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Trial details imported from ClinicalTrials.gov

For full trial details, please see the original record at https://clinicaltrials.gov/study/NCT04968184




Registration number
NCT04968184
Ethics application status
Date submitted
7/07/2021
Date registered
20/07/2021

Titles & IDs
Public title
Efficacy and Safety of KBP-5074 in Uncontrolled Hypertension and Moderate or Severe Chronic Kidney Disease (CKD)
Scientific title
A Phase 3 Randomized Double-Blind Placebo-Controlled Multicenter Study to Assess the Efficacy and Safety of KBP-5074 Mineralocorticoid Receptor Antagonist in Subjects With Uncontrolled Hypertension and Moderate or Severe (Stage 3b/4) CKD
Secondary ID [1] 0 0
KBP5074-3-001
Universal Trial Number (UTN)
Trial acronym
Clarion-CKD
Linked study record

Health condition
Health condition(s) or problem(s) studied:
Chronic Kidney Diseases 0 0
Condition category
Condition code
Renal and Urogenital 0 0 0 0
Kidney disease
Renal and Urogenital 0 0 0 0
Other renal and urogenital disorders
Cardiovascular 0 0 0 0
Hypertension

Intervention/exposure
Study type
Interventional
Description of intervention(s) / exposure
Treatment: Drugs - Placebo
Treatment: Drugs - KBP-5074

Placebo comparator: Placebo - Open-label Placebo Run-In Period: All eligible participants will receive matching placebo, for approximately 2 weeks, during the Open-label placebo Run-In period.

Double-blind Treatment Period: All eligible participants will receive matching placebo, from week 2 thru week 24 during the Double-blind treatment Period

Open-label Treatment Period: All eligible participants will receive KBP-5074, from week 24 thru week 48 during the Open label Treatment Period

Randomized Double-blind Withdrawal Period: All eligible participants will be randomized to either continue their current KBP-5074 dose at the end of the Open-Label Treatment Period or receive matching placebo from week 48 thru week 52.

Follow up Period: All participants will discontinue matching placebo/KBP-5074 and be followed for safety until end of study visit from week 52 to week 56.

Experimental: KBP-5074 - Open-label Placebo Run-In period: All eligible participants will receive matching placebo, for approximately 2 weeks during the Open-label placebo Run-In period.

Double-blind Treatment Period: All eligible participants will receive KBP-5074, from week 2 thru week 24 during the Double-blind Treatment Period

Open-label Treatment Period: All eligible participants will receive KBP-5074, from week 24 thru week 48 during the Open label Treatment Period

Randomized Double-blind Withdrawal Period: All eligible participants will be randomized to either continue their current KBP-5074 dose at the end of the Open-Label Treatment Period or receive matching placebo from week 48 thru week 52.

Follow up Period: All participants will discontinue matching placebo/KBP-5074 and be followed for safety until end of study visit from week 52 to week 56.


Treatment: Drugs: Placebo
Participants will orally receive placebo matching to KBP-5074 tablets QD.

Treatment: Drugs: KBP-5074
Participants will orally receive KBP-5074 tablets, from 0.25 mg to a maximum dose of 0.5-mg QD.
Intervention code [1] 0 0
Treatment: Drugs
Comparator / control treatment
Control group

