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A Phase 2a Study of Weekly Doses of GCS-100 in Patients With Chronic Kidney Disease

Primary Purpose

Chronic Kidney Disease

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
GCS-100
Placebo, Saline
Sponsored by
La Jolla Pharmaceutical Company
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Chronic Kidney Disease

Eligibility Criteria

18 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Subject is capable of understanding the purpose and risks of the study and is able to provide written informed consent
  2. Subject is ≥18 and ≤75 years of age; patients >75 years old may be included at the request of the investigator and discretion of the Medical Monitor
  3. Subject has an eGFR of 15 - 44 mL/min/1.73m2 determined using the 4-variable Modification of Diet in Renal Disease (MDRD) equation (see Section 10.1)
  4. Patients with CKD diagnosis >12 months and stable, in the opinion of the investigator, within the past 3 months
  5. Subject is willing and able to comply with all protocol requirements
  6. Female subjects of childbearing potential (i.e., women who have not been surgically sterilized or have not been post-menopausal for at least 1 year) and male subjects with partners of childbearing potential must agree to use medically acceptable methods of contraception throughout the study period

Exclusion Criteria:

  1. Treatment with an experimental (unlicensed) drug within 4 weeks or ≤5 half-lives prior to screening
  2. Kidney disease due to systemic lupus erythematosus (regardless of whether active or in remission), any form of vasculitis (regardless of whether active or in remission), IgA nephropathy, multiple myeloma, polycystic kidney disease, untreated obstructed nephropathy or any other causes that, in the opinion of the investigator, may put the subject at an increased risk
  3. Planned renal replacement therapy of any kind within 6 months of randomization
  4. Previous solid organ transplant
  5. Systolic blood pressure ≤90 mmHg and ≥160 mmHg and diastolic blood pressure ≤40 mmHg and ≥100 mmHg at screening
  6. Subject has clinical laboratory values of:

    1. Hemoglobin: ≤9 g/dL
    2. Total bilirubin: >1.5X the upper limit of normal (ULN)
    3. ALT and/or AST: >2.5X ULN
  7. Current treatment with immunosuppressive agents, except for topical agents or inhaled steroids when conditions are chronic and stable
  8. Treatment with any form of IV iron therapy within 4 weeks prior to screening
  9. Known history of cancer (excluding non-melanoma skin cancer that is not being actively treated) within 5 years of screening
  10. Known history of human immunodeficiency virus, active hepatitis C virus (HCV), active hepatitis B virus (HBV), or prior history of infection with HBV (HBcAb positive); if adequate hepatic function has been documented for patients with HCV or prior history of hepatitis B without evidence of cirrhosis, the Medical Monitor may approve their enrollment
  11. Clinically relevant active infection and/or a serious co-morbid medical condition, such as recent myocardial infarction (within the last 6 months), unstable angina, difficult-to-control congestive heart failure, uncontrolled hypertension, difficult-to-control cardiac arrhythmias, severe or uncontrolled chronic obstructive or chronic restrictive pulmonary disease, and/or cirrhosis.
  12. Subject had major surgery within 4 weeks of randomization
  13. If female, subject is pregnant or breastfeeding
  14. Subject has a concomitant disease or condition, including laboratory abnormalities, which, in the opinion of the investigator, could interfere with the conduct of the study or put the subject at unacceptable risk

Sites / Locations

  • Southwest Clinical Research Institute, LLC
  • California Institute of Renal Research
  • Denver Nephrology
  • Clinical Advancement Center, PLLC

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Placebo Comparator

Experimental

Experimental

Arm Label

Placebo, saline

GCS-100 low dose

GCS-100 high dose

Arm Description

Saline, dosed weekly for 8 weeks

Low dose of GCS-100 given IV once per week for 8 weeks

High dose of GCS-100 given IV once per week for 8 weeks

Outcomes

Primary Outcome Measures

Change in estimated glomerular filtration rate (eGFR) from baseline relative to placebo after administration of GCS-100 for 8 weeks in patients with chronic kidney disease (CKD) and baseline eGFR of 15 - 44 mL/min/1.73m2

Secondary Outcome Measures

Number of adverse events as a measure of safety and tolerability of GCS-100 administered for 8 weeks relative to placebo in patients with CKD

Full Information

First Posted
April 25, 2013
Last Updated
August 31, 2015
Sponsor
La Jolla Pharmaceutical Company
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1. Study Identification

Unique Protocol Identification Number
NCT01843790
Brief Title
A Phase 2a Study of Weekly Doses of GCS-100 in Patients With Chronic Kidney Disease
Official Title
A Phase 2a, Placebo-Controlled, Randomized, Single-Blind Study of Weekly Doses of GCS-100 in Patients With Chronic Kidney Disease
Study Type
Interventional

2. Study Status

Record Verification Date
August 2015
Overall Recruitment Status
Completed
Study Start Date
June 2013 (undefined)
Primary Completion Date
February 2014 (Actual)
Study Completion Date
September 2014 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
La Jolla Pharmaceutical Company

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The primary objective of this study is to compare the change in estimated glomerular filtration rate (eGFR) from baseline to Week 8 between placebo and GCS-100 treatment. The secondary objective is to determine the safety and tolerability of GCS-100 administered for 8 weeks relative to placebo. In addition, the study will measure the effect of GCS-100 on circulating galectin-3 and other markers of disease activity.
Detailed Description
Galectin-3 contributes to fibrosis, is elevated in patients with ESRD, and correlates with adverse outcomes (de Boer et. al., 2011, Dang et. al., 2012, Fernandes Bertocchi et. al., 2008, Henderson et. al., 2008). Animal models with genetic knockout of galectin-3 demonstrate a reduction in structural and functional deficits in the kidney (Dang et. al., 2012, Fernandes Bertocchi et. al., 2008, Henderson et. al., 2008). GCS-100 is a galectin- 3 antagonist that has been shown to reduce fibrosis pre-clinically. Based on the role of galectin-3 and fibrosis in kidney disease, the Sponsor believes GCS-100 may be effective at treating patients with CKD.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Chronic Kidney Disease

