A Study to Evaluate the Safety and Efficacy of CCX140-B in Subjects With Diabetic Nephropathy
Primary Purpose
Diabetic Nephropathy, Type 2 Diabetes Mellitus
Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
Placebo
CCX140-B
CCX140-B
Sponsored by
About this trial
This is an interventional treatment trial for Diabetic Nephropathy
Eligibility Criteria
Key Inclusion Criteria:
- Aged 18-75 years inclusive, with documented previously diagnosed type 2 diabetes mellitus (per American Diabetes Association [ADA] criteria)
- Residual albuminuria despite stable treatment with an angiotensin-converting enzyme (ACE) inhibitor or an angiotensin receptor blocker (ARB) for at least 8 weeks prior to screening (Albumin:creatinine ratio [ACR] of 100 to 3000 mg/g creatinine, inclusive)
- Estimated glomerular filtration rate based on serum creatinine (eGFR, determined by Modification of Diet in Renal Disease [MDRD] equation) of ≥ 25 mL/min/1.73 m(2)
- Must be on a stable dose of an ACE inhibitor or ARB for at least 8 weeks prior to screening, but subjects must not be on both an ACE inhibitor and an ARB
- Hemoglobin A1c (HbA1c) > 6.0% but not > 10.0% and fasting plasma glucose less than 270 mg/dL at screening
Key Exclusion Criteria:
- Type 1 diabetes mellitus or history of diabetic ketoacidosis
- Previous renal transplant or known non-diabetic renal disease, except related to hypertension
- Undergone renal dialysis at any time in the past
- Received chronic (more than 7 days continuously) systemic glucocorticoid or other immunosuppressive treatment within 8 weeks of screening
- Use of bardoxolone, atrasentan or other endothelin antagonist within 8 weeks of screening
- Received chronic (more than 7 days continuously) non-steroidal anti-inflammatory drug (NSAID) treatment within 2 weeks of screening
- Cardiac failure (class III or IV), history of unstable angina, symptomatic coronary artery disease, myocardial infarction or stroke within 12 weeks of screening
- Poorly-controlled blood pressure (systolic blood pressure >155 or diastolic blood pressure >95, with blood pressure measured in the seated position after at least 5 minutes of rest)
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm Type
Placebo Comparator
Experimental
Experimental
Arm Label
Placebo (Group A)
CCX140-B (Group B)
CCX140-B (Group C)
Arm Description
Outcomes
Primary Outcome Measures
Subject incidence of adverse events
The primary objective of this study is to evaluate the safety and tolerability of CCX140-B in subjects with diabetic nephropathy.
Secondary Outcome Measures
Change from baseline in first morning urinary albumin:creatinine ratio (ACR)
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT01447147
Brief Title
A Study to Evaluate the Safety and Efficacy of CCX140-B in Subjects With Diabetic Nephropathy
Official Title
A Randomized, Double-Blind, Placebo-Controlled, Phase 2 Study to Evaluate the Safety and Efficacy of CCX140-B in Diabetic Nephropathy
Study Type
Interventional
2. Study Status
Record Verification Date
August 2023
Overall Recruitment Status
Completed
Study Start Date
October 2011 (undefined)
Primary Completion Date
August 2014 (Actual)
Study Completion Date
December 2014 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
ChemoCentryx
4. Oversight
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
The purpose of this study is to evaluate the safety and efficacy of treatment with CCX140-B in subjects with diabetic nephropathy.
Detailed Description
The primary objective of this study is to evaluate the safety and tolerability of CCX140-B in subjects with diabetic nephropathy based on subject incidence of adverse events.
The secondary objectives of this study include evaluation of the effect of CCX140-B on several measures of effectiveness commonly used in the evaluation of diabetes and renal medications.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Diabetic Nephropathy, Type 2 Diabetes Mellitus
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
332 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Placebo (Group A)
Arm Type
Placebo Comparator
Arm Title
CCX140-B (Group B)
Arm Type
Experimental
Arm Title
CCX140-B (Group C)
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Placebo capsules once daily
Intervention Type
Drug
Intervention Name(s)
CCX140-B
Intervention Description
CCX140-B capsules once daily (Group B)
Intervention Type
Drug
Intervention Name(s)
CCX140-B
Intervention Description
CCX140-B capsules once daily (Group C)
Primary Outcome Measure Information:
Title
Subject incidence of adverse events
Description
The primary objective of this study is to evaluate the safety and tolerability of CCX140-B in subjects with diabetic nephropathy.
