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ACE Inhibition

Phase 3

Children | Small molecule | Rare Disease |Baxter International Inc.|Last Updated: Jan 12, 2010

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedACTIVE_CONTROLLEDDMC
Total Trials1
Total Enrollment400
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00221845Effect of Strict Blood Pressure Control and ACE-Inhibition on Progression of Chronic Renal Failure in Pediatric PatientsPHASE3 COMPLETED 400Jan 1, 1998Jan 1, 2010Jan 12, 201033 Czechia, France +10
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Study Endpoints
Primary Endpoints
Time interval to renal 'loss' as defined by an absolute decrease in creatinine clearance by 50 % or attainment of renal replacement therapy.
two-monthly
Secondary Endpoints
Effect of treatment on urinary protein excretion
two-monthly
Effect of treatment on blood pressure
two-monthly
Safety of treatment
initially weekly, than two-monthly
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Conventional BP ControlACTIVE_COMPARATORTargeted 24-hour mean arterial pressure will be the 50th-95th percentile for age.
Intensified BP ControlEXPERIMENTALTargeted 24-hour mean arterial pressure will be the 5th to 50th percentile for age.
Interventions
NameTypeDescription
ACE InhibitionDRUGACE inhibitor ramipril (6 mg/m²/day) will be given to all subjects.
Intensified Blood Pressure ControlDRUGAny antihypertensive drugs except ACE inhibitors and angiotensin receptor blockers will be allowed.
Add-on Angiotensin Receptor BlockadeDRUGIn patients who show persistent or breakthrough proteinuria at the end of the initial study period, telmisartan (50 mg/m²/day) will be added to the existing medication.
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Eligibility Criteria
Age Range3 Years — 18 Years
SexALL
Healthy VolunteersNo
Study Sites33

Inclusion Criteria: * Age 3-18 years * Moderate state of renal failure (creatinine clearance 15 - 75 ml / min / 1.73 m²) * Mean arterial blood pressure (ABPM) \> 50.percentile and/or antihypertensive treatment * Written informed consent Exclusion Criteria: * Age \<3 years or \>18 years at start o...

Countries:CzechiaFranceGermanyHungaryItalyLithuaniaPolandPortugalSerbiaSwedenSwitzerlandTurkey (Türkiye)
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