Trial Outcomes & Findings for Novel Therapies for Resistant FSGS (FONTII): Phase II Clinical Trial (NCT NCT00814255)

NCT ID: NCT00814255

Last Updated: 2016-07-11

Results Overview

Number of participants with a reduction in proteinuria at 6 months by \> 50% of the value at screening AND stable GFR defined as greater than 75 ml/min/1.73m2 in those with an initial value above 90 OR within 25% of baseline for remaining patients.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

32 participants

Primary outcome timeframe

baseline and 6 months

Results posted on

2016-07-11

Participant Flow

32 patients consented however 8 were not assigned to treatment because they failed to meet eligibility at the end of the screening 1 patient was assigned to rosiglitazone and was not included in the analysis.

Participant milestones

Participant milestones
Measure
Conservative Medical Therapy Plus Adalimumab
Conservative medical therapy plus adalimumab Adalimumab: Adalimumab 24 mg/m2 (maximum dose 40 mg) sc q 14 days
Conservative Medical Therapy (Lisinopril, Losartan, Atorvastat
Conservative medical therapy (lisinopril, losartan, atorvastatin) Lisinopril, losartan, and atorvastatin: Lisinopril PO 10-20 mg per day Losartan PO 25-50 mg per day Atorvastatin PO 10-20 mg per day
Conservative Medical Therapy Plus Galactose
drug: galactose 0.2 g /kg/dose (maximum dose 15g) po BID galactose: galactose 0.2 g/kg/dose (maximum dose 15 g)po BID NOTE: This study arm was originally to receive rosiglitazone. One participant was assigned to this study arm prior to the therapy being changed to galactose.
Overall Study
STARTED
8
7
8
Overall Study
COMPLETED
7
7
7
Overall Study
NOT COMPLETED
1
0
1

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Novel Therapies for Resistant FSGS (FONTII): Phase II Clinical Trial

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Conservative Medical Therapy Plus Adalimumab
n=7 Participants
Conservative medical therapy plus adalimumab Adalimumab: Adalimumab 24 mg/m2 (maximum dose 40 mg) sc q 14 days
Conservative Medical Therapy
n=7 Participants
Conservative medical therapy (lisinopril, losartan, atorvastatin) Lisinopril, losartan, and atorvastatin: Lisinopril PO 10-20 mg per day Losartan PO 25-50 mg per day Atorvastatin PO 10-20 mg per day
Conservative Medical Therapy Plus Galactose
n=7 Participants
drug: galactose 0.2 g /kg/dose (maximum dose 15g) po BID galactose: galactose 0.2 g/kg/dose (maximum dose 15 g)po BID
Total
n=21 Participants
Total of all reporting groups
Age, Categorical
<=18 years
5 Participants
n=5 Participants
5 Participants
n=7 Participants
4 Participants
n=5 Participants
14 Participants
n=4 Participants
Age, Categorical
Between 18 and 65 years
2 Participants
n=5 Participants
2 Participants
n=7 Participants
3 Participants
n=5 Participants
7 Participants
n=4 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Age, Continuous
21.9 years
n=5 Participants
15.6 years
n=7 Participants
15.8 years
n=5 Participants
17.8 years
n=4 Participants
Sex: Female, Male
Female
4 Participants
n=5 Participants
4 Participants
n=7 Participants
4 Participants
n=5 Participants
12 Participants
n=4 Participants
Sex: Female, Male
Male
3 Participants
n=5 Participants
3 Participants
n=7 Participants
3 Participants
n=5 Participants
9 Participants
n=4 Participants
Race/Ethnicity, Customized
white
3 participants
n=5 Participants
7 participants
n=7 Participants
2 participants
n=5 Participants
12 participants
n=4 Participants
Race/Ethnicity, Customized
hispanic
2 participants
n=5 Participants
0 participants
n=7 Participants
3 participants
n=5 Participants
5 participants
n=4 Participants
Race/Ethnicity, Customized
African American
2 participants
n=5 Participants
0 participants
n=7 Participants
2 participants
n=5 Participants
4 participants
n=4 Participants
Region of Enrollment
United States
7 participants
n=5 Participants
7 participants
n=7 Participants
7 participants
n=5 Participants
21 participants
n=4 Participants

PRIMARY outcome

Timeframe: baseline and 6 months

Population: One participant was assigned to the rosiglitazone arm before the drug was replaced with the galactose arm. This participant was not included in the analysis.

