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临床试验/EUCTR2019-000919-85-IT
EUCTR2019-000919-85-IT进行中(未招募)1 期

DP13 – A Phase II Study in Patients with Primary Aldosteronism to Evaluate the Efficacy, Safety and Tolerability of the Aldosterone Synthase Inhibitor, DP13, over an 8-week Treatment Period -

DAMIAN Pharma AG0 个研究点目标入组 36 人开始时间: 2021年1月28日最近更新:
适应症

试验速览

阶段
1 期
状态
进行中(未招募)
入组人数
36

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

性别
All

入选标准

  • ARR of =40 with plasma aldosterone concentration (PAC) =15 ng/dL and plasma renin activity (PRA) <1.0 ng/mL/h. A prescreening ARR of =3.7 results by using plasma renin concentration (PRC) <15 mU/L instead of PRA as denominator.
  • A IV saline loading test (2 litres of 0.9% saline infused over 4 hours) with resulting PAC >7.0 ng/dL after infusion. For patients at risk for volume expansion, a captopril test (50 mg captopril peroral) can be used instead with resulting ARR >30 and PAC >11 ng/dL (respectively ARR >2.4 using PRC in mU/L instead of PRA as denominator).
  • Systolic blood pressure >145 mmHg by automatic office blood pressure measurement and in presence of hypertension control therapy (doxazosin 1 - 8 mg QD and, only if necessary, verapamil slow release 40 - 120 mg BID or amlodipine 2.5 - 10 mg QD).
  • Estimated glomerular filtration rate (eGFR) =45 mL/min/1.73 m2 using the MDRD-4 GFR equation
  • Formal eligibility verification after implementation of a doseadjusted blood pressure control therapy with a documented case review process led by the Central Review Board is mandatory prior to final enrolment.
  • Are the trial subjects under 18? no
  • Number of subjects for this age range:
  • F.1.2 Adults (18-64 years) yes
  • F.1.2.1 Number of subjects for this age range 35
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range 1

排除标准

  • Patients will be excluded from the study if they satisfy any of the following criteria:
  • 1. Patients with PA and:
  • 1.1. treated with spironolactone within 2 months of enrolment
  • 1.2. hyperkalaemia of >5.0 mmol/L
  • 1.3. prolonged QT intervals with QTc of >500 msec using Bazett’s formula
  • 2. Patients with PA and:
  • 2.1. sitting office systolic office blood pressure (oSBP) >190 mmHg
  • 2.2. sitting office diastolic office blood pressure (oDBP) >110 mmHg
  • and if applicable
  • 2.3. in presence of non-interfering hypertension control therapy consisting of doxazosin (1
  • – 8 mg QD) as first-line medication and, if necessary, only verapamil slow release (40
  • – 120 mg BID) or amlodipine (2.5 – 10 mg QD) at adjusted and fixed doses
  • 3. Patients with PA who will not consent to special contraception measures during the entire
  • study period, specifically
  • 3.1. female patients not withdrawing oral contraceptives >2 weeks prior to enrolment
  • 3.2. female patients not using intrauterine devices (IUD), diaphragm, sponge with
  • spermicide or adhering to abstinence
  • 3.3. male patients not using condoms or not adhering to abstinence and not refraining from
  • sperm donation
  • 4. Patients with PA and a medical history of:
  • 4.1. cerebro- and cardiovascular events (stroke, myocardial infarction, percutaneous
  • transluminal coronary angioplasty) within 6 months of study enrolment
  • 4.2. gastrointestinal tract surgeries or malabsorption syndromes
  • 4.3. chronic use of oral or parenteral corticosteroids
  • 5. Patients with PA who:
  • 5.1. participated in any clinical study within 6 weeks
  • 5.2. suffered a significant blood loss within <2 months
  • 5.3. had a significant illness within <2 weeks
  • 5.4. are pregnant or breastfeeding
  • 5.5. are unable to follow all study procedures

研究者

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