Clinical Trial Results:
A Double-Blind, Placebo-Controlled, Randomized, Two-stage, Parallel-Group, Adaptive Design Phase 2a Study to Evaluate the Effects of BMS-813160 in Subjects with Type 2 Diabetes Mellitus and Diabetic Kidney Disease (DKD) Who Have Residual Macroalbuminuria Despite Treatment with an Inhibitor of the Renin-Angiotensin System.
Summary
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EudraCT number |
2012-005093-54 |
Trial protocol |
DK FR |
Global end of trial date |
12 Jun 2015
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Results information
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Results version number |
v1(current) |
This version publication date |
26 Jun 2016
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First version publication date |
26 Jun 2016
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Other versions |
Trial Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
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Trial identification
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Sponsor protocol code |
CV202-010
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Additional study identifiers
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ISRCTN number |
- | ||
US NCT number |
NCT01752985 | ||
WHO universal trial number (UTN) |
- | ||
Sponsors
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Sponsor organisation name |
Bristol-Myers Squibb
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Sponsor organisation address |
Bristol-Myers Squibb International Corporation, Chaussée de la Hulpe 185, Brussels, Belgium, 1170
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Public contact |
Bristol-Myers Squibb Study Director, Bristol-Myers Squibb, Clinical.Trials@bms.com
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Scientific contact |
Bristol-Myers Squibb Study Director, Bristol-Myers Squibb, Clinical.Trials@bms.com
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Paediatric regulatory details
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Is trial part of an agreed paediatric investigation plan (PIP) |
No
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Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Results analysis stage
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Analysis stage |
Final
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Date of interim/final analysis |
12 Jun 2015
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Is this the analysis of the primary completion data? |
No
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Global end of trial reached? |
Yes
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Global end of trial date |
12 Jun 2015
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Was the trial ended prematurely? |
Yes
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General information about the trial
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Main objective of the trial |
The primary objective of the study was to determine efficacy of BMS-813160 in reducing urinary albumin excretion as measured by the urine albumin-to-creatinine ratio (UACR) during 12 weeks of double-blinded treatment in subjects with type 2 diabetes mellitus and diabetic kidney disease (DKD) and persistent baseline macro-albuminuria on the background of stable angiotensin-converting enzyme inhibitor (ACEI) or angiotensin receptor blocker (ARB) therapy.
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Protection of trial subjects |
The study was in compliance with the ethical principles derived from the Declaration of Helsinki and in compliance with all International Conference on Harmonization Good Clinical Practice Guidelines. All the local regulatory requirements pertinent to safety of trial subjects were followed.
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Background therapy |
Subjects remained on their background treatment regimen with an oral ACEI or ARB that has been established prior to their enrollment. | ||
Evidence for comparator |
- | ||
Actual start date of recruitment |
03 Apr 2013
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Long term follow-up planned |
No
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Independent data monitoring committee (IDMC) involvement? |
No
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Population of trial subjects
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Number of subjects enrolled per country |
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Country: Number of subjects enrolled |
Canada: 60
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Country: Number of subjects enrolled |
United States: 209
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Country: Number of subjects enrolled |
Denmark: 17
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Country: Number of subjects enrolled |
France: 33
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Worldwide total number of subjects |
319
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EEA total number of subjects |
50
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Number of subjects enrolled per age group |
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In utero |
0
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Preterm newborn - gestational age < 37 wk |
0
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Newborns (0-27 days) |
0
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Infants and toddlers (28 days-23 months) |
0
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Children (2-11 years) |
0
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Adolescents (12-17 years) |
0
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Adults (18-64 years) |
172
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From 65 to 84 years |
147
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85 years and over |
0
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Recruitment
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Recruitment details |
The study was conducted at 57 centers in 4 countries. | ||||||||||||||||||||||||||||||||||||
Pre-assignment
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Screening details |
Out of 319 subjects who were enrolled, 110 subjects completed the screening period. Reasons for 209 subjects for not completing the screening periods were: Subjects did not meet study criteria-178, Subjects withdrew consent-8, Lost to follow-up-1, Administrative reason by Sponsor-6, Subject request to discontinue treatment-1, and other reasons-15. | ||||||||||||||||||||||||||||||||||||
Period 1
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Period 1 title |
Pretreatment / Screening Period
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Is this the baseline period? |
No | ||||||||||||||||||||||||||||||||||||
Allocation method |
Not applicable
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Blinding used |
Not blinded | ||||||||||||||||||||||||||||||||||||
Arms
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Arm title
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All Subjects | ||||||||||||||||||||||||||||||||||||
Arm description |
Subjects with type 2 diabetes mellitus were enrolled and screened for 27 days. | ||||||||||||||||||||||||||||||||||||
Arm type |
No intervention | ||||||||||||||||||||||||||||||||||||
Investigational medicinal product name |
No investigational medicinal product assigned in this arm
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Period 2
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Period 2 title |
Lead-in Period
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Is this the baseline period? |
No | ||||||||||||||||||||||||||||||||||||
Allocation method |
Non-randomised - controlled
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Blinding used |
Single blind | ||||||||||||||||||||||||||||||||||||
Roles blinded |
Subject | ||||||||||||||||||||||||||||||||||||
Arms
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Arm title
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Placebo matching with BMS-813160 | ||||||||||||||||||||||||||||||||||||
Arm description |
Subjects received BMS-813160 matching placebo capsules, orally, twice daily for 2 weeks. | ||||||||||||||||||||||||||||||||||||
Arm type |
Placebo | ||||||||||||||||||||||||||||||||||||
Investigational medicinal product name |
BMS-813160 matching placebo
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Capsule, hard
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Routes of administration |
Oral use
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Dosage and administration details |
Subjects were administered with BMS-813160 matching placebo capsules, twice daily for 2 weeks.