Number of participants with a reduction in proteinuria at 6 months by \> 50% of the value at screening AND stable GFR defined as greater than 75 ml/min/1.73m2 in those with an initial value above 90 OR within 25% of baseline for remaining patients.

Outcome measures

Outcome measures
Measure
Conservative Medical Therapy Plus Adalimumab
n=7 Participants
Conservative medical therapy plus adalimumab Adalimumab: Adalimumab 24 mg/m2 (maximum dose 40 mg) sc q 14 days 0 out of 7
Conservative Medical Therapy (Lisinopril, Losartan, Atorvastat
n=7 Participants
Conservative medical therapy (lisinopril, losartan, atorvastatin) Lisinopril, losartan, and atorvastatin: Lisinopril PO 10-20 mg per day Losartan PO 25-50 mg per day Atorvastatin PO 10-20 mg per day 2 out of 7
Conservative Medical Therapy Plus Galactose
n=7 Participants
drug: galactose 0.2 g /kg/dose (maximum dose 15g) po BID galactose: galactose 0.2 g/kg/dose (maximum dose 15 g)po BID 2 out of 7
Number of Participants With a Reduction in Proteinuria at 6 Months by > 50% of the Value at Screening AND Stable GFR Defined as Greater Than 75 ml/Min/1.73m2 in Those With an Initial Value Above 90 OR Within 25% of Baseline for Remaining Patients
0 participants
2 participants
2 participants

SECONDARY outcome

Timeframe: Baseline and 6 months

Population: No data were collected.

Patient Satisfaction Score Using the Treatment Satisfaction Questionnaire for Medication (TSQM Questionnaire)

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Up to 7 months

Outcome measures

Outcome measures
Measure
Conservative Medical Therapy Plus Adalimumab
n=7 Participants
Conservative medical therapy plus adalimumab Adalimumab: Adalimumab 24 mg/m2 (maximum dose 40 mg) sc q 14 days 0 out of 7
Conservative Medical Therapy (Lisinopril, Losartan, Atorvastat
n=7 Participants
Conservative medical therapy (lisinopril, losartan, atorvastatin) Lisinopril, losartan, and atorvastatin: Lisinopril PO 10-20 mg per day Losartan PO 25-50 mg per day Atorvastatin PO 10-20 mg per day 2 out of 7
Conservative Medical Therapy Plus Galactose
n=7 Participants
drug: galactose 0.2 g /kg/dose (maximum dose 15g) po BID galactose: galactose 0.2 g/kg/dose (maximum dose 15 g)po BID 2 out of 7
Number of Participants With Adverse Events
7 participants
7 participants
7 participants

SECONDARY outcome

Timeframe: Baseline and 6 months

Population: No data were collected.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Baseline and 6 months

Population: No data were collected.

