A Study of RGLS8429 in Patients With Autosomal Dominant Polycystic Kidney Disease

NCT ID: NCT05521191

Last Updated: 2025-06-03

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

PHASE1

Total Enrollment

68 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-10-06

Study Completion Date

2025-03-27

Brief Summary

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Primary Objectives

* To assess the safety and tolerability of RGLS8429
* To assess the impact of RGLS8429 on ADPKD biomarkers

Secondary Objectives

* To assess the impact of RGLS8429 on height-adjusted total kidney volume (htTKV)
* To characterize the pharmacokinetic (PK) properties of RGLS8429
* To assess the impact of RGLS8429 on renal function

Detailed Description

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This is a randomized, double-blind, placebo-controlled multiple ascending dose and an open-label fixed-dose Phase 1b study consisting of two parts, Part A and Part B. In Part A, multiple ascending doses of RGLS8429 or placebo will be administered via subcutaneous injection to subjects with ADPKD to evaluate the safety, tolerability, pharmacodynamics and pharmacokinetics of RGLS8429. In Part B, a fixed-dose of RGLS8429 will be administered via subcutaneous injection to subjects with ADPKD to evaluate the safety, tolerability, pharmacodynamics and pharmacokinetics of RGLS8429.

Conditions

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Autosomal Dominant Polycystic Kidney Disease ADPKD Polycystic Kidney, Autosomal Dominant

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SEQUENTIAL

The study will consist of two parts. Part A will consist of three sequential cohorts of approximately 12 subjects each randomized centrally to receive RGLS8429 or placebo by subcutaneous injection every other week (Q2W) x 7 doses (approximately 36 subjects total). Part B will be an open-label fixed dose cohort of up to 30 subjects. .
Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators
This study will have two parts. Part A is the double-blind, randomized, placebo-controlled study. Part B is the open-label fixed-dose study.

Study Groups

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RGLS8429

The randomized,double blind part of the study (Part A) will consist of three sequential cohorts of approximately 12 subjects each randomized centrally to receive RGLS8429 or placebo by subcutaneous injection every other week (Q2W) x 7 doses (36 subjects total).

* Cohort 1: first dose level of RGLS8429 or placebo
* Cohort 2: second dose level of RGLS8429 or placebo
* Cohort 3: third dose level of RGLS8429 or placebo

Group Type EXPERIMENTAL

RGLS8429

Intervention Type DRUG

Solution for subcutaneous injection

Placebo

The randomized double blind part of the study (Part A) will consist of three sequential cohorts of approximately 12 subjects each randomized centrally to receive RGLS8429 or placebo by subcutaneous injection every other week (Q2W) x 7 doses (36 subjects total).

* Cohort 1: first dose level of RGLS8429 or placebo
* Cohort 2: second dose level of RGLS8429 or placebo
* Cohort 3: third dose level of RGLS8429 or placebo

Group Type EXPERIMENTAL

Placebo

Intervention Type DRUG

Solution for subcutaneous injection

Open Label Fixed Dose RGLS8429

The open-label fixed dose part of the study (Part B and Cohort 4) will consist of a single cohort of up to 30 subjects each receiving 300 mg RGLS8429.

Group Type EXPERIMENTAL

RGLS8429

Intervention Type DRUG

Solution for subcutaneous injection

Interventions

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RGLS8429

Solution for subcutaneous injection

Intervention Type DRUG

Placebo

Solution for subcutaneous injection

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Male or female ADPKD patients, 18 to 70 years old
2. Class 1C, 1D, or 1E Mayo Imaging Classification of ADPKD (based upon either the MRI obtained during screening, or a prior MRI obtained within 5 years of screening with documented Mayo classification)
3. eGFR between 30 to 90 mL/min/1.73 m2
4. Body mass index (BMI) 18 to 35 kg/m2
5. Must understand and consent to the study procedures explained in the ICF and be willing and able to comply with the protocol

Exclusion Criteria

1. Administration of tolvaptan in the 28 days before randomization
2. Subject is mentally incapacitated or has significant emotional problems
3. Any medical condition or social circumstance that, in the opinion of the Investigator, may make the subject unlikely to complete the study or comply with study procedures and requirements; or may pose a risk to the subject's safety
4. History or presence of alcoholism or drug abuse within the past 2 years prior to screening
5. Only one kidney or kidney transplant recipient
6. Participation in another clinical trial and/or exposure to any investigational drug or approved therapy for investigational use within 28 days or 5 half-lives of the investigational drug's dosing, whichever is longer, prior to dosing. The 28-day or 5-half-life windows will be calculated from the date of the last dosing in the previous study to Day 1 of the current study.
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Regulus Therapeutics Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Rekha Garg, MD

Role: STUDY_DIRECTOR

Regulus Therapeutics

Locations

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Centricity Research Phoenix Multispecialty

Mesa, Arizona, United States

Site Status

Academic Medical Research Institute

Los Angeles, California, United States

Site Status

Yale Nephrology Outpatient Clinic

New Haven, Connecticut, United States

Site Status

Mayo Clinic - Florida

Jacksonville, Florida, United States

Site Status

Elixia

Orlando, Florida, United States

Site Status

Southeastern Clinical Research Institute, LLC

Augusta, Georgia, United States

Site Status

CARE Institute

Boise, Idaho, United States

Site Status

CARE Institute

Chubbuck, Idaho, United States

Site Status

The Idaho Kidney Institute

Idaho Falls, Idaho, United States

Site Status

University of Chicago

Chicago, Illinois, United States

Site Status

Research by Design, LLC

Chicago, Illinois, United States

Site Status

University of Iowa

Iowa City, Iowa, United States

Site Status

University of Kansas Medical Center Jared Grantham Kidney Institute

Kansas City, Kansas, United States

Site Status

Witchita Nephrology Group, PA

Wichita, Kansas, United States

Site Status

University of Maryland School of Medicine, Nephrology

Baltimore, Maryland, United States

Site Status

Tufts Medical Center

Boston, Massachusetts, United States

Site Status

St. Clair Nephrology Research

Roseville, Michigan, United States

Site Status

Mayo Clinic - Rochester

Rochester, Minnesota, United States

Site Status

Northeast Clinical Research Center

Bethlehem, Pennsylvania, United States

Site Status

University of Texas Southwestern Medical Center

Dallas, Texas, United States

Site Status

Swedish Center for Comprehensive Care

Seattle, Washington, United States

Site Status

Countries

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United States

References

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St Pierre K, Cashmore BA, Bolignano D, Zoccali C, Ruospo M, Craig JC, Strippoli GF, Mallett AJ, Green SC, Tunnicliffe DJ. Interventions for preventing the progression of autosomal dominant polycystic kidney disease. Cochrane Database Syst Rev. 2024 Oct 2;10(10):CD010294. doi: 10.1002/14651858.CD010294.pub3.

Reference Type DERIVED
PMID: 39356039 (View on PubMed)

Tekendo-Ngongang C, Gleeson JG, Mignon L. Treating the Untreatable: Antisense Oligonucleotides as an Individualized Therapy for Rare Genetic Kidney Diseases. J Am Soc Nephrol. 2024 Dec 1;35(12):1774-1777. doi: 10.1681/ASN.0000000532. Epub 2024 Sep 27. No abstract available.

Reference Type DERIVED
PMID: 39331470 (View on PubMed)

Other Identifiers

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RGLS8429-02

Identifier Type: -

Identifier Source: org_study_id

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