The REINFORCE trial

Renal protection from intensive blood pressure treatment with Brand X
Trial design
  • Phase 3, multi-center, double-blind RCT conducted globally at over 100 sites
  • Enrolled 1,284 patients with hypertension + non-end stage CKD, randomized 1:1 to Brand X or placebo plus standard of care
  • 48 week study period assessing change in eGFR from baseline
Key Inclusion Criteria:
  • Ages 30-85 years
  • Documented hypertension + CKD (eGFR 25-60 mL/min/1.73m2)
  • Urinary albumin/creatinine ratio ≥ 30 mg/g
Results

The primary endpoint was mean change in eGFR from baseline over 48 weeks. Key results:

  • Brand X group had significantly attenuated eGFR reduction of -3.2 mL/min/1.73m2 compared to placebo group reduction of -5.1 (p<0.001)
  • Albuminuria decreased by 31% with Brand X vs 4% increase with placebo (p<0.05)
  • BP reductions were superior with Brand X supporting renal protection
Conclusion

The REINFORCE trial demonstrated Brand X treatment effectively preserved kidney function and improved markers of renal damage like albuminuria versus standard of care alone in patients with hypertension complicated by moderate CKD.