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Placebo, saline
Arm Type
Placebo Comparator
Arm Description
Saline, dosed weekly for 8 weeks
Arm Title
GCS-100 low dose
Arm Type
Experimental
Arm Description
Low dose of GCS-100 given IV once per week for 8 weeks
Arm Title
GCS-100 high dose
Arm Type
Experimental
Arm Description
High dose of GCS-100 given IV once per week for 8 weeks
Intervention Type
Drug
Intervention Name(s)
GCS-100
Intervention Description
The amount (in mg) of GCS-100 to be administered will be determined based on body surface area, which will be calculated based on body weight and height. The study drug dose should be calculated on Day 1. Drug should be added to an infusion bag or syringe containing 0.9% Sodium Chloride Injection, USP. Drug be infused into a large vein via a large bore catheter to avoid local irritation and administered at no more than 2 mg/mL in no less than 60 mL.
Intervention Type
Drug
Intervention Name(s)
Placebo, Saline
Other Intervention Name(s)
Saline solution, 0.9% Sodium Chloride Injection
Intervention Description
The amount (in mg) of drug to be administered will be determined based on body surface area, which will be calculated based on body weight and height. The drug dose should be calculated on Day 1. Drug should be added to an infusion bag or syringe containing 0.9% Sodium Chloride Injection, USP. Drug be infused into a large vein via a large bore catheter to avoid local irritation and administered at no more than 2 mg/mL in no less than 60 mL.
Primary Outcome Measure Information:
Title
Change in estimated glomerular filtration rate (eGFR) from baseline relative to placebo after administration of GCS-100 for 8 weeks in patients with chronic kidney disease (CKD) and baseline eGFR of 15 - 44 mL/min/1.73m2
Time Frame
12 weeks
Secondary Outcome Measure Information:
Title
Number of adverse events as a measure of safety and tolerability of GCS-100 administered for 8 weeks relative to placebo in patients with CKD
Time Frame
12 weeks

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: Subject is capable of understanding the purpose and risks of the study and is able to provide written informed consent Subject is ≥18 and ≤75 years of age; patients >75 years old may be included at the request of the investigator and discretion of the Medical Monitor Subject has an eGFR of 15 - 44 mL/min/1.73m2 determined using the 4-variable Modification of Diet in Renal Disease (MDRD) equation (see Section 10.1) Patients with CKD diagnosis >12 months and stable, in the opinion of the investigator, within the past 3 months Subject is willing and able to comply with all protocol requirements Female subjects of childbearing potential (i.e., women who have not been surgically sterilized or have not been post-menopausal for at least 1 year) and male subjects with partners of childbearing potential must agree to use medically acceptable methods of contraception throughout the study period Exclusion Criteria: Treatment with an experimental (unlicensed) drug within 4 weeks or ≤5 half-lives prior to screening Kidney disease due to systemic lupus erythematosus (regardless of whether active or in remission), any form of vasculitis (regardless of whether active or in remission), IgA nephropathy, multiple myeloma, polycystic kidney disease, untreated obstructed nephropathy or any other causes that, in the opinion of the investigator, may put the subject at an increased risk Planned renal replacement therapy of any kind within 6 months of randomization Previous solid organ transplant Systolic blood pressure ≤90 mmHg and ≥160 mmHg and diastolic blood pressure ≤40 mmHg and ≥100 mmHg at screening Subject has clinical laboratory values of: Hemoglobin: ≤9 g/dL Total bilirubin: >1.5X the upper limit of normal (ULN) ALT and/or AST: >2.5X ULN Current treatment with immunosuppressive agents, except for topical agents or inhaled steroids when conditions are chronic and stable Treatment with any form of IV iron therapy within 4 weeks prior to screening Known history of cancer (excluding non-melanoma skin cancer that is not being actively treated) within 5 years of screening Known history of human immunodeficiency virus, active hepatitis C virus (HCV), active hepatitis B virus (HBV), or prior history of infection with HBV (HBcAb positive); if adequate hepatic function has been documented for patients with HCV or prior history of hepatitis B without evidence of cirrhosis, the Medical Monitor may approve their enrollment Clinically relevant active infection and/or a serious co-morbid medical condition, such as recent myocardial infarction (within the last 6 months), unstable angina, difficult-to-control congestive heart failure, uncontrolled hypertension, difficult-to-control cardiac arrhythmias, severe or uncontrolled chronic obstructive or chronic restrictive pulmonary disease, and/or cirrhosis. Subject had major surgery within 4 weeks of randomization If female, subject is pregnant or breastfeeding Subject has a concomitant disease or condition, including laboratory abnormalities, which, in the opinion of the investigator, could interfere with the conduct of the study or put the subject at unacceptable risk
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
George Tidmarsh, MD, PhD
Official's Role
Study Director
Facility Information:
Facility Name
Southwest Clinical Research Institute, LLC
City
Tempe
State/Province
Arizona
ZIP/Postal Code
85284
Country
United States
Facility Name
California Institute of Renal Research
City
La Mesa
State/Province
California
ZIP/Postal Code
91942
Country
United States
Facility Name
Denver Nephrology
City
Denver
State/Province
Colorado
ZIP/Postal Code
80230
Country
United States
Facility Name
Clinical Advancement Center, PLLC
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78215
Country
United States

12. IPD Sharing Statement

Learn more about this trial

A Phase 2a Study of Weekly Doses of GCS-100 in Patients With Chronic Kidney Disease

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