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Study of XL784 in Patients With Albuminuria Due to Diabetic Nephropathy

Primary Purpose

Albuminuria, Diabetic Nephropathy

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
XL784
Sponsored by
Symphony Evolution, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Albuminuria focused on measuring albuminuria, diabetic nephropathy, diabetes

Eligibility Criteria

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

Inclusion Criteria: Type 1 or Type 2 diabetes mellitus with albuminuria, observed within 3 months of screening Prior to randomization, subject has a glomerular filtration rate (GFR) >/= 40 mL/min Prior to randomization, the subject has albuminuria defined as ACR >/= 500 mg/g Stable seated blood pressure at the screening visit and prior to randomization Subject has been on a stable dose and schedule of an angiotension converting enzyme (ACE) inhibitor and/or an angiotension receptor blocker (ARB) for at least 3 months before first dose of study drug If on antidiabetic medication, subject has been on a stable dose and schedule for at least 3 months prior to first dose of study drug Sexually active subjects must use an accepted method of contraception during the course of the study and for 3 months after Signed informed consent Exclusion Criteria: Subject has participated in an investigational study and received an investigational drug within 30 days of the first dose of XL784 Hemoglobin A1c (HbA1c) value of >10% at screening Subject has had either organ transplantation or is currently on immunosuppressive therapy Non-steroidal anti-inflammatory drugs (NSAIDs) within 5 days of urine screening assessments Current diagnosis of one or more of the following conditions: 1) infection requiring parenteral antibiotics, 2) urinary tract infection, 3) hepatic dysfunction or disease, 4) symptomatic congestive heart failure, 5) unstable angina pectoris, 5) serious cardiac arrhythmia Clinically evident diabetic gastroparesis or motility disturbance Proteinuria not due to diabetic nephropathy Diltiazem or verapamil Ongoing condition where treatment with NSAIDs is anticipated (aspirin </= 325 mg/day is allowed) Recent history of drug or alcohol abuse Pregnant or breastfeeding female subjects Known HIV and/or receiving anti-retroviral therapy Known allergy or hypersensitivity to any component of XL784 formulation

Sites / Locations

  • Parkway Medical Center
  • Winston Technology, Inc.
  • Redpoint Research
  • International Clinical Research Network, Inc.
  • Scripps Clinic, Torrey Pines, Division of Nephrology
  • National Research Institute
  • West Los Angeles VA Medical Center
  • UCLA Medical Center, Center for the Health Sciences
  • Arroyo Research Inc.
  • Western Nephrology and Metabolic Bone Disease, PC
  • Western Nephrology and Metabolic Bone Disease, PC
  • Soundview Research Associates
  • Chase Medical Research, LLC
  • MedStar Clinical Research Center
  • Clinical Research of South Florida
  • The Center for Diabetes and Endocrine Care
  • FPA Clinical Research
  • Pines Clinical Research, Inc.
  • Rocky Mountain Diabetes and Osteoporosis Center, PA
  • Renal Associate of Baton Rouge
  • Intermed
  • MODEL Clinical Research
  • Renal Unit, Joslin Diabetes Center
  • Fallon Clinic Inc. at Worcester Medical Center, Department of Nephrology
  • Center for Urban and African American Health
  • South Mississippi Nephrology
  • Kansas City VA Medical Center
  • Clayton Medical Research
  • Creighton Dibetes Center
  • University of Nebraska Medical Center - Nephrology
  • LAND Clinical Studies, LLC
  • Montefiore Medical Center
  • Duke South
  • Division of Nephrology/Department of Medicine, Case Western Rserve University, MetroHealth Medical Center Campus
  • The Ohio State University Medical Center, Division of Nephrology
  • COR Clinical Research, LLC
  • Clinical Research Institute of Southern Oregon, PC
  • Mountain View Clinical Research, Inc.
  • Nephrology Associates, PC
  • Heartland Medical, PC
  • Diabetes Center of the Southwest
  • dgd Research
  • University of Texas Health Science Center at San Antonio
  • University of Virginia Health System, Nephrology Division
  • Zablocki Veterans Affairs Medical Center, Nephrology Section

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Arm 1: XL784

Arm 2: Placebo Gel capsules

Arm Description

Outcomes

Primary Outcome Measures

Reduction in albumin excretion relative to creatinine

Secondary Outcome Measures

Safety and tolerability
Pharmacokinetics and renal elimination

Full Information

First Posted
April 7, 2006
Last Updated
February 22, 2010
Sponsor
Symphony Evolution, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT00312780
Brief Title
Study of XL784 in Patients With Albuminuria Due to Diabetic Nephropathy
Official Title
A Randomized, Double-Blind, Placebo-Controlled Study of XL784 Administered Orally to Subjects With Albuminuria Due to Diabetic Nephropathy
Study Type
Interventional

2. Study Status

Record Verification Date
February 2010
Overall Recruitment Status
Completed
Study Start Date
March 2006 (undefined)
Primary Completion Date
October 2007 (Actual)
Study Completion Date
December 2007 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
Symphony Evolution, Inc.

