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Clinical Trials/NCT00141453
NCT00141453CompletedPhase 3

CS-866DM Phase 3 Clinical Study: A Double-Blind Controlled Trial in Patients With Diabetic Nephropathy and Overt Proteinuria Secondary to Type 2 Diabetes Mellitus

Daiichi Sankyo Co., Ltd.0 sites577 target enrollmentStarted: April 2003Last updated:
Conditions
Interventions
Drugs

Trial Snapshot

Phase
Phase 3
Status
Completed
Enrollment
577
Primary Endpoint
Renal Composite Outcomes

Study Overview

Brief Summary

The purpose of the study is to evaluate the effectiveness and safety of olmesartan versus placebo on the progression of diabetic renal disease.

Study Design

Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel
Primary Purpose
Treatment
Masking
Double (Participant, Investigator)

Eligibility Criteria

Ages
30 Years to 70 Years (Adult, Older Adult)
Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • clinical diagnosis of diabetic nephropathy in patients with type 2 diabetes
  • albumin-to-creatinine ratio >= 300 mg/g creatinine in first morning urinalysis
  • serum creatinine between 1.0 and 2.5 mg/dL in women and between 1.2 and 2.5 mg/dL in men

Exclusion Criteria

  • type 1 diabetes
  • non-diabetic nephropathy
  • history of myocardial infarction
  • history of cardiac bypass grafting within 3 months
  • history of percutaneous coronary intervention (PCI) within 6 months
  • history of carotid artery or peripheral artery revascularization within 6 months
  • stroke or transient ischemic attack (TIA) within 1 year
  • unstable angina pectoris
  • heart failure of NYHA functional classes III or IV
  • rapid progression of kidney disease within 3 months
  • severe orthostatic hypotension
  • serum potassium level =<3.5 mEq(mmol)/L or =>5.5 mEq(mmol)L
  • history of rapid elevation of the serum creatinine level after starting treatment with AII receptor antagonists or ACE inhibitors
  • poor glycemic control: HbA1c level =>11%
  • history of myocardial infarction (MI) or coronary artery bypass grafting (CABG) within 3 months

Arms & Interventions

1

Experimental

Olmesartan medoxomil tablets 10mg to 40 mg

Intervention: olmesartan medoxomil (Drug)

2

Placebo Comparator

Matching placebo tablets

Intervention: Placebo Tablets (Drug)

Outcomes

Primary Outcomes

Renal Composite Outcomes

Time Frame: Randomization to 5 years

first occurrence of any of the following events: Doubling of serum creatinine level; Death; End stage renal disease

Secondary Outcomes

  • Number of Participants Experiencing Cardiovascular Composite Outcomes(Within 5 years)
  • The Change in Proteinuria(Randomization to 5 years)
  • Reciprocal (1/Serum Creatinine) of Serum Creatinine(Randomization to 5 years)

Investigators

Sponsor Class
Industry

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