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A Study to Find Out if BI 764198 Helps Adults and Adolescents With a Kidney Condition Called Focal Segmental Glomerulosclerosis (FSGS)

Not Applicable
Not yet recruiting
Conditions
Focal Segmental Glomerulosclerosis
Interventions
Drug: Placebo
Registration Number
NCT07220083
Lead Sponsor
Boehringer Ingelheim
Brief Summary

This study is open to adults and adolescents with a kidney condition called focal segmental glomerulosclerosis (FSGS). The purpose of this study is to find out whether a medicine called BI 764198 helps people with FSGS.

Participants are put into 2 groups randomly, which means by chance. Every participant has an equal chance of being in each group. One group takes BI 764198 tablets, and the other group takes placebo tablets. Placebo tablets look like BI 764198 tablets but do not contain any medicine.

Participants take a tablet once a day for up to 2 years. All participants also continue their standard medication for FSGS.

Participants are in the study for up to 2 years. During this time, they visit the study site about every 3 months. Participants regularly collect urine samples. This is done to check their kidneys. The results are compared between the two groups to see whether the treatment works. The doctors also regularly check participants' health and take note of any unwanted effects.

Detailed Description

Not available

Recruitment & Eligibility

Status
NOT_YET_RECRUITING
Sex
All
Target Recruitment
286
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
BI 764198 treatmentBI 764198-
Placebo treatmentPlacebo-
Primary Outcome Measures
NameTimeMethod
Relative change in 24-hour urinary protein-to-creatinine ratio (UPCR, measured in mg/g) from baseline to Week 104Baseline and Week 104
Secondary Outcome Measures
NameTimeMethod
Key secondary endpoint: Absolute change in eGFRcys in mL/min/1.73m2 from baseline to Week 104Baseline and Week 104

Estimated glomerular filtration rate based on serum cystatin C (eGFRcys)

Key secondary endpoint: Treatment response, defined as 24-hr UPCR <1000 mg/g at Week 104At Week 104

24-hour urinary protein-to-creatinine ratio (24-hr UPCR)

Treatment response, defined as 24-hr UPCR <1000 mg/g and eGFRcys ≥85% vs. baseline at Week 104 and no treatment failure between randomisation and Week 104 (combined or multi-component endpoint)At Week 104

24-hour urinary protein-to-creatinine ratio (24-hr UPCR), Estimated glomerular filtration rate based on serum cystatin C (eGFRcys).

Treatment failure defined as one or more of the following:

* Use of rescue therapy due to worsening or severely active disease leading to the Investigator concluding that the randomised treatment regimen has failed and requires additional treatment.

* Presence of any of the following events:

* End-stage renal disease

* Receipt of a kidney transplant

* Death

* Intensification of concomitant medication used at screening. Therapies that are considered include:

* Calcineurin inhibitors

* Azathioprine

* Mycophenolate mofetil

* Glucocorticoids: Prednisolone dose escalated to a dose of ≥20 mg/d (oral or intravenous) or equivalent for more than 14 days for treatment of kidney disease

Complete remission, defined as 24-hr UPCR <300 mg/g at Week 104At Week 104

24-hour urinary protein-to-creatinine ratio (24-hr UPCR)

Change from baseline across disease-specific clinical outcome assessment (COA) NS-SIM-PRO at Week 104Baseline and Week 104

The nephrotic syndrome swelling impact measure (NS-SIM-PRO) has 23 items covering physical function (e.g. mobility), physical symptoms (e.g. fatigue, nausea), and essential function (e.g. vision) impacts identified as being important aspects of participants' experiences with nephrotic-syndrome related swelling.

It is expected that all item responses will be combined to generate a single score representing overall swelling impact.

The score ranges from 0 up to 4 (0 = never, 1 = almost never, 2 = sometimes, 3 = often, 4 = almost always). A lower score on any of the NS-SIM-PRO subscales indicate a better quality of life.

The NS-SIM-PRO is applicable only for participants where the investigator confirms the participant is suffering from the symptom swelling at the time of assessment.

Change from baseline across clinical outcome assessment (COA) KDQOL-36 at Week 104Baseline and Week 104

Kidney disease quality of life 36-item short form survey (KDQOL-36) assessing the health-related quality of life (HRQOL) in adult participants with kidney disease. It combines the generic SF-12 Health Survey with additional items specifically relevant to kidney disease.

Key Components:

* SF-12 Health Survey: Includes 12 items that measure physical and mental health, providing a broad overview of the patient's general health status.

* Burden of Kidney Disease: This subscale (4 items) assesses how much kidney disease interferes with daily life and causes frustration.

* Symptoms/Problems: This subscale (12 items) evaluates the frequency and severity of symptoms related to kidney disease, such as pain, fatigue, and sleep disturbances.

* Effects of Kidney Disease: This subscale (8 items) measures the impact of kidney disease on daily activities and overall well-being.

The score ranges from 0 up to 6 and a higher score on most of the KDQOL-36 subscales indicate a better quality of life.

Trial Locations

Locations (156)

Nephrology Consultants, LLC

🇺🇸

Huntsville, Alabama, United States

Amicis Research Center - Balboa

🇺🇸

Granada Hills, California, United States

Academic Medical Research Institute - Glendale

🇺🇸

Los Angeles, California, United States

North America Research Institute

🇺🇸

San Dimas, California, United States

Valiance Clinical Research-Tarzana-68237

🇺🇸

Tarzana, California, United States

Total Research Group, LLC

🇺🇸

Miami, Florida, United States

CTR Oakwater, LLC

🇺🇸

Orlando, Florida, United States

Endeavor Health

🇺🇸

Evanston, Illinois, United States

Northwest Louisiana Nephrology

🇺🇸

Shreveport, Louisiana, United States

St. Clair Nephrology Research, LLC - Shelby Township

🇺🇸

Utica, Michigan, United States

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Nephrology Consultants, LLC
🇺🇸Huntsville, Alabama, United States
Boehringer Ingelheim
Contact
833-602-2368
unitedstates@bitrialsupport.com

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