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Trial · NCT04170543

A Phase 2b Diabetic Kidney Disease Study

NCT04170543, Phase 2, Completed, AstraZeneca; results first posted 2024-07-10

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Phase 2b Diabetic Kidney Disease Study. Trials, record NCT04170543. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04170543

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
A Phase 2b Diabetic Kidney Disease Study
NCT number
NCT04170543
Status
Completed
Phases
Phase 2
Enrollment
609 participants, actual
Lead sponsor
AstraZeneca
Conditions
Diabetic Kidney Disease
Interventions
MEDI3506, Placebo, Dapagliflozin
First posted
2019-11-20
Last updated
2024-07-10
Results first posted
2024-07-10
Limitations and caveats
41 randomized participants were excluded from analysis populations in order to avoid heterogeneity in the data (bias, etc.) :~* 2 participants did not received any IP~* 24 participants were enrolled in phase 2a without having the possibility to be enrolled in phase 2b~* 15 participants were randomized in a site with GCP breach (inability to confirm the validity of the data reported)~These 41 participants are excluded from Baseline characteristics (558 participants).

Source ClinicalTrials.gov

Registered outcomes11

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryPercent Change From Baseline to Day 169 (Week 24) in UACR - Per Protocol PopulationFrom baseline to Day 169
UACR values are collected as triplicates at baseline and at each CSP planned visit. For each triplicate, the UACR are averaged with geometric mean. Baseline is defined as the geometric mean of UACR measurements prior to first dose of study treatment. For the intercurrent events, if a subject is lost to follow-up (EOT), discontinues treatment due to AE, or uses prohibited medication, the UACR data are treated as missing on or after the event and no imputation is performed. The LS means of percent change and difference in percent change, corresponding 90% confidence intervals are calculated based on a mixed model with repeated measures (MMRM) of log (UACR post-baseline/UACR baseline) as the response, adjusting for fixed effects of treatment, visit, and treatment-by-visit interaction, SGLT2i, region (Japan or ROW), baseline log UACR, and baseline log UACR-by-visit interaction. The MMRM includes UACR values at protocol specified visits from baseline up to Day 169.
SecondaryPercent Change From Baseline to Day 85 (Week 12) in UACR - Per Protocol PopulationFrom baseline to Day 85
UACR values are collected as triplicates at baseline and at each CSP planned visit. For each triplicate, the UACR are averaged with geometric mean. Baseline is defined as the geometric mean of UACR measurements prior to first dose of study treatment. For the intercurrent events, if a subject is lost to follow-up (EOT), discontinues treatment due to AE, or uses prohibited medication, the UACR data are treated as missing on or after the event and no imputation is performed. The LS means of percent change and difference in percent change, corresponding 90% confidence intervals are calculated based on a mixed model with repeated measures (MMRM) of log (UACR post-baseline/UACR baseline) as the response, adjusting for fixed effects of treatment, visit, and treatment-by-visit interaction, SGLT2i, region (Japan or ROW), baseline log UACR, and baseline log UACR-by-visit interaction. The MMRM includes UACR values at protocol specified visits from baseline up to Day 169.
SecondaryPercent Change From Day 85 (Week 12) to Day 169 (Week 24) in UACR - Per Protocol PopulationFrom Day 85 to Day 169
UACR values are collected as triplicates at baseline and at each CSP planned visit. For each triplicate, the UACR are averaged with geometric mean. Baseline is defined as the geometric mean of UACR measurements prior to first dose of study treatment. For the intercurrent events, if a subject is lost to follow-up (EOT), discontinues treatment due to AE, or uses prohibited medication, the UACR data are treated as missing on or after the event and no imputation is performed. The LS means of percent change and difference in percent change, corresponding 90% confidence intervals are calculated based on a mixed model with repeated measures (MMRM) of log (UACR post-baseline/UACR baseline) as the response, adjusting for fixed effects of treatment, visit, and treatment-by-visit interaction, SGLT2i, region (Japan or ROW), baseline log UACR, and baseline log UACR-by-visit interaction. The MMRM includes UACR values at protocol specified visits from Day 85 up to Day 169.
SecondaryProportion of Subjects With Reduction in UACR at Day 169 (Week 24) - Per Protocol PopulationBaseline and Day 169
UACR values are collected as triplicates at baseline and at each CSP planned visit. For each triplicate, the UACR are averaged with geometric mean. Baseline is defined as the geometric mean of UACR measurements prior to first dose of study treatment. Only participants with values at Baseline and Day 169 are included.
SecondaryPercent Change From Baseline to Day 169 (Week 24) in UACR - Full Analysis PopulationFrom baseline to Day 169
UACR values are collected as triplicates at baseline and at each CSP planned visit. For each triplicate, the UACR are averaged with geometric mean. Baseline is defined as the geometric mean of UACR measurements prior to first dose of study treatment. For the intercurrent events, if a subject is lost to follow-up (EOT), discontinues treatment due to AE, or uses prohibited medication, the UACR data are treated as missing on or after the event and no imputation is performed. The LS means of percent change and difference in percent change, corresponding 90% confidence intervals are calculated based on a mixed model with repeated measures (MMRM) of log (UACR post-baseline/UACR baseline) as the response, adjusting for fixed effects of treatment, visit, and treatment-by-visit interaction, SGLT2i, region (Japan or ROW), baseline log UACR, and baseline log UACR-by-visit interaction. The MMRM includes UACR values at protocol specified visits from baseline up to Day 169.
SecondaryPercent Change From Baseline to Day 85 (Week 12) in UACR - Full Analysis PopulationFrom baseline to Day 85
UACR values are collected as triplicates at baseline and at each CSP planned visit. For each triplicate, the UACR are averaged with geometric mean. Baseline is defined as the geometric mean of UACR measurements prior to first dose of study treatment. For the intercurrent events, if a subject is lost to follow-up (EOT), discontinues treatment due to AE, or uses prohibited medication, the UACR data are treated as missing on or after the event and no imputation is performed. The LS means of percent change and difference in percent change, corresponding 90% confidence intervals are calculated based on a mixed model with repeated measures (MMRM) of log (UACR post-baseline/UACR baseline) as the response, adjusting for fixed effects of treatment, visit, and treatment-by-visit interaction, SGLT2i, region (Japan or ROW), baseline log UACR, and baseline log UACR-by-visit interaction. The MMRM includes UACR values at protocol specified visits from baseline up to Day 169.
SecondaryProportion of Subjects With Reduction in UACR at Day 169 (Week 24) - Full Analysis PopulationBaseline and Day 169
UACR values are collected as triplicates at baseline and at each CSP planned visit. For each triplicate, the UACR are averaged with geometric mean. Baseline is defined as the geometric mean of UACR measurements prior to first dose of study treatment. Only participants with values at Baseline and Day 169 are included.
SecondaryImmunogenicity of MEDI3506 - PK Analysis PopulationDay 1 to Day 230
ADA prevalence: number of participants ADA positive (ADA+) at baseline and/or post-baseline. Treatment-induced ADA+: ADA not detected or missing at baseline and at least one post-baseline ADA+. Treatment-boosted ADA+: ADA+ at baseline and baseline titre is boosted by ≥ 4-fold increase at ≥ 1 post-baseline time point. Treatment-emergent ADA+ (TE-ADA + or ADA incidence): Treatment-induced ADA+ OR and Treatment-boosted ADA+.
SecondaryAsymptomatic Participants Tested Positive for COVID-19 During the Study - Safety Analysis PopulationDay 1 to Day 230Participants were tested for COVID-19 during the course of the study. Descriptive analysis of asymptomatic participants tested positive for COVID-19 during the study.
SecondaryTreatment-emergent Adverse Events and Treatment-emergent Serious Adverse Events Among COVID-19 Positive Participants - Safety Analysis PopulationDay 1 to Day 230
For participants tested positive for COVID-19 during the intervention and follow-up periods, this analysis provides: * the number and proportion of subjects with any treatment-emergent adverse event * the number and proportion of subjects with any treatment-emergent serious adverse event

