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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT01712061
Registration number
NCT01712061
Ethics application status
Date submitted
19/10/2012
Date registered
23/10/2012
Date last updated
21/10/2015
Titles & IDs
Public title
A Phase 2 Multi-Center Study To Evaluate The Efficacy And Safety Of A Chemokine CCR2/5 Receptor Antagonist In Adults With Type 2 Diabetes And Overt Nephropathy
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Scientific title
A Phase 2, Randomized, Double-blind, Placebo-controlled, Parallel Group, Multi-center Study To Evaluate The Efficacy And Safety Of Once-daily Administration Of A Chemokine Ccr2/5 Receptor Antagonist (Pf-04634817) In Adults With Type 2 Diabetes And Overt Nephropathy
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Secondary ID [1]
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2012-003332-23
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Secondary ID [2]
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B1261007
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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 - PF-04634817
Treatment: Drugs - Placebo
Active comparator: Arm 1 PF-04634817 -
Placebo comparator: Arm 2 Placebo -
Treatment: Drugs: PF-04634817
Three or four tablets (50mg) daily for 12 weeks, depending on baseline renal function
Treatment: Drugs: Placebo
Three or four tablets (50mg) daily for 12 weeks, depending on baseline renal function
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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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Percent Reduction From Baseline in Urinary Albumin to Creatinine Ratio (UACR) at Week 12
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Assessment method [1]
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The presence of albumin in the urine (macroalbuminuria) is a marker of kidney disease. Albumin and creatinine concentrations were obtained from spot urine samples.
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Timepoint [1]
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Baseline and Week 12
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Secondary outcome [1]
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Change From Baseline in UACR at Weeks 4, 8 and 16
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Assessment method [1]
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The presence of albumin in the urine (macroalbuminuria) is a marker of kidney disease. Albumin and creatinine concentrations were obtained from spot urine samples.
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Timepoint [1]
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Baseline, Weeks 4, 8 and 16
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Secondary outcome [2]
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Change From Baseline in Urinary Protein to Creatinine Ratio (UPCR) at Weeks 4, 8, 12 and 16
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Assessment method [2]
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The presence of protein in the urine (proteinuria) often implies kidney disease. Protein and creatinine concentrations were obtained from spot urine samples.
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Timepoint [2]
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Baseline, Weeks 4, 8, 12 and 16
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Secondary outcome [3]
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Change From Baseline in Estimated Glomerular Filtration Rate (eGFR) Using the Abbreviated Modified Diet in Renal Disease (MDRD) Formula at Weeks 1, 4, 8, 12 and 16
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Assessment method [3]
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eGFR was calculated using the MDRD equation and normalized to 1.73 m\^2 body surface area. Age and corresponding creatinine at each visit (Weeks 1, 4, 8, 12 and 16) were used to calculate GFR
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Timepoint [3]
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Baseline, Week 1, 4, 8, 12 and 16
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Secondary outcome [4]
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Change From Baseline in eGFR Using Cystatin Formula at Weeks 12 and 16
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Assessment method [4]
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Serum cystatin C may be a more reliable endogenous marker of GFR than serum creatinine. eGFR was calculated using the Cystatin Formula and normalized to 1.73 m\^2 body surface area.
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Timepoint [4]
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Baseline, Week 12, and Week 16
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Secondary outcome [5]
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Change From Baseline in Serum Creatinine at Weeks 1, 4, 8, 12 and 16
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Assessment method [5]
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Serum creatinine is an indicator of kidney function. Creatinine is a substance formed from the metabolism of creatine, commonly found in blood, urine, and muscle tissue. It is removed from the blood by the kidneys and excreted in urine. Normal adult blood levels of creatinine=45 to 90 micromoles per liter (mcmol/L) for females, 60 to 110 mcmol/L for males, however normal values are age-dependent. Change from baseline=creatinine level at Week 1, 4, 8, 12 or 16 minus baseline level where higher scores represented decreased kidney function.
