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Study of FibroGen (FG)-3019 in Subjects With Type 2 Diabetes Mellitus and Kidney Disease on ACEi and/or ARB Therapy

Primary Purpose

Type 2 Diabetes Mellitus, Diabetic Nephropathy, Diabetic Kidney Disease

Status
Terminated
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
FG-3019
FG-3019
Placebo
Sponsored by
FibroGen
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Type 2 Diabetes Mellitus

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Key Inclusion Criteria:

  1. Signed written informed consent
  2. Males and females 18-75 years of age, inclusive
  3. Diagnosis of type 2 diabetes mellitus according to American Diabetes Association (ADA) criteria
  4. 24-hour urinary ACR 200-3000 mg/g, inclusive, on two occasions during screening at least 2 days apart
  5. Estimated glomerular filtration rate (eGFR) (by MDRD equation) >20 mL/min/1.73 m2
  6. Mean systolic blood pressure less than or equal to 150 mmHg and a mean diastolic blood pressure less than or equal to 95 mmHg
  7. Receiving ACEi and/or ARB therapy at an unchanged dose at or above the minimum trial dosage for at least 3 months prior to the first Screening visit and willing to maintain these doses throughout the treatment period

Key Exclusion Criteria:

  1. Females who are pregnant or breast feeding
  2. Organ transplant recipient, history of dialysis, or known non-diabetic renal disease other than benign cysts or anatomical variants
  3. History of New York Heart Association class III/IV heart failure
  4. Screening electrocardiogram showing acute and/or clinically significant findings including but not limited to ST depression
  5. History of any of the following events within 3 months prior to Screening: coronary artery bypass graft, cerebrovascular accident, myocardial infarction, transient ischemic attack, unstable angina, uncontrolled cardiac arrhythmia, atrial fibrillation, percutaneous coronary intervention, or vascular stent placement
  6. History of anaphylactic or systemic allergic reaction to human, humanized, chimeric, or murine monoclonal antibodies
  7. Aspartate aminotransferase (AST) and/or alanine aminotransferase (ALT) >2.5 times the upper limit of normal; direct bilirubin above the upper limit of normal, or >2.5 times the upper limit of normal in cases of documented Gilbert's syndrome
  8. Hemoglobin <10 g/dL
  9. Hemoglobin A1c (HbA1c) >9 %
  10. Low density lipoprotein (LDL) >130 mg/dL

Sites / Locations

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Placebo Comparator

Experimental

Experimental

Arm Label

1

2

3

Arm Description

Placebo IV

3 mg/kg FG-3019 IV

10 mg/kg FG-3019 IV

Outcomes

Primary Outcome Measures

Measure: change from baseline in 24-hour urinary ACR for each arm compared with placebo

Secondary Outcome Measures

Measure: Safety and tolerability of FG-3019 in the study population.
Measure: Change from baseline in eGFR for each FG-3019 arm compared to placebo
Measure: Change from baseline in serum creatinine for each FG-3019 arm compared with placebo

Full Information

First Posted
June 2, 2009
Last Updated
February 20, 2019
Sponsor
FibroGen
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1. Study Identification

Unique Protocol Identification Number
NCT00913393
Brief Title
Study of FibroGen (FG)-3019 in Subjects With Type 2 Diabetes Mellitus and Kidney Disease on ACEi and/or ARB Therapy
Official Title
A Phase 2 Randomized, Double-blind, Placebo-controlled Study of FG-3019 in Subjects With Type 2 Diabetes Mellitus (DM) and Persistent Proteinuria on Background Angiotensin Converting Enzyme Inhibitor (ACEi) and/or Angiotensin II Receptor Blockade (ARB) Therapy
Study Type
Interventional

2. Study Status

Record Verification Date
February 2019
Overall Recruitment Status
Terminated
Why Stopped
Study was terminated early for business purposes and as a result of a strategic decision to shift focus to another indication.
Study Start Date
February 2009 (undefined)
Primary Completion Date
June 2010 (Actual)
Study Completion Date
June 2010 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
FibroGen

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to evaluate the effect of FG-3019 on diabetic kidney disease or diabetic nephropathy.
Detailed Description
The primary objective of this study is to assess the effect of FG-3019 on proteinuria as assessed by urinary albumin/creatinine ratio (ACR).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Type 2 Diabetes Mellitus, Diabetic Nephropathy, Diabetic Kidney Disease

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
46 (Actual)

