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审核状态: Project audit state: |
通过审核 Successful |
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注册号: Registration number: |
ChiCTR2500109496 |
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最近更新日期: Date of Last Refreshed on: |
2025-09-19 10:12:41 |
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注册时间: Date of Registration: |
2025-09-19 00:00:00 |
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注册号状态: |
预注册 |
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Registration Status: |
Prospective registration |
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注册题目: |
EASi-PROTKT 临床研究 |
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Public title: |
EASi-PROTKT Clinical Trail |
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注册题目简写: |
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English Acronym: |
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研究课题的正式科学名称: |
一项在 2 型糖尿病、高血压和已确诊心血管疾病的参与者中评价口服 vicadrostat(BI 690517)和恩格列净联合用药相较于安慰剂和恩格列净联合用药的疗效和安全性的 III 期、双盲、随机、平行分组、优效性试验 |
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Scientific title: |
A Phase III double-blind, randomised, parallel-group superiority trial to evaluate efficacy and safety of the combined use of oral vicadrostat (BI 690517) and empagliflozin compared with placebo and empagliflozin in participants with type 2 diabetes, hypertension and established cardiovascular disease |
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研究课题代号(代码): Study subject ID: |
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在二级注册机构或其它机构的注册号: The registration number of the Partner Registry or other register: |
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申请注册联系人: |
唐熠达 |
研究负责人: |
唐熠达 |
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Applicant: |
Yida Tang |
Study leader: |
yida tang |
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申请注册联系人电话: Applicant telephone: |
+86 10 82265820 |
研究负责人电话: Study leader's telephone: |
+86 10 82265820 |
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申请注册联系人传真 : Applicant Fax: |
研究负责人传真: Study leader's fax: |
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申请注册联系人电子邮件: Applicant E-mail: |
tang_yida@163.com |
研究负责人电子邮件: Study leader's E-mail: |
tang_yida@163.com |
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申请单位网址(自愿提供): Applicant website(voluntary supply): |
研究负责人网址(自愿提供): Study leader's website(voluntary supply): |
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申请注册联系人通讯地址: |
北京大学第三医院 |
研究负责人通讯地址: |
北京市海淀区花园北路49号 |
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Applicant address: |
Peking University Third Hospital |
Study leader's address: |
49 North Garden Rd.,Haidian District Beijing ,P.R.China |
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申请注册联系人邮政编码: Applicant postcode: |
研究负责人邮政编码: Study leader's postcode: |
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申请人所在单位: |
北京大学第三医院 |
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Applicant's institution: |
Peking University Third Hospital |
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研究负责人所在单位: |
北京大学第三医院 |
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Affiliation of the Leader: |
Peking University Third Hospital |
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是否获伦理委员会批准: |
是/Yes |
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Approved by ethic committee: |
Yes |
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伦理委员会批件文号: Approved No. of ethic committee: |
(2025)药伦审第(258-02)号 |
伦理委员会批件附件: Approved file of Ethical Committee: |
查看附件View |
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批准本研究的伦理委员会名称: |
北京大学第三医院医学科学研究伦理委员会二组 |
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Name of the ethic committee: |
Peking University Third Hospital Medical Science Research Ethics Committee |
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伦理委员会批准日期: Date of approved by ethic committee: |
2025-06-27 00:00:00 |
