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临床试验/NL-OMON54022
NL-OMON54022招募中2 期

A Study to Assess the Effects of the Endothelin Receptor Antagonist Zibotentan and the SGLT2 Inhibitor Dapagliflozin in Patients elevated Albuminuria: a Randomized Double Blind Cross-Over Trial - ZODIAC

niversitair Medisch Centrum Groningen0 个研究点目标入组 12 人开始时间: 待定最近更新:
适应症

试验速览

阶段
2 期
状态
招募中
入组人数
12

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional

入排标准

年龄范围
18 至 99(—)

入选标准

  • Age >=18 and <=75 years
  • Urinary albumin:creatinine ratio > 100 mg/g and <= 3500 mg/g in a first morning
  • void urine collection
  • eGFR >= 30 mL/min/1.73m2
  • On a stable dose of an ACEi or ARB for at least 4 weeks prior to randomization
  • Willing to sign informed consent

排除标准

  • Diagnosis of type 1 diabetes Minimal change disease, unstable rapidly
  • progressing renal disease, and/or renal disease requiring significant
  • immunosuppression, autosomal dominant or autosomal recessive polycystic kidney
  • disease Hba1c > 12.5% Urinary albuminexcretion > 3500 mg/day Heart Failure NYHA
  • Class III or IV NT-proBNP > 600 pg/ml Acute coronary syndrome event within the
  • preceding 6 months Severe peripheral edema according to investigators opinion
  • Women of childbearing potential (WOCBP). WOCBP is defined as women who have
  • experienced menarche and who have not undergone successful surgical
  • sterilization (hysterectomy, bilateral tubal ligation, or bilateral
  • oophorectomy) or who are not post-menopausal Pregnancy or breastfeeding
  • Indication for high dose immunosuppressants as per the treating physician*s
  • judgment. Active malignancy aside from treated squamous cell or basal cell
  • carcinoma of the skin within the last 5 years. Use of the co-interventional
  • treatments within 6 weeks of screening will not be allowed. Any medication,
  • surgical or medical condition which might significantly alter the absorption,
  • distribution, metabolism, or excretion of medications including, but not
  • limited to any of the following: o History of active inflammatory bowel disease
  • within the last six months; o Major gastrointestinal tract surgery such as
  • gastrectomy, gastroenterostomy, or bowel resection; o Gastro-intestinal ulcers
  • and/or gastrointestinal or rectal bleeding within last six months; o Pancreatic
  • injury or pancreatitis within the last six months; o Evidence of hepatic
  • disease as determined by any one of the following: ALT or AST values exceeding
  • 3x ULN at the screening visit, a history of hepatic encephalopathy, a history
  • of esophageal varices, or a history of portocaval shunt; o Evidence of urinary
  • obstruction or difficulty in voiding at screening Severe hepatic impairment
  • History of epilepsy syndrome History of severe hypersensitivity or
  • contraindications to dapagliflozin History of hypersensitivity or
  • contraindications to iodinated contrast media Subject who, in the assessment of
  • the investigator, may be at risk for dehydration or volume depletion that may
  • affect the interpretation of efficacy or safety data Participation in any
  • clinical investigation within 3 months prior to initial dosing. Donation or
  • loss of 400 ml or more of blood within 8 weeks prior to initial dosing. History
  • of drug or alcohol abuse within the 12 months prior to dosing, or evidence of
  • such abuse as indicated by the laboratory assays conducted during the screening
  • or according to investigator*s assessment. History of noncompliance to medical
  • regimens or unwillingness to comply with the study protocol. Any surgical or
  • medical condition, which in the opinion of the investigator, may place the
  • subject at higher risk from his/her participation in the study, or is likely to
  • prevent the subject from complying with the requirements of the study or
  • completing the study.

研究者

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