Protein Kinase C (PKC) Inhibitor-Diabetic Retinopathy Phase 3 Study

Sponsor
Chromaderm, Inc. (Industry)
Overall Status
Completed
CT.gov ID
NCT00604383
Collaborator
(none)
685
1
2
51
13.4

Study Details

Study Description

Brief Summary

This study is to test whether or not 32 milligrams (mg) of ruboxistaurin a day over three years will reduce vision loss associated with diabetic retinopathy.

Condition or Disease Intervention/Treatment Phase
Phase 3

Study Design

Study Type:
Interventional
Actual Enrollment :
685 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Double (Participant, Investigator)
Primary Purpose:
Treatment
Official Title:
Phase 3, Multicenter,Parallel,Randomized Dbl-masked,Placebo-controlled Study of the Effects of 32 mg/dy Ruboxistaurin Vision Loss in Patients With Type 1 or Type 2 Diabetes Mellitus and an Early Treatment Diabetic Retinopathy Study Level Between 47A and 53E.
Study Start Date :
Mar 1, 2001
Actual Primary Completion Date :
Jun 1, 2005
Actual Study Completion Date :
Jun 1, 2005

Arms and Interventions

Arm Intervention/Treatment
Experimental: Ruboxistaurin

Drug: ruboxistaurin
32-mg tablet, orally, daily, up to 42 months
Other Names:
  • LY333531
  • Placebo Comparator: Placebo

    Drug: placebo
    1 tablet, orally, daily, up to 42 months

    Outcome Measures

    Primary Outcome Measures

    1. Percentage of Participants Who Had Sustained Moderate Visual Loss (SMVL) as Defined as a Visual Acuity Loss of ≥15 Letters Measured Twice During a 6-month Period [Baseline through 36 months]

      SMVL is defined as a ≥15-letter decrease from baseline in best-corrected Early Treatment Diabetic Retinopathy Study (ETDRS) visual acuity (VA) that the participant sustained during the last 6 months of study participation (Months 30-36). Participants who discontinued the study early may have had SMVL if there was a 6-month period of ≥15 letters lost in VA ending with the last visit at which VA was assessed. ETDRS visual acuity uses an eye chart with 5 letters per line. The scores range from 0 (no letters read correctly) to 100 (all letters read correctly). Percentage of participants = (number of participants who had SMVL) / (number of participants who were randomized) * 100.

    Secondary Outcome Measures

    1. Percentage of Participants Who Developed Center Involved or Imminently Threatened Diabetic Macular Edema (DME) [Baseline through 36 months]

      DME is the accumulation of extracellular fluid in the retinal tissue of the macular area, which can reduce the ability for fine visual discrimination. Percentage of participants = (number of participants who developed center involved or imminently threatened DME) / (number of participants who had no center involved or imminently threatened DME at baseline) * 100.

    2. Percentage of Participants Who Experienced the Development of Proliferative Diabetic Retinopathy (PDR) [Baseline through 36 months]

      Percentage of participants = (number of participants who experienced the development of PDR) / (number of participants who were randomized) * 100.

    3. Change From Baseline up to 36 Months in the National Eye Institute Visual Function Questionnaire-25 (NEI-VFQ-25) [Baseline, up to 36 months]

      NEI-VFQ-25 consisted of 25 questions and was used to measure the influence of visual disability and symptoms on general health of participants. The possible total score range for the NEI-VFQ-25 was from 0 (worst possible outcome) to 100 (best possible outcome).

    4. Change From Baseline up to 36 Months in Mental and Physical Components of the Medical Outcomes Study 36-Item Short Form (SF-36) Health Status Questionnaire [Baseline, up to 36 months]

      SF-36 is a health-related survey that assesses participant's quality of life and consists of 36 questions. There are 2 component scores, mental component score (MCS) and physical component score (PCS). MCS score consisted of social functioning, vitality, mental health, and role-emotional scales. PCS score consisted of physical functioning, bodily pain, role-physical, and general health scales. Both MCS and PCS have scores ranging from 0 to 100 with higher scores indicating better mental or physical health.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • Type 1 or Type 2 diabetes mellitus

    • 18 years or older

    • Meet specific requirements for diabetic retinopathy

    • Free of severe or chronically disabling conditions, except diabetes, diabetic retinopathy and diabetic macular edema

    • Hemoglobin A1c (HbA1C) ≤13.0%

    Exclusion Criteria:
    • History of panretinal photocoagulation for diabetic retinopathy, conditions that might affect the progression of diabetic retinopathy, or unstable angina

    • Investigators, site personnel directly affiliated with the study and their families

    • Presence of eye disorders that may affect the progression of diabetic retinopathy or cause vision loss

    • Presence of medical disorder, cancer, or elevated laboratory measurements that could represent a safety risk during the study

    • Women who are pregnant, breastfeeding, intend to become pregnant, or who are sexually active without using an acceptable method of birth control

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern time (UTC/GMT -5 hours, EST) or speak with your personal physician. Indianapolis Indiana United States

    Sponsors and Collaborators

    • Chromaderm, Inc.

    Investigators

    • Study Director: Karl Beutner, Chromaderm, Inc.

    Study Documents (Full-Text)

    None provided.

    More Information

    Additional Information:

    Publications

    None provided.
    Responsible Party:
    Chromaderm, Inc.
    ClinicalTrials.gov Identifier:
    NCT00604383
    Other Study ID Numbers:
    • 4743
    • B7A-MC-MBCM
    First Posted:
    Jan 30, 2008
    Last Update Posted:
    Oct 6, 2016
    Last Verified:
    Aug 1, 2016
    Additional relevant MeSH terms:

    Study Results

    Participant Flow

    Recruitment Details
    Pre-assignment Detail This study consisted of a 36-month treatment phase and a 0 to 6-month extended treatment phase. Completers are those who completed the 36-month treatment phase.
    Arm/Group Title Ruboxistaurin Placebo
    Arm/Group Description One 32-milligram (mg) tablet, orally, daily, for up to 42 months 1 tablet, orally, daily, for up to 42 months
    Period Title: Overall Study
    STARTED 345 340
    Received at Least 1 Dose of Study Drug 345 340
    Received Extended Treatment 136 141
    COMPLETED 258 256
    NOT COMPLETED 87 84

