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An add-on Study to the FIGARO-DKD Study Called FIGARO-BM to Learn About the Link Between Biomarkers (Substances in the Blood Used as Indicators of Biological Processes, Disease Processes or Responses to Medication) and Finerenone in FIGARO-DKD Participants

A Non-blinded Retrospective Biomarker add-on Study to FIGARO-DKD for Bioprofiling the Pharmacodynamic Response to Finerenone in FIGARO-DKD Subjects

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT05013008
Acronym
FIGARO-BM
Enrollment
951
Registered
2021-08-19
Start date
2021-08-18
Completion date
2021-12-31
Last updated
2023-09-15

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

Conditions

Chronic Kidney Disease, Type 2 Diabetes Mellitus

Brief summary

Researchers are looking for a better way to treat people who have chronic kidney disease (CKD), a long-term, progressive decrease in the kidneys' ability to work properly. When CKD happens in people with type 2 diabetes mellitus, a condition characterized by high blood sugar levels, CKD is also referred to as diabetic kidney disease (DKD). FIGARO-BM is an add-on study in which blood draws that were collected in the FIGARO-DKD study are further analyzed. No additional blood draws (also referred to as biological samples) or data will be obtained from the participants, nor will any additional or new study intervention be introduced. No visit or patient contact other than for obtaining the agreement by the patients (also called informed consent) will be required. Inflammation and scarring are both seen as responsible for worsening of chronic kidney disease. There is much information from animal studies that the study treatment finerenone (BAY94-8862) works against inflammation and against scarring (also called fibrosis) in organs such as the kidney. In this exploratory study researchers want to learn more about the study treatment finerenone (BAY94-8862). To find this out, this study will examine substances called biomarkers in blood draws from participants in the FIGARO-DKD study. Biomarkers are used as indicators of biological processes, disease processes or responses to medication. The biomarkers that will be examined stand for inflammation, organ scarring (also called fibrosis), blood vessel function and congestion. The main question of this study is whether there are differences between these biomarkers in the group of participants who received finerenone and the group of participants who received a placebo in the FIGARO-DKD study. A placebo looks like a treatment but does not have any medicine in it. To answer this question, the researchers will compare the levels of these biomarkers between the two groups at different time points after starting the study treatment. Blood samples for this study will be obtained from FIGARO-DKD study sites with a high number of participants who had been treated with finerenone or placebo for at least 24 months. This information will be combined with other information from biomarker examinations already available in the FIGARO-DKD study.

Interventions

Oral tablet; starting at 10 mg or 20 mg; once daily; received in previous interventional Phase 3 trial FIGARO-DKD; no new intervention was administered in this biomarker study.

DRUGPlacebo

Oral tablet; starting at 10 mg or 20 mg; once daily; received in previous interventional Phase 3 trial FIGARO-DKD; no new intervention was administered in this biomarker study.

Sponsors

Bayer
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* This study will only include participants who were enrolled in the FIGARO-DKD study (NCT02545049) and had received up to 20 mg finerenone or placebo for ≥24 months. * For each participant, pharmacokinetic (PK) plasma samples from Visit 3 and at least 2 other Visits (Visit 5, Visit 8, Visit 11) must be available on storage from the main study FIGARO-DKD.

Exclusion criteria

* Participants which did not show overall compliance of 80 to 120% with study intervention in FIGARO-DKD. * Participants which were not part of the full analysis set (FAS) of FIGARO-DKD. * Participants with known fatal outcome. * Participants with baseline estimated glomerular filtration rate (eGFR) ≤25 mL/min/1.73m\^2. * Participants with low baseline risk (normal albuminuria and eGFR≥60 mL/min/1.73m\^2). * Sponsor request (after discussion with the investigator), for reasons such as a significant protocol deviation.

Design outcomes

Primary

MeasureTime frameDescription
Mean Change in Plasma Biomarker Levels After 36 Months of Treatment Versus 4 Months of Treatment in a Set of 27 Pre-defined BiomarkersAt 4 months (Visit 3) of treatment and 36 months (Visit 11) of treatmentThe normalized protein expression (NPX) of biomarker levels were analyzed for the set of 27 pre-defined plasma biomarkers. NPX is a unit on log2-scale that is logarithmically related to protein concentration. Linear NPX (2\^NPX) was calcuated for descriptive analyses of the biomarker levels at each visit. Ratios of Visit 11 (36 months of treatment) to Visit 3 (4 months of treatment) were calculated to show the change in the plasma biomarker levels. Visit 3 (4 months of treatment) data were considered as baseline for the biomarker measurements as no pre-dose samples were available from FIGARO-DKD. Note, NPX units (Olink concentration units) are always relative units and can only be interpreted in the context of an individual study, i.e. to compare two conditions or timepoints (change in NPX). Equal nominal concentration values (same NPX units) for two different biomarkers measured by Olink Explore does not mean that both markers have the same absolute concentration.

