Chronic Kidney DiseasePhase 2ALPINE 1NCT06522997
A Study to Learn About How Well BAY3283142 Works and Its Safety in Participants With Chronic Kidney Disease
A Phase 2 study testing BAY3283142 in people with Chronic Kidney Disease, run by Bayer at 153 sites in 15 countries.
Trial summary
Researchers are looking for a better way to treat people who have chronic kidney disease (CKD), CKD is a condition in which the kidneys' ability to work properly gradually decreases over time. A common sign of decreasing kidney function is the body losing too much of a protein called albumin in the urine. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Chronic Kidney Disease
- What is being tested?
- BAY3283142
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 1,222 participants
- Where
- 153 sitesin 15 countries
- Study dates
- 8 Aug 2024to 20 Nov 2025
- Phase
- Phase 2
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Participant must be ≥18 years of age
- eGFR (Chronic Kidney Disease Epidemiology Collaboration formula) ≥20 and ≤75 mL/min /1.73 m^2 at Screening Note: One re-assessment of eGFR based on central laboratory values is allowed during the Screening period"
- UACR ≥200 mg/g and <3500 mg/g as determined by the geometric mean (as calculated by the central laboratory) of 3 morning void urine specimens obtained at Screening
- Treatment with the highest tolerated labeled dose of either angiotensin-converting enzyme inhibitor (ACEI) or angiotensin receptor blockers (ARB), unless such treatment is either not tolerated or contraindicated. Treatment dose must be stable dose for at least 4 weeks before Screening with no planned change of the therapy during the study
- If the participant receives any of the following treatments it should be stable for 4 weeks prior to Screening: sodium-glucose co-transporter-2 (SGLT2) inhibitor, finerenone, diuretics, endothelin-receptor antagonists, or glucagon-like peptide (GLP) receptor agonist
Who cannot join
- Systolic blood pressure (SBP) <100 mmHg at Visit 2 (baseline)
- Patients with a tendency for clinically relevant orthostatic hypotension at Screening and Visit 2 (baseline) as judged by the investigator
- SBP ≥160 mmHg, unless treated with ≥3 blood pressure lowering medications, at Screening or at Visit 2 (baseline)
- History of secondary hypertension other than CKD
- Hepatic impairment corresponding to Child-Pugh B or C or other significant liver disease (e.g., acute hepatitis, chronic active hepatitis, cirrhosis as indicated by e.g. AST or ALT >3x ULN or total bilirubin >2x ULN) at Screening
- Polycystic kidney disease, lupus nephritis or ANCA-associated vasculitis and any other kidney disease requiring immunosuppressive therapy within 6 months prior to Screening
Trial locations and contacts
153 sites in 15 countries.
153 sites in 15 countries
United States24 sites
Triad Internal Medicine - Asheboro
Asheboro, North Carolina, 27203
Southeastern Clinical Research Institute, LLC
Augusta, Georgia, 30904
Nova Clinical Research - Blake Medical Center
Bradenton, Florida, 34209
Research by Design, LLC | Chicago, IL
Chicago, Illinois, 60643
Balboa Research SMO+ - Chula Vista
Chula Vista, California, 91910
Renal Disease Research Institute | Landry
Dallas, Texas, 75246
Peninsula Kidney Associates - Hampton
Hampton, Virginia, 23666
Nephrology Associates of Northern Illinois and Indiana - Hinsdale
Hinsdale, Illinois, 60521
Southwest Houston Research, Ltd.