    Baseline Characteristics

    Arm/Group Title Ruboxistaurin Placebo Total
    Arm/Group Description One 32-mg tablet, orally, daily, for up to 42 months 1 tablet, orally, daily, for up to 42 months Total of all reporting groups
    Overall Participants 345 340 685
    Age (years) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [years]
    59.48
    (10.91)
    59.18
    (10.61)
    59.33
    (10.76)
    Sex: Female, Male (Count of Participants)
    Female
    130
    37.7%
    122
    35.9%
    252
    36.8%
    Male
    215
    62.3%
    218
    64.1%
    433
    63.2%
    Race/Ethnicity, Customized (participants) [Number]
    African Descent
    43
    12.5%
    27
    7.9%
    70
    10.2%
    Caucasian
    259
    75.1%
    273
    80.3%
    532
    77.7%
    East/Southeast Asian
    15
    4.3%
    12
    3.5%
    27
    3.9%
    Hispanic
    18
    5.2%
    20
    5.9%
    38
    5.5%
    Other
    9
    2.6%
    8
    2.4%
    17
    2.5%
    Western Asian
    1
    0.3%
    0
    0%
    1
    0.1%
    Region of Enrollment (participants) [Number]
    United States
    345
    100%
    340
    100%
    685
    100%

    Outcome Measures

    1. Primary Outcome
    Title Percentage of Participants Who Had Sustained Moderate Visual Loss (SMVL) as Defined as a Visual Acuity Loss of ≥15 Letters Measured Twice During a 6-month Period
    Description SMVL is defined as a ≥15-letter decrease from baseline in best-corrected Early Treatment Diabetic Retinopathy Study (ETDRS) visual acuity (VA) that the participant sustained during the last 6 months of study participation (Months 30-36). Participants who discontinued the study early may have had SMVL if there was a 6-month period of ≥15 letters lost in VA ending with the last visit at which VA was assessed. ETDRS visual acuity uses an eye chart with 5 letters per line. The scores range from 0 (no letters read correctly) to 100 (all letters read correctly). Percentage of participants = (number of participants who had SMVL) / (number of participants who were randomized) * 100.
    Time Frame Baseline through 36 months

    Outcome Measure Data

    Analysis Population Description
    All randomized participants.
    Arm/Group Title Ruboxistaurin Placebo
    Arm/Group Description One 32-mg tablet, orally, daily, for 36 months 1 tablet, orally, daily, for 36 months
    Measure Participants 345 340
    Number [percentage of participants]
    5.5
    1.6%
    9.1
    2.7%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Ruboxistaurin, Placebo
    Comments
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.034
    Comments
    Method Cochran-Mantel-Haenszel
    Comments
    2. Secondary Outcome
    Title Percentage of Participants Who Developed Center Involved or Imminently Threatened Diabetic Macular Edema (DME)
    Description DME is the accumulation of extracellular fluid in the retinal tissue of the macular area, which can reduce the ability for fine visual discrimination. Percentage of participants = (number of participants who developed center involved or imminently threatened DME) / (number of participants who had no center involved or imminently threatened DME at baseline) * 100.
    Time Frame Baseline through 36 months

    Outcome Measure Data

    Analysis Population Description
    All randomized participants who had no center involved or imminently threatened DME at baseline.
    Arm/Group Title Ruboxistaurin Placebo
    Arm/Group Description One 32-mg tablet, orally, daily, for 36 months 1 tablet, orally, daily, for 36 months
    Measure Participants 248 249
    Number [percentage of participants]
    44.4
    12.9%
    49.0
    14.4%
    3. Secondary Outcome
    Title Percentage of Participants Who Experienced the Development of Proliferative Diabetic Retinopathy (PDR)
    Description Percentage of participants = (number of participants who experienced the development of PDR) / (number of participants who were randomized) * 100.
    Time Frame Baseline through 36 months

    Outcome Measure Data

    Analysis Population Description
    All randomized participants.
    Arm/Group Title Ruboxistaurin Placebo
    Arm/Group Description One 32-mg tablet, orally, daily, for 36 months 1 tablet, orally, daily, for 36 months
    Measure Participants 345 340
    Number [percentage of participants]
    35.9
    10.4%
    36.5
    10.7%
    4. Secondary Outcome
    Title Change From Baseline up to 36 Months in the National Eye Institute Visual Function Questionnaire-25 (NEI-VFQ-25)
    Description NEI-VFQ-25 consisted of 25 questions and was used to measure the influence of visual disability and symptoms on general health of participants. The possible total score range for the NEI-VFQ-25 was from 0 (worst possible outcome) to 100 (best possible outcome).
    Time Frame Baseline, up to 36 months

    Outcome Measure Data

    Analysis Population Description
    All randomized participants with evaluable NEI-VFQ-25 total score. Last Observation Carried Forward (LOCF) was used to impute missing post-baseline values.
    Arm/Group Title Ruboxistaurin Placebo
    Arm/Group Description One 32-mg tablet, orally, daily, for 36 months 1 tablet, orally, daily, for 36 months
    Measure Participants 290 289
    Mean (Standard Deviation) [units on a scale]
    -3.82
    (14.75)
    -4.10
    (13.45)
    5. Secondary Outcome
    Title Change From Baseline up to 36 Months in Mental and Physical Components of the Medical Outcomes Study 36-Item Short Form (SF-36) Health Status Questionnaire
    Description SF-36 is a health-related survey that assesses participant's quality of life and consists of 36 questions. There are 2 component scores, mental component score (MCS) and physical component score (PCS). MCS score consisted of social functioning, vitality, mental health, and role-emotional scales. PCS score consisted of physical functioning, bodily pain, role-physical, and general health scales. Both MCS and PCS have scores ranging from 0 to 100 with higher scores indicating better mental or physical health.
    Time Frame Baseline, up to 36 months

    Outcome Measure Data

    Analysis Population Description
    All randomized participants with evaluable SF-36 MCS and PCS. LOCF was used to impute missing post-baseline values
    Arm/Group Title Ruboxistaurin Placebo
    Arm/Group Description One 32-mg tablet, orally, daily, for 36 months 1 tablet, orally, daily, for 36 months
    Measure Participants 290 289
    MCS
    -12.21
    (70.91)
    -19.85
    (70.05)
    PCS
    -30.63
    (84.92)
    -29.15
    (79.41)