Outcomes
Primary outcome [1] 0 0
Change in seated trough cuff SBP from baseline to Week 12
Timepoint [1] 0 0
From baseline to Week 12
Primary outcome [2] 0 0
Change in seated trough cuff SBP from Week 48 to Week 52
Timepoint [2] 0 0
Week 48 to Week 52
Secondary outcome [1] 0 0
Change in seated trough cuff SBP from baseline to Week 24
Timepoint [1] 0 0
From baseline to Week 24
Secondary outcome [2] 0 0
Changes in seated trough cuff diastolic blood pressure (DBP) from baseline to Week 12 and Week 24
Timepoint [2] 0 0
From baseline to Week 12 and Week 24
Secondary outcome [3] 0 0
Changes in seated trough cuff SBP and DBP from baseline to Week 48
Timepoint [3] 0 0
From baseline to Week 48
Secondary outcome [4] 0 0
Changes in urinary albumin: creatinine ratio (UACR) from baseline to Week 12 and Week 24 for participants with UACR =30 mg/g at baseline
Timepoint [4] 0 0
From baseline to Week 12 and Week 24
Secondary outcome [5] 0 0
Percentage changes in UACR from baseline to Week 12 and Week 24 for participants with UACR =30 mg/g at baseline
Timepoint [5] 0 0
From baseline to Week 12 and Week 24
Secondary outcome [6] 0 0
Changes in UACR from baseline to Week 12, Week 24, and Week 48
Timepoint [6] 0 0
From baseline to Week 12, Week 24, and Week 48
Secondary outcome [7] 0 0
Percentage changes in UACR from baseline to Week 12, Week 24, and Week 48
Timepoint [7] 0 0
From baseline to Week 12, Week 24, and Week 48
Secondary outcome [8] 0 0
Change in seated trough cuff DBP from Week 48 to Week 52
Timepoint [8] 0 0
Week 48 to Week 52
Secondary outcome [9] 0 0
Change in UACR from Week 48 to Week 52
Timepoint [9] 0 0
Week 48 to Week 52
Secondary outcome [10] 0 0
Percentage change in UACR from Week 48 to Week 52
Timepoint [10] 0 0
Week 48 to Week 52
Secondary outcome [11] 0 0
Number of participants with adverse events (AEs) and serious adverse events (SAEs)
Timepoint [11] 0 0
Screening (Week -6 to -2) until EOS (Week 56) or Unscheduled visit or end of treatment or early termination

Eligibility
Key inclusion criteria
* Body mass index (BMI) must be =19 to <45 kg/m^2 at the Screening Visit
* Participant must have uncontrolled hypertension defined as meeting both of the following criteria:

* The participant has a resting seated trough cuff SBP =140 mm Hg at the Screening Visit (Visit 1), and at the start (Visit 2) and end (Visit 3) of the Run-In Period
* The participant is taking 2 or more antihypertensive medications that have been titrated upward as tolerated to hypertension target doses per local SoC and have been stable (i.e., without any dose adjustments) from 4 weeks before the Screening Visit (Visit 1) through the end of the Run-In Period (Visit 3)
* The participant must have Stage 3b (eGFR [EPI] =30 and =44 mL/min/1.73 m^2) or Stage 4 (eGFR [EPI] =15 and <30 mL/min/1.73 m^2) CKD.
Minimum age
18 Years
Maximum age
No limit
Sex
Both males and females
Can healthy volunteers participate?
No
Key exclusion criteria
* Participant has a resting seated trough cuff SBP =180 mm Hg at the Screening Visit (Visit 1) or at the start (Visit 2) or end (Visit 3) of the Run-In Period
* Participant has a serum potassium level >4.8 mmol/L during the Screening or Run-In Periods
* Participant has had a serum potassium level >5.6 mmol/L within 2 weeks before the Screening Visit (Visit 1)
* Participant has been hospitalized for hyperkalemia within the 3 months before the Randomization Visit (Visit 3)
* Participant was not compliant with taking placebo during the Run-in Period or participant was not compliant with background antihypertensive medications during the Run-in Period as assessed at the Randomization Visit (Visit 3)
* Participant has taken an mineralocorticoid receptor antagonist (MRA), a potassium-sparing diuretic, or chronic potassium supplements during the 4 weeks before the Screening Visit (Visit 1)
* Participant has taken potassium binders for the treatment of hyperkalemia during the 3 months before the Screening Visit (Visit 1)
* Participant has taken a strong cytochrome P450 (CYP) CYP3A4 inducer or strong CYP3A4 inhibitor during the 7 days before the Randomization Visit (Visit 3)
* Participant has taken a prohibited traditional Chinese medication during the 28 days prior to Screening Visit (Visit 1).
* Participant was administered any other investigational product within 4 weeks or 5 half-lives (whichever is longer) prior to the Screening Visit (Visit 1).