Countries

Australia, Austria, Belgium, Bulgaria, Canada, Czechia, Denmark, Finland, Hong Kong, Israel, Italy, Japan, Netherlands, Portugal, Russia, Singapore, South Korea, Spain, Sweden, Taiwan, United States

Participant flow

Recruitment details

The study was conducted at multiple centers in 21 countries/regions between 18 August 2021 (first subject first visit) and 31 December 2021 (last subject last visit).

Pre-assignment details

Overall, 952 participants from previous FIGARO-DKD study (NCT02545049) were screened for this FIGAGRO-BM study. Of the 952 screened (i.e. signed informed consent available either for this FIGARO-BM study or for the protocol addendum for FIGARO-DKD), 1 participant was a screening failure and 30 participants missed treatment and/or biomarker data at Visit 3 or 11 in FIGARO-DKD. The remaining 921 participants were included in the modified biomarker full analysis set of FIGAGRO-BM study.

Participants by arm

ArmCount
Finerenone
Participants received finerenone 10 mg or 20 mg once daily in addition to standard of care therapy in previous interventional Phase 3 trial FIGARO-DKD. No new intervention was administered in this biomarker study.
478
Placebo
Participants received matching placebo once daily in addition to standard of care therapy in previous interventional Phase 3 trial FIGARO-DKD. No new intervention was administered in this biomarker study.
443
Total921

