Efficacy and safety of DMX-200 in patients with focal segmental glomerulosclerosis

Recruitment & Eligibility

Status: ot Recruiting

Sex: All

Target Recruitment: 286

Inclusion Criteria

Key Inclusion Criteria:
- A diagnosis of FSGS confirmed by kidney biopsy or documentation of a genetic mutation in a podocyte protein associated with FSGS. NOTE: The biopsy can have been obtained at any time. Diagnosis of FSGS should be based on light microscopy with supportive findings on either electron microscopy or immunofluorescence analysis and the clinical history and disease course consistent with primary FSGS, genetic FSGS, or FSGS of undetermined cause.
- Must be either receiving an ARB at the maximal tolerated dose and =50% of the maximum recommended dose per the product label prior to Screening, or willing to transition to this treatment.
- If taking corticosteroids, the dosage must be stable for =4 weeks prior to Screening and during Stabilization, and patients must have no plan to change their treatment regimen during study.
- If taking aldosterone inhibitors, mineralocorticoid receptor antagonists, direct renin inhibitors, or sodium-glucose co-transporter-2 inhibitors, the dose and regimen must be stable for =26 weeks prior to Screening and during Stabilization and patients must have no plan to change their treatment regimen during the study.
- Urine protein/creatinine ratio (PCR) >1.5 g/g (>169.5 mg/mmol) or 24-hour total protein >1.5 g/day based on 24-hour urine collection during Screening.
- Estimated glomerular filtration rate (eGFR) =25 mL/min/1.73 m2 at Screening using the CKD Epidemiology Collaboration (CKD-EPI) Creatinine Equation (2009) (see Appendix 3 for calculation details).
- Seated blood pressure =160/100 mm Hg (mean of 3 values) at Screening.
- Body mass index =40 kg/m2 at Screening.
Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range 263
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range 23

Exclusion Criteria

Key Exclusion Criteria:
- Has FSGS secondary to another condition.
- History of type 1 diabetes mellitus, or uncontrolled type 2 diabetes mellitus (defined as glycated hemoglobin >8%).
- History of lymphoma, leukemia, or any active malignancy within the past 2 years (except for basal cell or squamous cell carcinomas of the skin or cervical carcinoma in situ that have been resected and with no evidence of metastatic disease).
- Active clinically significant hepatobiliary disease.
- Documented history of heart failure (New York Heart Association Class III/IV) or a major adverse cardiac event within 12 weeks prior to Screening.
- Serum potassium levels >5.5 mmol/L at Screening.
- Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) >2 × upper limit of normal at Screening.
- Treatment with immunosuppressant biological drugs, calcineurin inhibitors, cyclophosphamide, azathioprine, or mycophenolate mofetil within 26 weeks prior to Screening.

Study & Design

Study Type: Interventional clinical trial of medicinal product

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method

Secondary Outcome Measures

Name	Time	Method

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