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CompletedNCT05243199Updated Mar 17, 2023

Sacubitril/Valsartan for CKD5 Stage Dialysis Patients

A Phase 4 interventional study of Sacubitril/Valsartan and Irbesartan in CKD5 Stage Dialysis and Heart Failure, sponsored by Ruijin Hospital. Completed at 1 site in China. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2023-03-17.

Sponsored by Ruijin Hospital · Phase 4, Interventional, and Treatment

From the registry’s dates

  • Registered 1 year 5 months after the study started (first participant enrolled Aug 2020, registered Jan 2022).
Phase
Phase 4
Study type
Interventional
Enrollment
330
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

Hemodialysis or peritoneal dialysis CKD5 patients were randomly divided into Sacubitril/Valsartan and irbesartan treatment groups. Comparing the blood pressure, survival rates, the cardiac function, renal function,and adverse reactions of two groups, to evaluate whether the efficacy and safety of Sacubitril/Valsartan in the treatment of patients with CKD dialysis combined with heart failure is superior to that of irbesartan.

02

Conditions studied

  • CKD5 Stage Dialysis
  • Heart Failure

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03

In context

Heart Failure

5,701 studies on the registry are indexed under Heart Failure; 1,220 are open to participants now.

This study's enrollment of 330 is above the median of 72 across 3,736 interventional studies indexed under Heart Failure.

Browse Heart Failure studies →

Lead sponsor

Ruijin Hospital is the lead sponsor of 635 studies on the registry; 359 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • CKD stage 5, starting regular hemodialysis or peritoneal dialysis for more than 1 month.
  • NT-proBNP ≥2000pg/ml.
  • hypertension
  • Voluntary informed consent.

Exclusion criteria

Exclusion Criteria:

  • Unable to tolerate ACEI/ARB class antihypertensive drugs;
  • History of symptomatic hypotension/systolic blood pressure \<100mmHg at screening;
  • Potassium >6.0mmol/L;
  • History of angioedema;
  • Abnormal liver function such as ALT and/or AST >=3 times normal upper limit (ULN), total bilirubin >= 2 times ULN;
  • Moderate to severe anemia (hemoglobin \<80g/L);
  • Cardiac surgery/intervention/cardiac resynchronization therapy has been performed in the past 3 months or is planned in the next 12 months;
  • Newly found malignant tumor (within 3 years), or undergoing radiotherapy/chemotherapy;
  • Pregnant and lactating women, or those of childbearing age who are unable to guarantee effective contraception;
  • New and serious life-threatening infections;
  • Active infectious diseases such as active tuberculosis, active viral hepatitis and HIV infection;
  • Persons suffering from mental disorders and taking psychotropic drugs;
  • Patients with life expectancy less than 12 months;
  • The doctor assessed that the patient was not easy to follow up or had poor compliance and was not suitable for enrollment;
  • Patients who do not want to sign informed consent.
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
330 participants (actual)

Study arms

  • Experimental
    Sacubitril/Valsartan

    The initial dose of 50mg Qd was increased to 50mg Bid after 1 week and maintained to 100mg Bid after 2 weeks if the patient could tolerate it

    Drug: Sacubitril/Valsartan

  • Active comparator
    Irbesartan

    the maximum tolerated dose of irbesartan was administered

    Drug: Irbesartan

Interventions

  • DrugSacubitril/Valsartan

    The initial dose of 50mg Qd was increased to 50mg Bid after 1 week and maintained to 100mg Bid after 2 weeks if the patient could tolerate it (no follow-up exit criteria were found).

    Also known as: ARNI

  • DrugIrbesartan

    The Initial dose of 75 mg Qd with sand, such as patients can tolerate and follow-up exit criteria (not appear, to 75 mg Bid to maintain after 1 week, 2 weeks can still be tolerance is raised to 150 mg Bid.

    Also known as: ARB

06

What researchers measure

Primary outcomes

  1. The effect of ARNI on blood pressure in patients with CKD who are on dialysis

    The evaluation indicator include office blood pressure

    Time frame: 1 year

Secondary outcomes

  1. The effect of ARNI on ambulatory blood pressure

    The evaluation indicator include ambulatory blood pressure

    Time frame: 1 year

  2. The effect of ARNI on cardiac function in patients with CKD who are on dialysis

    The evaluation indicators include heart function-related indicators such as NT pro-BNP and EF value

    Time frame: 1 year

  3. The safety of ARNI in patients with CKD who are on dialysis

    The evaluation indicators incidence of death (including death from cardiovascular events or other causes), hyperkalemia and other adverse events.

    Time frame: 1 year

07

Study locations

1 site
  • Department of Nephrology, Ruijin Hospital, School of Medicine, Shanghai Jiaotong University
    Shanghai, Shanghai, China
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 17, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT05243199
Lead sponsor
Ruijin Hospital
Responsible party
Nan Chen,MD (Principal Investigator,Director,Foreign academicians of the French National Academy of Medical Sciences,Director of institute of Nephrology affiliated to Shanghai Jiao Tong University Medical College, Ruijin Hospital) — Principal investigator
First posted
Feb 16, 2022
Start date
Aug 1, 2020
Primary completion
Mar 1, 2023
Completion
Mar 8, 2023
Last update
Mar 17, 2023

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Mar 2023. You cannot join it, but the record below documents what was studied.

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