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Effect of Topiroxostat on Urinary Albumin Excretion Early Stage Diabetic Nephropathy and Hyperuricemia With or Without Gout

Effect of Topiroxostat on Urinary Albumin Excretion in Patients With eARly Stage Diabetic Nephropathy and Hyperuricemia With or Without Gout: a Randomized, Placebo-controlled, Double-blind Phase 2a Trial (UPWARD).

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02327754
Acronym
UPWARD
Enrollment
60
Registered
2014-12-30
Start date
Unknown
Completion date
2016-12-31
Last updated
2017-04-12

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Diabetic Nephropathy

Brief summary

The purpose of this study is to investigate the effect of topiroxostat on urinary albumin excretion and the safety in patients with early stage diabetic nephropathy and hyperuricemia with or without gout. Participants are randomized to placebo (n=20) or topiroxostat (n=40) for 28 weeks. The investigational drugs for this study are supplied by FUJI YAKUHIN CO., LTD.

Interventions

DRUGTopiroxostat BID, (Oral daily dosing for 28 weeks)

The dose of topiroxostat is increased up to 160 mg/day in a stepwise manner.

DRUGPlacebo BID, (Oral daily dosing for 28 weeks)

Subjects randomized to the placebo arm will receive placebo.

Sponsors

Fuji Yakuhin Co., Ltd.
CollaboratorINDUSTRY
Sanwa Kagaku Kenkyusho Co., Ltd.
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
20 Years to 75 Years
Healthy volunteers
No

Inclusion criteria

* Diabetes patients * Clinically or pathologically diagnosed diabetic nephropathy * Hyperuricemic or gout patients * Estimated glomerular filtration rate (eGFR) \>= 30 mL/min/1.73m\^2 and urine albumin creatinine ratio (UACR) greater than or equal to 45 and less than 300 mg/g

Exclusion criteria

* Patient has known non-diabetic nephropathy (other than nephrosclerosis)

Design outcomes

Primary

MeasureTime frame
Change from baseline in urine albumin creatinine ratio28 weeks

Secondary

MeasureTime frame
sUA, eGFR, L-FABP, HbA1c, SBP, DBP, TC28 weeks

Countries

Japan

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026