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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT00130208
Registration number
NCT00130208
Ethics application status
Date submitted
11/08/2005
Date registered
15/08/2005
Titles & IDs
Public title
Effect of Sulodexide in Early Diabetic Nephropathy
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Scientific title
The Collaborative Study Group Trial: The Effect of Sulodexide in Patients With Type 2 Diabetes and Microalbuminuria
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Secondary ID [1]
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KRX-101-301
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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:
Diabetic Nephropathy
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Condition category
Condition code
Renal and Urogenital
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Kidney disease
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Metabolic and Endocrine
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Diabetes
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Sulodexide
Treatment: Drugs - Placebo
Experimental: Sulodexide - Also known as KRX-101. All patients will be on standard of care ACE or ARBs.
Placebo comparator: Placebo - All patients will be on standard of care ACE or ARBs.
Treatment: Drugs: Sulodexide
100 mg sulodexide gelcaps
Treatment: Drugs: Placebo
0 mg gelcap
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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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Number of Subjects With Conversion From Microalbuminuria to Normoalbuminuria
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Assessment method [1]
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The primary efficacy variable was the fraction of those patients in the ITT population with valid baseline and Week 26 ACRs in whom "therapeutic success" was achieved at Week 26 measured as a conversion of microalbuminuria to normoalbuminuria and at least a 25% reduction in ACR relative to baseline
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Timepoint [1]
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26 Weeks
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Primary outcome [2]
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Number of Subjects With Greater Than 50% Reduction in Microalbuminuria
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Assessment method [2]
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During the treatment period, KRX-101 is being compared to placebo to assess whether a 50% reduction in microalbuminuria has been achieved.
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Timepoint [2]
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26 Weeks
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Secondary outcome [1]
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Change in Serum Albumin From Baseline to End of 26 Weeks
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Assessment method [1]
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Timepoint [1]
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26 Weeks
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Eligibility
Key inclusion criteria
* Diagnosis of type 2 diabetes
* Serum creatinine equal to or less than 1.5 mg/dL
* Microalbuminuria, defined by a urine albumin/creatinine ratio in men; 35- 200 mg albumin/G creatinine, in women; 45-200 mg albumin/G creatinine
* Blood pressure controlled to less than 150/90 mmHg
* Willing to change antihypertensive medication regimen if necessary
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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
* Age of onset of type 2 diabetes <18 years;
* HbA1C >10.0%;
* Morbid obesity defined as a body mass index (BMI) >= 45 kg/m2;
* Type 1 (insulin-dependent; juvenile onset) diabetes;
* Renal disease as follows:
* Patients with known non-diabetic renal disease
* Renal allograft
* Absolute requirement for combination therapy of angiotensin converting enzyme inhibitors (ACEI) and angiotensin receptor blockers (ARB);
* Cardiovascular disease as follows:
* Unstable angina pectoris within 3 months of study entry;
* Myocardial infarction, coronary artery bypass graft surgery, or percutaneous transluminal coronary angioplasty or stent placement within 3 months of study entry;
* Transient ischemic attack within 3 months of study entry;
* Cerebrovascular accident within 3 months of study entry;
* Symptomatic heart failure requiring ACE inhibition;
* New York Heart Association Functional Class III or IV heart failure;
* Obstructive valvular heart disease or hypertrophic cardiomyopathy;
* Second or third degree atrioventricular block not successfully treated with a pacemaker
* Need for chronic (>2 weeks) immunosuppressive therapy, including corticosteroids (excluding inhaled or nasal steroids);
* History of multiple drug allergies;
* New diagnosis of cancer or recurrent cancer within 5 years of screening ( (except non-melanoma skin cancer);
* Psychiatric disorder that interferes with the patient's ability to comply with the protocol;
* Inability to tolerate oral medication or a history of significant malabsorption;
* Inability to remain on a stable dose of the following class of medications 30 days prior to randomization and throughout the study:
* 3-hydroxy-3-methylglutaryl-coenzyme A (HMG-CoA) reductase inhibitors (statins);
* Peroxisome proliferator-activated receptor gamma (PPAR gamma inhibitors (glitazones);
* Cyclooxygenase-2 inhibitors (COX-2 inhibitors); or
* Non-steroidal anti-inflammatory drugs (NSAIDS);
* History of alcohol or other drug abuse within 12 months of study entry;
* Known human immunodeficiency virus (HIV) disease;
* Any other medical condition which renders the patient unable to or unlikely to complete the study, or which would interfere with optimal participation in the study or produce significant risk to the patient;
* Receipt of any investigational drugs (including placebo) within 30 days of enrollment;
* Evidence of hepatic dysfunction including total bilirubin >2.0 mg/dL or liver transaminase (AST or ALT) >3 times upper limit of normal;
* Anticipated surgery within trial period;
* Inability to cooperate with study personnel or history of noncompliance to medical regimen (i.e., patients who would be expected to comply poorly with treatment);
* Known allergies or intolerance to any heparin-like compound;
* Untreated urinary tract infection that would impact urinary protein values; or
* Prior exposure to sulodexide, either in a clinical setting or as a participant in another clinical study.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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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
1/08/2005
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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
1/02/2008
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Sample size
Target
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Accrual to date
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Final
1056
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
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The Collaborative Study Group, Clinical Coordinating Center for the Pacific Region, Monash Medical Center - Melbourne
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Recruitment postcode(s) [1]
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3168 - Melbourne
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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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Illinois
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Country [2]
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Netherlands
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State/province [2]
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Groningen
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Keryx Biopharmaceuticals
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Address
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Country
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Other collaborator category [1]
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Other
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Name [1]
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Collaborative Study Group (CSG)
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
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Summary
Brief summary
The purpose of the study is to determine whether treatment with sulodexide is effective in reducing the level of urine albumin excretion in patients with early diabetic kidney disease expressed as microalbuminuria.
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Trial website
https://clinicaltrials.gov/study/NCT00130208
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Trial related presentations / publications
Lewis EJ, Lewis JB, Greene T, Hunsicker LG, Berl T, Pohl MA, de Zeeuw D, Heerspink HL, Rohde RD, Atkins RC, Reutens AT, Packham DK, Raz I; Collaborative Study Group. Sulodexide for kidney protection in type 2 diabetes patients with microalbuminuria: a randomized controlled trial. Am J Kidney Dis. 2011 Nov;58(5):729-36. doi: 10.1053/j.ajkd.2011.06.020. Epub 2011 Aug 26. Erratum In: Am J Kidney Dis. 2012 Feb;59(2):318.
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Public notes
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Contacts
Principal investigator
Name
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Edmund J Lewis, M.D.
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Address
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The Collaborative Study Group, Rush University Medical Center, Chicago, IL USA
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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)?
No
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No/undecided IPD sharing reason/comment
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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 are available at
https://clinicaltrials.gov/study/NCT00130208