Effects of the ABCA1 Inducer R3R01 on Albuminuria Levels in Diabetic Kidney Disease
The goal of this clinical trial is to to investigate whether the drug R3R01 has a beneficial effect on the amount of protein excreted in the urine in adult patients (above 18 years of age) with type 2 diabetes and resulting kidney disease. The main questions it aims to answer are: 1. Does 3 months of treatment with 200mg of the drug R3R01 morning and evening have a beneficial effect on the amount of protein excreted in the urine in patients with type 2 diabetes and kidney disease? 2. Does R3R01 have an effect on kidney function and daily blood pressure? Researchers will compare the results of 40 people who take R3R01 to 20 people who receive an inactive substance (placebo). Participants will receive R3R01 or the placebo as an oral tablet and undergo a selection of medical examinations - such as: * blood samples * urine tests * kidney tests involving a radiolabelled marker which is injected into the bloodstream and monitored via blood samples * 24 hour blood pressure monitoring via a wearable device * urine pregnancy test (if applicable)
• Adults (above 18 years of age) with controlled type 2 diabetes (hemoglobin A1c less than 10.5%).
• Stable antihypertensive treatment 4 weeks before start of study drug and throughout study duration.
• Titrated to the maximal dose or maximal tolerated dose of renin-angiotensin blocking treatment.
• Stable treatment with lipid lowering agents for at least 4 weeks.
• People on SGLT2-Inhibitors should be on a stable dose of the drug for at least 3 months.
• UACR \>30 mg/g and \< 5000 mg/g on two consecutive measurements.
• eGFR \>30 ml/min/1.73 m2 (CKD-EPIcrea formula).
• Abdominal obesity Women: \> 88 cm, Men: \> 102 cm or fasting triglyceride \>2.0 mmol/l.
• Systolic blood pressure ≥110 mmHg and ≤160 mmHg.
⁃ Both female patients, as well as female partners of male patients who are of child-bearing potential must be willing to not become pregnant for the complete duration of the study and 90 days after the last dose of study medication.
⁃ Males (including sterilized subjects) whose female partners have child-bearing potential, must agree to use male contraception (condoms) during the period from the time of signing the informed consent form through 90 days after the last dose of study drug. They must agree to immediately inform the investigator if their partner becomes pregnant during the study.