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临床试验/NCT00312780
NCT00312780已完成2 期

A Randomized, Double-Blind, Placebo-Controlled Study of XL784 Administered Orally to Subjects With Albuminuria Due to Diabetic Nephropathy

Symphony Evolution, Inc.44 个研究点 分布在 1 个国家目标入组 125 人开始时间: 2006年3月最近更新:
适应症
干预措施
相关药物

试验速览

阶段
2 期
状态
已完成
入组人数
125
试验地点
44
主要终点
Reduction in albumin excretion relative to creatinine

研究概览

简要总结

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.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • 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

排除标准

  • 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

研究组 & 干预措施

Arm 1: XL784

Experimental

干预措施: XL784 (Drug)

Arm 2: Placebo Gel capsules

Placebo Comparator

干预措施: XL784 (Drug)

结局指标

主要结局

Reduction in albumin excretion relative to creatinine

时间窗: 27 weeks

次要结局

  • Safety and tolerability(27 weeks)
  • Pharmacokinetics and renal elimination(27 weeks)

研究者

申办方类型
Industry

研究点 (44)

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