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Timepoint [5]
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Baseline, Week 1, 4, 8, 12 and 16
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Secondary outcome [6]
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Change From Baseline in Serum Cystatin C at Weeks 12 and 16
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Assessment method [6]
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Cystatin C is a protein which is mainly used as a biomarker of kidney function. If kidney function and GFR decline, the blood levels of cystatin C rise.
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Timepoint [6]
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Baseline, Week 12, and Week 16
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Secondary outcome [7]
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Change From Baseline in Plasma Glycosylated Hemoglobin (HbA1c) at Weeks 4, 8, 12 and 16
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Assessment method [7]
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HbA1c is a form of hemoglobin that is measured primarily to identify the average plasma glucose concentration over prolonged periods of time. As the average amount of plasma glucose increases, the fraction of HbA1c increases in a predictable way.
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Timepoint [7]
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Baseline, Weeks 4, 8, 12 and 16
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Secondary outcome [8]
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Summary of Plasma PF-04634817 Pharmacokinetic (PK) Concentrations at Day 1 and Weeks 1, 4, 8 and 12
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Assessment method [8]
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Timepoint [8]
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1, 2, 4 hours post-dose on Day 1; 2 hours post-dose on Weeks 1, 4, 8 and 12
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Eligibility
Key inclusion criteria
* Clinical diagnosis of type 2 diabetes together with stages 2, 3a, 3b or 4 CKD, based on an eGFR of 20-75 mL/min/1.73m2.
* Evidence of persistent, overt albuminuria; defined as a UACR >=300 mg/g (>=33.9 mg/mmol) or UPCR >=390 mg/g (44.1 mg/mmol), or equivalent, for 3 months or longer.
* Stable background therapy of RAAS inhibition (ie, an ACE inhibitor and/or an ARB, which may also include an aldosterone antagonist in double RAAS but not triple RAAS inhibitor therapy) for at least 3 months before screening and to be maintained for the duration of the study.
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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
* Subjects with CKD resulting from type 1 diabetes or non-diabetic CKD.
* Subjects who are diagnosed with autosomal dominant polycystic kidney disease (ADPCKD), severe peripheral vascular disease (PVD) or obstructive uropathy.
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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 analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 2
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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
1/12/2012
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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
1/09/2014
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Sample size
Target
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Accrual to date
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Final
226
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Recruitment in Australia
Recruitment state(s)
NSW,QLD,VIC
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Recruitment hospital [1]
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Liverpool Hospital - Liverpool
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Recruitment hospital [2]
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Department of Nephrology - New Lambton
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Recruitment hospital [3]
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Westmead Hospital, Department of Renal Medicine - Westmead
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Recruitment hospital [4]
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Sunshine Coast Hospital & Health Service - Nambour
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Recruitment hospital [5]
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Box Hill Hospital - Box Hill
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Recruitment hospital [6]
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Monash Medical Centre - Clayton
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Recruitment hospital [7]
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Royal Melbourne Hospital - Parkville
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Recruitment postcode(s) [1]
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2170 - Liverpool
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Recruitment postcode(s) [2]
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2305 - New Lambton
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Recruitment postcode(s) [3]
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2145 - Westmead
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Recruitment postcode(s) [4]
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4560 - Nambour
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Recruitment postcode(s) [5]
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3128 - Box Hill
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Recruitment postcode(s) [6]
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3168 - Clayton
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Recruitment postcode(s) [7]
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3050 - Parkville
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Recruitment outside Australia
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Arkansas
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Valencia
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Pfizer
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Address
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Ethics approval
Ethics application status
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Summary
Brief summary
The study hypothesis under test is that administration of a CCR2/5 antagonist to subjects with type 2 diabetes and overt nephropathy will result in a reduction in urinary albumin, a surrogate for improved glomerular filtration.
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Trial website
https://clinicaltrials.gov/study/NCT01712061
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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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Pfizer CT.gov Call Center
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Pfizer
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Contact person for scientific queries
No information has been provided regarding IPD availability
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/NCT01712061
Download to PDF