Outcomes11

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYPercent Change From Baseline to Day 169 (Week 24) in UACR - Per Protocol PopulationFrom baseline to Day 169Per Protocol Population:~All randomized participants who received any study drug and did not violate any relevant important protocol deviations affecting the primary efficacy endpoint.Percentage change from baselineLEAST_SQUARES_MEAN
SECONDARYPercent Change From Baseline to Day 85 (Week 12) in UACR - Per Protocol PopulationFrom baseline to Day 85Per Protocol Population:~All randomized participants who received any study drug and did not violate any relevant important protocol deviations affecting the primary efficacy endpoint.Percentage change from baselineLEAST_SQUARES_MEAN
SECONDARYPercent Change From Day 85 (Week 12) to Day 169 (Week 24) in UACR - Per Protocol PopulationFrom Day 85 to Day 169Per Protocol Population:~All randomized participants who received any study drug and did not violate any relevant important protocol deviations affecting the primary efficacy endpoint.Percentage change from baselineLEAST_SQUARES_MEAN
SECONDARYProportion of Subjects With Reduction in UACR at Day 169 (Week 24) - Per Protocol PopulationBaseline and Day 169Per Protocol Population:~All randomized participants who received any study drug and did not violate any relevant important protocol deviations affecting the primary efficacy endpoint.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYPercent Change From Baseline to Day 169 (Week 24) in UACR - Full Analysis PopulationFrom baseline to Day 169Full Analysis Population:~All randomized participants who received any study drug.Percentage change from baselineLEAST_SQUARES_MEAN
SECONDARYPercent Change From Baseline to Day 85 (Week 12) in UACR - Full Analysis PopulationFrom baseline to Day 85Full Analysis Population:~All randomized participants who received any study drug.Percentage change from baselineLEAST_SQUARES_MEAN
SECONDARYProportion of Subjects With Reduction in UACR at Day 169 (Week 24) - Full Analysis PopulationBaseline and Day 169Full Analysis Population:~All randomized participants who received any study drug.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYImmunogenicity of MEDI3506 - PK Analysis PopulationDay 1 to Day 230PK Analysis Population:~All subjects who are randomized and receive any study drug who have at least one detectable MEDI3506 serum concentration measurement post-treatment.ParticipantsCOUNT_OF_PARTICIPANTS
OTHER_PRE_SPECIFIEDPlasma Concentration of MEDI3506 - PK Analysis PopulationDay 1, Day 29, Day 85 and Day 169PK Analysis Population:~All subjects who are randomized and receive any study drug who have at least one detectable MEDI3506 serum concentration measurement post-treatment.ng/mLGEOMETRIC_MEAN
SECONDARYAsymptomatic Participants Tested Positive for COVID-19 During the Study - Safety Analysis PopulationDay 1 to Day 230Safety Analysis Population:~All randomized participants who received any study drug.~Subset of participants tested positive for COVID-19 during the study.ParticipantsCOUNT_OF_PARTICIPANTS

