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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/ct2/show/NCT00130312
Registration number
NCT00130312
Ethics application status
Date submitted
11/08/2005
Date registered
15/08/2005
Date last updated
19/03/2021
Titles & IDs
Public title
Effect of Sulodexide in Overt Diabetic Nephropathy
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Scientific title
The Collaborative Study Group Trial: The Effect of Sulodexide in Overt Type 2 Diabetic Nephropathy
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Secondary ID [1]
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KRX-101-401
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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. These patients are also on ACEs and ARBs (irbesartin and/or losartan).
Placebo Comparator: Placebo - These patients are also on ACEs and ARBs (irbesartin and/or losartan).
Treatment: Drugs: Sulodexide
100 mg gelcap in the morning and evening
Treatment: Drugs: Placebo
1 placebo gelcap in the morning and evening
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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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Time to doubling of the serum creatinine or end stage kidney disease (ESRD)
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Assessment method [1]
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Time in study depended on time to doubling of serum creatinine and when the patient was enrolled in the trial.
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Timepoint [1]
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Time in study depended on time to doubling of serum creatinine
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Primary outcome [2]
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Safety and tolerance of sulodexide therapy long-term
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Assessment method [2]
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Review of laboratory parameters, adverse events, physical examinations, etc. were made to evaluate patient safety.
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Timepoint [2]
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Time in study depended on time to doubling of serum creatinine
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Secondary outcome [1]
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Change in urinary protein/albumin excretion
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Assessment method [1]
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Review of urinary protein and albumin excretion was made as an additional assessment of kidney function.
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Timepoint [1]
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Time in study depended on time to doubling of serum creatinine
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Eligibility
Key inclusion criteria
- Diagnosis of type 2 diabetes;
- Urine protein to creatinine ratio (PCR) equal to or greater than 900 mg/G (101.7
mg/mmol) in women and equal to or greater than 650 mg/G (73.45 mg/mmol) in men;
- Serum creatinine in women 1.3 - 3.0 mg/dL (115-265 µmol/L), inclusive, and in men 1.5
- 3.0 mg/dL (133-265 µmol/L), inclusive;
- Willing to discontinue antihypertensive medication regimen, if applicable;
- Willing and able to give informed consent.
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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
- Type 1 (insulin-dependent; juvenile onset) diabetes;
- Renal disease as follows:
- Patients with known non-diabetic renal disease (nephrosclerosis superimposed on
diabetic nephropathy acceptable), or
- Renal allograft;
- Absolute requirement for combination therapy of angiotensin converting enzyme
inhibitors (ACEI) and angiotensin receptor blockers (ARB);
- Patients who require ACEI, but not ACEI/ARB combination;
- 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/stent within 3 months of study entry;
- Transient ischemic attack within 3 months of study entry;
- Cerebrovascular accident within 3 months of study entry;
- New York Heart Association Functional Class III or IV (Note: if a patient is New
York Heart Association Functional Class I or II and requires an ACEI, consult
with the Clinical Coordinating Center to obtain permission for the patient to be
on an ACEI rather than an ARB);
- Obstructive valvular heart disease or hypertrophic cardiomyopathy; or
- 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);
- 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;
- History of alcohol or other drug abuse within 12 months of study entry;
- Known human immunodeficiency virus 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 (>35 micromol/L)
or liver transaminase (aspartate aminotransferase [AST] or alanine transferase [ALT])
>3 times upper limit of normal;
- Anticipate need for surgery;
- Inability to cooperate with study personnel or history of noncompliance to medical
regimen;
- Known allergies or intolerance to any heparin-like compound including heparin-induced
thrombocytopenia Type II;
- Prior exposure to sulodexide, either in a clinical setting or as a participant in
another clinical study.
- Untreated urinary tract infection that would impact urinary protein values.
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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 assessing the outcomes
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 4
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Terminated
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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
1/03/2008
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Sample size
Target
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Accrual to date
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Final
968
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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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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 this study is to determine whether sulodexide is effective in slowing or
preventing the progression of diabetic kidney disease.
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Trial website
https://clinicaltrials.gov/ct2/show/NCT00130312
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Edmund J Lewis, MD
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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
Summary Results
For IPD and results data, please see
https://clinicaltrials.gov/ct2/show/NCT00130312
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