Houston, Texas, 77099
Nephrology Consultants, LLC
Huntsville, Alabama, 35805
Knoxville Kidney Center, PLLC
Knoxville, Tennessee, 37923
Manassas Clinical Research Center
Manassas, Virginia, 20110
Vanderbilt University Medical Center - Nephrology Clinical Trials Center
Nashville, Tennessee, 37232
Eastern Nephrology Associates - New Bern
New Bern, North Carolina, 28562
Yale Nephrology Clinical Research Clinic
New Haven, Connecticut, 06510
Renstar Medical Research - Deerwood Clinic
Ocala, Florida, 34471
Elixia Central Florida
Orlando, Florida, 32608
Florida Institue for Clinical Research
Orlando, Florida, 32825
Salem VA Medical Center - Nephrology
Salem, Virginia, 24153
Clinical Advancement Center, PLLC
San Antonio, Texas, 78212
California Kidney Specialists - San Dimas
San Dimas, California, 91773
Utah Kidney Research Institute | Salt Lake City, UT
South Salt Lake, Utah, 84115
Brookview Hills Research Associates, LLC
Winston-Salem, North Carolina, 27103
Mendez Center For Clinical Research | Woodbridge, VA
Woodbridge, Virginia, 22192
Japan24 sites
University of Yamanashi Hospital
Chūō, Yamanashi, 409-3898
Fukui Prefectural Hospital
Fukui-shi, Fukui, 910-0846
Japanese Red Cross Fukuoka Hospital
Fukuoka, 815-8555
Hamamatsu University Hospital
Hamamatsu, Shizuoka, 431-3192
Rinku General Medical Center
Izumisano, Osaka, 598-8577
Shonan Kamakura General Hospital
Kamakura, Kanagawa, 247-8533
Kasugai Municipal Hospital
Kasugai, Aichi-ken, 486-8510
Kokura Memorial Hospital
Kitakyushu, Fukuoka, 802-8555
Steel Memorial Yawata Hospital
Kitakyushu, Fukuoka, 805-8508
Hirohata Naika Clinic
Kitakyushu, Fukuoka, 807-0857
Komatsu Municipal Hospital
Komatsu, Ishikawa-ken, 923-8560
Ehime Prefectural Central Hospital
Matsuyama, Ehime, 790-0024
Saiseikai Matsuyama Hospital
Matsuyama, Ehime, 791-8026
Chubu Rosai Hospital
Nagoya, Aichi-ken, 455-8530
Naka Kinen Clinic
Naka, Ibaraki, 311-0113
Nara Prefecture General Medical Center
Nara, 630-8581
Jiyugaoka Yamada Internal Medicine Clinic
Obihiro, Hokkaido, 080-0848
Osaka General Medical Center
Osaka, 558-8558
Japanese Red Cross Saitama Hospital
Saitama, 330-8553
NTT Medical Center Tokyo
Shinagawa-ku, Tokyo, 141-8625
Katta General Hospital
Shiroishi, Miyagi, 989-0231
Juntendo University Urayasu Hospital
Urayasu, Chiba, 279-0021
Saiseikai Yokohamashi Nanbu Hospital
Yokohama, Kanagawa, 234-0054
Yokohama City University Hospital
Yokohama, Kanagawa, 236-0004
China18 sites
Capital Medical University (CMU) - Beijing Anzhen Hospital (BAH)
Beijing, 100029
Peking University People's Hospital
Beijing, 100044
The Second Hospital of Jilin University
Changchun, Jilin, 130000
The Third Xiangya Hospital of Central South University
Changsha, Hunan, 410013
Sichuan University - West China Hospital
Chengdu, 610041
Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital (SAMSPH)
Chengdu, 610072
The First People's Hospital - Foshan
Foshan, 528000
The First Affiliated Hospital of Guangzhou University of TCM
Guangzhou, Guangdong, 510405
Southern Medical University - Nanfang Hospital (Southern Hospital)
Guangzhou, 510515
Huai'an First People's Hospital, Nanjing Medical University
Huai'an, Jiangsu, 223300
Shandong Provincial Hospital
Jinan, Shandong, 250021
The Second Affiliated Hospital of Nanjing Medical university
Nanjing, Jiangsu, 210011
Jiangsu Province Hospital of Traditional Chinese Medicine (TCM)
Nanjing, 210029
Renji Hospital Shanghai JiaoTong University of Medicine
Shanghai, 200001
Huadong Hospital, Affiliated to Fudan University
Shanghai, 200040
Shanxi Bethune Hospital
Taiyuan, 030032
Taizhou Hospital of Zhejiang Province
Taizhou, Zhejiang, 317099
The First Affiliated Hospital of Xiamen University
Xiamen, Fujian, 361003
Portugal10 sites
Unidade Local de Saude Almada-Seixal | Hospital Garcia de Orta - Research Department
Almada, Setúbal District, 2805-267
Centro Clinico Academico Braga | Braga, Portugal
Braga, 4710-243
Unidade Local De Saúde De Lisboa Ocidental E.P.E.