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伦理委员会联系人: |
洪雪 |
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Contact Name of the ethic committee: |
bj-user |
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伦理委员会联系地址: |
北京市海淀区花园北路49号 |
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Contact Address of the ethic committee: |
49 North Garden Rd.,Haidian District Beijing ,P.R.China |
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伦理委员会联系人电话: Contact phone of the ethic committee: |
+86 10 82265573 |
伦理委员会联系人邮箱: Contact email of the ethic committee: |
bysyec@163.com |
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研究实施负责(组长)单位: |
北京大学第三医院 |
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Primary sponsor: |
Peking University Third Hospital |
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研究实施负责(组长)单位地址: |
北京市海淀区花园北路49号 |
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Primary sponsor's address: |
49 North Garden Rd.,Haidian District Beijing ,P.R.China |
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试验主办单位(项目批准或申办者): Secondary sponsor: |
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经费或物资来源: |
勃林格殷格翰(中国)投资有限公司 |
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Source(s) of funding: |
Boehringer Ingelheim |
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Target disease: |
The main diagnosis for trial entry is T2DM with HTN and established CVD and at least one additional risk factor for developing HF. |
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Target disease code: |
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研究类型: |
干预性研究 |
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Study type: |
Interventional study |
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研究所处阶段: |
III期临床试验 | ||||||||||||||||||||||
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Study phase: |
3 |
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研究设计: |
随机平行对照 |
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Study design: |
Parallel |
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研究目的: |
本研究旨在为伴 HTN 和已确诊 CVD 的 T2DM 的参与者提供实质性证据,以评估在标准治疗基础上联合使用 vicadrostat 10 mg 与恩格列净 10 mg 相较于联合使用 vicadrostat-安慰剂与恩格列净 10 mg,在降低 CV 风险和预防 HF 方面的疗效和安全性。 主要目的是在伴 HTN 和已确诊 CVD 的 T2DM 参与者中证明vicadrostat 10 mg 与恩格列净 10 mg 联合用药相较于 vicadrostat-安慰剂与恩格列净 10 mg 联合用药在至首次发生 CV 死亡、因心力衰竭住院(HHF)或紧急心力衰竭(HF)就诊的时间方面的优效性。 关键次要目的旨在证明 vicadrostat 10 mg 联合恩格列净 10 mg 与vicadrostat-安慰剂联合恩格列净 10 mg 相比,在至首次发生 CV 死亡或 HHF 事件的时间、第 24 周时平均 SBP 较基线的绝对变化、第 24 周时 UACR 较基线的相对变化、至首次发生肾脏疾病进展或HHF 或 CV 死亡复合结局的时间、至首次发生 4P-MACE 事件的时间、发生全因住院(首次和再次入院)、至首次发生新发房颤或房扑(在无房颤和房扑史的参与者中)或CV死亡事件的时间,以及至全因死亡的时间这些方面的优效性。 其他次要目的是评价 vicadrostat 10 mg 联合恩格列净 10 mg 与vicadrostat-安慰剂联合恩格列净 10 mg 相比的至 CV 死亡的时间、至首次发生 HHF 的时间、发生 HHF(首次和再次入院)以及至首次新发 HF 或 CV 死亡事件的时间。此外,将评估第 24 周时平均舒张压(DBP)较基线的绝对变化。 |
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Objectives of Study: |
The goal of the study is to provide substantial evidence of the efficacy and safety of the combination of vicadrostat 10 mg and empagliflozin 10 mg compared with vicadrostat-placebo and empagliflozin 10 mg on top of standard of care in CV risk reduction and prevention of HF in participants with T2DM, HTN and established CVD. The primary objective is to demonstrate the superiority of the combination of vicadrostat 10 mg and empagliflozin 10 mg compared with vicadrostat-placebo and empagliflozin 10 mg for the time to first CV death, hospitalisation for heart failure (HHF), or urgent heart failure (HF) visit in participants with T2DM with HTN and established CVD. Key secondary objectives are to demonstrate the superiority of the combination of vicadrostat 10 mg and empagliflozin 10 mg compared with vicadrostat-placebo and empagliflozin 10 mg for the time to first event of CV death or HHF, absolute change from baseline in mean SBP at Week 24, relative change from baseline in UACR at Week 24, time to first occurrence of the composite outcome of kidney disease progression or HHF or CV death, time to first event of 4P-MACE, occurrences of all-cause hospitalisations (first and recurrent), time to first event of new-onset atrial fibrillation or atrial flutter (in participants without history of atrial fibrillation and atrial flutter) or CV death, and time to all-cause death. |
