treatment period: 10 mg empagliflozin + Placebo to BI 690517 -
Experimental: Treatment period: Placebo to empagliflozin 10 mg + 3 mg BI 690517 -
Experimental: Treatment period: Placebo to empagliflozin 10 mg + 10 mg BI 690517 -
Experimental: Treatment period: Placebo to empagliflozin 10 mg + 20 mg BI 690517 -
Placebo comparator: Treatment period: Placebo to empagliflozin 10 mg + Placebo to BI 690517 -
Treatment: Drugs: BI 690517
Film-coated tablets
Treatment: Drugs: Placebo to BI 690517
Film-coated tablets
Treatment: Drugs: Empagliflozin
Empagliflozin
Treatment: Drugs: Placebo to empagliflozin
Placebo to empagliflozin
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Intervention code [1]
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Treatment: Drugs
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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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Change From Treatment Period Baseline in Log Transformed Urine Albumin Creatinine Ratio (UACR) Measured in First Morning Void (FMV) Urine After 14 Weeks - All Patients
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Assessment method [1]
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0
The adjusted mean change (95% confidence interval) in log transformed FMV UACR from baseline at 14 weeks is presented.
The adjusted means and 95 % confidence intervals were estimated by restricted maximum likelihood-based mixed models for repeated measures ((REML)-based MMRM) which includes the fixed effects of treatment at each visit, baseline (continuous) at each visit, and baseline, visit, treatment, background medication (empagliflozin or placebo matching empagliflozin) and randomisation stratum as main effects, as well as random effects of patient.
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Timepoint [1]
0
0
The MMRM model is a longitudinal analysis and it incorporated UACR measurements from baseline (Week 6,7 or 8 of the Run-in period) and Week 6, Week 10 and Week 12-14 of Treatment period.
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Primary outcome [2]
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Percent Change of FMV UACR From Baseline to Week 14 Based on Adjusted Median (95% CI) Back Transformed From MMRM Estimate - All Patients
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Assessment method [2]
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0
Percent change of first morning void (FMV) urine albumine creatinine ratio (UACR) from baseline to Week 14 based on adjusted median (95% confidence interval (CI)) back transformed from mixed models for repeated measures (MMRM) estimate for all patients is presented.
Percent change of FMV UACR= (FMV UACR at Week 14-FMV UACR at baseline)\*100/(FMV UACR at baseline).
MMRM included the fixed effects of treatment at each visit, baseline (continuous) at each visit, and baseline, visit, treatment, background medication (empagliflozin or placebo matching empagliflozin) and randomisation stratum as main effects, as well as random effects of patient.
Query!
Timepoint [2]
0
0
The MMRM model is a longitudinal analysis and it incorporated UACR measurements from baseline (Week 6,7 or 8 of the Run-in period) and Week 6, Week 10 and Week 12-14 of Treatment period.
Query!
Primary outcome [3]
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Change From Baseline to Week 14 in the Log Transformed FMV UACR - Patients With Background Therapy of Placebo Matching Empagliflozin
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Assessment method [3]
0
0
The adjusted mean change (95% confidence interval) in log transformed first morning void (FMV) urine albumine creatinine ratio (UACR) from baseline at 14 weeks for patients with background therapy of placebo matching empagliflozin in the Run-in period is presented.
The adjusted means and 95 % confidence intervals were estimated by restricted maximum likelihood-based mixed models for repeated measures ((REML)-based MMRM) which includes the fixed effects of treatment at each visit, baseline (continuous) at each visit, and baseline, visit, treatment, background medication (empagliflozin or placebo matching empagliflozin) and randomisation stratum as main effects, as well as random effects of patient.
Query!
Timepoint [3]
0
0
The MMRM model is a longitudinal analysis and it incorporated UACR measurements from baseline (Week 6,7 or 8 of the Run-in period) and Week 6, Week 10 and Week 12-14 of Treatment period.
Query!
Primary outcome [4]
0
0
Percent Change of FMV UACR From Baseline to Week 14 Based on Adjusted Median (95% CI) Back Transformed From MMRM Estimate - Patients With Background Therapy of Placebo Matching Empagliflozin
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Assessment method [4]
0
0
Percent change of first morning void (FMV) urine albumine creatinine ratio (UACR) from baseline to Week 14 based on adjusted median (95% confidence interval (CI)) back transformed from mixed models for repeated measures (MMRM) estimate for patients with background therapy of placebo matching empagliflozin in the Run-in period is presented.
Percent change of FMV UACR= (FMV UACR at Week 14-FMV UACR at baseline)\*100/(FMV UACR at baseline).
MMRM included the fixed effects of treatment at each visit, baseline (continuous) at each visit, and baseline, visit, treatment, background medication (empagliflozin or placebo matching empagliflozin) and randomisation stratum as main effects, as well as random effects of patient.
Query!
Timepoint [4]
0
0
The MMRM model is a longitudinal analysis and it incorporated UACR measurements from baseline (Week 6,7 or 8 of the Run-in period) and Week 6, Week 10 and Week 12-14 of Treatment period.
Query!
Primary outcome [5]
0
0
Change From Baseline to Week 14 in the Log Transformed FMV UACR - Patients With Background Therapy of Empagliflozin
Query!
Assessment method [5]
0
0
The adjusted mean change (95% confidence interval) in log transformed first morning void (FMV) urine albumine creatinine ratio (UACR) from baseline at 14 weeks for patients with background therapy of empagliflozin in the Run-in period is presented.