Carnaxide, Lisbon District, 2790-134
Unidade Local de Saúde de Coimbra, E.P.E. - Hospitais da Universidade de Coimbra - Serviço de Nefrologia
Coimbra, 3000-075
Centro Hospitalar Universitario de Lisboa Central | Hospital Curry Cabral - Nephrology Department
Lisbon, 1069-166
Associacao Protectora dos Diabeticos de Portugal | Departamento de Ensaios Clinicos
Lisbon, 1250-189
Luz Saude | Hospital da Luz Lisboa - Centro de Investigacao Clinica
Lisbon, 1500-650
Hospital Pedro Hispano | Clinical Research Center
Matosinhos Municipality, Porto District, 4464-513
Centro Hospitalar do Medio Tejo | Unidade de Torres Novas - Nephrology Department
Torres Novas, Santarém District, 2350-754
Unidade Local de Saude do Estuario do Tejo | Hospital de Vila Franca de Xira - Departamento de Formacao e Investigacao
Vila Franca de Xira, Lisbon District, 2600-009
Spain10 sites
Complexo Hospitalario Universitario A Coruna | Endocrinologia y Nutricion
A Coruña, 15006
Hospital Quironsalud Barcelona | Internal Medicine Department
Barcelona, 8023
Area Sanitaria De Ferrol | Medicina Interna
Ferrol, A Coruña, 15405
Bellvitge Hospital Universitari | Nefrologia
L'Hospitalet de Llobregat, Barcelona, 08907
Hospital Universitario Ramon Y Cajal | Medicina Interna
Madrid, 28034
Hospital Universitario Fundacion Jimenez Diaz | Nephrology and Hypertension Department
Madrid, 28040
Hospital Universitario Virgen De Valme | Medicina Interna
Seville, 41014
Hospital Clinico Universitario De Valencia | Nefrologia
Valencia, 46010
Hospital Universitario Dr Peset Aleixandre | Nefrologia
Valencia, 46017
Hospital Universitario Y Politecnico La Fe | Nefrologia
Valencia, 46026
Slovakia9 sites
Nemocnica Akademika L. Derera - UNB, Nefrologicka ambulancia
Bratislava, 83101
DIABEDA s.r.o.
Bratislava, 83106
MEDISPEKTRUM s.r.o.
Bratislava, 85101
B. Braun Avitum Nefrologicka Ambulancia | Galanta, Slovakia
Galanta, 924 22
NephroCare | FMC-dialyzacne sluzby s.r.o. - Kosice
Košice, 04011
Univerzitná nemocnica Martin (UNM) - Transplantacno-nefrologické oddelenie
Martin, 036 59
BIODIAL spol. s r.o.