Results by group105

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Percent Change From Baseline to Day 169 (Week 24) in UACR - Per Protocol PopulationPlacebo-14.8290% Confidence Interval -27.05 to -0.53Percentage change from baseline
Percent Change From Baseline to Day 169 (Week 24) in UACR - Per Protocol PopulationMEDI3506 30 mg-17.2590% Confidence Interval -30.69 to -1.19Percentage change from baseline
Percent Change From Baseline to Day 169 (Week 24) in UACR - Per Protocol PopulationMEDI3506 60 mg-31.4590% Confidence Interval -42.54 to -18.21Percentage change from baseline
Percent Change From Baseline to Day 169 (Week 24) in UACR - Per Protocol PopulationMEDI3506 120 mg-29.7090% Confidence Interval -41.61 to -15.37Percentage change from baseline
Percent Change From Baseline to Day 169 (Week 24) in UACR - Per Protocol PopulationMEDI3506 300 mg-20.9690% Confidence Interval -31.32 to -9.04Percentage change from baseline
Percent Change From Baseline to Day 85 (Week 12) in UACR - Per Protocol PopulationPlacebo21.6090% Confidence Interval 7.39 to 37.70Percentage change from baseline
Percent Change From Baseline to Day 85 (Week 12) in UACR - Per Protocol PopulationMEDI3506 30 mg5.7790% Confidence Interval -8.00 to 21.60Percentage change from baseline
Percent Change From Baseline to Day 85 (Week 12) in UACR - Per Protocol PopulationMEDI3506 60 mg-9.6690% Confidence Interval -21.46 to 3.91Percentage change from baseline
Percent Change From Baseline to Day 85 (Week 12) in UACR - Per Protocol PopulationMEDI3506 120 mg-0.5390% Confidence Interval -14.10 to 15.18Percentage change from baseline
Percent Change From Baseline to Day 85 (Week 12) in UACR - Per Protocol PopulationMEDI3506 300 mg2.6990% Confidence Interval -8.32 to 15.01Percentage change from baseline

Participant flow15

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDPlacebo147
Overall StudySTARTEDMEDI3506 30 mg96
Overall StudySTARTEDMEDI3506 60 mg101
Overall StudySTARTEDMEDI3506 120 mg95
Overall StudySTARTEDMEDI3506 300 mg160
Overall StudyCOMPLETEDPlacebo99
Overall StudyCOMPLETEDMEDI3506 30 mg70
Overall StudyCOMPLETEDMEDI3506 60 mg70
Overall StudyCOMPLETEDMEDI3506 120 mg68
Overall StudyCOMPLETEDMEDI3506 300 mg120

Adverse events1,580

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAtrial fibrillationCardiac disordersPlacebo01330
otherAtrial fibrillationCardiac disordersMEDI3506 30 mg1951
otherAtrial fibrillationCardiac disordersMEDI3506 60 mg0890
otherAtrial fibrillationCardiac disordersMEDI3506 120 mg1931
otherAtrial fibrillationCardiac disordersMEDI3506 300 mg01480
otherBacteriuriaInfections and infestationsPlacebo01330
otherBacteriuriaInfections and infestationsMEDI3506 30 mg0950
otherBacteriuriaInfections and infestationsMEDI3506 60 mg0890
otherBacteriuriaInfections and infestationsMEDI3506 120 mg0930
otherBacteriuriaInfections and infestationsMEDI3506 300 mg11481

Adverse event totals15

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityPlacebo1133
Total, all-cause mortalityMEDI3506 30 mg195
Total, all-cause mortalityMEDI3506 60 mg189
Total, all-cause mortalityMEDI3506 120 mg193
Total, all-cause mortalityMEDI3506 300 mg1148
Total, other adverse eventsPlacebo62133
Total, other adverse eventsMEDI3506 30 mg5595
Total, other adverse eventsMEDI3506 60 mg3989
Total, other adverse eventsMEDI3506 120 mg4893
Total, other adverse eventsMEDI3506 300 mg74148

Papers2

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
38899206DERIVEDPubMed
41563367DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT04170543

GET https://conductscience.org/api/trials/v1/NCT04170543/results?page=2