8. Arms, Groups, and Interventions

Arm Title
1
Arm Type
Placebo Comparator
Arm Description
Placebo IV
Arm Title
2
Arm Type
Experimental
Arm Description
3 mg/kg FG-3019 IV
Arm Title
3
Arm Type
Experimental
Arm Description
10 mg/kg FG-3019 IV
Intervention Type
Drug
Intervention Name(s)
FG-3019
Intervention Description
3 mg/kg FG-3019 IV every 2 weeks for 22 weeks
Intervention Type
Drug
Intervention Name(s)
FG-3019
Intervention Description
10 mg/kg FG-3019 IV every 2 weeks for 22 weeks
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Placebo IV every 2 weeks for 22 weeks
Primary Outcome Measure Information:
Title
Measure: change from baseline in 24-hour urinary ACR for each arm compared with placebo
Time Frame
6 months
Secondary Outcome Measure Information:
Title
Measure: Safety and tolerability of FG-3019 in the study population.
Time Frame
12 months
Title
Measure: Change from baseline in eGFR for each FG-3019 arm compared to placebo
Time Frame
6 months
Title
Measure: Change from baseline in serum creatinine for each FG-3019 arm compared with placebo
Time Frame
6 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Key Inclusion Criteria: Signed written informed consent Males and females 18-75 years of age, inclusive Diagnosis of type 2 diabetes mellitus according to American Diabetes Association (ADA) criteria 24-hour urinary ACR 200-3000 mg/g, inclusive, on two occasions during screening at least 2 days apart Estimated glomerular filtration rate (eGFR) (by MDRD equation) >20 mL/min/1.73 m2 Mean systolic blood pressure less than or equal to 150 mmHg and a mean diastolic blood pressure less than or equal to 95 mmHg Receiving ACEi and/or ARB therapy at an unchanged dose at or above the minimum trial dosage for at least 3 months prior to the first Screening visit and willing to maintain these doses throughout the treatment period Key Exclusion Criteria: Females who are pregnant or breast feeding Organ transplant recipient, history of dialysis, or known non-diabetic renal disease other than benign cysts or anatomical variants History of New York Heart Association class III/IV heart failure Screening electrocardiogram showing acute and/or clinically significant findings including but not limited to ST depression History of any of the following events within 3 months prior to Screening: coronary artery bypass graft, cerebrovascular accident, myocardial infarction, transient ischemic attack, unstable angina, uncontrolled cardiac arrhythmia, atrial fibrillation, percutaneous coronary intervention, or vascular stent placement History of anaphylactic or systemic allergic reaction to human, humanized, chimeric, or murine monoclonal antibodies Aspartate aminotransferase (AST) and/or alanine aminotransferase (ALT) >2.5 times the upper limit of normal; direct bilirubin above the upper limit of normal, or >2.5 times the upper limit of normal in cases of documented Gilbert's syndrome Hemoglobin <10 g/dL Hemoglobin A1c (HbA1c) >9 % Low density lipoprotein (LDL) >130 mg/dL
Facility Information:
City
Tempe
State/Province
Arizona
Country
United States
City
Buena Park
State/Province
California
Country
United States
City
Lakewood
State/Province
California
Country
United States
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Sacramento
State/Province
California
Country
United States
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Walnut Creek
State/Province
California
Country
United States
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Whittier
State/Province
California
Country
United States
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Atlanta
State/Province
Georgia
Country
United States
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Evergreen Park
State/Province
Illinois
Country
United States
City
Topeka
State/Province
Kansas
Country
United States
City
Wichita
State/Province
Kansas
Country
United States
City
Kenner
State/Province
Louisiana
Country
United States
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Springfield
State/Province
Massachusetts
Country
United States
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Saint Clair Shores
State/Province
Michigan
Country
United States
City
Lincoln
State/Province
Nebraska
Country
United States
City
Omaha
State/Province
Nebraska
Country
United States
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Berlin
State/Province
New Jersey
Country
United States
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Buffalo
State/Province
New York
Country
United States
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Flushing
State/Province
New York
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United States
City
New York
State/Province
New York
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United States
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Greenville
State/Province
North Carolina
Country
United States
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Toledo
State/Province
Ohio
Country
United States
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Chattanooga
State/Province
Tennessee
Country
United States
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Knoxville
State/Province
Tennessee
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United States
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Dallas
State/Province
Texas
Country
United States
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Houston
State/Province
Texas
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United States
City
San Antonio
State/Province
Texas
Country
United States
City
Fairfax
State/Province
Virginia
Country
United States
City
Spokane
State/Province
Washington
Country
United States

12. IPD Sharing Statement

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Study of FibroGen (FG)-3019 in Subjects With Type 2 Diabetes Mellitus and Kidney Disease on ACEi and/or ARB Therapy

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