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This clinical study is being conducted at multiple sites to determine the activity, safety and tolerability of XL784 when given daily to patients with albuminuria due to diabetic nephropathy. XL784 is a small molecule reno-protective metalloproteinase inhibitor, inhibiting both ADAMs (including ADAM10, a target of significant interest because of its important role in blood vessel formation and cell proliferation, and ADAM17/TACE, activation of which has been associated with renal deterioration) and MMPs (including MMP-2 and MMP-9). XL784 was specifically optimized to be MMP-1 sparing, which may be clinically significant because inhibition of MMP-1 has been hypothesized to be associated with musculoskeletal toxicity.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Albuminuria, Diabetic Nephropathy
Keywords
albuminuria, diabetic nephropathy, diabetes

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Arm 1: XL784
Arm Type
Experimental
Arm Title
Arm 2: Placebo Gel capsules
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
XL784
Intervention Description
XL784 softgel capsules (100 mg per capsule) orally administered at a dose of 200 mg/day (or placebo softgel capsules)
Primary Outcome Measure Information:
Title
Reduction in albumin excretion relative to creatinine
Time Frame
27 weeks
Secondary Outcome Measure Information:
Title
Safety and tolerability
Time Frame
27 weeks
Title
Pharmacokinetics and renal elimination
Time Frame
27 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Type 1 or Type 2 diabetes mellitus with albuminuria, observed within 3 months of screening Prior to randomization, subject has a glomerular filtration rate (GFR) >/= 40 mL/min Prior to randomization, the subject has albuminuria defined as ACR >/= 500 mg/g Stable seated blood pressure at the screening visit and prior to randomization Subject has been on a stable dose and schedule of an angiotension converting enzyme (ACE) inhibitor and/or an angiotension receptor blocker (ARB) for at least 3 months before first dose of study drug If on antidiabetic medication, subject has been on a stable dose and schedule for at least 3 months prior to first dose of study drug Sexually active subjects must use an accepted method of contraception during the course of the study and for 3 months after Signed informed consent Exclusion Criteria: Subject has participated in an investigational study and received an investigational drug within 30 days of the first dose of XL784 Hemoglobin A1c (HbA1c) value of >10% at screening Subject has had either organ transplantation or is currently on immunosuppressive therapy Non-steroidal anti-inflammatory drugs (NSAIDs) within 5 days of urine screening assessments Current diagnosis of one or more of the following conditions: 1) infection requiring parenteral antibiotics, 2) urinary tract infection, 3) hepatic dysfunction or disease, 4) symptomatic congestive heart failure, 5) unstable angina pectoris, 5) serious cardiac arrhythmia Clinically evident diabetic gastroparesis or motility disturbance Proteinuria not due to diabetic nephropathy Diltiazem or verapamil Ongoing condition where treatment with NSAIDs is anticipated (aspirin </= 325 mg/day is allowed) Recent history of drug or alcohol abuse Pregnant or breastfeeding female subjects Known HIV and/or receiving anti-retroviral therapy Known allergy or hypersensitivity to any component of XL784 formulation
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Sanjay K Aggarwal, MD, MBA
Organizational Affiliation
Exelixis
Official's Role
Study Director
Facility Information:
Facility Name
Parkway Medical Center
City
Birmingham
State/Province
Alabama
ZIP/Postal Code
35215
Country
United States
Facility Name
Winston Technology, Inc.
City
Haleyville
State/Province
Alabama
ZIP/Postal Code
35565
Country
United States
Facility Name
Redpoint Research
City
Phoenix
State/Province
Arizona
ZIP/Postal Code
85209
Country
United States
Facility Name
International Clinical Research Network, Inc.
City
Chula Vista
State/Province
California
ZIP/Postal Code
91911
Country
United States
Facility Name
Scripps Clinic, Torrey Pines, Division of Nephrology
City
La Jolla
State/Province
California
ZIP/Postal Code
92037
Country
United States
Facility Name
National Research Institute
City
Los Angeles
State/Province
California
ZIP/Postal Code
90057
Country
United States
Facility Name
West Los Angeles VA Medical Center
City
Los Angeles
State/Province
California
ZIP/Postal Code
90073
Country
United States
Facility Name
UCLA Medical Center, Center for the Health Sciences
City
Los Angeles
State/Province
California
ZIP/Postal Code
90095
Country
United States
Facility Name
Arroyo Research Inc.
City
Pasadena
State/Province
California
ZIP/Postal Code
91105
Country
United States
Facility Name
Western Nephrology and Metabolic Bone Disease, PC
City
Lakewood
State/Province