Time Frame
Up to 365 days
Secondary Outcome Measure Information:
Title
Change from baseline in first morning urinary albumin:creatinine ratio (ACR)
Time Frame
Up to 365 days
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:
Aged 18-75 years inclusive, with documented previously diagnosed type 2 diabetes mellitus (per American Diabetes Association [ADA] criteria)
Residual albuminuria despite stable treatment with an angiotensin-converting enzyme (ACE) inhibitor or an angiotensin receptor blocker (ARB) for at least 8 weeks prior to screening (Albumin:creatinine ratio [ACR] of 100 to 3000 mg/g creatinine, inclusive)
Estimated glomerular filtration rate based on serum creatinine (eGFR, determined by Modification of Diet in Renal Disease [MDRD] equation) of ≥ 25 mL/min/1.73 m(2)
Must be on a stable dose of an ACE inhibitor or ARB for at least 8 weeks prior to screening, but subjects must not be on both an ACE inhibitor and an ARB
Hemoglobin A1c (HbA1c) > 6.0% but not > 10.0% and fasting plasma glucose less than 270 mg/dL at screening
Key Exclusion Criteria:
Type 1 diabetes mellitus or history of diabetic ketoacidosis
Previous renal transplant or known non-diabetic renal disease, except related to hypertension
Undergone renal dialysis at any time in the past
Received chronic (more than 7 days continuously) systemic glucocorticoid or other immunosuppressive treatment within 8 weeks of screening
Use of bardoxolone, atrasentan or other endothelin antagonist within 8 weeks of screening
Received chronic (more than 7 days continuously) non-steroidal anti-inflammatory drug (NSAID) treatment within 2 weeks of screening
Cardiac failure (class III or IV), history of unstable angina, symptomatic coronary artery disease, myocardial infarction or stroke within 12 weeks of screening
Poorly-controlled blood pressure (systolic blood pressure >155 or diastolic blood pressure >95, with blood pressure measured in the seated position after at least 5 minutes of rest)
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
MD
Organizational Affiliation
Amgen
Official's Role
Study Director
Facility Information:
City
Antwerp
Country
Belgium
City
Brussels
Country
Belgium
City
Edegem
Country
Belgium
City
Ghent
Country
Belgium
City
Leuven
Country
Belgium
City
Liege
Country
Belgium
City
Roeselare
Country
Belgium
City
Beroun
Country
Czechia
City
Brno
Country
Czechia
City
Hlucin
Country
Czechia
City
Neratovice
Country
Czechia
City
Novy Jicin
Country
Czechia
City
NZdar Nad Sazavou
Country
Czechia
City
Pardubice
Country
Czechia
City
Prague
Country
Czechia
City
Prelouc
Country
Czechia
City
Rakovnik
Country
Czechia
City
Slany
Country
Czechia
City
Trebic
Country
Czechia
City
Uhersky Brod
Country
Czechia
City
Unicov
Country
Czechia
City
Berlin
Country
Germany
City
Bosenheim
Country
Germany
City
Deggingen
Country
Germany
City
Dresden
Country
Germany
City
Erlangen
Country
Germany
City
Hannover
Country
Germany
City
Heidelberg
Country
Germany
City
Heilbronn
Country
Germany
City
Hoyerswerda
Country
Germany
City
Koeln
Country
Germany
City
Munich
Country
Germany
City
Neuwied
Country
Germany
City
Nuernberg
Country
Germany
City
Pirna
Country
Germany
City
Potsdam
Country
Germany
City
Saarlouis
Country
Germany
City
Speyer
Country
Germany
City
Wiesbaden
Country
Germany
City
Baja
Country
Hungary
City
Balatonfuered
Country
Hungary
City
Bekescsaba
Country
Hungary
City
Budapest
Country
Hungary
City
Debrecen
Country
Hungary
City
Eger
Country
Hungary
City
Gyula
Country
Hungary
City
Hatvan
Country
Hungary
City
Kaposvar
Country
Hungary
City
Kisvarda
Country
Hungary
City
Satoraljaujhely
Country
Hungary
City
Szekszard, Tolna
Country
Hungary
City
Szikszo
Country
Hungary
City
Bialystok
Country
Poland
City
Ciechanow
Country
Poland
City
Gdansk
Country
Poland
City
Grodzisk Mazowiecki
Country
Poland
City
Krakow
Country
Poland
City
Poznan
Country
Poland
City
Radom
Country
Poland
City
Rzeszow
Country
Poland
City
Szczecin
Country
Poland
City
Warsaw
Country
Poland
City
Wroclaw
Country
Poland
City
Bath
Country
United Kingdom
City
Belfast
Country
United Kingdom
City
Birmingham
Country
United Kingdom
City
Bristol
Country
United Kingdom
City
Chester
Country
United Kingdom
City
Coventry
Country
United Kingdom
City
Doncaster
Country
United Kingdom
City
Edmonton
Country
United Kingdom
City
Liverpool
Country
United Kingdom
City
Livingston
Country
United Kingdom
City
Londonderry
Country
United Kingdom
City
London
Country
United Kingdom
City
Manchester
Country
United Kingdom
City
Middlesbrough
Country
United Kingdom
City
Norfolk
Country
United Kingdom
City
Preston
Country
United Kingdom
City
Salford
Country
United Kingdom
City
Sheffield
Country
United Kingdom
City
Swansea
Country
United Kingdom
City
Welwyn Garden City
Country
United Kingdom
12. IPD Sharing Statement
Citations:
PubMed Identifier
26268910
Citation
de Zeeuw D, Bekker P, Henkel E, Hasslacher C, Gouni-Berthold I, Mehling H, Potarca A, Tesar V, Heerspink HJ, Schall TJ; CCX140-B Diabetic Nephropathy Study Group. The effect of CCR2 inhibitor CCX140-B on residual albuminuria in patients with type 2 diabetes and nephropathy: a randomised trial. Lancet Diabetes Endocrinol. 2015 Sep;3(9):687-96. doi: 10.1016/S2213-8587(15)00261-2. Epub 2015 Aug 9.
Results Reference
derived
PubMed Identifier
23986513
Citation
Sullivan T, Miao Z, Dairaghi DJ, Krasinski A, Wang Y, Zhao BN, Baumgart T, Ertl LS, Pennell A, Seitz L, Powers J, Zhao R, Ungashe S, Wei Z, Boring L, Tsou CL, Charo I, Berahovich RD, Schall TJ, Jaen JC. CCR2 antagonist CCX140-B provides renal and glycemic benefits in diabetic transgenic human CCR2 knockin mice. Am J Physiol Renal Physiol. 2013 Nov 1;305(9):F1288-97. doi: 10.1152/ajprenal.00316.2013. Epub 2013 Aug 28.
Results Reference
derived
Learn more about this trial
A Study to Evaluate the Safety and Efficacy of CCX140-B in Subjects With Diabetic Nephropathy
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