The adjusted means and 95 % confidence intervals were estimated by restricted maximum likelihood-based mixed models for repeated measures ((REML)-based MMRM) which includes the fixed effects of treatment at each visit, baseline (continuous) at each visit, and baseline, visit, treatment, background medication (empagliflozin or placebo matching empagliflozin) and randomisation stratum as main effects, as well as random effects of patient.
Query!
Timepoint [5]
0
0
The MMRM model is a longitudinal analysis and it incorporated UACR measurements from baseline (Week 6,7 or 8 of the Run-in period) and Week 6, Week 10 and Week 12-14 of Treatment period.
Query!
Primary outcome [6]
0
0
Percent Change of FMV UACR From Baseline to Week 14 Based on Adjusted Median (95% CI) of MMRM Estimate - Patients With Background Therapy of Empagliflozin
Query!
Assessment method [6]
0
0
Percent change of first morning void (FMV) urine albumine creatinine ratio (UACR) from baseline to Week 14 based on adjusted median (95% confidence interval (CI)) back transformed from mixed models for repeated measures (MMRM) estimate for patients with background therapy of empagliflozin in the Run-in period is presented.
Percent change of FMV UACR= (FMV UACR at Week 14-FMV UACR at baseline)\*100/(FMV UACR at baseline).
MMRM included the fixed effects of treatment at each visit, baseline (continuous) at each visit, and baseline, visit, treatment, background medication (empagliflozin or placebo matching empagliflozin) and randomisation stratum as main effects, as well as random effects of patient.
Query!
Timepoint [6]
0
0
The MMRM model is a longitudinal analysis and it incorporated UACR measurements from baseline (Week 6,7 or 8 of the Run-in period) and Week 6, Week 10 and Week 12-14 of Treatment period.
Query!
Secondary outcome [1]
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0
UACR Response I, Defined as Decrease of at Least 30% Absolute Change in First Morning Void Urine of UACR From Treatment Period Baseline to 14 Weeks - All Patients - Multiple Imputation
Query!
Assessment method [1]
0
0
Number of patients with UACR response I is reported. UACR response I was defined as decrease of at least 30% absolute change in First Morning Void urine of UACR from treatment period baseline to 14 weeks.
The multiple imputation filled in missing values at Week 14 based on other data observed in the same patient using regression.
Query!
Timepoint [1]
0
0
UACR measurements from baseline (Week 6,7 or 8 of the Run-in period) and Week 6, Week 10 and Week 12-14 of Treatment period were used for the multiple imputation approach.
Query!
Secondary outcome [2]
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0
UACR Response I, Defined as Decrease of at Least 30% Absolute Change in First Morning Void Urine of UACR From Treatment Period Baseline to 14 Weeks - All Patients - Missing as Non-Responder
Query!
Assessment method [2]
0
0
Number of patients with UACR response I is reported. UACR response I was defined as decrease of at least 30% absolute change in First Morning Void urine of UACR from treatment period baseline to 14 weeks.
The missing as non-responder imputes patients with missing Week 14 data as non-responders.
Query!
Timepoint [2]
0
0
At baseline (Week 6,7 or 8 of the Run-in period) and at Week 12-14 of the Treatment Period.
Query!
Secondary outcome [3]
0
0
UACR Response I, Defined as Decrease of at Least 30% Absolute Change in First Morning Void Urine of UACR From Treatment Period Baseline to 14 Week - All Patients - Last Observation on Treatment Carried Forward (LOCF)
Query!
Assessment method [3]
0
0
Number of patients with UACR response I is reported. UACR response I was defined as decrease of at least 30% absolute change in First Morning Void urine of UACR from treatment period baseline to 14 weeks.
LOCF uses the last value observed on treatment to substitute all missing values until Week 14.
Query!
Timepoint [3]
0
0
UACR measurements from baseline (Week 6,7 or 8 of the Run-in period) and Week 6, Week 10 and Week 12-14 of Treatment period were used for the last observation carried forward approach.
Query!
Secondary outcome [4]
0
0
UACR Response I, Defined as Decrease of at Least 30% Absolute Change in First Morning Void Urine of UACR From Treatment Period Baseline to 14 Weeks - All Patients - Complete Case Analysis
Query!
Assessment method [4]
0
0
Number of patients with UACR response I is reported. UACR response I was defined as decrease of at least 30% absolute change in First Morning Void urine of UACR from treatment period baseline to 14 weeks.
Complete case analysis used patients with both baseline and Week 14 data available.
Query!
Timepoint [4]
0
0
At baseline (Week 6,7 or 8 of the Run-in period) and at Week 12-14 of the Treatment Period.
Query!
Secondary outcome [5]
0
0
UACR Response I, Defined as Decrease of at Least 30% Absolute Change in First Morning Void Urine of UACR From Treatment Period Baseline to 14 Weeks - Patients With Background Therapy of Placebo Matching Empagliflozin - Multiple Imputation
Query!
Assessment method [5]
0
0
Number of patients with UACR response I for patients with background therapy of placebo matching empagliflozin in the Run-in period is reported. UACR response I was defined as decrease of at least 30% absolute change in First Morning Void urine of UACR from treatment period baseline to 14 weeks.
The multiple imputation filled in missing values at Week 14 based on other data observed in the same patient using regression.
Query!
Timepoint [5]
0
0
UACR measurements from baseline (Week 6,7 or 8 of the Run-in period) and Week 6, Week 10 and Week 12-14 of Treatment period were used for the multiple imputation approach.
Query!
Secondary outcome [6]
0
0
UACR Response I, Defined as Decrease of at Least 30% Absolute Change in First Morning Void Urine of UACR From Treatment Period Baseline to 14 Weeks - Patients With Background Therapy of Placebo Matching Empagliflozin - Missing as Non-Responder
Query!
