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Study of STX-100 in Renal Transplant Patients With Interstitial Fibrosis and Tubular Atrophy (IF/TA)

Primary Purpose

Chronic Allograft Dysfunction

Status
Withdrawn
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
STX-100
Sponsored by
Stromedix, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Chronic Allograft Dysfunction focused on measuring Renal transplant, Interstitial fibrosis and tubular atrophy, Chronic allograft dysfunction, Chronic allograft nephropathy, kidney transplant

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Consenting adult patients, 18 (or the legal age of consent) to 65 years old, male or female.
  • eGFR ≥ 25 ml/min (Cockcroft-Gault formula).
  • Six to 60 months post renal transplant at the initiation of screening.
  • Qualifying renal biopsy obtained within 8 weeks prior to randomization with histologic evidence of ≥ Grade 2 IF/TA (Banff score) without morphologic evidence of a treatable etiology (e.g., BK virus nephropathy, chronic obstruction).
  • Adequate bone marrow and liver function
  • Weight between 40-110 kg.
  • Female patients must be surgically sterile, postmenopausal (minimum 1 year without menses and verified by follicular-stimulating hormone [FSH] levels), or agree to use contraception from the time of signing the informed consent form through 16 weeks following the last injection of study medication. Male patients must also agree to use birth control for either themselves or their partner, as appropriate, from the time of signing the informed consent form through 16 weeks following the last injection of study medication.

Exclusion Criteria:

  • Recipient of a multi-organ transplant.
  • History of T-cell mediated rejection (TCMR) within 3 months prior to randomization.
  • Patients who are receiving high dose corticosteroids at the time of screening.
  • Histologic evidence of acute TCMR (≥ Banff Grade 1A) on a qualifying renal biopsy for this study. Patients with 'borderline' changes (Banff criteria) on a qualifying renal biopsy are eligible for this study if the Principal Investigator believes treatment for TCMR is not warranted.
  • Prior or current histologic evidence of polyomavirus BK virus nephropathy.
  • Any histologic finding on the qualifying renal biopsy that the Investigator believes warrants modifying the patient's current therapy.
  • Evidence of active tissue invasive cytomegalovirus or Epstein-Barr virus infection.
  • History of malignancy, including carcinoma or post-transplant lymphoproliferative disorder.
  • History of chronic pulmonary disease or smoker within the past 5 years or more than 15 pack-years exposure.
  • Serious local infection or systemic infection within 3 months prior to screening.
  • Surgery within 3 months prior to Day 1 (other than minor cosmetic surgery, minor dental procedures, or percutaneous kidney transplant biopsy).
  • Positive test for HBsAg, HCV, or HIV antibody at screening.
  • Treatment with another investigational drug, investigational device, or approved therapy for investigational use within 1 month prior to dosing.

Sites / Locations

  • Stromedix Investigative Site

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Experimental

Arm Label

STX-100 (0.03mg/kg)

STX-100 (0.1mg/kg)

STX-100 (0.3mg/kg)

STX-100 (1mg/kg)

Arm Description

8 patients (6 active and 2 placebo)

8 patients (6 active and 2 placebo)

16 patients (12 active and 4 placebo)

16 patients (12 active and 4 placebo)

Outcomes

Primary Outcome Measures

Safety as measured by adverse events

Secondary Outcome Measures

Full Information

First Posted
April 6, 2009
Last Updated
May 20, 2011
Sponsor
Stromedix, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT00878761
Brief Title
Study of STX-100 in Renal Transplant Patients With Interstitial Fibrosis and Tubular Atrophy (IF/TA)
Official Title
Randomized Double-Blind, Placebo-Controlled, Single and Multiple Dose, Dose-Escalation Study of STX 100 in Renal Transplant Patients With Biopsy Proven Interstitial Fibrosis and Tubular Atrophy (IF/TA)
Study Type
Interventional

2. Study Status

Record Verification Date
May 2011
Overall Recruitment Status
Withdrawn
Study Start Date
September 2010 (undefined)
Primary Completion Date
October 2011 (Anticipated)
Study Completion Date
December 2011 (Anticipated)

3. Sponsor/Collaborators

Name of the Sponsor
Stromedix, Inc.