    Adverse Events

    Time Frame
    Adverse Event Reporting Description
    Arm/Group Title Ruboxistaurin Placebo
    Arm/Group Description One 32-mg tablet, orally, daily, for up to 42 months 1 tablet, orally, daily, for up to 42 months
    All Cause Mortality
    Ruboxistaurin Placebo
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total / (NaN) / (NaN)
    Serious Adverse Events
    Ruboxistaurin Placebo
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 145/345 (42%) 157/340 (46.2%)
    Blood and lymphatic system disorders
    Anaemia 9/345 (2.6%) 10 13/340 (3.8%) 13
    Hypersplenism 1/345 (0.3%) 1 0/340 (0%) 0
    Idiopathic thrombocytopenic purpura 0/345 (0%) 0 1/340 (0.3%) 1
    Lymphadenopathy 0/345 (0%) 0 1/340 (0.3%) 1
    Normochromic normocytic anaemia 0/345 (0%) 0 1/340 (0.3%) 2
    Pancytopenia 1/345 (0.3%) 1 0/340 (0%) 0
    Thrombocytopenia 1/345 (0.3%) 1 1/340 (0.3%) 1
    Cardiac disorders
    Acute coronary syndrome 2/345 (0.6%) 2 2/340 (0.6%) 2
    Acute myocardial infarction 5/345 (1.4%) 5 6/340 (1.8%) 6
    Angina pectoris 2/345 (0.6%) 2 0/340 (0%) 0
    Angina unstable 5/345 (1.4%) 6 4/340 (1.2%) 4
    Aortic valve disease mixed 0/345 (0%) 0 1/340 (0.3%) 1
    Arrhythmia supraventricular 0/345 (0%) 0 1/340 (0.3%) 1
    Atrial fibrillation 5/345 (1.4%) 5 11/340 (3.2%) 11
    Atrial flutter 1/345 (0.3%) 1 1/340 (0.3%) 1
    Atrioventricular block complete 1/345 (0.3%) 1 0/340 (0%) 0
    Atrioventricular block second degree 2/345 (0.6%) 2 1/340 (0.3%) 1
    Bradycardia 3/345 (0.9%) 3 1/340 (0.3%) 1
    Cardiac arrest 2/345 (0.6%) 2 5/340 (1.5%) 5
    Cardiac failure chronic 0/345 (0%) 0 1/340 (0.3%) 1
    Cardiac failure congestive 25/345 (7.2%) 38 19/340 (5.6%) 26
    Cardio-respiratory arrest 2/345 (0.6%) 2 1/340 (0.3%) 1
    Cardiomyopathy 1/345 (0.3%) 1 0/340 (0%) 0
    Cor pulmonale chronic 1/345 (0.3%) 1 0/340 (0%) 0
    Coronary artery atherosclerosis 1/345 (0.3%) 1 1/340 (0.3%) 2
    Coronary artery disease 30/345 (8.7%) 38 30/340 (8.8%) 33
    Coronary artery insufficiency 0/345 (0%) 0 1/340 (0.3%) 1
    Coronary artery occlusion 1/345 (0.3%) 1 3/340 (0.9%) 3
    Hypertensive cardiomyopathy 0/345 (0%) 0 1/340 (0.3%) 1
    Ischaemic cardiomyopathy 1/345 (0.3%) 1 2/340 (0.6%) 2
    Mitral valve incompetence 1/345 (0.3%) 1 0/340 (0%) 0
    Myocardial infarction 4/345 (1.2%) 4 13/340 (3.8%) 16
    Pericardial effusion 2/345 (0.6%) 2 0/340 (0%) 0
    Pericarditis 2/345 (0.6%) 2 0/340 (0%) 0
    Right ventricular failure 0/345 (0%) 0 1/340 (0.3%) 1
    Sick sinus syndrome 0/345 (0%) 0 2/340 (0.6%) 2
    Sinus bradycardia 0/345 (0%) 0 1/340 (0.3%) 1
    Tachycardia 1/345 (0.3%) 1 0/340 (0%) 0
    Torsade de pointes 1/345 (0.3%) 1 0/340 (0%) 0
    Tricuspid valve incompetence 1/345 (0.3%) 1 0/340 (0%) 0
    Ventricular tachycardia 2/345 (0.6%) 3 2/340 (0.6%) 2
    Ear and labyrinth disorders
    Hearing impaired 0/345 (0%) 0 1/340 (0.3%) 1
    Inner ear disorder 0/345 (0%) 0 1/340 (0.3%) 1
    Vestibular neuronitis 0/345 (0%) 0 1/340 (0.3%) 1
    Endocrine disorders
    Hyperthyroidism 0/345 (0%) 0 1/340 (0.3%) 1
    Eye disorders
    Cataract 0/345 (0%) 0 1/340 (0.3%) 2
    Endophthalmitis 1/345 (0.3%) 1 0/340 (0%) 0
    Maculopathy 1/345 (0.3%) 1 0/340 (0%) 0
    Retinal artery occlusion 0/345 (0%) 0 1/340 (0.3%) 3
    Retinal detachment 0/345 (0%) 0 4/340 (1.2%) 4
    Retinal neovascularisation 0/345 (0%) 0 1/340 (0.3%) 1
    Retinal tear 1/345 (0.3%) 1 0/340 (0%) 0
    Retinal vein occlusion 0/345 (0%) 0 1/340 (0.3%) 1
    Visual acuity reduced 0/345 (0%) 0 1/340 (0.3%) 3
    Vitreous haemorrhage 1/345 (0.3%) 1 3/340 (0.9%) 5
    Gastrointestinal disorders
    Abdominal pain 1/345 (0.3%) 1 1/340 (0.3%) 1
    Abdominal pain upper 1/345 (0.3%) 1 0/340 (0%) 0
    Abdominal strangulated hernia 0/345 (0%) 0 1/340 (0.3%) 1
    Ascites 2/345 (0.6%) 2 0/340 (0%) 0
    Coeliac disease 1/345 (0.3%) 1 0/340 (0%) 0