Assessment method [6]
0
0
Number of patients with UACR response I for patients with background therapy of placebo matching empagliflozin in the Run-in period is reported. UACR response I was defined as decrease of at least 30% absolute change in First Morning Void urine of UACR from treatment period baseline to 14 weeks.
The missing as non-responder imputes patients with missing Week 14 data as non-responders.
Query!
Timepoint [6]
0
0
At baseline (Week 6,7 or 8 of the Run-in period) and at Week 12-14 of the Treatment Period.
Query!
Secondary outcome [7]
0
0
UACR Response I, Defined as Decrease of at Least 30% Absolute Change in FMV Urine of UACR From Treatment Period Baseline to 14 Weeks - Background Therapy of Placebo Matching Empagliflozin - Last Observation on Treatment Carried Forward (LOCF)
Query!
Assessment method [7]
0
0
Number of patients with UACR response I for patients with background therapy of placebo matching empagliflozin in the Run-in period is reported. UACR response I was defined as decrease of at least 30% absolute change in First Morning Void (FMV) urine of UACR from treatment period baseline to 14 weeks.
LOCF uses the last value observed on treatment to substitute all missing values until Week 14.
Query!
Timepoint [7]
0
0
UACR measurements from baseline (Week 6,7 or 8 of the Run-in period) and Week 6, Week 10 and Week 12-14 of Treatment period were used for the last observation carried forward approach.
Query!
Secondary outcome [8]
0
0
UACR Response I, Defined as Decrease of at Least 30% Absolute Change in First Morning Void Urine of UACR From Treatment Period Baseline to 14 Weeks - Patients With Background Therapy of Placebo Matching Empagliflozin - Complete Case Analysis
Query!
Assessment method [8]
0
0
Number of patients with UACR response I for patients with background therapy of placebo matching empagliflozin in the Run-in period is reported. UACR response I was defined as decrease of at least 30% absolute change in First Morning Void urine of UACR from treatment period baseline to 14 weeks.
Complete case analysis used patients with both baseline and Week 14 data available.
Query!
Timepoint [8]
0
0
At baseline (Week 6,7 or 8 of the Run-in period) and at Week 12-14 of the Treatment Period.
Query!
Secondary outcome [9]
0
0
UACR Response I, Defined as Decrease of at Least 30% Absolute Change in First Morning Void Urine of UACR From Treatment Period Baseline to 14 Weeks - Patients With Background Therapy of Empagliflozin - Multiple Imputation
Query!
Assessment method [9]
0
0
Number of patients with UACR response I for patients with background therapy of empagliflozin in the Run-in period is reported. UACR response I was defined as decrease of at least 30% absolute change in First Morning Void urine of UACR from treatment period baseline to 14 weeks.
The multiple imputation filled in missing values at Week 14 based on other data observed in the same patient using regression.
Query!
Timepoint [9]
0
0
UACR measurements from baseline (Week 6,7 or 8 of the Run-in period) and Week 6, Week 10 and Week 12-14 of Treatment period were used for the multiple imputation approach.
Query!
Secondary outcome [10]
0
0
UACR Response I, Defined as Decrease of at Least 30% Absolute Change in First Morning Void Urine of UACR From Treatment Period Baseline to 14 Weeks - Patients With Background Therapy of Empagliflozin - Missing as Non-Responder
Query!
Assessment method [10]
0
0
Number of patients with UACR response I for patients with background therapy of empagliflozin in the Run-in period is reported. UACR response I was defined as decrease of at least 30% absolute change in First Morning Void urine of UACR from treatment period baseline to 14 weeks.
The missing as non-responder imputes patients with missing Week 14 data as non-responders.
Query!
Timepoint [10]
0
0
At baseline (Week 6,7 or 8 of the Run-in period) and at Week 12-14 of the Treatment Period.
Query!
Secondary outcome [11]
0
0
UACR Response I, Defined as Decrease of at Least 30% Absolute Change in First Morning Void Urine of UACR From Treatment Period Baseline to 14 Weeks - Patients With Background Therapy of Empagliflozin - Last Observation on Treatment Carried Forward
Query!
Assessment method [11]
0
0
Number of patients with UACR response I for patients with background therapy of empagliflozin in the Run-in period is reported. UACR response I was defined as decrease of at least 30% absolute change in First Morning Void urine of UACR from treatment period baseline to 14 weeks.
Last observation on treatment carried forward (LOCF) uses the last value observed on treatment to substitute all missing values until Week 14.
Query!
Timepoint [11]
0
0
UACR measurements from baseline (Week 6,7 or 8 of the Run-in period) and Week 6, Week 10 and Week 12-14 of Treatment period were used for the last observation carried forward approach.
Query!
Secondary outcome [12]
0
0
UACR Response I, Defined as Decrease of at Least 30% Absolute Change in First Morning Void Urine of UACR From Treatment Period Baseline to 14 Weeks - Patients With Background Therapy of Empagliflozin - Complete Case Analysis
Query!
Assessment method [12]
0
0
Number of patients with UACR response I for patients with background therapy of empagliflozin in the Run-in period is reported. UACR response I was defined as decrease of at least 30% absolute change in First Morning Void urine of UACR from treatment period baseline to 14 weeks.
Complete case analysis used patients with both baseline and Week 14 data available.
Query!
Timepoint [12]
0
0
At baseline (Week 6,7 or 8 of the Run-in period) and at Week 12-14 of the Treatment Period.
Query!
