[Translation] An international, randomized, double-blind, placebo-controlled phase 3 study to evaluate the effect of sodium zirconium cyclosilicate on CKD progression in subjects with chronic kidney disease (CKD) and hyperkalemia or at risk for hyperkalemia
1. 主要目的:确定SZC 作为ACEi/ARB 治疗的辅助治疗时,在减缓CKD 进展方面是否优效于安慰剂
2. 次要目的:
a. 确定SZC 作为ACEi/ARB 治疗的辅助治疗时,在降低复合终点肾衰竭结果的发生率方面是否优效于安慰剂
b. 确定SZC 作为ACEi/ARB 治疗的辅助治疗时,在降低随机分组时接受赖诺普利/缬沙坦治疗的受试者中减少赖诺普利/缬沙坦剂量的发生率方面是否优效于安慰剂
c. 确定SZC 作为ACEi/ARB 治疗的辅助治疗时,在减少白蛋白尿方面是否优效于安慰剂
d. 确定SZC 作为ACEi/ARB 治疗的辅助治疗时,在增加血清碳酸氢盐水平方面是否优效于安慰剂
e. 确定SZC 作为ACEi/ARB 治疗的辅助治疗时,在维持正常血钾水平方面是否优效于安慰剂
3. 安全性目的
评估SZC 作为ACEi/ARB 治疗的辅助治疗相较于安慰剂的安全性和耐受性
[Translation] 1. Primary objective: To determine whether SZC is superior to placebo in slowing CKD progression as an adjunct to ACEi/ARB therapy
2. Secondary objectives:
a. To determine whether SZC is superior to placebo in reducing the incidence of the composite endpoint of renal failure as an adjunct to ACEi/ARB therapy
b. To determine whether SZC is superior to placebo in reducing the incidence of lisinopril/valsartan dose reduction in subjects receiving lisinopril/valsartan at randomization as an adjunct to ACEi/ARB therapy
c. To determine whether SZC is superior to placebo in reducing albuminuria as an adjunct to ACEi/ARB therapy
d. To determine whether SZC is superior to placebo in increasing serum bicarbonate levels as an adjunct to ACEi/ARB therapy
e. To determine whether SZC is superior to placebo in maintaining normal serum potassium levels as an adjunct to ACEi/ARB therapy
3. Safety Objectives
To evaluate the safety and tolerability of SZC as an adjunct to ACEi/ARB therapy compared with placebo