    Colitis ischaemic 0/345 (0%) 0 2/340 (0.6%) 3
    Colitis ulcerative 1/345 (0.3%) 1 1/340 (0.3%) 2
    Colonic haemorrhage 1/345 (0.3%) 1 0/340 (0%) 0
    Diabetic gastroparesis 2/345 (0.6%) 2 0/340 (0%) 0
    Diarrhoea 0/345 (0%) 0 4/340 (1.2%) 4
    Duodenal ulcer haemorrhage 0/345 (0%) 0 1/340 (0.3%) 1
    Duodenitis 0/345 (0%) 0 1/340 (0.3%) 1
    Dysphagia 0/345 (0%) 0 1/340 (0.3%) 1
    Gastric ulcer haemorrhage 0/345 (0%) 0 1/340 (0.3%) 1
    Gastritis 1/345 (0.3%) 1 1/340 (0.3%) 1
    Gastritis erosive 1/345 (0.3%) 1 0/340 (0%) 0
    Gastrointestinal haemorrhage 0/345 (0%) 0 3/340 (0.9%) 4
    Gastrointestinal inflammation 0/345 (0%) 0 1/340 (0.3%) 1
    Gastrooesophageal reflux disease 1/345 (0.3%) 1 0/340 (0%) 0
    Haematochezia 0/345 (0%) 0 2/340 (0.6%) 2
    Haemorrhoids 1/345 (0.3%) 1 0/340 (0%) 0
    Hypoaesthesia oral 1/345 (0.3%) 1 0/340 (0%) 0
    Ileus 1/345 (0.3%) 1 0/340 (0%) 0
    Intestinal obstruction 1/345 (0.3%) 1 0/340 (0%) 0
    Lower gastrointestinal haemorrhage 0/345 (0%) 0 2/340 (0.6%) 2
    Mallory-weiss syndrome 1/345 (0.3%) 1 0/340 (0%) 0
    Nausea 1/345 (0.3%) 1 0/340 (0%) 0
    Oesophagitis 1/345 (0.3%) 1 2/340 (0.6%) 2
    Pancreatitis 3/345 (0.9%) 3 2/340 (0.6%) 2
    Pancreatitis acute 1/345 (0.3%) 1 0/340 (0%) 0
    Peptic ulcer 0/345 (0%) 0 1/340 (0.3%) 1
    Small intestinal obstruction 0/345 (0%) 0 2/340 (0.6%) 2
    Umbilical hernia 1/345 (0.3%) 1 0/340 (0%) 0
    Upper gastrointestinal haemorrhage 1/345 (0.3%) 1 0/340 (0%) 0
    Uvulitis 1/345 (0.3%) 1 0/340 (0%) 0
    Vomiting 1/345 (0.3%) 1 1/340 (0.3%) 1
    General disorders
    Asthenia 1/345 (0.3%) 1 1/340 (0.3%) 1
    Chest pain 10/345 (2.9%) 12 4/340 (1.2%) 4
    Death 0/345 (0%) 0 2/340 (0.6%) 2
    Generalised oedema 0/345 (0%) 0 1/340 (0.3%) 1
    Impaired healing 0/345 (0%) 0 1/340 (0.3%) 1
    Multi-organ failure 1/345 (0.3%) 1 0/340 (0%) 0
    Non-cardiac chest pain 4/345 (1.2%) 4 5/340 (1.5%) 6
    Pyrexia 1/345 (0.3%) 1 1/340 (0.3%) 1
    Sudden death 0/345 (0%) 0 1/340 (0.3%) 1
    Hepatobiliary disorders
    Cholecystitis 1/345 (0.3%) 1 1/340 (0.3%) 1
    Cholecystitis acute 0/345 (0%) 0 1/340 (0.3%) 1
    Cholecystitis chronic 0/345 (0%) 0 2/340 (0.6%) 2
    Cholelithiasis 3/345 (0.9%) 3 5/340 (1.5%) 5
    Hepatic cirrhosis 2/345 (0.6%) 2 0/340 (0%) 0
    Hepatic failure 1/345 (0.3%) 1 0/340 (0%) 0
    Hepatic steatosis 1/345 (0.3%) 1 0/340 (0%) 0
    Portal hypertensive gastropathy 1/345 (0.3%) 1 0/340 (0%) 0
    Immune system disorders
    Allergy to arthropod sting 1/345 (0.3%) 1 0/340 (0%) 0
    Infections and infestations
    Abdominal abscess 0/345 (0%) 0 1/340 (0.3%) 1
    Abdominal infection 0/345 (0%) 0 1/340 (0.3%) 1
    Abscess 1/345 (0.3%) 1 0/340 (0%) 0
    Abscess limb 2/345 (0.6%) 2 3/340 (0.9%) 3
    Abscess neck 1/345 (0.3%) 1 0/340 (0%) 0
    Acute tonsillitis 1/345 (0.3%) 1 0/340 (0%) 0
    Appendicitis 2/345 (0.6%) 2 1/340 (0.3%) 1
    Bacteraemia 0/345 (0%) 0 2/340 (0.6%) 2
    Bronchitis 1/345 (0.3%) 1 2/340 (0.6%) 2
    Bronchitis acute 1/345 (0.3%) 1 1/340 (0.3%) 1
    Cellulitis 12/345 (3.5%) 16 12/340 (3.5%) 13
    Clostridium colitis 4/345 (1.2%) 4 2/340 (0.6%) 2
    Cystitis 0/345 (0%) 0 1/340 (0.3%) 1
    Diabetic foot infection 0/345 (0%) 0 1/340 (0.3%) 1
    Diarrhoea infectious 1/345 (0.3%) 1 0/340 (0%) 0
    Diverticulitis 3/345 (0.9%) 3 0/340 (0%) 0
    Endocarditis 1/345 (0.3%) 1 0/340 (0%) 0
    Enterococcal infection 1/345 (0.3%) 1 0/340 (0%) 0
    Fungal cystitis 0/345 (0%) 0 1/340 (0.3%) 1
    Gangrene 2/345 (0.6%) 2 3/340 (0.9%) 4
    Gastroenteritis 1/345 (0.3%) 1 1/340 (0.3%) 1
    Gastroenteritis viral 2/345 (0.6%) 2 0/340 (0%) 0
    Gastrointestinal infection 0/345 (0%) 0 1/340 (0.3%) 1
    Herpes zoster 0/345 (0%) 0 1/340 (0.3%) 1
    Influenza 0/345 (0%) 0 1/340 (0.3%) 1
    Localised infection 2/345 (0.6%) 2 2/340 (0.6%) 2