Secondary outcome [13]
0
0
UACR Response II, Defined as Decrease of at Least 15% Absolute Change in First Morning Void Urine of UACR From Treatment Period Baseline to 14 Weeks - All Patients -Multiple Imputation
Query!
Assessment method [13]
0
0
Number of patients with UACR response II is reported. UACR response II was defined as decrease of at least 15% absolute change in First Morning Void urine of UACR from treatment period baseline to 14 week. The multiple imputation filled in missing values at Week 14 based on other data observed in the same patient using regression.
Query!
Timepoint [13]
0
0
UACR measurements from baseline (Week 6,7 or 8 of the Run-in period) and Week 6, Week 10 and Week 12-14 of Treatment period were used for the multiple imputation approach.
Query!
Secondary outcome [14]
0
0
UACR Response II, Defined as Decrease of at Least 15% Absolute Change in First Morning Void Urine of UACR From Treatment Period Baseline to 14 Weeks - All Patients - Missing as Non-Responder
Query!
Assessment method [14]
0
0
Number of patients with UACR response II is reported. UACR response II was defined as decrease of at least 15% absolute change in First Morning Void urine of UACR from treatment period baseline to 14 weeks.
The missing as non-responder imputes patients with missing Week 14 data as non-responders.
Query!
Timepoint [14]
0
0
At baseline (Week 6,7 or 8 of the Run-in period) and at Week 12-14 of the Treatment Period.
Query!
Secondary outcome [15]
0
0
UACR Response II, Defined as Decrease of at Least 15% Absolute Change in First Morning Void Urine of UACR From Treatment Period Baseline to 14 Weeks - All Patients - Last Observation on Treatment Carried Forward (LOCF)
Query!
Assessment method [15]
0
0
Number of patients with UACR response II is reported. UACR response II was defined as decrease of at least 15% absolute change in First Morning Void urine of UACR from treatment period baseline to 14 weeks.
LOCF uses the last value observed on treatment to substitute all missing values until Week 14.
Query!
Timepoint [15]
0
0
UACR measurements from baseline (Week 6,7 or 8 of the Run-in period) and Week 6, Week 10 and Week 12-14 of Treatment period were used for the last observation carried forward approach.
Query!
Secondary outcome [16]
0
0
UACR Response II, Defined as Decrease of at Least 15% Absolute Change in First Morning Void Urine of UACR From Treatment Period Baseline to 14 Weeks - All Patients - Complete Case Analysis
Query!
Assessment method [16]
0
0
Number of patients with UACR response II is reported. UACR response II was defined as decrease of at least 15% absolute change in First Morning Void urine of UACR from treatment period baseline to 14 weeks.
Complete case analysis used patients with both baseline and Week 14 data available.
Query!
Timepoint [16]
0
0
At baseline (Week 6,7 or 8 of the Run-in period) and at Week 12-14 of the Treatment Period.
Query!
Secondary outcome [17]
0
0
UACR Response II, Defined as Decrease of at Least 15% Absolute Change in First Morning Void Urine of UACR From Treatment Period Baseline to 14 Weeks - Patients With Background Therapy of Placebo Matching Empagliflozin - Multiple Imputation
Query!
Assessment method [17]
0
0
Number of patients with UACR response II for patients with background therapy of placebo matching empagliflozin in the Run-in period is reported. UACR response II was defined as decrease of at least 15% absolute change in First Morning Void urine of UACR from treatment period baseline to 14 weeks.
The multiple imputation filled in missing values at Week 14 based on other data observed in the same patient using regression.
Query!
Timepoint [17]
0
0
UACR measurements from baseline (Week 6,7 or 8 of the Run-in period) and Week 6, Week 10 and Week 12-14 of Treatment period were used for the multiple imputation approach.
Query!
Secondary outcome [18]
0
0
UACR Response II, Defined as Decrease of at Least 15% Absolute Change in First Morning Void Urine of UACR From Treatment Period Baseline to 14 Weeks - Patients With Background Therapy of Placebo Matching Empagliflozin - Missing as Non-Responder
Query!
Assessment method [18]
0
0
Number of patients with UACR response II for patients with background therapy of placebo matching empagliflozin in the Run-in period is reported. UACR response II was defined as decrease of at least 15% absolute change in First Morning Void urine of UACR from treatment period baseline to 14 weeks.
The missing as non-responder imputes patients with missing Week 14 data as non-responders.
Query!
Timepoint [18]
0
0
At baseline (Week 6,7 or 8 of the Run-in period) and at Week 12-14 of the Treatment Period.
Query!
Secondary outcome [19]
0
0
UACR Response II, Defined as Decrease of at Least 15% Absolute Change in FMV Urine of UACR From Treatment Period Baseline to 14 Weeks - Background Therapy of Placebo Matching Empagliflozin - Last Observation on Treatment Carried Forward (LOCF)
Query!
Assessment method [19]
0
0
Number of patients with UACR response II for patients with background therapy of placebo matching empagliflozin in the Run-in period is reported. UACR response II was defined as decrease of at least 15% absolute change in First Morning Void (FMV) urine of UACR from treatment period baseline to 14 weeks.
LOCF uses the last value observed on treatment to substitute all missing values until Week 14.
Query!
Timepoint [19]
0
0
UACR measurements from baseline (Week 6,7 or 8 of the Run-in period) and Week 6, Week 10 and Week 12-14 of Treatment period were used for the last observation carried forward approach.
Query!
Secondary outcome [20]
0
0
UACR Response II, Defined as Decrease of at Least 15% Absolute Change in First Morning Void Urine of UACR From Treatment Period Baseline to 14 Weeks - Patients With Background Therapy of Empagliflozin - Multiple Imputation
Query!
