Study of XL784 in Patients With Albuminuria Due to Diabetic Nephropathy

NCT ID: NCT00312780

Last Updated: 2010-02-23

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

125 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-03-31

Study Completion Date

2007-12-31

Brief Summary

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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.

Detailed Description

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Conditions

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Albuminuria Diabetic Nephropathy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Arm 1: XL784

Group Type EXPERIMENTAL

XL784

Intervention Type DRUG

XL784 softgel capsules (100 mg per capsule) orally administered at a dose of 200 mg/day (or placebo softgel capsules)

Arm 2: Placebo Gel capsules

Group Type PLACEBO_COMPARATOR

XL784

Intervention Type DRUG

XL784 softgel capsules (100 mg per capsule) orally administered at a dose of 200 mg/day (or placebo softgel capsules)

Interventions

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XL784

XL784 softgel capsules (100 mg per capsule) orally administered at a dose of 200 mg/day (or placebo softgel capsules)

Intervention Type DRUG

Eligibility Criteria

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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
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Symphony Evolution, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Symphony Evolution, Inc.

Principal Investigators

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Sanjay K Aggarwal, MD, MBA

Role: STUDY_DIRECTOR

Exelixis

Locations

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Parkway Medical Center

Birmingham, Alabama, United States

Site Status

Winston Technology, Inc.

Haleyville, Alabama, United States

Site Status

Redpoint Research

Phoenix, Arizona, United States

Site Status

International Clinical Research Network, Inc.

Chula Vista, California, United States

Site Status

Scripps Clinic, Torrey Pines, Division of Nephrology

La Jolla, California, United States

Site Status

National Research Institute

Los Angeles, California, United States

Site Status

West Los Angeles VA Medical Center

Los Angeles, California, United States

Site Status

UCLA Medical Center, Center for the Health Sciences

Los Angeles, California, United States

Site Status

Arroyo Research Inc.

Pasadena, California, United States

Site Status

Western Nephrology and Metabolic Bone Disease, PC

Lakewood, Colorado, United States

Site Status

Western Nephrology and Metabolic Bone Disease, PC

Thornton, Colorado, United States

Site Status

Soundview Research Associates

Norwalk, Connecticut, United States

Site Status

Chase Medical Research, LLC

Waterbury, Connecticut, United States

Site Status

MedStar Clinical Research Center

Washington D.C., District of Columbia, United States

Site Status

Clinical Research of South Florida

Coral Gables, Florida, United States

Site Status

The Center for Diabetes and Endocrine Care

Hollywood, Florida, United States

Site Status

FPA Clinical Research

Kissimmee, Florida, United States

Site Status

Pines Clinical Research, Inc.

Pembroke Pines, Florida, United States

Site Status

Rocky Mountain Diabetes and Osteoporosis Center, PA

Idaho Falls, Idaho, United States

Site Status

Renal Associate of Baton Rouge

Baton Rouge, Louisiana, United States

Site Status

Intermed

Portland, Maine, United States

Site Status

MODEL Clinical Research

Baltimore, Maryland, United States

Site Status

Renal Unit, Joslin Diabetes Center

Boston, Massachusetts, United States

Site Status

Fallon Clinic Inc. at Worcester Medical Center, Department of Nephrology

Worchester, Massachusetts, United States

Site Status

Center for Urban and African American Health

Detroit, Michigan, United States

Site Status

South Mississippi Nephrology

Gulfport, Mississippi, United States

Site Status

Kansas City VA Medical Center

Kansas City, Missouri, United States

Site Status

Clayton Medical Research

St Louis, Missouri, United States

Site Status

Creighton Dibetes Center

Omaha, Nebraska, United States

Site Status

University of Nebraska Medical Center - Nephrology

Omaha, Nebraska, United States

Site Status

LAND Clinical Studies, LLC

West Caldwell, New Jersey, United States

Site Status

Montefiore Medical Center

The Bronx, New York, United States

Site Status

Duke South

Durham, North Carolina, United States

Site Status

Division of Nephrology/Department of Medicine, Case Western Rserve University, MetroHealth Medical Center Campus

Cleveland, Ohio, United States

Site Status

The Ohio State University Medical Center, Division of Nephrology

Columbus, Ohio, United States

Site Status

COR Clinical Research, LLC

Oklahoma City, Oklahoma, United States

Site Status

Clinical Research Institute of Southern Oregon, PC

Medford, Oregon, United States

Site Status

Mountain View Clinical Research, Inc.

Greer, South Carolina, United States

Site Status

Nephrology Associates, PC

Nashville, Tennessee, United States

Site Status

Heartland Medical, PC

New Tazewell, Tennessee, United States

Site Status

Diabetes Center of the Southwest

Midland, Texas, United States

Site Status

dgd Research

San Antonio, Texas, United States

Site Status

University of Texas Health Science Center at San Antonio

San Antonio, Texas, United States

Site Status

University of Virginia Health System, Nephrology Division

Charlottesville, Virginia, United States

Site Status

Zablocki Veterans Affairs Medical Center, Nephrology Section

Milwaukee, Wisconsin, United States

Site Status

Countries

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United States

Other Identifiers

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XL784-201

Identifier Type: -

Identifier Source: org_study_id

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