Púchov, 02001
DIAB s.r.o
Rožňava, 048 01
B. Braun Avitum Nefrologicka ambulancia | Sala, Slovakia
Šaľa, 92719
United Kingdom9 sites
University Hospitals Birmingham NHS Foundation Trust | Queen Elizabeth Hospital Birmingham - Clinical Research Facility
Birmingham, West Midlands, B15 2TH
Cardiff and Vale University Health Board | University Hospital of Wales - Nephrology and Transplant
Cardiff, Wales, CF14 4XW
Epsom and St Helier University Hospitals NHS Trust | St Helier Hospital - Clinical Trials Unit
Carshalton, Surrey, SM5 1AA
Lakeside Healthcare | Lakeside Surgery - Research Department
Corby, Northamptonshire, NN17 2UR
Hull University Teaching Hospitals NHS Trust | Hull Royal Infirmary - Academic Renal Research Department
Hull, East Riding Of Yorkshire, HU3 2JZ
Barts Health NHS Trust - Royal London Hospital - Nephrology
London, Greater London, E1 1FR
King's College Hospital NHS Foundation Trust | King's College Hospital - Renal Research Department
London, Greater London, SE5 9RJ
Manchester University NHS Foundation Trust | Manchester Royal Infirmary - Renal Care
Manchester, Greater Manchester, M13 9WL
Northern Care Alliance NHS Foundation Trust | Salford Royal Hospital - Nephrology
Salford, Greater Manchester, M6 8HD
Argentina8 sites
Centro de Educacion Medica e Investigaciones Clinicas "Norberto Quirno" (CEMIC)
Buenos Aires, C1431FWO
CEDIC Centro de Investigación Clínica | Buenos Aires, Argentina
CABA, Ciudad Auton. de Buenos Aires, C1018DES
Centro de Investigaciones Metabolicas | Ciudad de Autonoma de Buenos Aires, Argentina
Ciudad Autónoma de Buenos Aire, Buenos Aires, C1056ABI
Centro Privado San Vicente Diabetes
Córdoba, 5000
Centro de Rehabilitacion Cardiovascular | San Luis, Argentina
San Luis, San Luis Province, D5700CGR
Fundacion Centro de Salud e Investigaciones Medicas | Santa Rosa, Argentina
Santa Rosa, 0
Centro de Investigaciones Medicas Temperley | Buenos Aires, Argentina
Temperley, Buenos Aires, B1834GUK
Centro de Especialidades Medicas (Cemedic) | Cardiology Department
Villa Luro, Ciudad Auton. de Buenos Aires, C1440CFD
Greece8 sites
Laiko General Hospital Of Athens_ Department of Nephrology and Renal Transplantation
Athens, 11525
General Hospital Of Thessaloniki Papageorgiou-Renal Department
Efkarpia, Thessaloniki, 56429
University General Hospital of Heraklion-Nephrology Clinic
Heraklion, 71500
University General Hospital Of Ioannina-Nephrology Clinic
Ioannina, 45500
General University Hospital Of Larissa-Nephrology Clinic
Larissa, 41100
University General Hospital of Patras | Nephrology Clinic
Pátrai, Achaia, 26504
Ippokratio General Hospital Of Thessaloniki- 1st Department of Nephrology
Thessaloniki, 54642
Geniko Nosokomeio Thessalonikis George Papanikolaou-Nephrology Department
Thessaloniki, 57010
Belgium6 sites
Epicura / Nephrology
Baudour, 7331
UZ Gent / Nephrology
Ghent, 9000
Jan Yperman Ziekenhuis / Nephrology
Ieper, 8900
UZ Brussel Nephrology
Jette, 1090
UZ Leuven / Nephrology
Leuven, 3000
AZ Delta / Nephrology
Roeselare, 8800
India6 sites
Mavani Research Center
Ahmedabad, Gujarat, 380052
Life Care Clinic (LifeCare Clinic & Research Centre (LCRC))
Bengaluru, Karnataka, 560092
Madras Diabetes Research Foundation
Chennai, Tamil Nadu, 600086
The Institute of Post Graduate Medical Education & Research (IPGMER) (SSKM Hospital)
Kolkata, West Bengal, 700020
Max Super Speciality Hospital, Saket (West Block), (A unit of Max Healthcare Institute Limited)
New Delhi, National Capital Territory of Delhi, 110017
All India Institute of Medical Sciences (AIIMS) - New Delhi
New Delhi, National Capital Territory of Delhi, 110029
Singapore6 sites
National University Hospital Medical Centre
Singapore, 119074
Singapore General Hospital
Singapore, 169608
National Heart Centre Singapore
Singapore, 169609
Tan Tock Seng Hospital
Singapore, 308433
SingHealth Polyclinics - Pasir Ris
Singapore, 519457
Changi General Hospital
Singapore, 529889
Italy5 sites
ASST Papa Giovanni XXIII | Ospedale di Bergamo - SC Malattie Endocrine-Diabetologia
Bergamo, 24127
Azienda Ospedaliero-Universitaria Di Bologna IRCCS_Policlinico Sant'Orsola - Nefrologia, Dialisi e Trapianto
Bologna, Emilia-Romagna, 40138
Azienda Ospedaliera Universitaria Gaetano Martino Messina - Nefrologia e Dialisi