Study design
Purpose of the study
Treatment
Allocation to intervention
Randomised controlled trial
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Masking / blinding
Blinded (masking used)
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
Intervention assignment
Parallel
Other design features
Phase
Phase 3
Type of endpoint/s
Statistical methods / analysis

Recruitment
Recruitment status
Stopped early
Data analysis
Reason for early stopping/withdrawal
Other reasons
Date of first participant enrolment
Anticipated
Actual
5/11/2021
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
Actual
10/07/2024
Sample size
Target
Accrual to date
Final
652
Recruitment in Australia
Recruitment state(s)
NSW,SA,VIC
Recruitment hospital [1] 0 0
Renal Research - Gosford
Recruitment hospital [2] 0 0
Royal Adelaide Hospital - Adelaide
Recruitment hospital [3] 0 0
Austin Hospital - Heidelberg
Recruitment postcode(s) [1] 0 0
2250 - Gosford
Recruitment postcode(s) [2] 0 0
5000 - Adelaide
Recruitment postcode(s) [3] 0 0
3084 - Heidelberg
Recruitment outside Australia
Country [1] 0 0
United States of America
State/province [1] 0 0
Alabama
Country [2] 0 0
United States of America
State/province [2] 0 0
Arizona
Country [3] 0 0
United States of America
State/province [3] 0 0
California
Country [4] 0 0
United States of America
State/province [4] 0 0
Connecticut
Country [5] 0 0
United States of America
State/province [5] 0 0
Florida
Country [6] 0 0
United States of America
State/province [6] 0 0
Georgia
Country [7] 0 0
United States of America
State/province [7] 0 0
Illinois
Country [8] 0 0
United States of America
State/province [8] 0 0
Massachusetts
Country [9] 0 0
United States of America
State/province [9] 0 0
Minnesota
Country [10] 0 0
United States of America
State/province [10] 0 0
Missouri
Country [11] 0 0
United States of America
State/province [11] 0 0
Nevada
Country [12] 0 0
United States of America
State/province [12] 0 0
New York
Country [13] 0 0
United States of America
State/province [13] 0 0
North Carolina
Country [14] 0 0
United States of America
State/province [14] 0 0
Ohio
Country [15] 0 0
United States of America
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South Carolina
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United States of America
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Tennessee
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United States of America
State/province [17] 0 0
Texas
Country [18] 0 0
United States of America
State/province [18] 0 0
Virginia
Country [19] 0 0
United States of America
State/province [19] 0 0
Wisconsin
Country [20] 0 0
Bosnia and Herzegovina
State/province [20] 0 0
Kanton Sarajevo
Country [21] 0 0
Bosnia and Herzegovina
State/province [21] 0 0
Republika Srpska
Country [22] 0 0
Bosnia and Herzegovina
State/province [22] 0 0
Zenicko-dobojski Kanton
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Bulgaria
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Sofia-Grad
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Bulgaria
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Gabrovo
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Bulgaria
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Montana
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Bulgaria
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Plovdiv
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Bulgaria
State/province [27] 0 0
Ruse
Country [28] 0 0
Bulgaria
State/province [28] 0 0
Sofia
Country [29] 0 0
Bulgaria
State/province [29] 0 0
Stara Zagora
Country [30] 0 0
Bulgaria
State/province [30] 0 0
Varna
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Canada
State/province [31] 0 0
Ontario
Country [32] 0 0
China
State/province [32] 0 0
Beijing
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China
State/province [33] 0 0
Fujian
Country [34] 0 0
China
State/province [34] 0 0
Guangdong
Country [35] 0 0
China
State/province [35] 0 0
Guangxi
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China
State/province [36] 0 0
Guizhou
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China
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Hebei
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China
State/province [38] 0 0
Henan
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China
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Hubei
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China
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Hunan
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China
State/province [41] 0 0
Jiangsu
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China
State/province [42] 0 0
Nei Mongol (mn)
Country [43] 0 0
China
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Ningxia
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China
State/province [44] 0 0
Shaanxi
Country [45] 0 0
China
State/province [45] 0 0
Shandong
Country [46] 0 0
China
State/province [46] 0 0
Shanghai
Country [47] 0 0
China
State/province [47] 0 0
Sichuan
Country [48] 0 0
China
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Zhejiang
Country [49] 0 0
China
State/province [49] 0 0
Chongqing
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China
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Tianjin
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Croatia
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Grad Zagreb
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Croatia
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Osjecko-baranjska Županija
Country [53] 0 0
Croatia
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Split
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Czechia
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Praha 4
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Czechia
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Trebíc
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Czechia
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Praha 6
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Georgia
State/province [57] 0 0
Ajaria