    Mastoiditis 1/345 (0.3%) 1 0/340 (0%) 0
    Meningitis viral 1/345 (0.3%) 1 0/340 (0%) 0
    Necrotising fasciitis 2/345 (0.6%) 2 0/340 (0%) 0
    Oesophageal candidiasis 1/345 (0.3%) 1 0/340 (0%) 0
    Osteomyelitis 8/345 (2.3%) 9 6/340 (1.8%) 9
    Otitis externa 1/345 (0.3%) 1 0/340 (0%) 0
    Paronychia 0/345 (0%) 0 1/340 (0.3%) 1
    Parotitis 1/345 (0.3%) 1 1/340 (0.3%) 1
    Perirectal abscess 0/345 (0%) 0 1/340 (0.3%) 1
    Pneumonia 14/345 (4.1%) 15 13/340 (3.8%) 15
    Post procedural cellulitis 1/345 (0.3%) 1 0/340 (0%) 0
    Postoperative infection 1/345 (0.3%) 1 3/340 (0.9%) 3
    Pseudomonas infection 0/345 (0%) 0 1/340 (0.3%) 1
    Pyelonephritis 3/345 (0.9%) 3 2/340 (0.6%) 2
    Sepsis 4/345 (1.2%) 4 4/340 (1.2%) 4
    Septic embolus 1/345 (0.3%) 1 0/340 (0%) 0
    Sinusitis 1/345 (0.3%) 1 0/340 (0%) 0
    Staphylococcal bacteraemia 0/345 (0%) 0 1/340 (0.3%) 1
    Staphylococcal infection 2/345 (0.6%) 2 2/340 (0.6%) 3
    Staphylococcal sepsis 0/345 (0%) 0 1/340 (0.3%) 1
    Streptococcal bacteraemia 0/345 (0%) 0 1/340 (0.3%) 1
    Urinary tract infection 2/345 (0.6%) 2 5/340 (1.5%) 5
    Urinary tract infection enterococcal 1/345 (0.3%) 1 0/340 (0%) 0
    Urosepsis 1/345 (0.3%) 1 4/340 (1.2%) 5
    Wound infection 2/345 (0.6%) 2 1/340 (0.3%) 1
    Wound infection staphylococcal 1/345 (0.3%) 1 0/340 (0%) 0
    Injury, poisoning and procedural complications
    Ankle fracture 1/345 (0.3%) 1 0/340 (0%) 0
    Brain contusion 1/345 (0.3%) 1 0/340 (0%) 0
    Chemical burn of skin 1/345 (0.3%) 1 0/340 (0%) 0
    Clavicle fracture 1/345 (0.3%) 1 0/340 (0%) 0
    Closed head injury 0/345 (0%) 0 1/340 (0.3%) 1
    Contusion 0/345 (0%) 0 1/340 (0.3%) 1
    Dislocation of joint prosthesis 0/345 (0%) 0 1/340 (0.3%) 1
    Drug toxicity 1/345 (0.3%) 1 0/340 (0%) 0
    Facial bones fracture 1/345 (0.3%) 1 0/340 (0%) 0
    Fall 6/345 (1.7%) 6 5/340 (1.5%) 5
    Femoral neck fracture 0/345 (0%) 0 1/340 (0.3%) 1
    Femur fracture 0/345 (0%) 0 1/340 (0.3%) 1
    Fibula fracture 0/345 (0%) 0 1/340 (0.3%) 1
    Foot fracture 0/345 (0%) 0 1/340 (0.3%) 1
    Forearm fracture 1/345 (0.3%) 1 0/340 (0%) 0
    Haemothorax 1/345 (0.3%) 1 0/340 (0%) 0
    Head injury 0/345 (0%) 0 1/340 (0.3%) 1
    Hip fracture 1/345 (0.3%) 1 4/340 (1.2%) 4
    Humerus fracture 1/345 (0.3%) 1 1/340 (0.3%) 1
    Joint dislocation 0/345 (0%) 0 1/340 (0.3%) 1
    Lower limb fracture 0/345 (0%) 0 1/340 (0.3%) 1
    Lung injury 1/345 (0.3%) 1 0/340 (0%) 0
    Meniscus lesion 1/345 (0.3%) 1 0/340 (0%) 0
    Patella fracture 1/345 (0.3%) 1 0/340 (0%) 0
    Post procedural haematoma 1/345 (0.3%) 1 0/340 (0%) 0
    Post procedural haemorrhage 0/345 (0%) 0 1/340 (0.3%) 1
    Procedural hypertension 1/345 (0.3%) 1 0/340 (0%) 0
    Radius fracture 1/345 (0.3%) 1 0/340 (0%) 0
    Rib fracture 1/345 (0.3%) 1 0/340 (0%) 0
    Road traffic accident 1/345 (0.3%) 1 4/340 (1.2%) 4
    Scapula fracture 1/345 (0.3%) 1 0/340 (0%) 0
    Shunt occlusion 1/345 (0.3%) 1 0/340 (0%) 0
    Skin laceration 1/345 (0.3%) 1 0/340 (0%) 0
    Subdural haematoma 1/345 (0.3%) 1 0/340 (0%) 0
    Therapeutic agent toxicity 0/345 (0%) 0 1/340 (0.3%) 1
    Ulna fracture 1/345 (0.3%) 1 0/340 (0%) 0
    Vascular graft occlusion 0/345 (0%) 0 1/340 (0.3%) 1
    Wound dehiscence 1/345 (0.3%) 1 0/340 (0%) 0
    Investigations
    Blood glucose fluctuation 0/345 (0%) 0 1/340 (0.3%) 1
    Blood glucose increased 1/345 (0.3%) 1 1/340 (0.3%) 1
    Blood potassium increased 0/345 (0%) 0 1/340 (0.3%) 1
    Coagulation time abnormal 0/345 (0%) 0 1/340 (0.3%) 1
    Electrocardiogram qt prolonged 1/345 (0.3%) 1 0/340 (0%) 0
    Weight decreased 1/345 (0.3%) 1 0/340 (0%) 0
    Metabolism and nutrition disorders
    Anorexia 1/345 (0.3%) 1 0/340 (0%) 0
    Dehydration 2/345 (0.6%) 3 7/340 (2.1%) 9
    Diabetes mellitus inadequate control 2/345 (0.6%) 4 1/340 (0.3%) 1
    Diabetic foot 1/345 (0.3%) 1 1/340 (0.3%) 1