Messina, 98124
Azienda Ospedaliero Universitaria di Modena_Policlinico - Nefrologia, Dialisi e Trapianto di Rene
Modena, 41124
Istituti Clinici Scientifici Maugeri S.p.A._Pavia - Nefrologia
Pavia, 27100
Sweden5 sites
Sahlgrenska Universitetssjukhuset - Njurkliniken
Gothenburg, Västra Götaland County, 413 45
Universitetssjukhuset i Linköping
Linköping, Östergötland County, 581 85
ProbareE Stockholm
Stockholm, Stockholm County, 113 29
Center For Diabetes, Academic Specialist Center
Stockholm, Stockholm County, 113 65
Akademiska sjukhuset (Uppsala University Hospital) - Njurkliniken
Uppsala, Uppsala County, 751 85
Taiwan5 sites
Changhua Christian Hospital
Changhua, Changhua, 50006
Chang Gung Memorial Hospital Kaohsiung
Kaohsiung City, 833
Far Eastern Memorial Hospital
New Taipei City, New Taipei, 220
Chi-Mei Medical Center, Liouyine
Tainan, 73657
National Taiwan University Hospital
Taipei, 100
About this study
Official title: A Phase 2b Dose-finding, Randomized, Placebo-controlled, Double-blind Study to Evaluate Efficacy and Safety of BAY 3283142 on Top of Standard of Care in Reducing Albuminuria in Patients With Chronic Kidney Disease
Researchers are looking for a better way to treat people who have chronic kidney disease (CKD), CKD is a condition in which the kidneys' ability to work properly gradually decreases over time. A common sign of decreasing kidney function is the body losing too much of a protein called albumin in the urine. This condition is known as albuminuria. This can lead to a faster decline in kidney function. People who have high blood pressure and diabetes are more likely to have CKD and are at a higher risk of complications related to it.
BAY3283142 is a new drug that is being developed to treat people with CKD. It works by activating a protein that helps relax blood vessels and is thought to have beneficial effects in CKD.
Read more
In this study, researchers want to learn about how well different doses of BAY3283142 work when taken with standard treatment for CKD in reducing albumin in the urine of participants with CKD. They will compare the results of the change in the urine albumin-creatinine ratio (UACR) after 16 weeks for BAY3283142 with a placebo. A placebo looks like the study drug but does not have any medicine in it.
During the study, participants will take either of the following drugs:
- BAY3283142: Participants will take BAY3283142 as tablets by mouth.
- Placebo: Participants will take it in the same way as BAY3283142. Participants will continue taking the available standard treatment for CKD and other conditions they may have (for example, heart conditions and diabetes).
At the start of this study, the researchers will check the medical history and current medications of the participants. They will also perform a complete health check-up of all the participants. Researchers will take urine and blood samples from the participants at different time points to measure UACR and eGFR.
Participants will be divided equally into different groups. Only 1 group will receive placebo and the other groups will receive BAY3283142. Participants will take their assigned treatment for 16 weeks.
No one will know who receives which drug or dose of BAY3283142 during the study.
Participants will be in this study for around 23 weeks. This includes the time for screening before the start of treatment and follow-up with participants after treatment.
People can join this study if they:
- are 18 years of age or older and have been diagnosed with CKD
- have poor kidney function according to the eGFR test
- have abnormally high levels of albumin in the urine according to the UACR test
- have been taking certain drugs at a stable dose for management of high blood pressure, diabetes, kidney disease, etc. for at least 4 weeks before the start of the study
People cannot join this study if they:
- have low blood pressure
- have had a stroke or a heart attack, or were hospitalized because of heart failure in the 3 months before the start of the study
- have a serious liver disease
- have a kidney disease for which they need to take drugs that control the immune system The detailed requirements will be discussed between the study doctors and people considering joining this study.