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyExclusion from mBFAS525

Baseline characteristics

CharacteristicFinerenoneTotalPlacebo
Age, Continuous63.55 years
STANDARD_DEVIATION 9.5
63.84 years
STANDARD_DEVIATION 9.57
64.15 years
STANDARD_DEVIATION 9.65
Plasma biomarker levels after 4 months of treatment
Aminopeptidase N (P15144)
1.224 Linear NPX (2^NPX)
STANDARD_DEVIATION 1.273
NA Linear NPX (2^NPX)1.248 Linear NPX (2^NPX)
STANDARD_DEVIATION 1.3
Plasma biomarker levels after 4 months of treatment
C-C motif chemokine 14 (Q16627)
3.013 Linear NPX (2^NPX)
STANDARD_DEVIATION 1.667
NA Linear NPX (2^NPX)3.056 Linear NPX (2^NPX)
STANDARD_DEVIATION 1.426
Plasma biomarker levels after 4 months of treatment
C-C motif chemokine 16 (O15467)
1.625 Linear NPX (2^NPX)
STANDARD_DEVIATION 1.776
NA Linear NPX (2^NPX)1.633 Linear NPX (2^NPX)
STANDARD_DEVIATION 1.637
Plasma biomarker levels after 4 months of treatment
C-C motif chemokine 2 (P13500)
3.065 Linear NPX (2^NPX)
STANDARD_DEVIATION 1.285
NA Linear NPX (2^NPX)3.209 Linear NPX (2^NPX)
STANDARD_DEVIATION 1.367
Plasma biomarker levels after 4 months of treatment
CCN family member 2 (P29279)
1.245 Linear NPX (2^NPX)
STANDARD_DEVIATION 1.585
NA Linear NPX (2^NPX)1.258 Linear NPX (2^NPX)
STANDARD_DEVIATION 1.36
Plasma biomarker levels after 4 months of treatment
CCN family member 4 (O95388)
1.600 Linear NPX (2^NPX)
STANDARD_DEVIATION 1.337
NA Linear NPX (2^NPX)1.578 Linear NPX (2^NPX)
STANDARD_DEVIATION 1.374
Plasma biomarker levels after 4 months of treatment
Collagen alpha-1(I) chain (P02452)
0.646 Linear NPX (2^NPX)
STANDARD_DEVIATION 1.675
NA Linear NPX (2^NPX)0.693 Linear NPX (2^NPX)
STANDARD_DEVIATION 1.497
Plasma biomarker levels after 4 months of treatment
C-X-C motif chemokine 16 (Q9H2A7)
1.341 Linear NPX (2^NPX)
STANDARD_DEVIATION 1.586
NA Linear NPX (2^NPX)1.353 Linear NPX (2^NPX)
STANDARD_DEVIATION 1.338
Plasma biomarker levels after 4 months of treatment
Decorin (P07585)
1.523 Linear NPX (2^NPX)
STANDARD_DEVIATION 1.233
NA Linear NPX (2^NPX)1.526 Linear NPX (2^NPX)
STANDARD_DEVIATION 1.233
Plasma biomarker levels after 4 months of treatment
Dickkopf-related protein 3 (Q9UBP4)
1.827 Linear NPX (2^NPX)
STANDARD_DEVIATION 1.541
NA Linear NPX (2^NPX)1.925 Linear NPX (2^NPX)
STANDARD_DEVIATION 1.46
Plasma biomarker levels after 4 months of treatment
E-selectin (P16581)
1.235 Linear NPX (2^NPX)
STANDARD_DEVIATION 1.828
NA Linear NPX (2^NPX)1.200 Linear NPX (2^NPX)
STANDARD_DEVIATION 1.577
Plasma biomarker levels after 4 months of treatment
Interleukin-15 receptor subunit alpha (Q13261)
1.678 Linear NPX (2^NPX)
STANDARD_DEVIATION 1.432
NA Linear NPX (2^NPX)1.614 Linear NPX (2^NPX)
STANDARD_DEVIATION 1.45
Plasma biomarker levels after 4 months of treatment
Matrilysin (P09237)
19.618 Linear NPX (2^NPX)
STANDARD_DEVIATION 1.148
NA Linear NPX (2^NPX)18.956 Linear NPX (2^NPX)
STANDARD_DEVIATION 1.203
Plasma biomarker levels after 4 months of treatment
Matrix metalloproteinase-9 (P14780)
1.329 Linear NPX (2^NPX)
STANDARD_DEVIATION 2.202
NA Linear NPX (2^NPX)1.176 Linear NPX (2^NPX)
STANDARD_DEVIATION 1.985
Plasma biomarker levels after 4 months of treatment
Metalloproteinase inhibitor 1 (P01033)
1.818 Linear NPX (2^NPX)
STANDARD_DEVIATION 1.45
NA Linear NPX (2^NPX)1.824 Linear NPX (2^NPX)
STANDARD_DEVIATION 1.349
Plasma biomarker levels after 4 months of treatment
