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CTRI Number  CTRI/2025/12/099694 [Registered on: 23/12/2025] Trial Registered Prospectively
Last Modified On: 22/12/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   Protective effects of Febuxostat in early chronic kidney disease 
Scientific Title of Study   Protective effects of Febuxostat in early CKD: A Randomized Controlled Trial at a tertiary care centre 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Mohammad Shadab Ansari 
Designation  Junior Resident 
Affiliation  Jawaharlal Nehru Medical College 
Address  Department of Medicine, Jawaharlal Nehru Medical College, Aligarh Muslim University
Room 309 Medisa residency dhorra, Aligarh
Aligarh
UTTAR PRADESH
202002
India 
Phone  7800471997  
Fax    
Email  nephilimshadab@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Shahzad Faizul Haque 
Designation  Professor 
Affiliation  Jawaharlal Nehru Medical College 
Address  Jawaharlal Nehru Medical College, Aligarh Muslim University
A 15, Medical Colony, AMU, Aligarh
Aligarh
UTTAR PRADESH
202002
India 
Phone  9412517518  
Fax    
Email  sfhalig@yahoo.co.in  
 
Details of Contact Person
Public Query
 
Name  Mohammad Shadab Ansari 
Designation  Resident 
Affiliation  Jawaharlal Nehru Medical College 
Address  Jawaharlal Nehru Medical College, Aligarh Muslim University
Room 309 Medisa residency dhorra, Aligarh
Aligarh
UTTAR PRADESH
202002
India 
Phone  7800471997  
Fax    
Email  nephilimshadab@gmail.com  
 
Source of Monetary or Material Support  
Jawahar Lal Nehru Medical College and Hospital  
 
Primary Sponsor  
Name  Mohammad Shadab Ansari 
Address  Jawaharlal Nehru Medical College, Aligarh Muslim University 
Type of Sponsor  Government medical college 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Mohammad Shadab Ansari  Jawaharlal Nehru Medical College  OPD 13 and OPD 14, OPD block, Department of Medicine, Jawaharlal Nehru Medical College, Aligarh Muslim University
Aligarh
UTTAR PRADESH 
7800471997

nephilimshadab@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: N181||Chronic kidney disease, stage 1, (2) ICD-10 Condition: N182||Chronic kidney disease, stage 2 (mild), (3) ICD-10 Condition: N183||Chronic kidney disease, stage 3 (moderate),  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Febuxostat 20mg  To be given orally once daily for 3 months 
Intervention  Febuxostat 40mg  To be given orally once daily for 3 months 
Comparator Agent  Placebo  Consisting of Excipients only, to be given orally once daily for 3 months 
 
Inclusion Criteria  
Age From  14.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  Patients with Asymptomatic Hyperuricemia, with CKD stage 3 and below, attending Geneal Medicine/ Nephrology OPD and IPD
Patients with Uric acid concentration 7 to 10 mg/dl
Patients willing to give consent. 
 
ExclusionCriteria 
Details  Patients with history of Gout.
Patients with Alanine or Aspartate aminotransferase level more than 3-fold the upper limit defined at the institution.
Patients on maintenance Hemodialysis therapy or Peritoneal dialysis.
Patients with Kidney transplantation.
Patients taking drugs like Thiazides or loop diuretics.
Pregnant or lactating females
Patients having received Uricosuric drugs in preceding 3 months.  
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   On-site computer system 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
Proportion of Patients showing more than 10 percent decline in eGFR in all 3 groups  Baseline to end of the study period 
 
Secondary Outcome  
Outcome  TimePoints 
Changes in eGFR in the 3 groups  Baseline to end of the study period  
Changes in Uric acid levels of the 3 groups  Baseline to end of the study period 
Development of CKD stage 5  Baseline to end of the study period 
Any Cardiovascular events  Baseline to end of the study period 
 
Target Sample Size   Total Sample Size="177"
Sample Size from India="177" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 3 
Date of First Enrollment (India)   03/01/2026 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - YES
  1. What data in particular will be shared?
    Response - All of the individual participant data collected during the trial, after de-identification.

  2. What additional supporting information will be shared?
    Response -  Study Protocol
    Response -  Statistical Analysis Plan
    Response - Clinical Study Report
    Response -  Analytic Code

  3. Who will be able to view these files?
    Response - Anyone

  4. For what types of analyses will this data be available?
    Response - Any purpose.

  5. By what mechanism will data be made available?
    Response - Proposals should be directed to [nephilimshadab@gmail.com].

  6. For how long will this data be available start date provided 01-09-2026 and end date provided 01-09-2031?
    Response - Immediately following publication. No end date.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - NIL
Brief Summary  
Chronic Kidney Disease (CKD) is defined by reduced renal function (eGFR less than 90 mL/min/1.73 m²) or structural abnormalities lasting at least 3 months. While hyperuricemia is a potential modifiable risk factor for CKD progression, clinical evidence supporting urate-lowering therapy remains insufficient.  
Febuxostat is a xanthine oxidase inhibitor primarily metabolized in the liver, making it safe for patients with low Glomerular Filtration Rates (GFR). Its effect on early kidney damage is currently not well-documented.  
This randomized trial aims to determine if Febuxostat is non-inferior to a placebo in preventing eGFR decline among Indian patients with early CKD and asymptomatic hyperuricemia.  
The study seeks to address gaps regarding the effects of dose modification and potential cardiovascular benefits.
 
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