Participants may or may not get the expected benefits of treatment with BAY3283142, but they will receive thorough medical check-ups during this study. These can help to improve individual treatment in the future and to identify unknown medical risks.
Some participants may experience medical problems during this study including pain and discomfort when blood samples are taken. Researchers will closely monitor and manage any medical problems the participants may have. They will not include people who should not take BAY3283142 due to known safety concerns.
The findings from this study may contribute to developing a new treatment option for people with CKD who have excess albumin in the urine.
- Conditions
- Chronic Kidney Disease
- Being tested
- BAY3283142, Placebo
- Medical subject headings
- Renal Insufficiency, Chronic
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
BAY3283142Drug
Tablet, intake orally once daily
PlaceboDrug
Matching with BAY3283142
| Study group | Role | What they receive |
|---|---|---|
| Arm 1 | Placebo comparator | Placebo OD and sham titration after 14 days and after 28 days Receives: Drug: Placebo |
| Arm 2 | Experimental | BAY3283142 (dose 1) OD and sham titration after 14 days and after 28 days Receives: Drug: BAY3283142 |
| Arm 3 | Experimental | BAY3283142 (dose 2) OD and sham titration after 14 days and after 28 days Receives: Drug: BAY3283142 |
| Arm 4 | Experimental | BAY3283142 (dose 2) OD and uptitration to dose 3 OD after 14 days and sham titration after 28 days Receives: Drug: BAY3283142 |
| Arm 5 | Experimental | BAY3283142 (dose 2) OD and uptitration to dose 3 OD after 14 days and to dose 4 OD after 28 days Receives: Drug: BAY3283142 |
| Arm 6 | Experimental | BAY3283142 (dose 3) OD and uptitration to dose 5 OD after 14 days and sham titration after 28 days Receives: Drug: BAY3283142 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change from baseline to Week 16 in the logarithm of urine albumin-creatinine ratio (UACR)
Measured: From baseline to Week 16
Secondary outcomes (3)
Change from baseline over time in estimated glomerular filtration rate (eGFR)
Measured: From baseline to Week 16
Change from baseline over time in the logarithm of UACR
Measured: From baseline to Week 16
Number of participants with treatment-emergent adverse events (TEAEs), serious TEAEs, and TEAEs leading to permanent discontinuation of study intervention
Measured: From the first dose of study intervention up to 7 days after last intake of study intervention, up to 17 Weeks per each participant
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted26 Jul 2024
- Study start8 Aug 2024
- Primary completion24 Oct 2025
- Study completion20 Nov 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Chronic Kidney DiseaseStudies of the same condition, open and under way.
- More trials run by BayerThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- 5+1 parallel-arm
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 1,222 participants (actual)
Sponsor and investigators
- Lead sponsor
- Bayer
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06522997
- Sponsor's protocol ID
- 22040
- Other IDs
- 2023-505755-40-00, 2023
- Acronym
- ALPINE 1
- Status last verified
- Apr 2026
- First submitted
- 22 Jul 2024
- Last updated
- 13 Apr 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No: Availability of this study's data will later be determined according to Bayer's commitment to the EFPIA/PhRMA "Principles for responsible clinical trial data sharing". This pertains to scope, timepoint and process of data access. As such, Bayer commits to sharing upon request from qualified researchers' patient-level clinical trial data, study-level clinical trial data, and protocols from clinical trials in patients for medicines and indications approved in the US and EU as necessary for conducting legitimate research. This applies to data on new medicines and indications that have been approved by the EU and US regulatory agencies on or after January 01, 2014. Interested researchers can use www.vivli.org to request access to anonymized patient-level data and supporting documents from clinical studies to conduct research. Information on the Bayer criteria for listing studies and other relevant information is provided in the Study sponsors section of the portal.