Pappalysin-1 (Q13219)
0.171 Linear NPX (2^NPX)
STANDARD_DEVIATION 3.066
NA Linear NPX (2^NPX)0.164 Linear NPX (2^NPX)
STANDARD_DEVIATION 2.762
Plasma biomarker levels after 4 months of treatment
Plasminogen activator inhibitor 1 (P05121)
1.349 Linear NPX (2^NPX)
STANDARD_DEVIATION 2.148
NA Linear NPX (2^NPX)1.261 Linear NPX (2^NPX)
STANDARD_DEVIATION 1.868
Plasma biomarker levels after 4 months of treatment
Protein AMBP (P02760)
1.595 Linear NPX (2^NPX)
STANDARD_DEVIATION 1.226
NA Linear NPX (2^NPX)1.611 Linear NPX (2^NPX)
STANDARD_DEVIATION 1.225
Plasma biomarker levels after 4 months of treatment
Proto-oncogene tyrosine-protein kinase Src (P12931)
1.770 Linear NPX (2^NPX)
STANDARD_DEVIATION 2.614
NA Linear NPX (2^NPX)1.535 Linear NPX (2^NPX)
STANDARD_DEVIATION 2.229
Plasma biomarker levels after 4 months of treatment
Retinoic acid receptor responder protein 2 (Q99969)
2.201 Linear NPX (2^NPX)
STANDARD_DEVIATION 1.58
NA Linear NPX (2^NPX)2.252 Linear NPX (2^NPX)
STANDARD_DEVIATION 1.418
Plasma biomarker levels after 4 months of treatment
Thrombospondin-2 (P35442)
1.421 Linear NPX (2^NPX)
STANDARD_DEVIATION 1.655
NA Linear NPX (2^NPX)1.452 Linear NPX (2^NPX)
STANDARD_DEVIATION 1.649
Plasma biomarker levels after 4 months of treatment
Transforming growth factor beta-1 proprotein (P01137)
1.480 Linear NPX (2^NPX)
STANDARD_DEVIATION 1.327
NA Linear NPX (2^NPX)1.425 Linear NPX (2^NPX)
STANDARD_DEVIATION 1.349
Plasma biomarker levels after 4 months of treatment
Transforming growth factor beta receptor type 3 (Q03167)
1.583 Linear NPX (2^NPX)
STANDARD_DEVIATION 1.631
NA Linear NPX (2^NPX)1.776 Linear NPX (2^NPX)
STANDARD_DEVIATION 1.624
Plasma biomarker levels after 4 months of treatment
Tumor necrosis factor receptor superfamily member 1A (P19438)
2.105 Linear NPX (2^NPX)
STANDARD_DEVIATION 1.606
NA Linear NPX (2^NPX)2.107 Linear NPX (2^NPX)
STANDARD_DEVIATION 1.575
Plasma biomarker levels after 4 months of treatment
Urokinase plasminogen activator surface receptor (Q03405)
1.744 Linear NPX (2^NPX)
STANDARD_DEVIATION 1.699
NA Linear NPX (2^NPX)1.725 Linear NPX (2^NPX)
STANDARD_DEVIATION 1.398
Plasma biomarker levels after 4 months of treatment
Uromodulin (P07911)
0.582 Linear NPX (2^NPX)
STANDARD_DEVIATION 1.752
NA Linear NPX (2^NPX)0.699 Linear NPX (2^NPX)
STANDARD_DEVIATION 1.531
Plasma biomarker levels after 4 months of treatment
von Willebrand factor (P04275)
3.200 Linear NPX (2^NPX)
STANDARD_DEVIATION 1.793
NA Linear NPX (2^NPX)2.338 Linear NPX (2^NPX)
STANDARD_DEVIATION 1.629
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants1 Participants0 Participants
Race (NIH/OMB)
Asian
173 Participants324 Participants151 Participants
Race (NIH/OMB)
Black or African American
8 Participants15 Participants7 Participants
Race (NIH/OMB)
More than one race
2 Participants2 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants1 Participants1 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants2 Participants1 Participants
Race (NIH/OMB)
White
293 Participants576 Participants283 Participants
Sex: Female, Male
Female
120 Participants232 Participants112 Participants
Sex: Female, Male
Male
358 Participants689 Participants331 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 00 / 0
other
Total, other adverse events
0 / 00 / 0
serious
Total, serious adverse events
0 / 00 / 0