    Diabetic ketoacidosis 2/345 (0.6%) 2 3/340 (0.9%) 4
    Fluid overload 0/345 (0%) 0 1/340 (0.3%) 1
    Gout 1/345 (0.3%) 1 0/340 (0%) 0
    Hypercalcaemia 1/345 (0.3%) 1 0/340 (0%) 0
    Hyperglycaemia 2/345 (0.6%) 3 1/340 (0.3%) 1
    Hyperkalaemia 1/345 (0.3%) 1 1/340 (0.3%) 1
    Hypoglycaemia 4/345 (1.2%) 4 3/340 (0.9%) 3
    Hypovolaemia 0/345 (0%) 0 1/340 (0.3%) 1
    Ketoacidosis 1/345 (0.3%) 3 0/340 (0%) 0
    Musculoskeletal and connective tissue disorders
    Arthritis 1/345 (0.3%) 1 0/340 (0%) 0
    Arthropathy 0/345 (0%) 0 1/340 (0.3%) 1
    Chest wall pain 1/345 (0.3%) 1 0/340 (0%) 0
    Intervertebral disc disorder 1/345 (0.3%) 1 0/340 (0%) 0
    Intervertebral disc protrusion 2/345 (0.6%) 2 2/340 (0.6%) 2
    Lower limb deformity 0/345 (0%) 0 1/340 (0.3%) 1
    Lumbar spinal stenosis 1/345 (0.3%) 1 1/340 (0.3%) 1
    Monarthritis 1/345 (0.3%) 1 0/340 (0%) 0
    Myositis 1/345 (0.3%) 1 0/340 (0%) 0
    Neuropathic arthropathy 2/345 (0.6%) 3 2/340 (0.6%) 2
    Osteoarthritis 3/345 (0.9%) 3 3/340 (0.9%) 3
    Pain in extremity 0/345 (0%) 0 1/340 (0.3%) 1
    Pathological fracture 0/345 (0%) 0 1/340 (0.3%) 1
    Rotator cuff syndrome 1/345 (0.3%) 1 0/340 (0%) 0
    Spinal column stenosis 0/345 (0%) 0 1/340 (0.3%) 1
    Spinal osteoarthritis 1/345 (0.3%) 1 0/340 (0%) 0
    Tenosynovitis 1/345 (0.3%) 1 0/340 (0%) 0
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Bladder cancer 1/345 (0.3%) 1 0/340 (0%) 0
    Bladder cancer recurrent 0/345 (0%) 0 1/340 (0.3%) 1
    Breast cancer in situ 0/345 (0%) 0 1/340 (0.3%) 1
    Colon cancer 1/345 (0.3%) 1 1/340 (0.3%) 1
    Endometrial cancer 0/130 (0%) 0 1/122 (0.8%) 1
    Gastric cancer 0/345 (0%) 0 1/340 (0.3%) 1
    Malignant melanoma 0/345 (0%) 0 1/340 (0.3%) 1
    Malignant pleural effusion 0/345 (0%) 0 1/340 (0.3%) 1
    Metastases to bone 1/345 (0.3%) 1 0/340 (0%) 0
    Metastases to lymph nodes 1/345 (0.3%) 1 0/340 (0%) 0
    Metastases to pleura 1/345 (0.3%) 1 0/340 (0%) 0
    Metastatic malignant melanoma 2/345 (0.6%) 4 0/340 (0%) 0
    Neoplasm malignant 0/345 (0%) 0 1/340 (0.3%) 1
    Non-small cell lung cancer 1/345 (0.3%) 1 0/340 (0%) 0
    Oesophageal adenocarcinoma metastatic 0/345 (0%) 0 1/340 (0.3%) 1
    Pancreatic carcinoma metastatic 0/345 (0%) 0 2/340 (0.6%) 2
    Prostate cancer 0/215 (0%) 0 1/218 (0.5%) 1
    Renal cell carcinoma stage unspecified 1/345 (0.3%) 1 0/340 (0%) 0
    Spinal meningioma benign 0/345 (0%) 0 1/340 (0.3%) 1
    Squamous endometrial carcinoma 0/345 (0%) 0 1/340 (0.3%) 1
    Nervous system disorders
    Anoxic encephalopathy 1/345 (0.3%) 1 0/340 (0%) 0
    Carotid artery occlusion 0/345 (0%) 0 1/340 (0.3%) 1
    Carotid artery stenosis 3/345 (0.9%) 3 2/340 (0.6%) 2
    Cerebellar haemorrhage 0/345 (0%) 0 1/340 (0.3%) 1
    Cerebral artery occlusion 0/345 (0%) 0 2/340 (0.6%) 2
    Cerebrovascular accident 5/345 (1.4%) 5 8/340 (2.4%) 9
    Cognitive disorder 1/345 (0.3%) 1 0/340 (0%) 0
    Convulsion 1/345 (0.3%) 1 2/340 (0.6%) 2
    Dementia 0/345 (0%) 0 2/340 (0.6%) 2
    Demyelinating polyneuropathy 0/345 (0%) 0 1/340 (0.3%) 1
    Diabetic neuropathy 1/345 (0.3%) 1 1/340 (0.3%) 1
    Dizziness 1/345 (0.3%) 1 4/340 (1.2%) 5
    Embolic stroke 1/345 (0.3%) 1 1/340 (0.3%) 1
    Encephalopathy 0/345 (0%) 0 2/340 (0.6%) 2
    Facial palsy 1/345 (0.3%) 1 0/340 (0%) 0
    Haemorrhage intracranial 1/345 (0.3%) 1 0/340 (0%) 0
    Hemiparesis 1/345 (0.3%) 1 0/340 (0%) 0
    Hepatic encephalopathy 0/345 (0%) 0 1/340 (0.3%) 1
    Intracranial aneurysm 1/345 (0.3%) 1 0/340 (0%) 0
    Intraventricular haemorrhage 1/345 (0.3%) 1 0/340 (0%) 0
    Loss of consciousness 0/345 (0%) 0 1/340 (0.3%) 1
    Migraine 0/345 (0%) 0 1/340 (0.3%) 1
    Neuropathy peripheral 0/345 (0%) 0 1/340 (0.3%) 1
    Paraesthesia 1/345 (0.3%) 1 0/340 (0%) 0
    Radiculopathy 0/345 (0%) 0 1/340 (0.3%) 1
    Subarachnoid haemorrhage 3/345 (0.9%) 3 0/340 (0%) 0
