A multicentre, randomised, double-blind, parallel group, placebo-controlled trial to assess the effects of oral TRPC6 inhibitor BI 764198 taken over a 104 week treatment period in adult and adolescent participants with primary focal segmental glomerulosclerosis (pFSGS) or genetic FSGS related to TRPC6 gene variants
试验速览
- 阶段
- 3 期
- 状态
- 招募中
- 发起方
- 入组人数
- 86
- 试验地点
- 93
- 主要终点
- Relative change in 24-hour UPCR, (measured in mg/g) from baseline to Week 104
研究概览
简要总结
The primary objective is to demonstrate superiority of BI 764198 for the mean relative change from baseline to Week 104 in 24-hour urinary protein-to-creatinine ratio (UPCR, measured in mg/g) in participants with pFSGS or those with genetic FSGS due to TRPC6 gain-of-function gene mutations, some of whom are on background calcineurin inhibitor (CNI) treatment.
入排标准
- 年龄范围
- 0 years 至 65+ years(65+ Years, 18-64 Years, 0-17 Years)
- 接受健康志愿者
- 否
入选标准
- •Male or female participants ≥12 years old on the day of signing informed consent/assent (Visit 1)
- •Weight of ≥40 kg at the screening visit (Visit 1)
- •Body Mass Index (BMI) of ≤40 kg/m2 at the screening visit (Visit 1)
- •Participants with a diagnosis prior to the screening visit (Visit 1) of either: - biopsy-confirmed pFSGS (based on Investigator’s judgement) OR - genetic FSGS resulting from a gain-of-function gene mutation in the TRPC6 gene (based on historical genetic test)
- •UPCR ≥1500 mg/g based on the mean of the spot urine sample and first morning void (FMV) urine sample (both assessed by central laboratory) at the screening visit (Visit 1)
- •Estimated glomerular filtration rate (eGFR) - For adult participants (≥18): ≥25 mL/min/1.73 m2 (CKD-EPI formula based on serum cystatin C) at the screening visit (Visit 1) - For adolescent participants (12 to <18 years): ≥25 mL/min/1.73 m2 based on CKiD U25 formula using serum cystatin C at the screening visit (Visit 1)
- •Further inclusion criteria apply.
排除标准
- •Known monogenic or syndromic causes of FSGS (with the exception of TRPC6 gain-of-function gene mutations)
- •Clinical or histologic evidence of secondary adaptive or toxic forms of FSGS (based on Investigator’s judgement)
- •FSGS of undetermined cause (FSGS-UC) with a diagnosis prior to the screening visit (Visit 1) (based on Investigator’s judgement)
- •A history of organ transplantation or planned organ transplantation during the course of the trial
- •Use of intravenous immunosuppressive agents (e.g. cyclophosphamide, rituximab, obinutuzumab) in the last 6 months prior to screening (Visit 1)
- •Further exclusion criteria apply.
研究组 & 干预措施
Placebo matching BI 764198
干预措施: Placebo matching BI 764198 (Drug)
BI 764198
干预措施: BI 764198 (Drug)
结局指标
主要结局
Relative change in 24-hour UPCR, (measured in mg/g) from baseline to Week 104
Relative change in 24-hour UPCR, (measured in mg/g) from baseline to Week 104
Relative change in 24-hour urinary protein-to-creatinine ratio (UPCR, measured in mg/g) from baseline to Week 104
Relative change in 24-hour urinary protein-to-creatinine ratio (UPCR, measured in mg/g) from baseline to Week 104
次要结局
- Change from baseline across disease-specific Clinical Outcome Assessment (COA) NS-SIM-PRO at Week 104
- Change from baseline across COA KDQOL-36 at Week 104
- Key secondary endpoint: Absolute change in eGFRcys in mL/min/1.73m2 from baseline to Week 104
- Key secondary endpoint: Treatment response, defined as 24-hr UPCR <1000 mg/g at Week 104
- 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)
- Complete remission, defined as 24-hr UPCR <300 mg/g at Week 104
- Change from baseline across disease-specific COA NS-SIM-PRO at Week 104
- Change from baseline across Clinical Outcome Assessment (COA) KDQOL-36 at Week 104
研究者
CT Disclosure & Data Transparency
Scientific
Boehringer Ingelheim International GmbH