Outcome results

Primary

Mean Change in Plasma Biomarker Levels After 36 Months of Treatment Versus 4 Months of Treatment in a Set of 27 Pre-defined Biomarkers

The normalized protein expression (NPX) of biomarker levels were analyzed for the set of 27 pre-defined plasma biomarkers. NPX is a unit on log2-scale that is logarithmically related to protein concentration. Linear NPX (2\^NPX) was calcuated for descriptive analyses of the biomarker levels at each visit. Ratios of Visit 11 (36 months of treatment) to Visit 3 (4 months of treatment) were calculated to show the change in the plasma biomarker levels. Visit 3 (4 months of treatment) data were considered as baseline for the biomarker measurements as no pre-dose samples were available from FIGARO-DKD. Note, NPX units (Olink concentration units) are always relative units and can only be interpreted in the context of an individual study, i.e. to compare two conditions or timepoints (change in NPX). Equal nominal concentration values (same NPX units) for two different biomarkers measured by Olink Explore does not mean that both markers have the same absolute concentration.

Time frame: At 4 months (Visit 3) of treatment and 36 months (Visit 11) of treatment

Population: Participants in mBFAS with available data for each biomarker measurement

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
FinerenoneMean Change in Plasma Biomarker Levels After 36 Months of Treatment Versus 4 Months of Treatment in a Set of 27 Pre-defined BiomarkersPlasminogen activator inhibitor 1 (P05121)0.945 RatioStandard Deviation 2.089
FinerenoneMean Change in Plasma Biomarker Levels After 36 Months of Treatment Versus 4 Months of Treatment in a Set of 27 Pre-defined BiomarkersTransforming growth factor beta-1 proprotein (P01137)1.122 RatioStandard Deviation 1.312
FinerenoneMean Change in Plasma Biomarker Levels After 36 Months of Treatment Versus 4 Months of Treatment in a Set of 27 Pre-defined BiomarkersCCN family member 2 (P29279)1.083 RatioStandard Deviation 1.548
FinerenoneMean Change in Plasma Biomarker Levels After 36 Months of Treatment Versus 4 Months of Treatment in a Set of 27 Pre-defined BiomarkersPappalysin-1 (Q13219)1.088 RatioStandard Deviation 3.371
FinerenoneMean Change in Plasma Biomarker Levels After 36 Months of Treatment Versus 4 Months of Treatment in a Set of 27 Pre-defined BiomarkersUrokinase plasminogen activator surface receptor (Q03405)1.109 RatioStandard Deviation 1.661
FinerenoneMean Change in Plasma Biomarker Levels After 36 Months of Treatment Versus 4 Months of Treatment in a Set of 27 Pre-defined BiomarkersMatrilysin (P09237)1.014 RatioStandard Deviation 1.125
FinerenoneMean Change in Plasma Biomarker Levels After 36 Months of Treatment Versus 4 Months of Treatment in a Set of 27 Pre-defined BiomarkersC-C motif chemokine 14 (Q16627)1.072 RatioStandard Deviation 1.617
FinerenoneMean Change in Plasma Biomarker Levels After 36 Months of Treatment Versus 4 Months of Treatment in a Set of 27 Pre-defined BiomarkersProto-oncogene tyrosine-protein kinase Src (P12931)0.926 RatioStandard Deviation 2.902
FinerenoneMean Change in Plasma Biomarker Levels After 36 Months of Treatment Versus 4 Months of Treatment in a Set of 27 Pre-defined BiomarkersC-C motif chemokine 16 (O15467)1.044 RatioStandard Deviation 1.607
FinerenoneMean Change in Plasma Biomarker Levels After 36 Months of Treatment Versus 4 Months of Treatment in a Set of 27 Pre-defined BiomarkersTransforming growth factor beta receptor type 3 (Q03167)1.133 RatioStandard Deviation 1.687
FinerenoneMean Change in Plasma Biomarker Levels After 36 Months of Treatment Versus 4 Months of Treatment in a Set of 27 Pre-defined BiomarkersCollagen alpha-1(I) chain (P02452)1.101 RatioStandard Deviation 1.68
FinerenoneMean Change in Plasma Biomarker Levels After 36 Months of Treatment Versus 4 Months of Treatment in a Set of 27 Pre-defined BiomarkersProtein AMBP (P02760)1.034 RatioStandard Deviation 1.168
FinerenoneMean Change in Plasma Biomarker Levels After 36 Months of Treatment Versus 4 Months of Treatment in a Set of 27 Pre-defined BiomarkersDecorin (P07585)1.086 RatioStandard Deviation 1.202
FinerenoneMean Change in Plasma Biomarker Levels After 36 Months of Treatment Versus 4 Months of Treatment in a Set of 27 Pre-defined BiomarkersCCN family member 4 (O95388)1.109 RatioStandard Deviation 1.266
