Phase 2 Study of TMX-049 in Subjects With Type 2 Diabetes and Albuminuria

NCT ID: NCT03449199

Last Updated: 2022-08-30

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

130 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-04-10

Study Completion Date

2019-06-04

Brief Summary

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The primary objective of this study is to assess the effect of 2 dose levels of TMX-049 on urinary albumin excretion in subjects with Type 2 diabetes and albuminuria (a urinary albumin-to-creatinine ratio (UACR) 200 to 3000 mg/g and an estimated glomerular filtration rate (eGFR) ≥30 ml/min/1.73m2). Effects of each TMX-049 dose on UACR will be assessed in terms of ratios using log-transformed UACR at Baseline and after a 12-week period of treatment.

Detailed Description

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Conditions

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Diabetic Kidney Disease

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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TMX-049 40 mg QD (Once Daily)

TMX-049: 40 mg of TMX-049 to be taken orally, once daily

Group Type EXPERIMENTAL

TMX-049

Intervention Type DRUG

A certain dose of TMX-049 to be taken orally, once daily

TMX-049 200 mg QD (Once Daily)

TMX-049: 200 mg of TMX-049 to be taken orally, once daily

Group Type EXPERIMENTAL

TMX-049

Intervention Type DRUG

A certain dose of TMX-049 to be taken orally, once daily

TMX-049 Placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Matching placebo to be taken orally, once daily

Interventions

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TMX-049

A certain dose of TMX-049 to be taken orally, once daily

Intervention Type DRUG

Placebo

Matching placebo to be taken orally, once daily

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Type 2 diabetes treated with ≥1 glucose-lowering medication for at least 12 months
* UACR 200 to 3000 mg/g
* eGFR ≥30 ml/min/1.73m2
* Treated with at least the minimal recommended dose of an angiotensin converting enzyme inhibitor (ACEI) or an angiotensin II receptor blocker (ARB), but not both

Exclusion Criteria

* History of Type 1 diabetes
* Women who are breast feeding
* Treatment with any uric acid-lowering therapy within previous 2 weeks
* History of intolerance to any XO (xanthine oxidase) inhibitor
* History of a gout flare requiring pharmacologic treatment
* History or presence of tophaceous gout
* History of immunosuppressant treatment for any known or suspected renal disorder
* History of a non-diabetic form of renal disease
* Glycosylated hemoglobin (HbA1c) \>11%
* sUA \<4.0 mg/dL or \>10.0 mg/dL
* Positive urinary pregnancy test
* Dialysis for acute renal failure within previous 6 months
* Renal allograft in place or a scheduled kidney transplant within the next 22 weeks
* Congenital or acquired solitary kidney
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Teijin America, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Michael Cressman, D.O.

Role: STUDY_DIRECTOR

Covance

Locations

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AKDHC Medical Research Services, LLC

Flagstaff, Arizona, United States

Site Status

Aventiv Research Inc.

Mesa, Arizona, United States

Site Status

Comprehensive Research Institute

Alhambra, California, United States

Site Status

California Kidney Specialists

Covina, California, United States

Site Status

Torrance Clinical Research Institute, Inc.

Lomita, California, United States

Site Status

Valley Clinical Trials, Inc.

Northridge, California, United States

Site Status

Diabetes Associates Medical Group

Orange, California, United States

Site Status

Desert Oasis Healthcare Medical Group

Palm Springs, California, United States

Site Status

California Kidney Specialists

San Dimas, California, United States

Site Status

North America Research Institute

San Dimas, California, United States

Site Status

Leon Medical Research

Miami, Florida, United States

Site Status

San Marcus Research Clinic, Inc.

Miami Lakes, Florida, United States

Site Status

Endocrine Associates of Florida, P.A.