Colorado
ZIP/Postal Code
80214
Country
United States
Facility Name
Western Nephrology and Metabolic Bone Disease, PC
City
Thornton
State/Province
Colorado
ZIP/Postal Code
80260
Country
United States
Facility Name
Soundview Research Associates
City
Norwalk
State/Province
Connecticut
ZIP/Postal Code
06850
Country
United States
Facility Name
Chase Medical Research, LLC
City
Waterbury
State/Province
Connecticut
ZIP/Postal Code
06708
Country
United States
Facility Name
MedStar Clinical Research Center
City
Washington
State/Province
District of Columbia
ZIP/Postal Code
20003
Country
United States
Facility Name
Clinical Research of South Florida
City
Coral Gables
State/Province
Florida
ZIP/Postal Code
33134
Country
United States
Facility Name
The Center for Diabetes and Endocrine Care
City
Hollywood
State/Province
Florida
ZIP/Postal Code
33021
Country
United States
Facility Name
FPA Clinical Research
City
Kissimmee
State/Province
Florida
ZIP/Postal Code
34741
Country
United States
Facility Name
Pines Clinical Research, Inc.
City
Pembroke Pines
State/Province
Florida
ZIP/Postal Code
33028
Country
United States
Facility Name
Rocky Mountain Diabetes and Osteoporosis Center, PA
City
Idaho Falls
State/Province
Idaho
ZIP/Postal Code
83404
Country
United States
Facility Name
Renal Associate of Baton Rouge
City
Baton Rouge
State/Province
Louisiana
ZIP/Postal Code
70809
Country
United States
Facility Name
Intermed
City
Portland
State/Province
Maine
ZIP/Postal Code
04102
Country
United States
Facility Name
MODEL Clinical Research
City
Baltimore
State/Province
Maryland
ZIP/Postal Code
21204
Country
United States
Facility Name
Renal Unit, Joslin Diabetes Center
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02215
Country
United States
Facility Name
Fallon Clinic Inc. at Worcester Medical Center, Department of Nephrology
City
Worchester
State/Province
Massachusetts
ZIP/Postal Code
01608
Country
United States
Facility Name
Center for Urban and African American Health
City
Detroit
State/Province
Michigan
ZIP/Postal Code
48201
Country
United States
Facility Name
South Mississippi Nephrology
City
Gulfport
State/Province
Mississippi
ZIP/Postal Code
39501
Country
United States
Facility Name
Kansas City VA Medical Center
City
Kansas City
State/Province
Missouri
ZIP/Postal Code
64128
Country
United States
Facility Name
Clayton Medical Research
City
St. Louis
State/Province
Missouri
ZIP/Postal Code
63117
Country
United States
Facility Name
Creighton Dibetes Center
City
Omaha
State/Province
Nebraska
ZIP/Postal Code
68131
Country
United States
Facility Name
University of Nebraska Medical Center - Nephrology
City
Omaha
State/Province
Nebraska
ZIP/Postal Code
68198
Country
United States
Facility Name
LAND Clinical Studies, LLC
City
West Caldwell
State/Province
New Jersey
ZIP/Postal Code
07006
Country
United States
Facility Name
Montefiore Medical Center
City
Bronx
State/Province
New York
ZIP/Postal Code
10461
Country
United States
Facility Name
Duke South
City
Durham
State/Province
North Carolina
ZIP/Postal Code
27710
Country
United States
Facility Name
Division of Nephrology/Department of Medicine, Case Western Rserve University, MetroHealth Medical Center Campus
City
Cleveland
State/Province
Ohio
ZIP/Postal Code
44109
Country
United States
Facility Name
The Ohio State University Medical Center, Division of Nephrology
City
Columbus
State/Province
Ohio
ZIP/Postal Code
43210
Country
United States
Facility Name
COR Clinical Research, LLC
City
Oklahoma City
State/Province
Oklahoma
ZIP/Postal Code
73103
Country
United States
Facility Name
Clinical Research Institute of Southern Oregon, PC
City
Medford
State/Province
Oregon
ZIP/Postal Code
97504
Country
United States
Facility Name
Mountain View Clinical Research, Inc.
City
Greer
State/Province
South Carolina
ZIP/Postal Code
29651
Country
United States
Facility Name
Nephrology Associates, PC
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37205
Country
United States
Facility Name
Heartland Medical, PC
City
New Tazewell
State/Province
Tennessee
ZIP/Postal Code
37825
Country
United States
Facility Name
Diabetes Center of the Southwest
City
Midland
State/Province
Texas
ZIP/Postal Code
79705
Country
United States
Facility Name
dgd Research
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States
Facility Name
University of Texas Health Science Center at San Antonio
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States
Facility Name
University of Virginia Health System, Nephrology Division
City
Charlottesville
State/Province
Virginia
ZIP/Postal Code
22908
Country
United States
Facility Name
Zablocki Veterans Affairs Medical Center, Nephrology Section
City
Milwaukee
State/Province
Wisconsin
ZIP/Postal Code
53295
Country
United States

12. IPD Sharing Statement

Learn more about this trial

Study of XL784 in Patients With Albuminuria Due to Diabetic Nephropathy

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