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药物成份或治疗方案详述: |
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Description for medicine or protocol of treatment in detail: |
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纳入标准: |
1.签署知情同意书时年满 18 岁; 2. 入选本试验前,根据 ICH-GCP 和当地法规签署书面知情同意书并注明日期; 3. 男性或女性参与者。WOCBP(参见第 4.2.2.3节)必须准备并且能够使用符 合 ICH M3(R2)标准的高效避孕方法,即坚持并正确使用时年失败率低于 1%的避孕方法。符合这些标准的避孕方法列表和使用持续时间说明参见第 4.2.2.3 节中的参与者须知。 4. 根据适用的当地/国际指南(根据研究者的判断),有 HTN病史并在可能的 最佳 SOC 下接受活性药物治疗的参与者; 5. 根据适用的当地/国际指南(根据研究者的判断),有 T2DM 病史并在可能 的最佳 SOC 下接受活性药物治疗的参与者; 6. 根据适用的当地/国际指南(根据研究者的判断),已确诊 CV 疾病并在可 能的最佳 SOC 下接受活性药物治疗。已确诊的 CV 疾病包括以下至少一种: 冠状动脉疾病、外周动脉疾病或脑血管疾病 冠状动脉疾病定义为: 既往 MI 或冠状血管重建术(例如,CABG 或 PCI) 或 冠状动脉造影或其他冠状动脉成像(如冠状动脉 CT 血管 造影)显示有>=50%的狭窄,或有旁路移植术史 外周动脉疾病(症状性或非症状性)定义为: 既往肢体血管成形术、支架植入术或搭桥手术 或 既往因循环功能不全导致的肢体或足切断术 或 至少 1 个肢体或一个血管分布区域有显著(>=50%)外周动 脉狭窄的基于血管造影或无创方法的证据 或 至少 1 个肢体的踝臂指数<0.9,且当前有间歇性跛行的症 状 脑血管疾病定义为: 缺血性卒中史(已知短暂性脑缺血发作或出血性卒中或原 发性颅内出血或蛛网膜下腔出血不符合条件) 或 既往脑血管血运重建术(例如颈动脉内膜剥脱术和/或支架 植入术); 7. 在访视 1(筛选)时,以下各项中至少有一个发生 HF 的额外风险因素: 需要胰岛素治疗的 T2DM 或 利尿钠肽升高,定义为 NT-proBNP>125 pg/ml 或 BNP>35 pg/ml(在 过去 6 个月内或筛选(访视 1)时记录*) 或 左心室肥大证据 经超声心动图或 MRI 诊断的左心室肥大病史 或 根据 Sokolow-Lyon 指数,12 导联 ECG 显示左心室肥大证 据:RV5+SV1>3.5 mV 或 房颤或房扑史 或 ○ 多血管疾病,定义为外周动脉疾病和至少一种:冠状动脉疾病或脑 血管疾病 或 在筛选(访视 1)前的最后 3 个月内,使用袢利尿剂的处方时长至 少达到 30 天 或 尽管使用了至少 2 种降压药,筛选(访视 1)时平均收缩压仍>=140 mmHg 或 UACR>=200 mg/g(在过去 6 个月内或筛选(访视 1)时记录*) *允许当地实验室评估筛选前 6 个月内的 BNP/NT-proBNP 或 UACR。筛选 (访视 1)时,将由中心实验室分析 NT-proBNP 和 UACR; |
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Inclusion criteria |
1. Aged 18 years or older at the time of signing informed consent; 2. Signed and dated written informed consent in accordance with ICH-GCP and local regulations before inclusion in this trial; 3. Male or female participants. WOCBP (see Section 4.2.2.3) must be prepared and able to use a highly effective method of contraception that meets ICH M3 (R2) criteria, i.e., a contraceptive method with an annual failure rate of less than 1% when adhered to and used correctly. A list of contraceptive methods that meet these criteria and a description of the duration of use can be found in Instructions for Participants in Section 4.2.2.3. 4. Participants with a history of HTN and receiving active medication at a possible optimal SOC according to applicable local/international guidelines (as judged by the investigator); 5. Participants with a history of T2DM and receiving active drug therapy at the best possible SOC according to applicable local/international guidelines (at the discretion of the investigator); 6. Confirmed diagnosis of CV disease and active drug therapy at the best possible SOC according to applicable local/international guidelines (as judged by the investigator). Confirmed CV disease includes at least one of the following: coronary artery disease, peripheral artery disease, or cerebrovascular disease Coronary artery disease is defined as: prior MI or coronary revascularization (e.g., CABG or PCI) or coronary angiography or other coronary imaging (eg, coronary CT angiography) showing >=50% stenosis, or history of bypass grafting Peripheral artery disease (symptomatic or non-symptomatic) is defined as: prior limb angioplasty, stenting, or bypass surgery or previous limb or foot amputation due to circulatory insufficiency or significant (> in at least 1 limb or one vascular distribution area =50%) Evidence of angiography-based or noninvasive methods of peripheral arterial stenosis or ankle-brachial index <0.9 in at least 1 limb with current symptoms of intermittent claudication Cerebrovascular disease is defined as: history of ischemic stroke (known transient ischemic attack or hemorrhagic stroke or primary