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Trial details imported from

For full trial details, please see the original record at

Registration number
Ethics application status
Date submitted
Date registered
Date last updated

Titles & IDs
Public title
Effect of Sulodexide in Overt Diabetic Nephropathy
Scientific title
The Collaborative Study Group Trial: The Effect of Sulodexide in Overt Type 2 Diabetic Nephropathy
Secondary ID [1] 0 0
Universal Trial Number (UTN)
Trial acronym
Linked study record

Health condition
Health condition(s) or problem(s) studied:
Diabetic Nephropathy 0 0
Condition category
Condition code
Renal and Urogenital 0 0 0 0
Kidney disease
Metabolic and Endocrine 0 0 0 0

Study type
Description of intervention(s) / exposure
Treatment: Drugs - Sulodexide

Experimental: Sulodexide - Also known as KRX-101. These patients are also on standard of care ACEs and ARBs.

Placebo Comparator: Placebo - These patients were on standard of care ACEs and ARBs.

Treatment: Drugs: Sulodexide

Intervention code [1] 0 0
Treatment: Drugs
Comparator / control treatment
Control group

Primary outcome [1] 0 0
Time to doubling of the serum creatinine or end stage kidney disease (ESRD) - Time in study depended on time to doubling of serum creatinine and when the patient was enrolled in the trial.
Timepoint [1] 0 0
Time in study depended on time to doubling of serum creatinine
Primary outcome [2] 0 0
Safety and tolerance of sulodexide therapy long-term - Review of laboratory parameters, adverse events, physical examinations, etc. were made to evaluate patient safety.
Timepoint [2] 0 0
Time in study depended on time to doubling of serum creatinine
Secondary outcome [1] 0 0
Change in urinary protein/albumin excretion - Review of urinary protein and albumin excretion was made as an additional assessment of kidney function.
Timepoint [1] 0 0
Time in study depended on time to doubling of serum creatinine

Key inclusion criteria
- Diagnosis of type 2 diabetes;

- Urine protein to creatinine ratio (PCR) equal to or greater than 900 mg/G (101.7
mg/mmol) in women and equal to or greater than 650 mg/G (73.45 mg/mmol) in men;

- Serum creatinine in women 1.3 - 3.0 mg/dL (115-265 µmol/L), inclusive, and in men 1.5
- 3.0 mg/dL (133-265 µmol/L), inclusive;

- Willing to discontinue antihypertensive medication regimen, if applicable;

- Willing and able to give informed consent.
Minimum age
18 Years
Maximum age
No limit
Both males and females
Can healthy volunteers participate?
Key exclusion criteria
- Type 1 (insulin-dependent; juvenile onset) diabetes;

- Renal disease as follows:

- Patients with known non-diabetic renal disease (nephrosclerosis superimposed on
diabetic nephropathy acceptable), or

- Renal allograft;

- Absolute requirement for combination therapy of angiotensin converting enzyme
inhibitors (ACEI) and angiotensin receptor blockers (ARB);

- Patients who require ACEI, but not ACEI/ARB combination;

- Cardiovascular disease as follows:

- Unstable angina pectoris within 3 months of study entry;

- Myocardial infarction, coronary artery bypass graft surgery, or percutaneous
transluminal coronary angioplasty/stent within 3 months of study entry;

- Transient ischemic attack within 3 months of study entry;

- Cerebrovascular accident within 3 months of study entry;

- New York Heart Association Functional Class III or IV (Note: if a patient is New
York Heart Association Functional Class I or II and requires an ACEI, consult
with the Clinical Coordinating Center to obtain permission for the patient to be
on an ACEI rather than an ARB);

- Obstructive valvular heart disease or hypertrophic cardiomyopathy; or

- Second or third degree atrioventricular block not successfully treated with a

- Need for chronic (>2 weeks) immunosuppressive therapy, including corticosteroids
(excluding inhaled or nasal steroids);

- New diagnosis of cancer or recurrent cancer within 5 years of screening (except
non-melanoma skin cancer);

- Psychiatric disorder that interferes with the patient's ability to comply with the

- Inability to tolerate oral medication or a history of significant malabsorption;

- History of alcohol or other drug abuse within 12 months of study entry;

- Known human immunodeficiency virus disease;

- Any other medical condition which renders the patient unable to or unlikely to
complete the study, or which would interfere with optimal participation in the study
or produce significant risk to the patient;

- Receipt of any investigational drugs (including placebo) within 30 days of enrollment;

- Evidence of hepatic dysfunction including total bilirubin >2.0 mg/dL (>35 micromol/L)
or liver transaminase (aspartate aminotransferase [AST] or alanine transferase [ALT])
>3 times upper limit of normal;

- Anticipate need for surgery;

- Inability to cooperate with study personnel or history of noncompliance to medical

- Known allergies or intolerance to any heparin-like compound including heparin-induced
thrombocytopenia Type II;

- Prior exposure to sulodexide, either in a clinical setting or as a participant in
another clinical study.

- Untreated urinary tract infection that would impact urinary protein values.

Study design
Purpose of the study
Allocation to intervention
Randomised controlled trial
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Masking / blinding
Blinded (masking used)
Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
Intervention assignment
Single group
Other design features
Phase 4
Type of endpoint(s)
Statistical methods / analysis

Recruitment status
Data analysis
Reason for early stopping/withdrawal
Other reasons
Date of first participant enrolment
Date of last participant enrolment
Date of last data collection
Sample size
Accrual to date
Recruitment in Australia
Recruitment state(s)
Recruitment hospital [1] 0 0
The Collaborative Study Group, Clinical Coordinating Center for the Pacific Region, Monash Medical Center - Clayton / Melbourne
Recruitment postcode(s) [1] 0 0
3168 - Clayton / Melbourne
Recruitment outside Australia
Country [1] 0 0
United States of America
State/province [1] 0 0
Country [2] 0 0
State/province [2] 0 0

Funding & Sponsors
Primary sponsor type
Commercial sector/Industry
Keryx Biopharmaceuticals
Other collaborator category [1] 0 0
Name [1] 0 0
Collaborative Study Group (CSG)
Address [1] 0 0
Country [1] 0 0

Ethics approval
Ethics application status

Brief summary
The purpose of this study is to determine whether sulodexide is effective in slowing or
preventing the progression of diabetic kidney disease.
Trial website
Trial related presentations / publications
Public notes

Principal investigator
Name 0 0
Edmund J Lewis, MD
Address 0 0
The Collaborative Study Group, Rush University Medical Center, Chicago, IL USA
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for public queries
Name 0 0
Address 0 0
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for scientific queries

Summary results
For IPD and results data, please see