Ocoee, Florida, United States

Site Status

Pines Care Research Center

Pembroke Pines, Florida, United States

Site Status

Hanson Clinical Research Center

Port Charlotte, Florida, United States

Site Status

Nephrology Associates, PC

Augusta, Georgia, United States

Site Status

Southeastern Clinical Research Institute

Augusta, Georgia, United States

Site Status

East-West Medical Research Institute

Honolulu, Hawaii, United States

Site Status

Solaris Clinical Research, Llc

Meridian, Idaho, United States

Site Status

Associate in Endocrinology

Elgin, Illinois, United States

Site Status

Community Clinical Research Center

Anderson, Indiana, United States

Site Status

Community Hospital of Anderson and Madison County, Inc.

Anderson, Indiana, United States

Site Status

Iowa Kidney Physicians

Des Moines, Iowa, United States

Site Status

Iowa Diabetes and Endocrinology Research Center

West Des Moines, Iowa, United States

Site Status

My Kidney Center, LLC.

Manhattan, Kansas, United States

Site Status

Cotton O'Neil Clinical Research Center

Topeka, Kansas, United States

Site Status

Four Rivers Clincial Research

Paducah, Kentucky, United States

Site Status

Ochsner Clinic Foundation, Baton Rouge

Baton Rouge, Louisiana, United States

Site Status

Biolab Research LLC

Rockville, Maryland, United States

Site Status

Aa Mrc Llc

Flint, Michigan, United States

Site Status

Elite Research Center LLC

Flint, Michigan, United States

Site Status

Endocrine Consultants of Mid Michigan

Flint, Michigan, United States

Site Status

Seacost Kidney & Hypertension Specialists

Portsmouth, New Hampshire, United States

Site Status

Albany Medical College, Division of Community Endocinology

Albany, New York, United States

Site Status

Randolph Health Internal Medicine

Asheboro, North Carolina, United States

Site Status

Carteret Medical Group

Morehead City, North Carolina, United States

Site Status

PMG Research of Wilmington, LLC

Wilmington, North Carolina, United States

Site Status

Brookview Hills Research Associates, LLC

Winston-Salem, North Carolina, United States

Site Status

Synexus Clinical Research US, Inc. Centennial Health, PC

Oklahoma City, Oklahoma, United States

Site Status

Detweiler Family Medicine & Associates, PC

Lansdale, Pennsylvania, United States

Site Status

University Diabetes & Endocrine Consultants

Chattanooga, Tennessee, United States

Site Status

Knoxville Kidney Center, PLLC

Knoxville, Tennessee, United States

Site Status

Texas Health Physicians Group

Dallas, Texas, United States

Site Status

The Medical Group of Texas

Fort Worth, Texas, United States

Site Status

Rockwood Medical Clinic

Fort Worth, Texas, United States

Site Status

Endocrine Associates

Houston, Texas, United States

Site Status

Juno Research, LLC

Houston, Texas, United States

Site Status

The Endocrine Center

Houston, Texas, United States

Site Status

Pioneer Research Solutions INC

Houston, Texas, United States

Site Status

Houston Nephrology Research

Houston, Texas, United States

Site Status

Clinical Advancement Center, PLLC

San Antonio, Texas, United States

Site Status

BFHC Research

San Antonio, Texas, United States

Site Status

Carl R. Meisner Medical Clinic, PLLC

Sugar Land, Texas, United States

Site Status

University of Utah School of Medicine

Salt Lake City, Utah, United States

Site Status

Manassas Clinical Research Center

Manassas, Virginia, United States

Site Status

Countries

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United States

References

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Bakris GL, Mikami H, Hirata M, Nakajima A, Cressman MD. A Non-purine Xanthine Oxidoreductase Inhibitor Reduces Albuminuria in Patients with DKD: A Randomized Controlled Trial. Kidney360. 2021 Jun 30;2(8):1240-1250. doi: 10.34067/KID.0001672021. eCollection 2021 Aug 26.

Reference Type DERIVED
PMID: 35369650 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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TMX-049DN-201

Identifier Type: -

Identifier Source: org_study_id

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