intracranial hemorrhage or subarachnoid hemorrhage is not eligible) or prior cerebrovascular revascularization (e.g., carotid endarterectomy and/or stenting); 7. At Visit 1 (Screening), at least one of the following additional risk factors for HF: T2DM requiring insulin therapy or elevated natriuretic peptide, defined as NT-proBNP>125 pg/ml or BNP>35 pg/ml (documented within the past 6 months or at Screening (Visit 1)*) or evidence of left ventricular hypertrophy History of left ventricular hypertrophy diagnosed by echocardiography or MRI OR Evidence of left ventricular hypertrophy on 12-lead ECG according to the Sokolow-Lyon index Evidence: RV5+SV1>3.5 mV or history of atrial fibrillation or atrial flutter or ○ Multivessel disease, defined as peripheral artery disease and at least one: coronary artery disease or cerebrovascular disease or within the last 3 months prior to Screening (Visit 1), Prescribed for at least 30 days with loop diuretics OR Mean systolic blood pressure at screening (Visit 1) >=140 mmHg or UACR>=200 mg/g (documented within the past 6 months or at screening (Visit 1)*) *Local laboratory assessment of BNP/NT-proBNP or UACR within 6 months prior to screening is allowed. At screening (Visit 1), NT-proBNP and UACR will be analyzed by the central laboratory; |
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排除标准: |
1. 访视 1(筛选)和访视 2(随机化)时有 HF 史或因 HF 住院史或 HF 治疗史; |
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Exclusion criteria: |
1. History of HF or hospitalization for HF or treatment of HF at Visit 1 (screening) and Visit 2 (randomization); |
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研究实施时间: Study execute time: |
从 From 2025-09-25 00:00:00至 To 2030-02-01 00:00:00 |
征募观察对象时间: Recruiting time: |
从From 2025-10-01 00:00:00 至 To 2027-02-01 00:00:00 |
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干预措施: Interventions: |
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研究实施地点: Countries of recruitment and research settings: |
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测量指标: Outcomes: |
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采集人体标本:
Collecting sample(s)
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征募研究对象情况: Recruiting status: |
尚未开始 Not yet recruiting |
年龄范围: Participant age: |
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性别: |
男女均可 |
Gender: |
Both |
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随机方法(请说明由何人用什么方法产生随机序列): |
将通过 IRT 以 1:1 的比例对参与者进行随机化。 |
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Randomization Procedure (please state who generates the random number sequence and by what method): |
Participants will be randomised via IRT in a 1:1 ratio. |
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是否公开试验完成后的统计结果: Calculated Results after the Study Completed public access: |
不公开/Private |
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盲法: |
双盲 |
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Blinding: |
Double blind |
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是否共享原始数据: IPD sharing |
Yes |
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共享原始数据的方式(说明:请填入公开原始数据日期和方式,如采用网络平台,需填该网络平台名称和网址): |
勃林格殷格翰的数据公开和出版政策可以在以下网页获取:trials.boehringer-ingelheim.com。将在临床试验报告定稿后发表试验结果。 |
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The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url): |
Boehringer Ingelheim's data disclosure and publication policy can be obtained at the following website: trials.boehringer-ingelheim.com. The trial results will be published after the clinical trial report is finalized. |
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数据采集和管理(说明:数据采集和管理由两部分组成,一为病例记录表(Case Record Form, CRF),二为电子采集和管理系统(Electronic Data Capture, EDC),如ResMan即为一种基于互联网的EDC: |
EDC |
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Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture: |
EDC |
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数据与安全监察委员会: Data and Safety Monitoring Committee: |
有/Yes |