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Notes [1] - The number of subjects starting the period is not consistent with the number completing the preceding period. It is expected the number of subjects starting the subsequent period will be the same as the number completing the preceding period. Justification: Out of 110 subjects who completed the Screening period, 98 subjects entered the Lead-in period. 12 subjects did not entered the Lead-in period. |
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Period 3
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Period 3 title |
Treatment Period
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Is this the baseline period? |
Yes [2] | ||||||||||||||||||||||||||||||||||||
Allocation method |
Randomised - controlled
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Blinding used |
Double blind | ||||||||||||||||||||||||||||||||||||
Roles blinded |
Subject, Investigator | ||||||||||||||||||||||||||||||||||||
Arms
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Are arms mutually exclusive |
Yes
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Arm title
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BMS-813160 150 mg QD | ||||||||||||||||||||||||||||||||||||
Arm description |
Subjects received BMS-813160 150 mg, capsule, orally along with matching placebo in Ante Meridiem (AM) and 2 Placebo matching with BMS-813160, capsules, orally in Post Meridiem (PM) for 12 weeks. | ||||||||||||||||||||||||||||||||||||
Arm type |
Experimental | ||||||||||||||||||||||||||||||||||||
Investigational medicinal product name |
BMS-813160
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Capsule, hard
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Routes of administration |
Oral use
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Dosage and administration details |
Subjects were administered with BMS-813160 150 mg capsule once daily in AM for 12 weeks.
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Investigational medicinal product name |
Placebo matching with BMS-813160
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Capsule, hard
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Routes of administration |
Oral use
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Dosage and administration details |
Placebo capsules matching with BMS-813160 were administered orally (1 in AM and 2 in PM) for 12 weeks.
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Arm title
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BMS-813160 300 mg BID | ||||||||||||||||||||||||||||||||||||
Arm description |
Subjects received 2 BMS-813160 150 mg capsules, orally, twice daily (2*150 in AM and 2*150 in PM) for 12 weeks. | ||||||||||||||||||||||||||||||||||||
Arm type |
Experimental | ||||||||||||||||||||||||||||||||||||
Investigational medicinal product name |
BMS-813160
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Capsule, hard
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Routes of administration |
Oral use
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Dosage and administration details |
2 BMS-813160 150-mg capsules were administered orally twice daily in AM and PM (Total daily dose of 600 mg) for 12 weeks.
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Arm title
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Placebo | ||||||||||||||||||||||||||||||||||||
Arm description |
Subjects received BMS-813160 matching placebo capsules, orally, twice daily in AM and PM for 12 weeks. | ||||||||||||||||||||||||||||||||||||
Arm type |
Placebo | ||||||||||||||||||||||||||||||||||||
Investigational medicinal product name |
BMS-813160 matching placebo
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Capsule, hard
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Routes of administration |
Oral use
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Dosage and administration details |
