About this trial
This study aims to investigate the impact of adding Ganagliflozin tablets to the current background therapy on preventing the progression of kidney disease in subjects with type 2 diabetes and chronic kidney disease. The efficacy and safety will be evaluated by comparing the effects of Ganagliflozin tablets and placebo tablets added to the current background treatment over 120 weeks
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Male or female individuals aged 18 years and above;
Meets the diagnostic criteria for T2DM;
Meets the diagnostic criteria for CKD, during the screening period(CKD-EPI Formula): eGFR ≥ 30 to < 60 mL/min/1.73m², and UACR is ≥ 30 to < 5000 mg/g; Or eGFR ≥ 60 to < 90 mL/min/1.73m², and UACR is ≥ 300 to < 5000 mg/g ;
HbA1c ≥ 6.5% to ≤ 12%;
Disqualifiers
Patients with type 1 diabetes or other special types of diabetes;
A medical history or clinical evidence indicating that the subjects have other primary kidney diseases and secondary kidney diseases other than type 2 diabetes (including but not limited to lupus nephritis, ANCA-related nephritis);
History of kidney transplantation;
Blood potassium level > 5.5 mmol/L during the screening period.
Trial design
Parallel
Treatments tested in this trial
ganagliflozin
Drug50 mg Once daily, 120 weeks
Placebo
Drug50 mg Once daily, 120 weeks
Treatment groups
Trial outcomes
Primary outcomes
The average change in eGFR as measured by the total slope of eGFR from baseline to week 120
Secondary outcomes
Time to the first occurrence of kidney disease progression
The progression of kidney disease is defined as: 1. maintenance dialysis or 2. receipt of a kidney transplant or 3. sustained decline in eGFR to \< 15 mL/min/1.73m\^2 or 4. a sustained decline of ≥ 40% in eGFR from baseline or 5. doubling of serum creatinine or 6. renal death
The proportion of subjects with a total slope of eGFR greater than -3 mL/min/1.73 m²/year from baseline to week 120
The average change in eGFR as measured by the total slope of eGFR from baseline to week 2 and week 8,from week 2 and week 8 to week 120
The changes in urine albumin-to-creatinine ratio (UACR) at each visit compared to the baseline
Other outcomes
time to the first occurrence of cardiovascular death, non-fatal myocardial infarction, non-fatal stroke, or hospitalization for heart failure
Changes in liver stiffness measurement (LSM) of liver transient elastography
change in the staging of diabetic retinopathy measured by non-mydriatic fundus photography
Changes in control attenuation index (Cap) of liver transient elastography
Sponsors and contacts
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This trial is not recruiting at the moment. You can still explore other options: