Study to Evaluate the Efficacy and Safety of Selonsertib in Participants With Moderate to Advanced Diabetic Kidney Disease (MOSAIC)
Diabetic Kidney Disease
About this trial
This is an interventional treatment trial for Diabetic Kidney Disease
Eligibility Criteria
Key Inclusion Criteria:
- Diagnosis of type 2 diabetes mellitus (T2DM) as per local guidelines.
Estimated glomerular filtration rate (eGFR) value calculated by central laboratory utilizing samples collected during screening and prior to enrollment of ≥ 20 mL/min/1.73 m^2 to < 60 mL/min/1.73 m^2 with albuminuria
eGFR and urine albumin to creatinine ratio (UACR) must meet criteria a, b, or c
- a: eGFR (mL/min/1.73 m^2): ≥ 45 to < 60; UACR (mg/g): ≥ 600 to 5000
- b: eGFR (mL/min/1.73 m^2): ≥ 30 to < 45; UACR (mg/g): ≥ 300 to 5000
- c: eGFR (mL/min/1.73 m^2): ≥ 20 to < 30; UACR (mg/g): ≥ 150 to 5000
Treatment with either an angiotensin converting enzyme inhibitor (ACEi) or angiotensin receptor blocker (ARB)
- Individuals not receiving an ACEi or ARB may be enrolled if there is documented intolerance to ACEi and ARB
- Individuals receiving less-than-maximal dose of an ACEi or ARB may be enrolled if there is a documented reason that the maximum labeled dose of ACEi and ARB could not be reached
- Individuals already receiving sodium-glucose co-transporter-2 (SGLT-2) inhibitors must be on a stable dose for at least 2 weeks prior to enrollment
- Mean systolic blood pressure (SBP) must be <160 mmHg and mean diastolic blood pressure (DBP) must be <100 mmHg
- Required baseline laboratory data, analyzed by central laboratory, within 30 days prior to enrollment
Key Exclusion Criteria:
- Hemoglobin A1c (HbA1c) > 12.0% within 30 days prior to enrollment
- Individuals with diagnosis of type 1 diabetes mellitus (T1DM) or maturity onset diabetes of the young (MODY)
- Body mass index (BMI) > 50 kg/m^2
- UACR > 5000 mg/g on any measurement during screening
- End stage kidney disease (ESKD) (i.e., chronic hemodialysis, chronic peritoneal dialysis, or history of kidney transplantation)
- Anticipated progression to ESKD (need for chronic hemodialysis, chronic peritoneal dialysis or receipt of kidney transplant) within 3 months after enrollment
- Unstable cardiovascular disease
- Pregnant or lactating females or planning to become pregnant or breastfeed during the study
Concurrent use of either
- ACEi and ARB or
- Mineralocorticoid receptor antagonist (MRA) or direct renin inhibitor (DRI) in combination with an ACEi or ARB for at least 2 weeks prior to Enrollment
- Prior or ongoing clinically significant illness, medical condition, surgical history, physical finding, ECG finding, or laboratory abnormality that, in the investigator's opinion, could adversely affect the safety of the individual or impair the assessment of study results
Note: Other protocol defined Inclusion/Exclusion criteria may apply.
Sites / Locations
- Arizona Kidney Disease and Hypertension Centers
- AKDHC Medical Research Services, LLC
- Clearview Medical Research, LLC
- Kidney Disease Medical Group, Inc.
- Renal Consultants Medical Group
- Marin Endocrine Care & Research, Inc.
- California Institute of Renal Research
- Academic Medical Research Institute
- Rose Salter Medical Research Foundation
- Valley Renal Medical Group Research
- California Institute of Renal Research
- California Kidney Specialist
- Creekside Endocrine Associates, PC
- New West Physicians, Inc
- Western Nephrology and Metabolic Bone Disease, PC
- Omega Research Maitland, LLC
- South Florida Research Institute
- Suncoast Clinical Research, Inc.
- Discovery Medical Research Group, Inc
- Coastal Nephrology Associates Research Center, LLC. D/B/A Volunteer Medical Research
- Atlanta Center for Clinical Research
- Georgia Nephrology Research Institute
- East-West Medical Research Institute
- Boise Kidney & Hypertension, PLLC
- Research By Design, LLC
- Buynak Clinical Research, P.C.