Assessment method [20]
0
0
Number of patients with UACR response II for patients with background therapy of empagliflozin in the Run-in period is reported. UACR response II was defined as decrease of at least 15% absolute change in First Morning Void urine of UACR from treatment period baseline to 14 weeks.
The multiple imputation filled in missing values at Week 14 based on other data observed in the same patient using regression.
Query!
Timepoint [20]
0
0
UACR measurements from baseline (Week 6,7 or 8 of the Run-in period) and Week 6, Week 10 and Week 12-14 of Treatment period were used for the multiple imputation approach.
Query!
Secondary outcome [21]
0
0
UACR Response II, Defined as Decrease of at Least 15% Absolute Change in First Morning Void Urine of UACR From Treatment Period Baseline to 14 Weeks - Patients With Background Therapy of Empagliflozin - Missing as Non-Responder
Query!
Assessment method [21]
0
0
Number of patients with UACR response II for patients with background therapy of empagliflozin in the Run-in period is reported. UACR response II was defined as decrease of at least 15% absolute change in First Morning Void urine of UACR from treatment period baseline to 14 weeks.
The missing as non-responder imputes patients with missing Week 14 data as non-responders.
Query!
Timepoint [21]
0
0
At baseline (Week 6,7 or 8 of the Run-in period) and at Week 12-14 of the Treatment Period.
Query!
Secondary outcome [22]
0
0
UACR Response II, Defined as Decrease of at Least 15% Absolute Change in First Morning Void Urine of UACR From Treatment Period Baseline to 14 Weeks - Patients With Background Therapy of Empagliflozin - Last Observation on Treatment Carried Forward
Query!
Assessment method [22]
0
0
Number of patients with UACR response II for patients with background therapy of empagliflozin in the Run-in period is reported. UACR response II was defined as decrease of at least 15% absolute change in First Morning Void urine of UACR from treatment period baseline to 14 weeks.
Last observation on treatment carried forward (LOCF) uses the last value observed on treatment to substitute all missing values until Week 14.
Query!
Timepoint [22]
0
0
UACR measurements from baseline (Week 6,7 or 8 of the Run-in period) and Week 6, Week 10 and Week 12-14 of Treatment period were used for the last observation carried forward approach.
Query!
Secondary outcome [23]
0
0
UACR Response II, Defined as Decrease of at Least 15% Absolute Change in First Morning Void Urine of UACR From Treatment Period Baseline to 14 Weeks -Patients With Background Therapy of Placebo Matching Empagliflozin - Complete Case Analysis
Query!
Assessment method [23]
0
0
Number of patients with UACR response II for patients with background therapy of placebo matching empagliflozin in the Run-in period is reported. UACR response II was defined as decrease of at least 15% absolute change in First Morning Void urine of UACR from treatment period baseline to 14 weeks.
Complete case analysis used patients with both baseline and Week 14 data available.
Query!
Timepoint [23]
0
0
At baseline (Week 6,7 or 8 of the Run-in period) and at Week 12-14 of the Treatment Period.
Query!
Secondary outcome [24]
0
0
UACR Response II, Defined as Decrease of at Least 15% Absolute Change in First Morning Void Urine of UACR From Treatment Period Baseline to 14 Weeks - Patients With Background Therapy of Empagliflozin - Complete Case Analysis
Query!
Assessment method [24]
0
0
Number of patients with UACR response II for patients with background therapy of empagliflozin in the Run-in period is reported. UACR response II was defined as decrease of at least 15% absolute change in First Morning Void urine of UACR from treatment period baseline to 14 weeks.
Complete case analysis used patients with both baseline and Week 14 data available.
Query!
Timepoint [24]
0
0
At baseline (Week 6,7 or 8 of the Run-in period) and at Week 12-14 of the Treatment Period.
Query!
Eligibility
Key inclusion criteria
Inclusion criteria
* Signed and dated written informed consent in accordance with International Council on Harmonisation - Good Clinical Practice (ICH-GCP) and local legislation prior to admission to the trial.
* Male or female patients of legal adult age (according to local legislation) and aged = 18 years at time of consent.
* estimated Glomerular Filtration Rate (eGFR, Chronic Kidney Disease Epidemiology Collaboration [CKD-EPI] formula) = 30 and < 90 mL/min/1.73 m2 at Visit 1 by central laboratory analysis.
* Urine Albumin Creatinine Ratio (UACR) = 200 and < 5,000 mg/g in spot urine (midstream urine sample) by central laboratory analysis at Visit 1.1
* If the patient is taking any of the following medications they should be on a stable dose for at least 4 weeks prior to visit 1 and until first randomisation prior to run-in with no planned change of the therapy during the trial: anti-hypertensives, Nonsteroidal Anti-Inflammatory Drugs (NSAIDs), endothelin receptor antagonists, low dose systemic steroids (e.g. prednisolone =10 mg or equivalent).
* Treatment with a clinically appropriate, stable dose of either Angiotensin-Converting Enzyme Inhibitor (ACEi) or Angiotensin Receptor Blocker (ARB) (but not both together), for = 4 weeks prior to visit 1 and until first randomisation with no planned change of the therapy during the trial.
* In the Investigator's opinion, any kind of diagnosed chronic kidney disease (Diagnosis can be reached by standard clinical method, no biopsy required). Patients with diabetic kidney disease must have type 2 diabetes mellitus and their treatment (including GLP1 receptor agonist) should be unchanged or changes deemed minor (according to investigator's judgement) within 4 weeks prior to Visit 1 and until first randomisation.