FinerenoneMean Change in Plasma Biomarker Levels After 36 Months of Treatment Versus 4 Months of Treatment in a Set of 27 Pre-defined BiomarkersC-C motif chemokine 2 (P13500)1.001 RatioStandard Deviation 1.329
FinerenoneMean Change in Plasma Biomarker Levels After 36 Months of Treatment Versus 4 Months of Treatment in a Set of 27 Pre-defined BiomarkersMatrix metalloproteinase-9 (P14780)1.074 RatioStandard Deviation 2.303
FinerenoneMean Change in Plasma Biomarker Levels After 36 Months of Treatment Versus 4 Months of Treatment in a Set of 27 Pre-defined BiomarkersUromodulin (P07911)0.980 RatioStandard Deviation 1.513
FinerenoneMean Change in Plasma Biomarker Levels After 36 Months of Treatment Versus 4 Months of Treatment in a Set of 27 Pre-defined BiomarkersE-selectin (P16581)1.009 RatioStandard Deviation 1.681
FinerenoneMean Change in Plasma Biomarker Levels After 36 Months of Treatment Versus 4 Months of Treatment in a Set of 27 Pre-defined BiomarkersInterleukin-15 receptor subunit alpha (Q13261)1.121 RatioStandard Deviation 1.402
FinerenoneMean Change in Plasma Biomarker Levels After 36 Months of Treatment Versus 4 Months of Treatment in a Set of 27 Pre-defined BiomarkersThrombospondin-2 (P35442)1.054 RatioStandard Deviation 1.533
FinerenoneMean Change in Plasma Biomarker Levels After 36 Months of Treatment Versus 4 Months of Treatment in a Set of 27 Pre-defined BiomarkersAminopeptidase N (P15144)1.005 RatioStandard Deviation 1.263
FinerenoneMean Change in Plasma Biomarker Levels After 36 Months of Treatment Versus 4 Months of Treatment in a Set of 27 Pre-defined BiomarkersRetinoic acid receptor responder protein 2 (Q99969)1.035 RatioStandard Deviation 1.569
FinerenoneMean Change in Plasma Biomarker Levels After 36 Months of Treatment Versus 4 Months of Treatment in a Set of 27 Pre-defined Biomarkersvon Willebrand factor (P04275)0.979 RatioStandard Deviation 1.773
FinerenoneMean Change in Plasma Biomarker Levels After 36 Months of Treatment Versus 4 Months of Treatment in a Set of 27 Pre-defined BiomarkersC-X-C motif chemokine 16 (Q9H2A7)1.058 RatioStandard Deviation 1.562
FinerenoneMean Change in Plasma Biomarker Levels After 36 Months of Treatment Versus 4 Months of Treatment in a Set of 27 Pre-defined BiomarkersTumor necrosis factor receptor superfamily member 1A (P19438)1.151 RatioStandard Deviation 1.506
FinerenoneMean Change in Plasma Biomarker Levels After 36 Months of Treatment Versus 4 Months of Treatment in a Set of 27 Pre-defined BiomarkersDickkopf-related protein 3 (Q9UBP4)1.050 RatioStandard Deviation 1.452
FinerenoneMean Change in Plasma Biomarker Levels After 36 Months of Treatment Versus 4 Months of Treatment in a Set of 27 Pre-defined BiomarkersMetalloproteinase inhibitor 1 (P01033)1.056 RatioStandard Deviation 1.456
PlaceboMean Change in Plasma Biomarker Levels After 36 Months of Treatment Versus 4 Months of Treatment in a Set of 27 Pre-defined BiomarkersDickkopf-related protein 3 (Q9UBP4)1.055 RatioStandard Deviation 1.427
PlaceboMean Change in Plasma Biomarker Levels After 36 Months of Treatment Versus 4 Months of Treatment in a Set of 27 Pre-defined BiomarkersMatrilysin (P09237)1.062 RatioStandard Deviation 1.201
PlaceboMean Change in Plasma Biomarker Levels After 36 Months of Treatment Versus 4 Months of Treatment in a Set of 27 Pre-defined Biomarkersvon Willebrand factor (P04275)1.131 RatioStandard Deviation 1.765
PlaceboMean Change in Plasma Biomarker Levels After 36 Months of Treatment Versus 4 Months of Treatment in a Set of 27 Pre-defined BiomarkersCCN family member 4 (O95388)1.164 RatioStandard Deviation 1.329
PlaceboMean Change in Plasma Biomarker Levels After 36 Months of Treatment Versus 4 Months of Treatment in a Set of 27 Pre-defined BiomarkersTransforming growth factor beta-1 proprotein (P01137)1.184 RatioStandard Deviation 1.369
PlaceboMean Change in Plasma Biomarker Levels After 36 Months of Treatment Versus 4 Months of Treatment in a Set of 27 Pre-defined BiomarkersTransforming growth factor beta receptor type 3 (Q03167)1.224 RatioStandard Deviation 1.649
PlaceboMean Change in Plasma Biomarker Levels After 36 Months of Treatment Versus 4 Months of Treatment in a Set of 27 Pre-defined BiomarkersInterleukin-15 receptor subunit alpha (Q13261)1.179 RatioStandard Deviation 1.442
