Phase 1 Study of FG-3019 in Subjects With Type 1 or Type 2 Diabetes Mellitus and Diabetic Nephropathy
Primary Purpose
Diabetes Mellitus, Diabetic Nephropathy
Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
FG-3019
FG-3019
FG-3019
Sponsored by
About this trial
This is an interventional treatment trial for Diabetes Mellitus focused on measuring Type 1 or Type 2 diabetes, proteinuria
Eligibility Criteria
Inclusion Criteria:
- Age 18-80 years, inclusive
- Diagnosis of type 1 or type 2 diabetes according to American Diabetes Association (ADA) criteria
- First morning urinary ACR >0.200 g/g
- Receiving stable doses of ACEi and/or ARB therapy prior to Screening
- Estimated glomerular filtration rate of ≥20 and <90 mL/min/1.73 m2
- Willingness to maintain ACEi and/or ARB therapy, and any additional anti-hypertensive therapies to control blood pressure, at a stable dose
- Maintenance of all additional antihypertensive medications, insulin, oral hypoglycemic agents, and cholesterol-lowering medications prior to randomization
Exclusion Criteria:
- Female subjects who are pregnant or breastfeeding
- Organ transplant recipient, previous dialysis, or non-diabetic renal disease other than benign cysts or anatomical variants
- Any history of New York Heart Association (NYHA) class III/IV heart failure (HF)
- Screening electrocardiogram showing acute, clinically significant findings including but not limited to ST depression
- Recent history of serious heart problems (e.g. coronary artery bypass graft, cerebrovascular accident, or myocardial infarction)
- History of cancer in the past 5 years, possibly excluding non-melanomatous skin cancer, localized bladder cancer, or in situ cervical cancer.
- History of allergic or anaphylactic reaction to human, humanized, chimeric or murine monoclonal antibodies
- Participation in other studies of investigational drugs at the time of Screening AND receipt of an investigational drug within 42 days prior to Screening
- Aspartate aminotransferase (AST) or alanine aminotransferase (ALT) >2.5 times the upper limit of normal
- Hemoglobin <10 g/dL
- Positive for HIV (IgG) antibody
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm Type
Placebo Comparator
Experimental
Experimental
Arm Label
A
B
C
Arm Description
Placebo
FG-3019 5 mg/kg
FG-3019 10 mg/kg
Outcomes
Primary Outcome Measures
Safety and tolerability of FG-3019
Secondary Outcome Measures
Pharmacokinetic parameters
Change from baseline in first morning urinary albumin creatinine ratio (ACR)
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT00754143
Brief Title
Phase 1 Study of FG-3019 in Subjects With Type 1 or Type 2 Diabetes Mellitus and Diabetic Nephropathy
Official Title
A Randomized, Double-blind, Placebo-Controlled, Phase 1 Study of Safety, Pharmacokinetics and Pharmacodynamics of FG-3019 in Subjects With Type 1 or Type 2 Diabetes Mellitus and Diabetic Nephropathy on Background ACEi and/or ARB Therapy
Study Type
Interventional
2. Study Status
Record Verification Date
July 2019
Overall Recruitment Status
Completed
Study Start Date
March 2008 (undefined)
Primary Completion Date
December 2009 (Actual)
Study Completion Date
December 2009 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
FibroGen
4. Oversight
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
The purpose of this study is to evaluate the safety and tolerability of two dosing regimens of FG-3019 administered over 12 weeks in patients with diabetic nephropathy and proteinuria on background angiotensin converting enzyme inhibitor (ACEi) and/or angiotensin II receptor antagonist (ARB) therapy.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Diabetes Mellitus, Diabetic Nephropathy
Keywords
Type 1 or Type 2 diabetes, proteinuria
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
38 (Actual)
8. Arms, Groups, and Interventions
Arm Title
A
Arm Type
Placebo Comparator
Arm Description
