INNOVATION Study - Telmisartan (Micardis) in Incipient Diabetic Nephropathy - Full Text View

Sponsored by:	Boehringer Ingelheim Pharmaceuticals
Information provided by:	Boehringer Ingelheim Pharmaceuticals
ClinicalTrials.gov Identifier:	NCT00153088

Purpose

The aim of this study is to compare the preventive effect of Telmisartan(Micardis) versus placebo control on the transition to overt nephropathy in patients with diabetic nephropathy manifesting microalbuminuria associated with type II diabetes, and to evaluate the efficacy and safety of Telmisart (Micardis, Gliosartan, Kinzal, Kinzalmono, Predxal, Pritor, Samertan, Telmisartan) for diabetic nephropathy patients.

Condition	Intervention	Phase
Diabetic Nephropathies	Drug: Telmisartan capsule 40 mg Drug: Placebo Drug: Telmisartan capsule 80 mg	Phase IV

MedlinePlus related topics: Diabetes Diabetic Kidney Problems

Drug Information available for: Telmisartan Angiotensin II Angiotensin II, ile(5)-

U.S. FDA Resources

Study Type:	Interventional
Study Design:	Treatment, Randomized, Double-Blind, Dose Comparison, Parallel Assignment, Efficacy Study
Official Title:	A Randomised, Double-Blind, Placebo-Controlled, Multicenter Trial to Investigate the Preventive Effect of BIBR277 (Telmisartan) in Diabetic Nephropathy on Transition From Incipient to Overt Nephropathy - Incipient to Overt : Angiotensin 2 Receptor Blocker, Telmisartan, Investigation on Type 2 Diabet

Further study details as provided by Boehringer Ingelheim Pharmaceuticals:

Primary Outcome Measures:

Non-transition to overt nephropathy

Secondary Outcome Measures:

Change in renal parameters Composite endpoint

Estimated Enrollment:	450
Estimated Study Completion Date:	November 2005

Detailed Description:

A prospective, randomised, double-blind, multicentric and comparative study to investigate, on a long-term basis, the preventive effect on the transition to overt nephropathy and the safety of Telmisartan (Micardis) against placebo in patients with diabetic nephropathy, manifesting microalbuminuria associated with type II diabetes.

Study Hypothesis:

The hypothesis is that Telmisartan (Micardis) at 40 mg or 80 mg versus placebo control in patients with concurrent type II diabetic mellitus or diabetic nephropathy demonstrating microalbuminuria, has the preventive effect on transition from incipient to overt nephropathy.

Comparison(s):

The primary endpoint is defined as the transition from incipient to overt nephropathy, and the non-transition curve will be demonstrated based on the Kaplan-Meier method. The evaluation criteria for the point to transition to overt nephropathy is defined as urinary albumin to creatinine ratios at consecutive 2 measuring points increasing over 300 mg/g-Creatinine and excess 30% increase comparing with the baseline value. The curve of non-transition will be compared with Logrank test. Those in BIBR277 groups are sequentially compared with that in the placebo group by the closed testing procedure.

Eligibility

Ages Eligible for Study:	30 Years to 74 Years
Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	No

Criteria

Inclusion Criteria:

Outpatients who are able to visit the study site throughout the run-in period
Aged 30 and 74 years
Type II diabetes mellitus
Patients with urinary albumin to creatinine ratios within the following ranges at 2 measuring points during the run-in period 1) the first-morning voided urine, iin the range of 100 to 300 mg/g Creatinine 2) < 100 mg/g Creatinine at either point of Visit 2 or 3, but in the range of 100 to 300 mg/g Creatinine at follow-up
Serum creatinine level of < 1.5 mg/dL in male and < 1.3 mg/dL in female
Normotensive or hypertensive patients
Patients taking AT1 antagonists or ACE inhibitors at screening, but are able to stop those drugs during the study
Patients who are able to provide written informed consent in accordance with the Good Clinical Practice (GCP) and other relevant laws such as the Pharmaceutical Affairs Law

Exclusion Criteria:

Age of onset of type 2 diabetes is < 30 years
Type I diabetes
Urinary albumin to creatinine ratio of > 300 mg/g Creatinine
HbA1c 9%
Seated SBP 180 mmHg or DBP 110 mmHg
Findings suggesting a renal disease other than diabetic nephropathy; such as post renal transplantation, history of non-diabetic renal disease, marked haematuria, complication of urinary tract infection
Cardiovascular diseases:
- Patients with unstable angina, myocardial infarction, CABG, PTCA within 6 months before
- CHF with NYHA III-IV
- TIA within 6 months
- Stroke within 6 months
- AV block (grade II-III) or AF
- Serious arrhythmia
- Known or suspected secondary HT
History of angioedema during administration of ARB/ACE-i
Hypersensitivity
History of sudden exacerbation of renal function due to ARB/ACE-i
Markedly poor bile secretion
Hepatic dysfunction: SGPT (ALT) or SGOT (AST) 100 IU/L
Serum potassium level < 3.5 mEq/L or 5.1 mEq/L
Unable to discontinue ARB/ACE-i
Require prolonged administration of any medications affecting blood pressure, except diuretics, or blockers, and CCB
Untreated sodium depletion
Pre-menopausal females who meet any one of the following:
- Pregnant or possibly pregnant
- Breast-feeding
- Hope to be pregnant during the study period
- Even when a patient is confirmed not to meet the above criteria at the start of the study, a female patient who has the potential to be pregnant during the study is to undergo pregnancy tests. If the result turns positive, the study medication should be discontinued.
Malignant tumour or other diseases requiring oral or injection immunosuppressants
Non-compliance
History of drug or alcohol abuse
Participated in other clinical studies within 3 months
Any other conditions investigators judged as ineligible

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00153088

Show 160 Study Locations

Sponsors and Collaborators

Boehringer Ingelheim Pharmaceuticals

Investigators

Study Chair:

Boehringer Ingelheim Study Coordinator

Nippon Boehringer Ingelheim Co., Ltd.

More Information

Related Info This link exits the ClinicalTrials.gov site

Study ID Numbers:	502.413
Study First Received:	September 9, 2005
Last Updated:	November 25, 2008
ClinicalTrials.gov Identifier:	NCT00153088
Health Authority:	Japan: Ministry of Health, Labor and Welfare

Study placed in the following topic categories:

Diabetic Nephropathies
Urologic Diseases
Diabetes Mellitus
Endocrine System Diseases
Telmisartan

Endocrinopathy
Kidney Diseases
Angiotensin II
Diabetes Complications

Additional relevant MeSH terms:

Angiotensin II Type 1 Receptor Blockers
Molecular Mechanisms of Pharmacological Action
Angiotensin-Converting Enzyme Inhibitors

Enzyme Inhibitors
Pharmacologic Actions
Protease Inhibitors

ClinicalTrials.gov processed this record on January 16, 2009