Study at a glance
From the registry record, last updated by the sponsor on 13 Apr 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 2b Dose-finding, Randomized, Placebo-controlled, Double-blind Study to Evaluate Efficacy and Safety of BAY 3283142 on Top of Standard of Care in Reducing Albuminuria in Patients With Chronic Kidney Disease
- ClinicalTrials.gov ID
- NCT06522997
- Acronym / sponsor ID
- ALPINE 1 / 22040
- Conditions
- Chronic Kidney Disease
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,222 participants (actual)
- Lead sponsor
- BayerIndustry (pharma, biotech, devices)
- Study start
- 8 Aug 2024 (actual)
- Primary completion
- 24 Oct 2025 (actual)
- Study completion
- 20 Nov 2025 (actual)
- First posted
- 26 Jul 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Researchers are looking for a better way to treat people who have chronic kidney disease (CKD), CKD is a condition in which the kidneys' ability to work properly gradually decreases over time. A common sign of decreasing kidney function is the body losing too much of a protein called albumin in the urine. This condition is known as albuminuria. This can lead to a faster decline in kidney function. People who have high blood pressure and diabetes are more likely to have CKD and are at a higher risk of complications related to it.
BAY3283142 is a new drug that is being developed to treat people with CKD. It works by activating a protein that helps relax blood vessels and is thought to have beneficial effects in CKD.
In this study, researchers want to learn about how well different doses of BAY3283142 work when taken with standard treatment for CKD in reducing albumin in the urine of participants with CKD. They will compare the results of the change in the urine albumin-creatinine ratio (UACR) after 16 weeks for BAY3283142 with a placebo. A placebo looks like the study drug but does not have any medicine in it.
During the study, participants will take either of the following drugs:
- BAY3283142: Participants will take BAY3283142 as tablets by mouth.
- Placebo: Participants will take it in the same way as BAY3283142. Participants will continue taking the available standard treatment for CKD and other conditions they may have (for example, heart conditions and diabetes).
At the start of this study, the researchers will check the medical history and current medications of the participants. They will also perform a complete health check-up of all the participants. Researchers will take urine and blood samples from the participants at different time points to measure UACR and eGFR.
Participants will be divided equally into different groups. Only 1 group will receive placebo and the other groups will receive BAY3283142. Participants will take their assigned treatment for 16 weeks.
No one will know who receives which drug or dose of BAY3283142 during the study.
Participants will be in this study for around 23 weeks. This includes the time for screening before the start of treatment and follow-up with participants after treatment.
People can join this study if they:
- are 18 years of age or older and have been diagnosed with CKD
- have poor kidney function according to the eGFR test
- have abnormally high levels of albumin in the urine according to the UACR test
- have been taking certain drugs at a stable dose for management of high blood pressure, diabetes, kidney disease, etc. for at least 4 weeks before the start of the study
People cannot join this study if they:
- have low blood pressure
- have had a stroke or a heart attack, or were hospitalized because of heart failure in the 3 months before the start of the study
- have a serious liver disease
- have a kidney disease for which they need to take drugs that control the immune system The detailed requirements will be discussed between the study doctors and people considering joining this study.
Participants may or may not get the expected benefits of treatment with BAY3283142, but they will receive thorough medical check-ups during this study. These can help to improve individual treatment in the future and to identify unknown medical risks.
Some participants may experience medical problems during this study including pain and discomfort when blood samples are taken. Researchers will closely monitor and manage any medical problems the participants may have. They will not include people who should not take BAY3283142 due to known safety concerns.