* Glycated Haemoglobin (HbA1c) < 10.0% at Visit 1 measured by the central laboratory.
* Serum potassium = 4.8 mmol/L at Visit 1 measured by the central laboratory.
* Seated Systolic Blood Pressure (SBP) = 110 and = 160 mmHg and Diastolic Blood Pressure (DBP) = 65 and = 110 mmHg at Visit 1 (mean values from three Blood Pressure (BP) measurements) and optimised anti-hypertensive treatment according to local standard of care and investigator's judgement.
* Body Mass Index (BMI) = 18.5 and < 50 kg/m2 at Visit 1.
* Women of child-bearing potential2 (WOCBP) must be ready and able to use highly effective methods of birth control. Such methods should be used throughout the trial. Men must be vasectomised or willing and able to use a condom if their partner is a WOCBP.
Additional inclusion criteria to be assessed before second randomisation (start of Treatment Period):
* Serum potassium = 4.8 mmol/L measured by local or central laboratory within 7 days prior to randomisation to the Treatment Period.
* eGFR (Chronic Kidney Disease Epidemiology Collaboration [CKD-EPI] formula) = 20 mL/min/1.73 m2 measured by local or central laboratory within 7 days prior to randomisation to the Treatment Period.
Query!
Minimum age
18
Years
Query!
Query!
Maximum age
No limit
Query!
Query!
Sex
Both males and females
Query!
Can healthy volunteers participate?
No
Query!
Key exclusion criteria
Exclusion criteria
* Treatment with inhibitors of aldosterone mediated effects (e.g., mineralocorticoid receptor antagonists such as spironolactone), or intake of other potassium sparing diuretics (e.g., amiloride) within 7 days prior to first randomisation or planned during trial treatment phase.
* Treatment with other Renin Angiotensin Aldosterone System (RAAS) interventions (apart from either Angiotensin-Converting Enzyme Inhibitor (ACEi) or Angiotensin Receptor Blocker (ARB)) within 4 weeks prior to Visit 1 and throughout screening or planned during the trial. Patients who must or wish to continue the intake of restricted medications or any drug considered likely to interfere with the safe conduct of the trial are also excluded.
* Type 1 diabetes mellitus, or history of other autoimmune causes of diabetes mellitus (e.g. Latent Autoimmune Diabetes (LADA))
* Patients at increased risk of ketoacidosis in the opinion of the investigator.
* Currently receiving Sodium-glucose cotransporter (SGLT)-2 or SGLT-1/2 inhibitor or planned initiation during the trial.
Further criteria apply.
Query!
Study design
Purpose of the study
Treatment
Query!
Allocation to intervention
Randomised controlled trial
Query!
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Query!
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Query!
Masking / blinding
Blinded (masking used)
Query!
Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
Query!
Query!
Query!
Query!
Intervention assignment
Parallel
Query!
Other design features
Query!
Phase
Phase 2
Query!
Type of endpoint/s
Query!
Statistical methods / analysis
Query!
Recruitment
Recruitment status
Completed
Query!
Data analysis
Query!
Reason for early stopping/withdrawal
Query!
Other reasons
Query!
Date of first participant enrolment
Anticipated
Query!
Actual
11/01/2022
Query!
Date of last participant enrolment
Anticipated
Query!
Actual
Query!
Date of last data collection
Anticipated
Query!
Actual
10/07/2023
Query!
Sample size
Target
Query!
Accrual to date
Query!
Final
714
Query!
Recruitment in Australia
Recruitment state(s)
NSW,VIC
Query!
Recruitment hospital [1]
0
0
John Hunter Hospital - New Lambton Heights
Query!
Recruitment hospital [2]
0
0
Monash University - Box Hill
Query!
Recruitment hospital [3]
0
0
St Vincent's Hospital Melbourne - Fitzroy
Query!
Recruitment postcode(s) [1]
0
0
2305 - New Lambton Heights
Query!
Recruitment postcode(s) [2]
0
0
3128 - Box Hill
Query!
Recruitment postcode(s) [3]
0
0
3065 - Fitzroy
Query!
Recruitment outside Australia
Country [1]
0
0
United States of America
Query!