2 BMS-813160 matching placebo capsules were administered twice daily in AM and PM for 12 weeks.
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Notes [2] - Period 1 is not the baseline period. It is expected that period 1 will be the baseline period. Justification: Subjects were enrolled and screened to enter into a 2-week placebo lead-in period before they entered into the treatment period. |
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Notes [3] - The number of subjects reported to be in the baseline period are not the same as the worldwide number enrolled in the trial. It is expected that these numbers will be the same. Justification: Out of 319 subjects enrolled worldwide, 98 subjects entered in the Lead-in period. Out of 89 subjects who completed the Lead-in period, 88 subjects entered in the treatment period (baseline period). [4] - The number of subjects starting the period is not consistent with the number completing the preceding period. It is expected the number of subjects starting the subsequent period will be the same as the number completing the preceding period. Justification: Out of 89 subjects who completed the Lead-in period, 88 subjects entered the Treatment period. One subject did not enter the Treatment period. |
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Period 4
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Period 4 title |
Follow-up Period
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Is this the baseline period? |
No | ||||||||||||||||||||||||||||||||||||
Allocation method |
Not applicable
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Blinding used |
Not blinded | ||||||||||||||||||||||||||||||||||||
Arms
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Are arms mutually exclusive |
Yes
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Arm title
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BMS-813160 150 mg QD | ||||||||||||||||||||||||||||||||||||
Arm description |
Subjects were followed up for 4 weeks after receiving BMS-813160 150 mg, capsule, orally along with matching placebo in Ante Meridiem (AM) and 2 Placebo matching with BMS-813160, capsules, orally in Post Meridiem (PM) for 12 weeks. | ||||||||||||||||||||||||||||||||||||
Arm type |
No intervention | ||||||||||||||||||||||||||||||||||||
Investigational medicinal product name |
No investigational medicinal product assigned in this arm
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Arm title
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BMS-813160 300 mg BID | ||||||||||||||||||||||||||||||||||||
Arm description |
Subjects were followed up for 4 weeks after receiving 2 BMS-813160 150 mg capsules, orally, twice daily (2*150 in AM and 2*150 in PM) for 12 weeks. | ||||||||||||||||||||||||||||||||||||
Arm type |
No intervention | ||||||||||||||||||||||||||||||||||||
Investigational medicinal product name |
No investigational medicinal product assigned in this arm
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Arm title
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Placebo | ||||||||||||||||||||||||||||||||||||
Arm description |
Subjects were followed up for 4 weeks after receiving BMS-813160 matching placebo capsules, orally, twice daily in AM and PM for 12 weeks. | ||||||||||||||||||||||||||||||||||||
Arm type |
No intervention | ||||||||||||||||||||||||||||||||||||
Investigational medicinal product name |
No investigational medicinal product assigned in this arm
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Baseline characteristics reporting groups
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Reporting group title |
BMS-813160 150 mg QD
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Reporting group description |
Subjects received BMS-813160 150 mg, capsule, orally along with matching placebo in Ante Meridiem (AM) and 2 Placebo matching with BMS-813160, capsules, orally in Post Meridiem (PM) for 12 weeks. | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
BMS-813160 300 mg BID
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Reporting group description |
Subjects received 2 BMS-813160 150 mg capsules, orally, twice daily (2*150 in AM and 2*150 in PM) for 12 weeks. | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Placebo
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Reporting group description |
Subjects received BMS-813160 matching placebo capsules, orally, twice daily in AM and PM for 12 weeks. | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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End points reporting groups
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Reporting group title |
All Subjects
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Reporting group description |
Subjects with type 2 diabetes mellitus were enrolled and screened for 27 days. | ||
Reporting group title |
Placebo matching with BMS-813160
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Reporting group description |
Subjects received BMS-813160 matching placebo capsules, orally, twice daily for 2 weeks. | ||
Reporting group title |
BMS-813160 150 mg QD
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Reporting group description |
Subjects received BMS-813160 150 mg, capsule, orally along with matching placebo in Ante Meridiem (AM) and 2 Placebo matching with BMS-813160, capsules, orally in Post Meridiem (PM) for 12 weeks. | ||
Reporting group title |
BMS-813160 300 mg BID
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Reporting group description |
Subjects received 2 BMS-813160 150 mg capsules, orally, twice daily (2*150 in AM and 2*150 in PM) for 12 weeks. | ||
Reporting group title |
Placebo
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Reporting group description |
Subjects received BMS-813160 matching placebo capsules, orally, twice daily in AM and PM for 12 weeks. | ||
Reporting group title |
BMS-813160 150 mg QD
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Reporting group description |
Subjects were followed up for 4 weeks after receiving BMS-813160 150 mg, capsule, orally along with matching placebo in Ante Meridiem (AM) and 2 Placebo matching with BMS-813160, capsules, orally in Post Meridiem (PM) for 12 weeks. | ||
Reporting group title |
BMS-813160 300 mg BID
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Reporting group description |
Subjects were followed up for 4 weeks after receiving 2 BMS-813160 150 mg capsules, orally, twice daily (2*150 in AM and 2*150 in PM) for 12 weeks. | ||
Reporting group title |
Placebo
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Reporting group description |
Subjects were followed up for 4 weeks after receiving BMS-813160 matching placebo capsules, orally, twice daily in AM and PM for 12 weeks. |
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End point title |
Percent Change From Baseline in Urinary Albumin-to-Creatinine Ratio (UACR) Across 12 Weeks of Treatment with BMS-813160 [1] | ||||||||||||||||||||||||||||||||||||
End point description |
The presence of albumin in the urine (macroalbuminuria) is a marker of kidney disease. Albumin and creatinine concentrations were obtained from spot urine samples. UACR was calculated as the geometric mean of two first-morning void urine UACR measurements with samples collected on two separate occasions within a 4-day period. The analysis was performed in all the subjects who received any study drug. Here, 'n' signifies evaluable subjects for specified categories in respective treatment arms.