    Syncope 4/345 (1.2%) 5 7/340 (2.1%) 8
    Syncope vasovagal 1/345 (0.3%) 1 0/340 (0%) 0
    Transient ischaemic attack 2/345 (0.6%) 2 1/340 (0.3%) 1
    Tremor 1/345 (0.3%) 1 0/340 (0%) 0
    Psychiatric disorders
    Confusional state 1/345 (0.3%) 1 1/340 (0.3%) 1
    Conversion disorder 0/345 (0%) 0 1/340 (0.3%) 1
    Delirium 1/345 (0.3%) 2 1/340 (0.3%) 1
    Hallucination 1/345 (0.3%) 1 0/340 (0%) 0
    Major depression 0/345 (0%) 0 1/340 (0.3%) 1
    Mental status changes 0/345 (0%) 0 1/340 (0.3%) 1
    Psychotic disorder 0/345 (0%) 0 1/340 (0.3%) 1
    Renal and urinary disorders
    Azotaemia 0/345 (0%) 0 1/340 (0.3%) 1
    Bladder neck obstruction 1/345 (0.3%) 1 0/340 (0%) 0
    Nephrolithiasis 0/345 (0%) 0 2/340 (0.6%) 2
    Obstructive uropathy 1/345 (0.3%) 1 0/340 (0%) 0
    Renal artery stenosis 2/345 (0.6%) 2 0/340 (0%) 0
    Renal failure 3/345 (0.9%) 3 6/340 (1.8%) 6
    Renal failure acute 14/345 (4.1%) 18 12/340 (3.5%) 12
    Renal failure chronic 9/345 (2.6%) 12 5/340 (1.5%) 6
    Renal tubular necrosis 1/345 (0.3%) 1 0/340 (0%) 0
    Urinary retention 2/345 (0.6%) 2 1/340 (0.3%) 1
    Reproductive system and breast disorders
    Benign prostatic hyperplasia 1/215 (0.5%) 1 0/218 (0%) 0
    Priapism 0/215 (0%) 0 1/218 (0.5%) 1
    Respiratory, thoracic and mediastinal disorders
    Acute pulmonary oedema 0/345 (0%) 0 1/340 (0.3%) 1
    Acute respiratory failure 0/345 (0%) 0 1/340 (0.3%) 1
    Asthma 2/345 (0.6%) 3 1/340 (0.3%) 1
    Chronic obstructive airways disease exacerbated 0/345 (0%) 0 2/340 (0.6%) 3
    Chronic obstructive pulmonary disease 3/345 (0.9%) 3 2/340 (0.6%) 2
    Dyspnoea 3/345 (0.9%) 3 2/340 (0.6%) 2
    Hydrothorax 1/345 (0.3%) 1 0/340 (0%) 0
    Hypercapnia 1/345 (0.3%) 1 0/340 (0%) 0
    Hypoxia 2/345 (0.6%) 2 0/340 (0%) 0
    Obstructive airways disorder 1/345 (0.3%) 1 0/340 (0%) 0
    Pleural effusion 3/345 (0.9%) 5 3/340 (0.9%) 3
    Pneumonia aspiration 0/345 (0%) 0 2/340 (0.6%) 2
    Pneumonitis 0/345 (0%) 0 1/340 (0.3%) 1
    Pneumothorax 0/345 (0%) 0 1/340 (0.3%) 2
    Pulmonary embolism 2/345 (0.6%) 2 4/340 (1.2%) 4
    Pulmonary hypertension 1/345 (0.3%) 1 2/340 (0.6%) 2
    Pulmonary oedema 2/345 (0.6%) 2 1/340 (0.3%) 1
    Respiratory arrest 1/345 (0.3%) 1 1/340 (0.3%) 1
    Respiratory distress 1/345 (0.3%) 1 0/340 (0%) 0
    Respiratory failure 3/345 (0.9%) 3 3/340 (0.9%) 3
    Restrictive pulmonary disease 1/345 (0.3%) 1 0/340 (0%) 0
    Sleep apnoea syndrome 0/345 (0%) 0 1/340 (0.3%) 1
    Skin and subcutaneous tissue disorders
    Decubitus ulcer 0/345 (0%) 0 2/340 (0.6%) 3
    Diabetic ulcer 1/345 (0.3%) 1 0/340 (0%) 0
    Skin ulcer 2/345 (0.6%) 3 7/340 (2.1%) 7
    Surgical and medical procedures
    Cardiac pacemaker insertion 0/345 (0%) 0 1/340 (0.3%) 1
    Carotid endarterectomy 0/345 (0%) 0 1/340 (0.3%) 1
    Mastectomy 0/345 (0%) 0 1/340 (0.3%) 1
    Vascular disorders
    Aortic stenosis 1/345 (0.3%) 1 1/340 (0.3%) 1
    Blood pressure inadequately controlled 1/345 (0.3%) 1 0/340 (0%) 0
    Deep vein thrombosis 3/345 (0.9%) 3 3/340 (0.9%) 4
    Femoral artery occlusion 0/345 (0%) 0 1/340 (0.3%) 1
    Haematoma 2/345 (0.6%) 2 1/340 (0.3%) 1
    Hypertension 7/345 (2%) 8 8/340 (2.4%) 9
    Hypertensive emergency 1/345 (0.3%) 1 0/340 (0%) 0
    Hypoperfusion 0/345 (0%) 0 1/340 (0.3%) 1
    Hypotension 4/345 (1.2%) 4 2/340 (0.6%) 2
    Orthostatic hypotension 3/345 (0.9%) 4 3/340 (0.9%) 4
    Peripheral embolism 1/345 (0.3%) 1 0/340 (0%) 0
    Peripheral occlusive disease 1/345 (0.3%) 1 0/340 (0%) 0
    Peripheral vascular disorder 3/345 (0.9%) 3 3/340 (0.9%) 3
    Shock 0/345 (0%) 0 1/340 (0.3%) 1
    Subclavian vein thrombosis 0/345 (0%) 0 1/340 (0.3%) 1
    Other (Not Including Serious) Adverse Events
    Ruboxistaurin Placebo
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 314/345 (91%) 322/340 (94.7%)
    Blood and lymphatic system disorders