PlaceboMean Change in Plasma Biomarker Levels After 36 Months of Treatment Versus 4 Months of Treatment in a Set of 27 Pre-defined BiomarkersMetalloproteinase inhibitor 1 (P01033)1.105 RatioStandard Deviation 1.381
PlaceboMean Change in Plasma Biomarker Levels After 36 Months of Treatment Versus 4 Months of Treatment in a Set of 27 Pre-defined BiomarkersPappalysin-1 (Q13219)1.273 RatioStandard Deviation 3.034
PlaceboMean Change in Plasma Biomarker Levels After 36 Months of Treatment Versus 4 Months of Treatment in a Set of 27 Pre-defined BiomarkersProto-oncogene tyrosine-protein kinase Src (P12931)1.000 RatioStandard Deviation 2.492
PlaceboMean Change in Plasma Biomarker Levels After 36 Months of Treatment Versus 4 Months of Treatment in a Set of 27 Pre-defined BiomarkersProtein AMBP (P02760)1.045 RatioStandard Deviation 1.166
PlaceboMean Change in Plasma Biomarker Levels After 36 Months of Treatment Versus 4 Months of Treatment in a Set of 27 Pre-defined BiomarkersUromodulin (P07911)0.956 RatioStandard Deviation 1.388
PlaceboMean Change in Plasma Biomarker Levels After 36 Months of Treatment Versus 4 Months of Treatment in a Set of 27 Pre-defined BiomarkersAminopeptidase N (P15144)1.020 RatioStandard Deviation 1.316
PlaceboMean Change in Plasma Biomarker Levels After 36 Months of Treatment Versus 4 Months of Treatment in a Set of 27 Pre-defined BiomarkersTumor necrosis factor receptor superfamily member 1A (P19438)1.184 RatioStandard Deviation 1.516
PlaceboMean Change in Plasma Biomarker Levels After 36 Months of Treatment Versus 4 Months of Treatment in a Set of 27 Pre-defined BiomarkersPlasminogen activator inhibitor 1 (P05121)0.972 RatioStandard Deviation 1.909
PlaceboMean Change in Plasma Biomarker Levels After 36 Months of Treatment Versus 4 Months of Treatment in a Set of 27 Pre-defined BiomarkersCCN family member 2 (P29279)1.103 RatioStandard Deviation 1.395
PlaceboMean Change in Plasma Biomarker Levels After 36 Months of Treatment Versus 4 Months of Treatment in a Set of 27 Pre-defined BiomarkersUrokinase plasminogen activator surface receptor (Q03405)1.127 RatioStandard Deviation 1.379
PlaceboMean Change in Plasma Biomarker Levels After 36 Months of Treatment Versus 4 Months of Treatment in a Set of 27 Pre-defined BiomarkersC-C motif chemokine 14 (Q16627)1.092 RatioStandard Deviation 1.401
PlaceboMean Change in Plasma Biomarker Levels After 36 Months of Treatment Versus 4 Months of Treatment in a Set of 27 Pre-defined BiomarkersC-C motif chemokine 16 (O15467)1.055 RatioStandard Deviation 1.416
PlaceboMean Change in Plasma Biomarker Levels After 36 Months of Treatment Versus 4 Months of Treatment in a Set of 27 Pre-defined BiomarkersCollagen alpha-1(I) chain (P02452)1.112 RatioStandard Deviation 1.534
PlaceboMean Change in Plasma Biomarker Levels After 36 Months of Treatment Versus 4 Months of Treatment in a Set of 27 Pre-defined BiomarkersDecorin (P07585)1.088 RatioStandard Deviation 1.25
PlaceboMean Change in Plasma Biomarker Levels After 36 Months of Treatment Versus 4 Months of Treatment in a Set of 27 Pre-defined BiomarkersMatrix metalloproteinase-9 (P14780)1.080 RatioStandard Deviation 2.108
PlaceboMean Change in Plasma Biomarker Levels After 36 Months of Treatment Versus 4 Months of Treatment in a Set of 27 Pre-defined BiomarkersE-selectin (P16581)1.010 RatioStandard Deviation 1.432
PlaceboMean Change in Plasma Biomarker Levels After 36 Months of Treatment Versus 4 Months of Treatment in a Set of 27 Pre-defined BiomarkersThrombospondin-2 (P35442)1.056 RatioStandard Deviation 1.533
PlaceboMean Change in Plasma Biomarker Levels After 36 Months of Treatment Versus 4 Months of Treatment in a Set of 27 Pre-defined BiomarkersRetinoic acid receptor responder protein 2 (Q99969)1.022 RatioStandard Deviation 1.517
PlaceboMean Change in Plasma Biomarker Levels After 36 Months of Treatment Versus 4 Months of Treatment in a Set of 27 Pre-defined BiomarkersC-X-C motif chemokine 16 (Q9H2A7)1.063 RatioStandard Deviation 1.33
PlaceboMean Change in Plasma Biomarker Levels After 36 Months of Treatment Versus 4 Months of Treatment in a Set of 27 Pre-defined BiomarkersC-C motif chemokine 2 (P13500)1.003 RatioStandard Deviation 1.409
