Status:

TERMINATED

Bosentan Use in Patients With Diabetic Nephropathy

Lead Sponsor:

Centre hospitalier de l'Université de Montréal (CHUM)

Collaborating Sponsors:

Actelion

Conditions:

Type 2 Diabetes

Eligibility:

All Genders

18-80 years

Phase:

PHASE3

Brief Summary

There is little doubt of the necessity for further improvement in the prevention and therapy of end-stage renal disease. Despite the success of ARB in treating diabetic nephropathy, not all patients o...

Eligibility Criteria

Inclusion

  • Men or women ≥ 18 years of age with a body weight of ≥ 40 kg;
  • For female patients, only non-pregnant women who are surgically sterile, postmenopausal or have documented infertility (over 50 years of age and amenorrheic for at least 1 year), or those of childbearing potential using intrauterine devices (IUDs);
  • Patients diagnosed Type 2 diabetes with overt nephropathy (urinary albumin excretion ≥ 300mg/24h);
  • Patients on current treatment with angiotensin II receptor blockers for ≥ 3 months;
  • Patients stable for at least 3 months prior to screening (no change in medications for diabetic nephropathy);
  • Provide written informed consent;

Exclusion

  • Patients with a history of pulmonary chronic obstructive disease, cardiac failure or coronary artery disease;
  • Patients with documented cancers, acute infections or chronic inflammatory diseases;
  • Patients who are pregnant or breast-feeding;
  • Patients with known hepatic disorders or AST and ∕or ALT upper than normal limit;
  • Patients with hemoglobin or hematocrit that is ≥ 30% below the normal range (patients with secondary polycythemia are permitted);
  • Patients with systolic blood pressure \< 110mm Hg;
  • Patients with plasmatic albumin level \< 30g/L;
  • Patients with a documented creatinine clearance ≤ 60ml/min;
  • Patients on anticoagulants or anti-inflammatory drugs, including cyclooxygenase inhibitors, AINS, prednisone and immunosuppressive drugs, platelet aggregation inhibitors, except low dose aspirin, ACE inhibitors, antidiabetic agents (rosiglitazone, pioglitazone) and antioxidants (vitamin E)(except statins or low-dose aspirin ≤ 80mg/day);
  • Patients on treatment or planned treatment with another investigational drug;
  • Patients who are receiving an endothelin receptor antagonist, phosphodiesterase type 5 inhibitor, or with a prostanoid (excluding acute administration during a catheterization procedure to test vascular reactivity) within 2 months of inclusion;
  • Patients who are receiving calcineurin-inhibitors (i.e., cyclosporine A and tacrolimus), fluconazole, glibenclamide (glyburide) at inclusion or are expected to receive any of these drugs during the study;
  • Patients with a known hypersensitivity to bosentan or any of the excipients;

Key Trial Info

Start Date :

January 1 2009

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

June 1 2010

Estimated Enrollment :

1 Patients enrolled

Trial Details

Trial ID

NCT00638131

Start Date

January 1 2009

End Date

June 1 2010

Last Update

July 24 2020

Active Locations (1)

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1

CHUM

Montreal, Quebec, Canada, H2L 4M1