    Anaemia 30/345 (8.7%) 33 36/340 (10.6%) 37
    Eye disorders
    Dry eye 17/345 (4.9%) 19 19/340 (5.6%) 21
    Eye pain 22/345 (6.4%) 30 18/340 (5.3%) 28
    Maculopathy 14/345 (4.1%) 19 17/340 (5%) 17
    Vision blurred 18/345 (5.2%) 22 19/340 (5.6%) 26
    Visual disturbance 19/345 (5.5%) 26 20/340 (5.9%) 26
    Vitreous floaters 19/345 (5.5%) 26 15/340 (4.4%) 17
    Vitreous haemorrhage 17/345 (4.9%) 20 20/340 (5.9%) 24
    Gastrointestinal disorders
    Constipation 21/345 (6.1%) 24 21/340 (6.2%) 22
    Diarrhoea 32/345 (9.3%) 37 40/340 (11.8%) 104
    Dyspepsia 19/345 (5.5%) 22 12/340 (3.5%) 13
    Gastrooesophageal reflux disease 27/345 (7.8%) 27 21/340 (6.2%) 21
    Nausea 26/345 (7.5%) 33 37/340 (10.9%) 46
    Vomiting 20/345 (5.8%) 24 33/340 (9.7%) 56
    General disorders
    Asthenia 18/345 (5.2%) 30 17/340 (5%) 19
    Chest pain 17/345 (4.9%) 24 22/340 (6.5%) 32
    Fatigue 19/345 (5.5%) 23 19/340 (5.6%) 21
    Oedema peripheral 61/345 (17.7%) 73 67/340 (19.7%) 99
    Pyrexia 19/345 (5.5%) 26 16/340 (4.7%) 20
    Infections and infestations
    Bronchitis 24/345 (7%) 30 29/340 (8.5%) 38
    Influenza 44/345 (12.8%) 55 45/340 (13.2%) 49
    Localised infection 21/345 (6.1%) 29 22/340 (6.5%) 29
    Nasopharyngitis 59/345 (17.1%) 91 67/340 (19.7%) 112
    Onychomycosis 18/345 (5.2%) 19 18/340 (5.3%) 19
    Pneumonia 11/345 (3.2%) 12 17/340 (5%) 19
    Sinusitis 25/345 (7.2%) 38 32/340 (9.4%) 43
    Upper respiratory tract infection 23/345 (6.7%) 29 35/340 (10.3%) 51
    Urinary tract infection 25/345 (7.2%) 33 31/340 (9.1%) 44
    Injury, poisoning and procedural complications
    Contusion 12/345 (3.5%) 19 23/340 (6.8%) 26
    Fall 18/345 (5.2%) 19 17/340 (5%) 23
    Investigations
    Blood cholesterol increased 25/345 (7.2%) 25 16/340 (4.7%) 16
    Cardiac murmur 26/345 (7.5%) 26 21/340 (6.2%) 22
    Metabolism and nutrition disorders
    Hypercholesterolaemia 30/345 (8.7%) 30 28/340 (8.2%) 28
    Obesity 14/345 (4.1%) 14 18/340 (5.3%) 18
    Musculoskeletal and connective tissue disorders
    Arthralgia 24/345 (7%) 29 36/340 (10.6%) 44
    Arthritis 8/345 (2.3%) 8 20/340 (5.9%) 23
    Back pain 32/345 (9.3%) 36 27/340 (7.9%) 34
    Joint swelling 27/345 (7.8%) 32 29/340 (8.5%) 39
    Muscle spasms 11/345 (3.2%) 16 18/340 (5.3%) 19
    Pain in extremity 38/345 (11%) 44 35/340 (10.3%) 50
    Shoulder pain 18/345 (5.2%) 23 13/340 (3.8%) 15
    Nervous system disorders
    Dizziness 29/345 (8.4%) 40 27/340 (7.9%) 30
    Headache 33/345 (9.6%) 39 45/340 (13.2%) 59
    Hypoaesthesia 21/345 (6.1%) 23 33/340 (9.7%) 36
    Neuropathy peripheral 19/345 (5.5%) 21 15/340 (4.4%) 15
    Psychiatric disorders
    Anxiety 13/345 (3.8%) 13 18/340 (5.3%) 22
    Depression 28/345 (8.1%) 28 31/340 (9.1%) 33
    Respiratory, thoracic and mediastinal disorders
    Cough 57/345 (16.5%) 78 42/340 (12.4%) 60
    Dyspnoea 29/345 (8.4%) 35 30/340 (8.8%) 33
    Pharyngolaryngeal pain 18/345 (5.2%) 28 29/340 (8.5%) 35
    Skin and subcutaneous tissue disorders
    Skin ulcer 21/345 (6.1%) 25 21/340 (6.2%) 28
    Vascular disorders
    Hypertension 58/345 (16.8%) 58 50/340 (14.7%) 50

    Limitations/Caveats

    [Not Specified]

    More Information

    Certain Agreements

    Principal Investigators are NOT employed by the organization sponsoring the study.

    The only disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is more than 60 days but less than or equal to 180 days. The sponsor cannot require changes to the communication and cannot extend the embargo.

    Results Point of Contact

    Name/Title info@chroma-derm.com
    Organization Chromaderm
    Phone
    Email info@chroma-derm.com
    Responsible Party:
    Chromaderm, Inc.
    ClinicalTrials.gov Identifier:
    NCT00604383
    Other Study ID Numbers:
    • 4743
    • B7A-MC-MBCM
    First Posted:
    Jan 30, 2008
    Last Update Posted:
    Oct 6, 2016
    Last Verified:
    Aug 1, 2016