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Georgia
State/province [58] 0 0
Kvemo Kartli
Country [59] 0 0
Georgia
State/province [59] 0 0
Shida Kartli
Country [60] 0 0
Georgia
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Batumi
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Georgia
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Tbilisi
Country [62] 0 0
Germany
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Baden-Württemberg
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Germany
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Nordrhein-Westfalen
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Germany
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Rheinland-Pfalz
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Germany
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Berlin
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Germany
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Hannover
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Germany
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Jena
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Hong Kong
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Hong Kong
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Hungary
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Baranya
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Hungary
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Borsod-Abaúj-Zemplén
Country [71] 0 0
Hungary
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Csongrád
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Hungary
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Gyor-Moson-Sopron
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Hungary
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Heves
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Pest
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Veszprém City
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Hungary
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Budapest
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Hungary
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Kaposvár
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Israel
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HaMerkaz
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Israel
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HaZafon
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Korea, Republic of
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Daejeon Gwang'yeogsi [Taejon-Kwangyokshi]
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Korea, Republic of
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Gyeonggido [Kyonggi-do]
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Korea, Republic of
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Seoul Teugbyeolsi [Seoul-T'ukpyolshi]
Country [83] 0 0
Latvia
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Ogres Novads
Country [84] 0 0
Latvia
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Riga
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Lithuania
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Kauno Apskritis
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Malaysia
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Kelantan
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Malaysia
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Perak
Country [88] 0 0
Malaysia
State/province [88] 0 0
Wilayah Persekutuan Kuala Lumpur
Country [89] 0 0
Poland
State/province [89] 0 0
Kujawsko-pomorskie
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Poland
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Lódzkie
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Poland
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Katowice
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Poland
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Lodz
Country [93] 0 0
Poland
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Lublin
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Poland
State/province [94] 0 0
Poznan
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Poland
State/province [95] 0 0
Warszawa
Country [96] 0 0
Poland
State/province [96] 0 0
Wroclaw
Country [97] 0 0
Serbia
State/province [97] 0 0
Belgrade
Country [98] 0 0
Serbia
State/province [98] 0 0
Nišavski Okrug
Country [99] 0 0
Serbia
State/province [99] 0 0
Vojvodina
Country [100] 0 0
Serbia
State/province [100] 0 0
Kragujevac
Country [101] 0 0
South Africa
State/province [101] 0 0
Free State
Country [102] 0 0
South Africa
State/province [102] 0 0
Gauteng
Country [103] 0 0
South Africa
State/province [103] 0 0
Kwazulu-Natal
Country [104] 0 0
South Africa
State/province [104] 0 0
Western Cape
Country [105] 0 0
Spain
State/province [105] 0 0
Lugo
Country [106] 0 0
Spain
State/province [106] 0 0
Valenciana, Comunidad
Country [107] 0 0
Spain
State/province [107] 0 0
Barcelona
Country [108] 0 0
Spain
State/province [108] 0 0
Granada
Country [109] 0 0
Spain
State/province [109] 0 0
Madrid
Country [110] 0 0
Spain
State/province [110] 0 0
Valencia
Country [111] 0 0
Taiwan
State/province [111] 0 0
Taichung Municipality
Country [112] 0 0
Taiwan
State/province [112] 0 0
Taipei Special Muncipality
Country [113] 0 0
Taiwan
State/province [113] 0 0
Taichung
Country [114] 0 0
Taiwan
State/province [114] 0 0
Taipei
Country [115] 0 0
Taiwan
State/province [115] 0 0
Taoyuan

Funding & Sponsors
Primary sponsor type
Commercial sector/industry
Name
KBP Biosciences
Address
Country

Ethics approval
Ethics application status

Summary
Brief summary
Trial website
Trial related presentations / publications
Public notes

Contacts
Principal investigator
Name 0 0
Address 0 0
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for public queries
Name 0 0
Address 0 0
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for scientific queries

Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
No/undecided IPD sharing reason/comment


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 not provided in https://clinicaltrials.gov/study/NCT04968184