Azilsartan Medoxomil

Clinical trials investigating Azilsartan Medoxomil are studying how it is used in research settings for different patient groups. The trial data here includes studies in heart failure and focal segmental glomerulosclerosis, with goals such as measuring efficacy, safety, and dose response. These studies involve adults receiving standard treatment or an ARB.

Table of Contents

Trial overview

The trial data provided includes two interventional studies that mention Azilsartan Medoxomil in the research setting.[1][2] One study is in people with heart failure, and the other is in adults with focal segmental glomerulosclerosis, which is a kidney disease.[1][2]

These studies are not simple drug description pages; they are designed to test clinical questions such as how well treatment works, how different doses compare, and what safety results look like in the study groups.[1][2]

Heart failure study

The heart failure trial is a Phase 2 proof-of-concept and dose-finding study with 740 participants.[1] It is a completed interventional study in symptomatic patients with heart failure and LVEF below 50%, meaning the heart pumps less than normal.[1]

This study compares three target dose levels of XXB750 with placebo and looks at dose response, which means whether higher or lower doses lead to different results.[1] The study population was also on standard care, including ACEI/ARB or sacubitril/valsartan, so the trial reflects treatment on top of usual heart failure care.[1]

NT-proBNP is the main marker used in this trial, and the primary outcome is the change in log NT-proBNP from baseline to Week 16.[1] In simple terms, the researchers are checking whether the study treatment lowers a blood marker linked to heart strain over time.[1]

Kidney disease study

The second trial is a Phase 3 study in adults with focal segmental glomerulosclerosis and has 308 participants.[2] Its status is authorised, and it is an interventional study.[2]

This study evaluates the efficacy and safety of DMX-200 in patients who are already receiving an ARB.[2] The source data does not say that Azilsartan Medoxomil is the main treatment in this trial, but it appears in the overall trial data provided for this article.[2]

The main outcomes are the percent change in urine PCR, which measures protein in the urine, and the slope of eGFR, which shows how kidney function changes over time.[2] The study also includes an open-label long-term part to check the incidence and severity of treatment-related adverse events, adverse events of special interest, and serious adverse events.[2]

Key endpoints and what they mean

An endpoint is a main result researchers measure to see whether a trial is working.[1][2] In the heart failure study, the endpoint is the change in log NT-proBNP from baseline to Week 16.[1] In the kidney study, the endpoints are urine PCR and eGFR slope, plus long-term safety measures in the open-label period.[2]

  • Change in log NT-proBNP means the trial checks whether this heart failure blood marker goes down after treatment.[1]

  • Urine PCR measures how much protein is lost in urine, which helps show kidney damage.[2]

  • eGFR slope shows whether kidney function is getting better, staying stable, or getting worse over time.[2]

  • Adverse events are unwanted medical problems that happen during a study, and serious adverse events are the more severe ones.[2]

Who can participate

The heart failure study includes symptomatic patients with LVEF less than 50% who are being treated with standard heart failure medicines.[1] This means the study is aimed at people whose heart function is reduced and who still have symptoms.[1]

The kidney study includes adult patients with focal segmental glomerulosclerosis who are receiving an ARB.[2] The source data does not give more detailed rules such as age limits beyond adults, but it does show that ongoing ARB treatment is part of the study population.[2]

Study phases and status

The heart failure study is Phase 2 and is marked as completed.[1] Phase 2 studies often help researchers understand early effectiveness and the best dose range.[1]

The kidney study is Phase 3 and is marked as authorised.[2] Phase 3 studies are usually larger and are used to confirm treatment effects and collect more safety information.[2]

Across the provided trial data, the main theme is research in chronic diseases where treatment response can be measured with lab markers and kidney or heart function measures.[1][2]

Trial IDPhaseCondition studiedStatusEnrollmentMain outcome
2023-504678-39-00Phase 2Heart FailureCompleted740Change in log NT-proBNP from baseline to Week 16
NCT05183646Phase 3Focal segmental glomerulosclerosisAuthorised308Percent change in urine PCR and slope of eGFR

Ongoing Clinical Trials on Azilsartan Medoxomil

  • Study of XXB750 and Drug Combination for Patients with Heart Failure

    Not recruiting

    1 1
    Bulgaria Czechia Denmark France Germany Hungary +5
  • Study on the Effectiveness and Safety of DMX-200 with Losartan in Adults with Focal Segmental Glomerulosclerosis

    Not recruiting

    1 1 1
    Investigated diseases:
    Czechia Denmark France Germany Italy Portugal +1

Glossary

  • Heart failure: A condition where the heart does not pump blood as well as it should. This can cause tiredness, shortness of breath, and fluid buildup.
  • LVEF: Left ventricular ejection fraction. It is a measure of how much blood the left side of the heart pumps out with each beat.
  • NT-proBNP: A blood marker that can rise when the heart is under strain. It is often used to help measure heart failure severity.
  • Baseline: The first measurement taken before treatment starts. Later results are compared with this starting point.
  • Week 16: A follow-up time point used in the heart failure trial to see how results changed after 16 weeks.
  • Dose-finding study: A study that looks for the best dose level to use. It helps researchers see which dose may work best.
  • Placebo: A treatment with no active study drug. It is used for comparison in some trials.
  • Focal segmental glomerulosclerosis: A kidney disease that damages the filtering units in the kidneys. It can lead to protein loss in the urine and reduced kidney function.
  • ARB: Angiotensin receptor blocker. This is a type of treatment used in the kidney study, and the patients were already receiving one.
  • Urine PCR: Urine protein to creatinine ratio. It measures how much protein is in the urine and helps show kidney damage.
  • eGFR: Estimated glomerular filtration rate. It is a number that shows how well the kidneys are filtering blood.
  • Open-label treatment: A study period where both the researchers and the participants know what treatment is being given.

References