Clinical trial • Phase II • Cardiology|Nephrology

Dapagliflozin for Chronic kidney disease|Kidney failure|Left ventricular hypertrophy|Hemodialysis

Phase II trial of Dapagliflozin for Chronic kidney disease|Kidney failure|Left ventricular hypertrophy|Hemodialysis.

Overview

Trial Therapeutic Area
Cardiology|Nephrology
Trial Disease
Chronic kidney disease|Kidney failure|Left ventricular hypertrophy|Hemodialysis
Trial Stage
Phase II
Drug Modality
Small molecule|Other

Key dates

Initial CTIS Submission Date
04-10-2024
First CTIS Authorization Date
15-12-2024

Trial design

Randomised, placebo identical to forxiga 10mg encapsulated in gelatinecapsules (matching placebo control). Phase II trial across 9 sites in Austria.

Randomised
Yes
Comparator
Placebo identical to Forxiga 10mg encapsulated in Gelatinecapsules (matching placebo control).
Target Sample Size
220
Trial Duration For Participant
182

Eligibility

Recruits 220 No vulnerable populations selected; participants must provide signed informed consent..

Pregnancy Exclusion
o Pregnancy
Vulnerable Population
No vulnerable populations selected; participants must provide signed informed consent.

Inclusion criteria

  • {"criterion_text":"- •\tAge ≥18 years"}
  • {"criterion_text":"- •\tMaintenance hemodialysis 3×/week for ≥ 3 months and ≤5 years"}
  • {"criterion_text":"- •\tBMI < 45 kg/m2 and stable weight (± 5 kg) over the preceding three months"}
  • {"criterion_text":"- •\tSigned informed consent"}

Exclusion criteria

  • {"criterion_text":"- o\tHypersensitivity or Intolerance of SGLT2 inhibitors"}
  • {"criterion_text":"- o\tParticipation in another clinical trial"}
  • {"criterion_text":"- o\tHistory of diabetic ketoacidosis"}
  • {"criterion_text":"- o\tLife expectancy < 1 year"}
  • {"criterion_text":"- o\tInterventricular septum width ≤ 11 mm"}
  • {"criterion_text":"- o\tSevere valvular heart disease"}
  • {"criterion_text":"- o\tSubstance abuse"}
  • {"criterion_text":"- o\tHistory of Type 1 diabetes mellitus"}
  • {"criterion_text":"- o\tScheduled kidney transplant from a living donor"}
  • {"criterion_text":"- o\tSGLT2i within the last 6 months"}
  • {"criterion_text":"- o\tOther significant disease or pathology, that might predispose that patient to an unacceptable risk or interferes with the study in the opinion of the investigator."}
  • {"criterion_text":"- o\tAcute coronary syndrome during the last 30 days"}
  • {"criterion_text":"- o\tChild bearing potential & unwilling / unable to use an acceptable method to avoid pregnancy for the entire study (estrogen and/or progesterone treatment)."}
  • {"criterion_text":"- o\tPregnancy"}
  • {"criterion_text":"- o\tBreast feeding"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- change in Left Ventricular Mass indexed to body surface area (LVMI [g/m²]) from baseline to 6 months","definition_or_measurement_approach":"Change in left ventricular mass indexed to body surface area (LVMI in g/m²) from baseline to 6 months."}

Secondary endpoints

  • {"endpoint_text":"- Glucose Insulin C-Peptide Glucagon Glucagon-like Peptide-1 Epinephrine Norepinephrine Cortisol Growth Hormone Lactate Alanine β-hydroxybutyrate (βOHB) HbA1C Left Ventricular Mass (LVM) Left Ventricular Ejection Fraction (EF), Left Ventricular Hypertrophy (LVH) cardiac fibrosis Left Ventricular Mass Index to height(LVMI [m²]) Left Atrial Diameter (LAD [mm]) Blood Pressure (mmHg) Body Weight BMI Predialysis TnT postdialysis TnT proBNP Quality of Life","definition_or_measurement_approach":"Multiple biochemical, echocardiographic, clinical and quality-of-life measures as listed; specific measurement methods not detailed in the CTIS record."}

Recruitment

Planned Sample Size
220
Recruitment Window Months
6
Consent Approach
Signed informed consent required from each participant; subject information and informed consent form documents are available. No assent or proxy consent procedures for minors are specified (participants must be ≥18 years).

Geography

Total Number Of Sites
9
Total Number Of Participants
220

Austria

Earliest CTIS Part Ii Submission Date
21-10-2024
Latest Decision Or Authorization Date
15-12-2024
Processing Time Days
55
Number Of Sites
9
Number Of Participants
220

Sites

Site Name
Klinik Donaustadt
Department Name
3. Medizinische Abteilung
Contact Person Name
Renate Klauser-Braun
Site Name
Klinik Hietzing
Department Name
3. Medizinische Abteilung
Contact Person Name
Thomas Stulnig
Site Name
Wiener Dialysezentrum GmbH
Department Name
Wiener Dialysezentrum
Contact Person Name
Matthias Lorenz
Contact Person Email
matthias.lorenz@dialysewien.at
Site Name
Dialyseinstitut Dr. Waller
Department Name
Dialyseinstitut Dr. Waller
Contact Person Name
Ingmar Waller
Contact Person Email
office@dialyse.at
Site Name
Klinik Landstrabe
Department Name
1. Medizinische Abteilung
Contact Person Name
Bernhard Ludvik
Site Name
Klinik Favoriten
Department Name
1. Medizinische Abteilung
Contact Person Name
Manfred Eigner
Contact Person Email
manfred.eigner@wienkav.at
Site Name
Dialyseinstitut Gießauf GmbH
Department Name
Dialyseinstitut Gießauf GmbH
Contact Person Name
Hildegard Hafner-Gießauf
Contact Person Email
giessauf@dialyse-graz.at
Site Name
Hanusch Krankenhaus Der Wiener Gebietskrankenkasse
Department Name
1. Medizinische Abteilung, Nephrologie
Contact Person Name
Johannes Werzowa
Site Name
Medical University Of Vienna
Department Name
Department of Medicine III Division of Nephrology and Dialysis
Contact Person Name
Manfred Hecking

Sponsor

Primary sponsor

Full Name
Medical University Of Vienna
Organisation Type
Educational Institution
Country Of Registered Address
Austria

Investigational products

Investigational Product Name
Forxiga 10 mg film-coated tablets
Active Substance
Dapagliflozin
Modality
Small molecule
Routes Of Administration
Oral
Route
Oral
Authorisation Status
Authorised (EU marketing authorisation EU/1/12/795/008)
Starting Dose
10 mg
Dose Levels
10 mg
Frequency
Daily
Maximum Dose
10 mg
Investigational Product Name
Placebo identical to Forxiga 10mg encapsulated in Gelatinecapsules
Modality
Other

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