State/province [1]
0
0
Arizona
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0
0
United States of America
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State/province [2]
0
0
California
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0
0
United States of America
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0
0
Colorado
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0
0
United States of America
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0
0
Florida
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0
0
United States of America
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0
0
Idaho
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0
0
United States of America
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0
0
Illinois
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0
0
United States of America
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0
0
Kansas
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0
0
United States of America
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0
0
Michigan
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0
0
United States of America
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0
0
Missouri
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0
0
United States of America
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0
0
Nevada
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0
0
United States of America
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State/province [11]
0
0
New Mexico
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0
0
United States of America
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0
0
North Carolina
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0
0
United States of America
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0
0
Ohio
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0
0
United States of America
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0
0
Pennsylvania
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0
United States of America
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0
South Dakota
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0
United States of America
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0
0
Tennessee
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0
0
United States of America
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0
Texas
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0
United States of America
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0
0
Washington
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0
0
Argentina
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0
0
Buenos Aires
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0
0
Argentina
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State/province [20]
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0
Caba
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0
0
Argentina
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0
Ciudad Autonoma Buenos Aires
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0
0
Argentina
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0
Cordoba
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0
Argentina
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0
Junín
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0
Argentina
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0
Mar del Plata
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0
Argentina
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0
Rosario
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0
Argentina
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0
Villa Luro
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0
Belgium
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0
Brussel
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0
Belgium
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Bruxelles
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Belgium
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0
La Louvière
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Belgium
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Leuven/Vlaams-Brabant
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Belgium
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0
Lodelinsart
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0
0
Brazil
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0
Belém
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0
0
Brazil
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Botucatu
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0
0
Brazil
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Curitiba
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0
Brazil
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0
Porto Alegre
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0
0
Brazil
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Rio de Janeiro
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0
Brazil
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Sao Paulo
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0
Brazil
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0
São Bernardo do Campo
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0
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Brazil
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São Paulo
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0
Bulgaria
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Ruse
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Bulgaria
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Sofia
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Bulgaria
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Stara Zagora
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Canada
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0
Alberta
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Canada
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Ontario
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Canada
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Quebec
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0
0
China
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0
Guangzhou
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0
0
China
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Hangzhou
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0
0
China
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0
Nanning
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0
0
China
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0
0
Shanghai
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Country [50]
0
0
Czechia
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0
Havirov
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0
0
Czechia
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Prague
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Czechia
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Pribram
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0
0
Czechia
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Slany
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0
0
Finland
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0
Kuopio
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0
0
Finland
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Tampere
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0
0
Finland
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0
0
Turku
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0
0
Germany
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0
Bad Oeynhausen
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0
0
Germany
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0
0
Berlin
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0
0
Germany
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0
Dresden
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0
0
Germany
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0
Düsseldorf
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0
0
Germany
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State/province [61]
0
0
Frankfurt
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Country [62]
0
0
Germany
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State/province [62]
0
0
Hannover
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Country [63]
0
0
Germany
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State/province [63]
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0
Leipzig
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Country [64]
0
0
Germany
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State/province [64]
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0
Würzburg
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Country [65]
0
0
Greece
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State/province [65]
0
0
Athens
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Country [66]
0
0
Greece
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State/province [66]
0
0
Ioannina
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Country [67]
0
0
Greece
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State/province [67]
0
0
P. Faliro
Query!
Country [68]
0
0
Hong Kong
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State/province [68]
0
0
Hong Kong
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Country [69]
0
0
Hungary
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State/province [69]
0
0
Baja
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Country [70]
0
0
Hungary
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State/province [70]
0
0
Balatonfured
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Country [71]
0
0
Hungary
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State/province [71]
0
0
Budapest
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Country [72]
0
0
Hungary
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State/province [72]
0
0
Debrecen
Query!
Country [73]
0
0
Hungary
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State/province [73]
0
0
Eger
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Country [74]
0
0
Hungary
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State/province [74]
0
0
Hatvan
Query!
Country [75]
0
0
India
Query!
State/province [75]
0
0
Aurangabad
Query!
Country [76]
0
0
India
Query!
State/province [76]
0
0
Jaipur
Query!
Country [77]
0
0
India
Query!
State/province [77]
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0
Kanpur
Query!
Country [78]
0
0
India
Query!
State/province [78]
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0
Mysore
Query!
Country [79]
0
0
India
Query!
State/province [79]
0
0
Nagpur
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Country [80]
0
0
India
Query!
State/province [80]
0
0
New Delhi
Query!
Country [81]
0
0
India
Query!
State/province [81]
0
0
Rajkot
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Country [82]
0
0
India
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State/province [82]
0
0
Varanasi
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Country [83]
0
0
India
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State/province [83]
0
0
Vellore
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Country [84]
0
0
Italy
Query!
State/province [84]
0
0
Bari
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Country [85]
0
0
Italy
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State/province [85]
0
0
Bergamo
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Country [86]
0
0
Japan
Query!
State/province [86]
0
0
Aichi, Ichinomiya
Query!
Country [87]
0
0
Japan
Query!
State/province [87]
0
0
Aichi, Nagoya
Query!
Country [88]
0
0
Japan
Query!
State/province [88]
0
0
Gumma, Takasaki
Query!
Country [89]
0
0
Japan
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State/province [89]
0
0
Kyoto, Kuse-gun
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Country [90]
0
0
Japan
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State/province [90]
0
0
Nagano, Ina
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Country [91]
0
0
Japan
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State/province [91]
0
0
Nagano, Suwa
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Country [92]
0
0
Japan
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State/province [92]
0
0
Saitama, Kawagoe
Query!
Country [93]
0
0
Japan
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State/province [93]
0
0
Shiga, Omihachiman
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Country [94]
0
0
Japan
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State/province [94]
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0
Tokyo, Bunkyo-ku
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0
0
Japan
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State/province [95]
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0
Tokyo, Hachioji
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Country [96]
0
0
Japan
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State/province [96]
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0
Tokyo, Shinagawa-ku
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Country [97]
0
0
Japan
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State/province [97]
0
0
Ueda, Nagano
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Country [98]
0
0
Korea, Republic of
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State/province [98]
0
0
Ansan
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Country [99]
0
0
Korea, Republic of
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State/province [99]
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0
Cheongiu
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0
0
Korea, Republic of
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State/province [100]
0
0
Goyang
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Country [101]
0
0
Korea, Republic of
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State/province [101]
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0
Seoul
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Country [102]
0
0
Malaysia
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State/province [102]
0
0
Batu Caves
Query!