Comparison: The NPX difference (corresponding to log-transformed ratio to baseline) of Matrilysin (P09237) was analyzed.p-value: =0.001t-test, 2 sided
Comparison: The NPX difference (corresponding to log-transformed ratio to baseline) of von Willebrand factor (P04275) was analyzed.p-value: =0.002t-test, 2 sided
Comparison: The NPX difference (corresponding to log-transformed ratio to baseline) of CCN family member 4 (O95388) was analyzed.p-value: =0.044t-test, 2 sided
Comparison: The NPX difference (corresponding to log-transformed ratio to baseline) of TGF beta-1 proprotein (P01137) was analyzed.p-value: =0.044t-test, 2 sided
Comparison: The NPX difference (corresponding to log-transformed ratio to baseline) of TGF beta receptor type 3 (Q03167) was analyzed.p-value: =0.127t-test, 2 sided
Comparison: The NPX differences (corresponding to log-transformed ratio to baseline) of IL-15 receptor subunit alpha (Q13261) was analyzed.p-value: =0.21t-test, 2 sided
Comparison: The NPX difference (corresponding to log-transformed ratio to baseline) of Metalloproteinase inhibitor 1 (P01033) was analyzed.p-value: =0.215t-test, 2 sided
Comparison: The NPX difference (corresponding to log-transformed ratio to baseline) of Pappalysin-1 (Q13219) was analyzed.p-value: =0.215t-test, 2 sided
Comparison: The NPX difference (corresponding to log-transformed ratio to baseline) of Proto-oncogene c-Src (P12931) was analyzed.p-value: =0.745t-test, 2 sided
Comparison: The NPX difference (corresponding to log-transformed ratio to baseline) of Protein AMBP (P02760) was analyzed.p-value: =0.762t-test, 2 sided
Comparison: The NPX difference (corresponding to log-transformed ratio to baseline) of Uromodulin (P07911) was analyzed.p-value: =0.762t-test, 2 sided
Comparison: The NPX difference (corresponding to log-transformed ratio to baseline) of Aminopeptidase N (P15144) was analyzed.p-value: =0.762t-test, 2 sided
Comparison: The NPX difference (corresponding to log-transformed ratio to baseline) of TNFRSF1A (P19438) was analyzed.p-value: =0.762t-test, 2 sided
Comparison: The NPX difference (corresponding to log-transformed ratio to baseline) of Plasminogen activator inhibitor 1 (P05121) was analyzed.p-value: =0.917t-test, 2 sided
Comparison: The NPX difference (corresponding to log-transformed ratio to baseline) of CCN family member 2 (P29279) was analyzed.p-value: =0.917t-test, 2 sided
Comparison: The NPX difference (corresponding to log-transformed ratio to baseline) of uPAR (Q03405) was analyzed.p-value: =0.917t-test, 2 sided
Comparison: The NPX difference (corresponding to log-transformed ratio to baseline) of C-C motif chemokine 14 (Q16627) was analyzed.p-value: =0.917t-test, 2 sided
Comparison: The NPX difference (corresponding to log-transformed ratio to baseline) of C-C motif chemokine 16 (O15467) was analyzed.p-value: =0.979t-test, 2 sided
Comparison: The NPX difference (corresponding to log-transformed ratio to baseline) of Collagen alpha-1(I) chain (P02452) was analyzed.p-value: =0.979t-test, 2 sided
Comparison: The NPX difference (corresponding to log-transformed ratio to baseline) of Decorin (P07585) was analyzed.p-value: =0.979t-test, 2 sided
Comparison: The NPX differences (corresponding to log-transformed ratio to baseline) of C-C motif chemokine 2 (P13500) was analyzed.p-value: =0.979t-test, 2 sided
Comparison: The NPX difference (corresponding to log-transformed ratio to baseline) of Matrix metalloproteinase-9 (P14780) was analyzed.p-value: =0.979t-test, 2 sided
Comparison: The NPX differences (corresponding to log-transformed ratio to baseline) of E-selectin (P16581) was analyzed.p-value: =0.979t-test, 2 sided
Comparison: The NPX difference (corresponding to log-transformed ratio to baseline) of Thrombospondin-2 (P35442) was analyzed.p-value: =0.979t-test, 2 sided
Comparison: The NPX difference (corresponding to log-transformed ratio to baseline) of RARRES2 (Q99969) was analyzed.p-value: =0.979t-test, 2 sided
Comparison: The NPX difference (corresponding to log-transformed ratio to baseline) of C-X-C motif chemokine 16 (Q9H2A7) was analyzed.p-value: =0.979t-test, 2 sided
Comparison: The NPX difference (corresponding to log-transformed ratio to baseline) of Dickkopf-related protein 3 (Q9UBP4) was analyzed.p-value: =0.979t-test, 2 sided

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