Placebo
Arm Title
B
Arm Type
Experimental
Arm Description
FG-3019 5 mg/kg
Arm Title
C
Arm Type
Experimental
Arm Description
FG-3019 10 mg/kg
Intervention Type
Drug
Intervention Name(s)
FG-3019
Intervention Description
Placebo every 2 weeks IV for all infusions
Intervention Type
Drug
Intervention Name(s)
FG-3019
Intervention Description
FG-3019 5 mg/kg every 2 weeks IV for all infusions
Intervention Type
Drug
Intervention Name(s)
FG-3019
Intervention Description
FG-3019 10 mg/kg IV for infusions on Days 1, 15, 29 and 57 and Placebo IV on Days 43 and 71
Primary Outcome Measure Information:
Title
Safety and tolerability of FG-3019
Time Frame
34 weeks
Secondary Outcome Measure Information:
Title
Pharmacokinetic parameters
Time Frame
34 weeks
Title
Change from baseline in first morning urinary albumin creatinine ratio (ACR)
Time Frame
6 weeks (10 mg/kg) or 10 weeks (5 mg/kg)
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Age 18-80 years, inclusive
Diagnosis of type 1 or type 2 diabetes according to American Diabetes Association (ADA) criteria
First morning urinary ACR >0.200 g/g
Receiving stable doses of ACEi and/or ARB therapy prior to Screening
Estimated glomerular filtration rate of ≥20 and <90 mL/min/1.73 m2
Willingness to maintain ACEi and/or ARB therapy, and any additional anti-hypertensive therapies to control blood pressure, at a stable dose
Maintenance of all additional antihypertensive medications, insulin, oral hypoglycemic agents, and cholesterol-lowering medications prior to randomization
Exclusion Criteria:
Female subjects who are pregnant or breastfeeding
Organ transplant recipient, previous dialysis, or non-diabetic renal disease other than benign cysts or anatomical variants
Any history of New York Heart Association (NYHA) class III/IV heart failure (HF)
Screening electrocardiogram showing acute, clinically significant findings including but not limited to ST depression
Recent history of serious heart problems (e.g. coronary artery bypass graft, cerebrovascular accident, or myocardial infarction)
History of cancer in the past 5 years, possibly excluding non-melanomatous skin cancer, localized bladder cancer, or in situ cervical cancer.
History of allergic or anaphylactic reaction to human, humanized, chimeric or murine monoclonal antibodies
Participation in other studies of investigational drugs at the time of Screening AND receipt of an investigational drug within 42 days prior to Screening
Aspartate aminotransferase (AST) or alanine aminotransferase (ALT) >2.5 times the upper limit of normal
Hemoglobin <10 g/dL
Positive for HIV (IgG) antibody
Facility Information:
City
Birmingham
State/Province
Alabama
Country
United States
City
Tempe
State/Province
Arizona
Country
United States
City
La Mesa
State/Province
California
Country
United States
City
Torrance
State/Province
California
Country
United States
City
Kissimmee
State/Province
Florida
Country
United States
City
Atlanta
State/Province
Georgia
Country
United States
City
Springfield
State/Province
Massachusetts
Country
United States
City
Omaha
State/Province
Nebraska
Country
United States
City
Flushing
State/Province
New York
Country
United States
City
New York
State/Province
New York
Country
United States
City
Chapel Hill
State/Province
North Carolina
Country
United States
City
Cleveland
State/Province
Ohio
Country
United States
City
Portland
State/Province
Oregon
Country
United States
City
Hershey
State/Province
Pennsylvania
Country
United States
City
Dallas
State/Province
Texas
Country
United States
City
Houston
State/Province
Texas
Country
United States
City
San Antonio
State/Province
Texas
Country
United States
City
Fairfax
State/Province
Virginia
Country
United States
12. IPD Sharing Statement
Learn more about this trial
Phase 1 Study of FG-3019 in Subjects With Type 1 or Type 2 Diabetes Mellitus and Diabetic Nephropathy
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