The findings from this study may contribute to developing a new treatment option for people with CKD who have excess albumin in the urine.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 6
- Model description
- 5+1 parallel-arm
| Arm | Type | Receives |
|---|---|---|
| Arm 1 | Placebo comparator | Drug: PlaceboPlacebo OD and sham titration after 14 days and after 28 days |
| Arm 2 | Experimental | Drug: BAY3283142BAY3283142 (dose 1) OD and sham titration after 14 days and after 28 days |
| Arm 3 | Experimental | Drug: BAY3283142BAY3283142 (dose 2) OD and sham titration after 14 days and after 28 days |
| Arm 4 | Experimental | Drug: BAY3283142BAY3283142 (dose 2) OD and uptitration to dose 3 OD after 14 days and sham titration after 28 days |
| Arm 5 | Experimental | Drug: BAY3283142BAY3283142 (dose 2) OD and uptitration to dose 3 OD after 14 days and to dose 4 OD after 28 days |
| Arm 6 | Experimental | Drug: BAY3283142BAY3283142 (dose 3) OD and uptitration to dose 5 OD after 14 days and sham titration after 28 days |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Participant must be ≥18 years of age
- eGFR (Chronic Kidney Disease Epidemiology Collaboration formula) ≥20 and ≤75 mL/min /1.73 m^2 at Screening Note: One re-assessment of eGFR based on central laboratory values is allowed during the Screening period"
- UACR ≥200 mg/g and <3500 mg/g as determined by the geometric mean (as calculated by the central laboratory) of 3 morning void urine specimens obtained at Screening
- Treatment with the highest tolerated labeled dose of either angiotensin-converting enzyme inhibitor (ACEI) or angiotensin receptor blockers (ARB), unless such treatment is either not tolerated or contraindicated. Treatment dose must be stable dose for at least 4 weeks before Screening with no planned change of the therapy during the study
- If the participant receives any of the following treatments it should be stable for 4 weeks prior to Screening: sodium-glucose co-transporter-2 (SGLT2) inhibitor, finerenone, diuretics, endothelin-receptor antagonists, or glucagon-like peptide (GLP) receptor agonist
Key exclusion criteria (6 listed)
- Systolic blood pressure (SBP) <100 mmHg at Visit 2 (baseline)
- Patients with a tendency for clinically relevant orthostatic hypotension at Screening and Visit 2 (baseline) as judged by the investigator
- SBP ≥160 mmHg, unless treated with ≥3 blood pressure lowering medications, at Screening or at Visit 2 (baseline)
- History of secondary hypertension other than CKD
- Hepatic impairment corresponding to Child-Pugh B or C or other significant liver disease (e.g., acute hepatitis, chronic active hepatitis, cirrhosis as indicated by e.g. AST or ALT >3x ULN or total bilirubin >2x ULN) at Screening
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| BAY3283142Tablet, intake orally once daily | Drug | Arm 2, Arm 3, Arm 4, Arm 5, Arm 6 |
| PlaceboMatching with BAY3283142 | Drug | Arm 1 |
Primary outcome
Change from baseline to Week 16 in the logarithm of urine albumin-creatinine ratio (UACR)
Time frame: From baseline to Week 16
3 secondary outcomes
Change from baseline over time in estimated glomerular filtration rate (eGFR)
Time frame: From baseline to Week 16
Change from baseline over time in the logarithm of UACR
Time frame: From baseline to Week 16
Number of participants with treatment-emergent adverse events (TEAEs), serious TEAEs, and TEAEs leading to permanent discontinuation of study intervention
Time frame: From the first dose of study intervention up to 7 days after last intake of study intervention, up to 17 Weeks per each participant
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 13 Apr 2026.
- Individual participant dataSharing planned: No. Availability of this study's data will later be determined according to Bayer's commitment to the EFPIA/PhRMA "Principles for responsible clinical trial data sharing". This pertains to scope, timepoint and process of data access. As such, Bayer commits to sharing upon request from qualified researchers' patient-level clinical trial data, study-level clinical trial data, and protocols from clinical trials in patients for medicines and indications approved in the US and EU as necessary for conducting legitimate research. This applies to data on new medicines and indications that have been approved by the EU and US regulatory agencies on or after January 01, 2014. Interested researchers can use www.vivli.org to request access to anonymized patient-level data and supporting documents from clinical studies to conduct research. Information on the Bayer criteria for listing studies and other relevant information is provided in the Study sponsors section of the portal.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
153 sites in 15 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing BAY3283142 in people with Chronic Kidney Disease, run by Bayer at 153 sites in 15 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 13 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 153 sites in United States, Japan, China, Portugal, Spain and 10 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change from baseline to Week 16 in the logarithm of urine albumin-creatinine ratio (UACR) (time frame: From baseline to Week 16). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 13 Apr 2026.