Country [103]
0
0
Malaysia
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State/province [103]
0
0
Cheras, Kuala Lumpur
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Country [104]
0
0
Malaysia
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State/province [104]
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0
Johor Bahru
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0
0
Malaysia
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State/province [105]
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0
Kangar
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0
0
Malaysia
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State/province [106]
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0
Kota Bharu
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0
0
Malaysia
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State/province [107]
0
0
Seri Manjung
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0
0
Mexico
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State/province [108]
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0
Aguascalientes
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0
0
Mexico
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State/province [109]
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Guadalajara
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0
0
Mexico
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State/province [110]
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Mexico
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Country [111]
0
0
Mexico
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State/province [111]
0
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México
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0
0
Mexico
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State/province [112]
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Nuevo León
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0
0
Norway
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State/province [113]
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Nordbyhagen
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0
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Norway
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State/province [114]
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Stavanger
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Country [115]
0
0
Philippines
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State/province [115]
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Cebu City
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0
0
Philippines
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State/province [116]
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Davao City
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0
0
Philippines
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State/province [117]
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Iloilo City
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0
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Philippines
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Marikina city
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0
0
Philippines
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Pasig City
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0
0
Philippines
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State/province [120]
0
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Quezon City
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0
0
Philippines
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State/province [121]
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Tarlac
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0
0
Poland
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State/province [122]
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0
Bydgoszcz
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0
0
Poland
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State/province [123]
0
0
Gdansk
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Country [124]
0
0
Poland
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State/province [124]
0
0
Katowice
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0
0
Poland
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State/province [125]
0
0
Lodz
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0
0
Poland
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State/province [126]
0
0
Lublin
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Country [127]
0
0
Poland
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State/province [127]
0
0
Pomorskie
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Country [128]
0
0
Poland
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State/province [128]
0
0
Poznan
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0
0
Poland
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State/province [129]
0
0
Warszawa
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0
0
Poland
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State/province [130]
0
0
Wroclaw
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Country [131]
0
0
Portugal
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State/province [131]
0
0
Almada
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Country [132]
0
0
Portugal
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State/province [132]
0
0
Aveiro
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Country [133]
0
0
Portugal
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State/province [133]
0
0
Carnaxide
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Country [134]
0
0
Portugal
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State/province [134]
0
0
Leiria
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Country [135]
0
0
Portugal
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State/province [135]
0
0
Lisboa
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Country [136]
0
0
Portugal
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State/province [136]
0
0
Vila Nova de Gaia
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Country [137]
0
0
South Africa
Query!
State/province [137]
0
0
Bloemfontein
Query!
Country [138]
0
0
South Africa
Query!
State/province [138]
0
0
Cape Town
Query!
Country [139]
0
0
South Africa
Query!
State/province [139]
0
0
Durban
Query!
Country [140]
0
0
South Africa
Query!
State/province [140]
0
0
Krugersdorp
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Country [141]
0
0
South Africa
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State/province [141]
0
0
Pretoria
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Country [142]
0
0
Spain
Query!
State/province [142]
0
0
Barcelona
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Country [143]
0
0
Spain
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State/province [143]
0
0
Burela
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Country [144]
0
0
Spain
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State/province [144]
0
0
Córdoba
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Country [145]
0
0
Spain
Query!
State/province [145]
0
0
Madrid
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Country [146]
0
0
Spain
Query!
State/province [146]
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Majadahonda
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Country [147]
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Sweden
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Kristianstad
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Sweden
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Linköping
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Sweden
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Stockholm
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Switzerland
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Lausanne
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Turkey
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Istanbul
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Boehringer Ingelheim
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Ethics approval
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Summary
Brief summary
This study is open to adults with chronic kidney disease. People with and without type 2 diabetes can take part in this study. The purpose of this study is to find out whether a medicine called BI 690517 improves kidney function in people with chronic kidney disease when taken alone or in combination with a medicine called empagliflozin. In the first part of the study, participants take empagliflozin or placebo as tablets every day for 2 months. Placebo tablets look like empagliflozin tablets but do not contain any medicine. In the second part, participants are divided into several groups. Depending on the group, the participants then additionally take different doses of BI 690517 or placebo as tablets for 3.5 months. In this case, placebo tablets look like BI 690517 tablets but do not contain any medicine. Participants are in the study for about 6 months. During this time, they visit the study site about 12 times. Where possible, about 4 of the 12 visits can be done at the participant's home instead of the study site. The trial staff may also contact the participants by phone or video call. Participants collect urine samples at home. These samples are then analysed to assess kidney function. At the end of the trial the results are compared between the different groups. The doctors also regularly check participants' health and take note of any unwanted effects.
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Trial website
https://clinicaltrials.gov/study/NCT05182840
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
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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?
Once the time frame criteria given under number 4 are fulfilled, researchers can use the following link https://www.mystudywindow.com/msw/datasharing to request access to the clinical study documents regarding this study, and upon a signed "Document Sharing Agreement".
Furthermore, researchers can request access to the clinical study data, for this and other listed studies, after the submission of a research proposal and according to the terms outlined in the website.
Supporting document/s available: Study protocol, Statistical analysis plan (SAP), Clinical study report (CSR)
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When will data be available (start and end dates)?
After structured results have been posted, all regulatory activities are completed in the US and EU for the product and indication, and after the primary manuscript has been accepted for publication.
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Available to whom?
For study documents - upon signing of a 'Document Sharing Agreement'. For study data - 1. after the submission and approval of the research proposal (checks will be performed by the sponsor and/or the independent review panel, including checking that the planned analysis does not compete with sponsor's publication plan); 2. and upon signing of a legal agreement.
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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://www.mystudywindow.com/msw/datasharing
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What supporting documents are/will be available?
No Supporting Document Provided
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Other Details
Attachment
Study protocol
https://cdn.clinicaltrials.gov/large-docs/40/NCT05182840/Prot_000.pdf
Statistical analysis plan
https://cdn.clinicaltrials.gov/large-docs/40/NCT05182840/SAP_001.pdf
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT05182840