- West Broadway Clinic
- Kansas Nephrology Research Institute, LLC
- Four Rivers Clinical Research
- Internal Medicine Specialists, Inc
- Northwest Louisiana Nephrology L.L.C
- Aa Mrc, Llc
- Elite Research Center
- Arcturus Healthcare, PLC, Troy Internal Medicine Research Division
- Clinical Research Consultants, LLC
- Pelican Point Dialysis - DaVita Clinical Research
- Albany Medical College
- CHEAR Center LLC
- North Shore University Hospital: Division of Nephrology
- Endocrine Associates of Long Island, PC
- Mountain Kidney and Hypertension Associates
- Mountain Diabetes & Endocrine Center
- Carteret Medical Group
- Diabetes And Endocrinology Consultants, P.C.
- PMG Research of Rocky Mount, LLC
- PMG Research Inc., d/b/a PMG Research of Piedmont Healthcare
- Wilmington Health, PLLC
- PMG Research of Winston-Salem, LLC
- SV Research LLC
- Midwest Nephrology Group, PLLC
- Heritage Valley Medical Group, Inc.
- Northeast Clinical Research Center, LLC
- Lifespan Clinical Research Center
- PMG Research Of Charleston, LLC
- Southeast Renal Research Institute
- University Diabetes and Endocrine Consultants
- PMG Research, Inc d/b/a/ PMG Research of Knoxville
- Knoxville Kidney Center, PLLC
- PMG Research, Inc. d/b/a PMG Research of Knoxville
- Memphis Veteran Affairs Medical Center
- Arlington Nephrology
- Corsicana Medical Research, LLC
- North Texas Endocrine Center
- The Medical Group of Texas
- Primecare Medical Group
- DaVita Clinical Research
- Mercury Clinical Research
- DaVita Clinical Research
- Houston Methodist Research Institute - CCAT Pearland
- Northeast Clinical Research of San Antonio
- Clinical Advancement Center, PLLC
- Austin Health and University of Melbourne
- St. Vincent Hospital, Melbourne
- Royal Melbourne Hospital
- LMC Clinical Research Inc. (Barrie)
- LMC Clinical Research Inc. (Brampton)
- LMC Clinical research Inc. (Thornhill)
- LMC Clinical Research Inc. (Etobicoke)
- Clinical Research Solution Inc.
- Centre de Recherche Clinique de Lava
- Dr TGElliott Inc dba BC Diabetes
- Winnipeg Clinic
- Asahikawa Medical University Hospital
- National Hospital Organization Chiba-East-Hospital
- Kagoshima University Hospital
- Kokura Memorial Hospital
- Yamanashi Prefectural Central Hospital
- Kurobe City Hospital
- Kurume University Hospital
- Nakamoto Medical Clinic
- Kozawa Eye Hospital and Diabetes Center
- Japanese Red Cross Musashino Hospital
- Nagasaki University Hospital
- Japan Organization of Occupational Health and Safety Chubu Rosai Hospital
- Daido Clinic
- Nakakinen Clinic
- Niigata University Medical & Dental Hospital
- Okayama University Hospital
- Osaka General Medical Center
- Hoshina Clinic
- Sanuki Municipal Hospital
- Tachikawa Hospital
- Mishuku Hospital
- Nihon University Itabashi Hospital
- TOYOTA Memorial Hospital
- Yokohama City University Hospital
- Auckland City Hospital (Auckland District Health Board)
- Middlemore Clinical Trials Trust trading as Middlemore Clinical Trials
- Lipid and Diabetes Research Group
- Waitemata District Health Board- North Shore Hospital
- Endocrine, Diabetes & Research Centre (Capital and Coast District Health Board)
Arms of the Study
Arm 1
Arm 2
Experimental
Placebo Comparator
Selonsertib
Placebo
Run-in Period (5 Weeks): Participants will receive placebo-to-match SEL for at least one week and then SEL 18 mg for at least 4 weeks. Randomized Period: Participants will be randomized to receive SEL 18 mg for at least 48 weeks.
Run-in Period (5 Weeks): Participants will receive placebo-to-match SEL for at least one week and then SEL 18 mg for at least 4 weeks. Randomized Period: Participants will be randomized to receive placebo-to-match SEL for at least 48 weeks.