Outcome measures

Outcome data not reported

Adverse Events

Conservative Medical Therapy Plus Adalimumab

Serious events: 3 serious events
Other events: 7 other events
Deaths: 0 deaths

Conservative Medical Therapy (Lisinopril, Losartan, Atorvastat

Serious events: 1 serious events
Other events: 7 other events
Deaths: 0 deaths

Conservative Medical Therapy Plus Galactose

Serious events: 1 serious events
Other events: 7 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Conservative Medical Therapy Plus Adalimumab
n=7 participants at risk
Conservative medical therapy plus adalimumab Adalimumab: Adalimumab 24 mg/m2 (maximum dose 40 mg) sc q 14 days
Conservative Medical Therapy (Lisinopril, Losartan, Atorvastat
n=7 participants at risk
Conservative medical therapy (lisinopril, losartan, atorvastatin) Lisinopril, losartan, and atorvastatin: Lisinopril PO 10-20 mg per day Losartan PO 25-50 mg per day Atorvastatin PO 10-20 mg per day
Conservative Medical Therapy Plus Galactose
n=7 participants at risk
drug: galactose 0.2 g /kg/dose (maximum dose 15g) po BID galactose: galactose 0.2 g/kg/dose (maximum dose 15 g)po BID
General disorders
hospitalization
42.9%
3/7 • Number of events 32 • 6 month treatment period and 6 month follow up period
Data collected based on patient reports and a review of laboratory data. Adverse events were classified by MeDRA 10.0
14.3%
1/7 • Number of events 9 • 6 month treatment period and 6 month follow up period
Data collected based on patient reports and a review of laboratory data. Adverse events were classified by MeDRA 10.0
14.3%
1/7 • Number of events 1 • 6 month treatment period and 6 month follow up period
Data collected based on patient reports and a review of laboratory data. Adverse events were classified by MeDRA 10.0
General disorders
Pregnancy
14.3%
1/7 • Number of events 1 • 6 month treatment period and 6 month follow up period
Data collected based on patient reports and a review of laboratory data. Adverse events were classified by MeDRA 10.0
0.00%
0/7 • 6 month treatment period and 6 month follow up period
Data collected based on patient reports and a review of laboratory data. Adverse events were classified by MeDRA 10.0
14.3%
1/7 • Number of events 1 • 6 month treatment period and 6 month follow up period
Data collected based on patient reports and a review of laboratory data. Adverse events were classified by MeDRA 10.0

Other adverse events

Other adverse events
Measure
Conservative Medical Therapy Plus Adalimumab
n=7 participants at risk
Conservative medical therapy plus adalimumab Adalimumab: Adalimumab 24 mg/m2 (maximum dose 40 mg) sc q 14 days
Conservative Medical Therapy (Lisinopril, Losartan, Atorvastat
n=7 participants at risk
Conservative medical therapy (lisinopril, losartan, atorvastatin) Lisinopril, losartan, and atorvastatin: Lisinopril PO 10-20 mg per day Losartan PO 25-50 mg per day Atorvastatin PO 10-20 mg per day
Conservative Medical Therapy Plus Galactose
n=7 participants at risk
drug: galactose 0.2 g /kg/dose (maximum dose 15g) po BID galactose: galactose 0.2 g/kg/dose (maximum dose 15 g)po BID
General disorders
Edema
85.7%
6/7 • Number of events 100 • 6 month treatment period and 6 month follow up period
Data collected based on patient reports and a review of laboratory data. Adverse events were classified by MeDRA 10.0
85.7%
6/7 • Number of events 23 • 6 month treatment period and 6 month follow up period
Data collected based on patient reports and a review of laboratory data. Adverse events were classified by MeDRA 10.0
71.4%
5/7 • Number of events 57 • 6 month treatment period and 6 month follow up period
Data collected based on patient reports and a review of laboratory data. Adverse events were classified by MeDRA 10.0
Infections and infestations
Infection
71.4%
5/7 • Number of events 49 • 6 month treatment period and 6 month follow up period
Data collected based on patient reports and a review of laboratory data. Adverse events were classified by MeDRA 10.0
57.1%
4/7 • Number of events 10 • 6 month treatment period and 6 month follow up period
Data collected based on patient reports and a review of laboratory data. Adverse events were classified by MeDRA 10.0
71.4%
5/7 • Number of events 20 • 6 month treatment period and 6 month follow up period
Data collected based on patient reports and a review of laboratory data. Adverse events were classified by MeDRA 10.0

Additional Information

Howard Trachtman

NYUmed

Phone: 646-501-2663

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place