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This Phase 2 study is a multi-center, randomized, double-blind, placebo-controlled, single followed by multiple dose, dose escalation study designed to evaluate the safety, tolerability, pharmacokinetics, immunogenicity, and impact of STX-100 on gene and protein expression for αvβ6 related and TGF-β-inducible genes (including tubulointerstitial injury, epithelial function, and IF/TA related genes) in renal transplant patients with biopsy.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Chronic Allograft Dysfunction
Keywords
Renal transplant, Interstitial fibrosis and tubular atrophy, Chronic allograft dysfunction, Chronic allograft nephropathy, kidney transplant

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
48 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
STX-100 (0.03mg/kg)
Arm Type
Experimental
Arm Description
8 patients (6 active and 2 placebo)
Arm Title
STX-100 (0.1mg/kg)
Arm Type
Experimental
Arm Description
8 patients (6 active and 2 placebo)
Arm Title
STX-100 (0.3mg/kg)
Arm Type
Experimental
Arm Description
16 patients (12 active and 4 placebo)
Arm Title
STX-100 (1mg/kg)
Arm Type
Experimental
Arm Description
16 patients (12 active and 4 placebo)
Intervention Type
Biological
Intervention Name(s)
STX-100
Intervention Description
SC, single dose followed by multiple dose
Primary Outcome Measure Information:
Title
Safety as measured by adverse events
Time Frame
25 weeks from first dosing (per cohort)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Consenting adult patients, 18 (or the legal age of consent) to 65 years old, male or female. eGFR ≥ 25 ml/min (Cockcroft-Gault formula). Six to 60 months post renal transplant at the initiation of screening. Qualifying renal biopsy obtained within 8 weeks prior to randomization with histologic evidence of ≥ Grade 2 IF/TA (Banff score) without morphologic evidence of a treatable etiology (e.g., BK virus nephropathy, chronic obstruction). Adequate bone marrow and liver function Weight between 40-110 kg. Female patients must be surgically sterile, postmenopausal (minimum 1 year without menses and verified by follicular-stimulating hormone [FSH] levels), or agree to use contraception from the time of signing the informed consent form through 16 weeks following the last injection of study medication. Male patients must also agree to use birth control for either themselves or their partner, as appropriate, from the time of signing the informed consent form through 16 weeks following the last injection of study medication. Exclusion Criteria: Recipient of a multi-organ transplant. History of T-cell mediated rejection (TCMR) within 3 months prior to randomization. Patients who are receiving high dose corticosteroids at the time of screening. Histologic evidence of acute TCMR (≥ Banff Grade 1A) on a qualifying renal biopsy for this study. Patients with 'borderline' changes (Banff criteria) on a qualifying renal biopsy are eligible for this study if the Principal Investigator believes treatment for TCMR is not warranted. Prior or current histologic evidence of polyomavirus BK virus nephropathy. Any histologic finding on the qualifying renal biopsy that the Investigator believes warrants modifying the patient's current therapy. Evidence of active tissue invasive cytomegalovirus or Epstein-Barr virus infection. History of malignancy, including carcinoma or post-transplant lymphoproliferative disorder. History of chronic pulmonary disease or smoker within the past 5 years or more than 15 pack-years exposure. Serious local infection or systemic infection within 3 months prior to screening. Surgery within 3 months prior to Day 1 (other than minor cosmetic surgery, minor dental procedures, or percutaneous kidney transplant biopsy). Positive test for HBsAg, HCV, or HIV antibody at screening. Treatment with another investigational drug, investigational device, or approved therapy for investigational use within 1 month prior to dosing.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Bradley Maroni, MD
Organizational Affiliation
Stromedix, Inc.
Official's Role
Study Chair
Facility Information:
Facility Name
Stromedix Investigative Site
City
Cambridge
State/Province
Massachusetts
ZIP/Postal Code
02141
Country
United States

12. IPD Sharing Statement

Learn more about this trial

Study of STX-100 in Renal Transplant Patients With Interstitial Fibrosis and Tubular Atrophy (IF/TA)

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