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End point type |
Primary
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End point timeframe |
Baseline, Weeks 2, 4, 8, 12, and 16 (Follow-up)
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Notes [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point. Justification: Only descriptive summary statistics were planned for this outcome measure. |
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No statistical analyses for this end point |
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End point title |
Number of Subjects With Out-of-Range Electrocardiogram (ECG) Interval | ||||||||||||||||||||||||||||||||||||
End point description |
12-lead ECGs were performed before and 1 hour after dosing at Weeks 0, 2 and 4. ECGs were recorded after the subject has been supine for at least 5 minutes. The PR interval was defined as the beginning of the P wave to the beginning of the QRS complex, and represents the time taken by electrical impulse to travel from the sinus node through the atrioventricular (AV) node. The QRS complex represented the rapid depolarization of the right and left ventricles. The QT interval was defined as the time from the start of the Q wave to the end of the T wave, and represents the time taken for ventricular depolarization and repolarization. Subjects were evaluated for abnormal ECG intervals. Criteria's for abnormality were PR >200, QRS >120, QT >500, QTcF >450, Change From Baseline >30 milliseconds (msec). The analysis was performed in all the subjects who received any study drug.
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End point type |
Secondary
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End point timeframe |
Baseline up to Week 16
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No statistical analyses for this end point |
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End point title |
Number of Subjects With On-treatment Adverse Events (AEs), AEs Leading to Discontinuation, Serious Adverse Events (SAEs), and Who Died (Treatment Period) | ||||||||||||||||||||||||||||
End point description |
An AE is any untoward medical occurrence in a subject who received study drug without regard to possibility of causal relationship. An AE can therefore be any unfavorable and unintended sign (example, a clinically significant abnormal laboratory finding), symptom, or disease temporally associated with the use of a drug, whether or not it is considered related to the drug. An SAE is an AE resulting in any of the following outcomes or deemed significant for any other reason: death, initial or prolonged inpatient hospitalization, life-threatening experience (immediate risk of dying), persistent or significant disability/incapacity, or a congenital anomaly, or a medically important event. The analysis was performed in all the subjects who received any study drug.
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End point type |
Secondary
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End point timeframe |
Treatment Period: From initiation of dosing up to 12 weeks of study treatment
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No statistical analyses for this end point |
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End point title |
Trough Observed Plasma Concentration (Ctrough) of BMS-813160 | ||||||||||||||||
End point description |
Ctrough is the minimum estimated plasma concentration at steady state. The analysis was planned to be performed in the Pharmacokinetic (PK) analysis set which included all subjects who receive a dose of study drug and have adequate PK concentration-time data.
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End point type |
Secondary
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End point timeframe |
Pre-dose at Week 2, 4, 8, 12 and 0.5, 1, 2, 4, and 6 hours post-dose at Week 12
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Notes [2] - Data were not analysed due to the termination of development of BMS-813160. [3] - Data were not analysed due to the termination of development of BMS-813160. [4] - Data were not analysed due to the termination of development of BMS-813160. |
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No statistical analyses for this end point |
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End point title |
Area Under The Plasma Concentration-Time Curve From Time Zero to 6 Hours Post-Dose [AUC(0-6 h)] | ||||||||||||||||
End point description |
AUC(0-6 h) is the area under the plasma concentration-time curve from pre-dose (0 h) to 6 h post-dose. The analysis was planned to be performed in the Pharmacokinetic (PK) analysis set which included all subjects who receive a dose of study drug and have adequate PK concentration-time data.
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End point type |
Secondary
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End point timeframe |
Pre-dose, 0.5, 1, 2, 4, and 6 hours post-dose at Week 12
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Notes [5] - Data were not analysed due to the termination of development of BMS-813160. [6] - Data were not analysed due to the termination of development of BMS-813160. [7] - Data were not analysed due to the termination of development of BMS-813160. |
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No statistical analyses for this end point |
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End point title |
Renal Clearance (CLr) of BMS-813160 | ||||||||||||||||
End point description |
CLr was calculated by dividing the total amount excreted in the urine from 0 to 6 hours by the area under the plasma concentration-time curve from time zero extrapolated to infinite time. The renal function was classified based on estimated glomerular filtration rate as normal (>=90 mL/min/1.73 m^2), mildly impaired (60-89 mL/min/1.73 m^2), moderately impaired stage 3A (45-59 mL/min/1.73 m^2), and moderately impaired stage 3B (30-44 mL/min/1.73 m^2). The analysis was planned to be performed in the Pharmacokinetic (PK) analysis set which included all subjects who receive a dose of study drug and have adequate PK concentration-time data.
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End point type |
Secondary
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End point timeframe |
Pre-dose, 0.5, 1, 2, 4, and 6 hours post-dose at Week 12
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Notes [8] - Data were not analysed due to the termination of development of BMS-813160. [9] - Data were not analysed due to the termination of development of BMS-813160. [10] - Data were not analysed due to the termination of development of BMS-813160. |
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No statistical analyses for this end point |
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End point title |
Dose-Response Relationship Using Change in Baseline Urinary Albumin-to-Creatinine Ratio (UACR) Across 12 Weeks of Treatment | ||||||||||||||||
End point description |
The presence of albumin in the urine (macroalbuminuria) is a marker of kidney disease. Albumin and creatinine concentrations were obtained from spot urine samples. UACR was calculated as the geometric mean of two first-morning void urine UACR measurements with samples collected on two separate occasions within a 4-day period. The effect of BMS-813160 on urinary albumin excretion as measured by UACR values in subjects with diabetic kidney disease after 12 weeks of treatment was assessed. The model included treatment group as a main effect, and the log of baseline UACR values, as well as baseline values of eGFR, blood pressure, blood glucose and lipid levels, as covariates. The analysis was planned to be performed in all the subjects who received any study treatment.
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End point type |
Secondary
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End point timeframe |
Baseline, Weeks 2, 4, 8 and 12
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Notes [11] - Data were not analysed due to the termination of development of BMS-813160. [12] - Data were not analysed due to the termination of development of BMS-813160. [13] - Data were not analysed due to the termination of development of BMS-813160. |
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No statistical analyses for this end point |
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Adverse events information
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Timeframe for reporting adverse events |
On-treatment non-serious adverse events: After first dose of study medication during 12-week treatment period and within 3 days of last dose
On-treatment serious adverse events: After first dose of study medication during 12-week treatment period
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Assessment type |
Systematic | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Dictionary used for adverse event reporting
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Dictionary name |
MedDRA | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Dictionary version |
18.0
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Reporting groups
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Reporting group title |
BMS-813160 150 mg QD
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Reporting group description |
Subjects received BMS-813160 150 mg, capsule, orally once daily in Ante Meridiem (AM) and Placebo matching with BMS-813160, capsule, orally once daily in Post Meridiem (PM) for 12 weeks. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
BMS-813160 300 mg BID
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Reporting group description |
Subjects received BMS-813160 300 mg capsules, orally, twice daily for 12 weeks. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Placebo
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Reporting group description |
Subjects received BMS-813160 matching placebo capsules, orally, twice daily for 12 weeks. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Frequency threshold for reporting non-serious adverse events: 5% | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Substantial protocol amendments (globally) |
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Were there any global substantial amendments to the protocol? Yes | |||
Date |
Amendment |
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18 Jan 2013 |
The main purpose of this amendment was to clarify the urine albumine-to-creatine ratio (UACR) screening stratification requirements and the pharmacokinetic/pharmacodynamic collection schedule for subjects who discontinue early.
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29 Jul 2013 |
The main purpose of this amendment was to update the inclusion and exclusion criteria, clinical procedures and lab test assessments. |
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11 Nov 2013 |
The main purpose of this amendment was to implement clinical and operational changes to aid sites in the execution of study. |
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09 Jul 2014 |
The main purpose of this amendment was to implement clinical and operational changes to aid sites in the execution of study. |
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Interruptions (globally) |
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Were there any global interruptions to the trial? No | |||
Limitations and caveats |
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Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data. | |||
None reported |