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临床试验/NCT06962098
NCT06962098招募中2 期

A Phase 2b Randomized, Double-blind, Placebo-controlled, Dose-ranging, Multicenter Study to Evaluate the Efficacy and Safety of Isuzinaxib in Subjects With Diabetic Kidney Disease

Aptabio Therapeutics, Inc.20 个研究点 分布在 1 个国家目标入组 186 人开始时间: 2025年5月26日最近更新:
干预措施

试验速览

阶段
2 期
状态
招募中
入组人数
186
试验地点
20
主要终点
Efficacy endpoint: Urine Albumin-Creatinine Ratio

研究概览

简要总结

This study is a multicenter, double-blinded, randomized, placebo-controlled, dose-ranging study to evaluate the safety, tolerability, PK, and efficacy of Isuzinaxib compared with placebo in subjects with DKD.

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
19 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Male/female subject aged ≥19 years inclusive at the time of informed consent.
  • Clinical diagnosis of type 2 diabetes and DKD.
  • 18.5 kg/m² < body mass index < 35 kg/m².
  • Stable UACR values prior to screening visit.
  • UACR between 200 and 3000 mg/g.
  • Hemoglobin A1c ≤10% at Screening Visit.
  • Subject who has been taking unchanged dosage of angiotensin-converting enzyme (ACE) inhibitor or angiotensin receptor blockers (ARB) medication.
  • Subject who has been on stable anti-hyperglycemic prior to screening.
  • Females of childbearing potential/sexually active males with a partner of childbearing potential: commitment to consistently and correctly use an acceptable method of birth control.
  • Willing to be under dietary management for diabetes.
  • Willing to comply with all study procedures and availability for the duration of the study.
  • Capable of understanding the content of and able voluntarily to provide a signed and dated written informed consent form (ICF) prior to any study procedures.

排除标准

  • History of type 1 diabetes mellitus or gestational diabetes.
  • Subject's renal impairment and/or albuminuria is considered to be of origin other than DKD.
  • History of renal transplant and/or plan to undergo a renal transplant during the study.
  • History of acute kidney injury or renal dialysis.
  • Subject with uncontrolled blood pressure.
  • Subject taking immunosuppressant.
  • Subject with known or suspected hypersensitivity to any components of the APX-115 formulation.
  • Clinically significant abnormal laboratory findings at screening.
  • History of drug or alcohol abuse within 1 year prior to screening.
  • History of any cardiovascular event or cardiovascular procedure planned during the clinical study.
  • Current or history of New York Heart Association class III or IV heart failure.
  • Clinically significant electrocardiogram (ECG) abnormalities.
  • Known significant liver disease.
  • Subject with active urinary tract infection or has not fully recovered before randomization.
  • History of malignancy within 5 years prior to screening.
  • Administration of any investigational product.
  • Major surgery within 28 days or not fully recovered surgery prior to randomization or major surgery planned during the next 6 months.
  • Positive hepatitis B surface antigen.
  • Female subject who is pregnant or breastfeeding.
  • Other medical history which in the opinion of the Investigator would make the subject unsuitable for participation in the study.
  • Subject who, in the judgment of the Investigator, is likely to be non-compliant or uncooperative during the study or unable to cooperate because of a language problem or poor mental status.

研究组 & 干预措施

Isuzinaxib 400 mg

Active Comparator

Subject will receive the 400 mg of Isuzinaxib.

干预措施: Isuzinaxib (Drug)

Isuzinaxib 200 mg

Active Comparator

Subject will receive the 200 mg of Isuzinaxib.

干预措施: Isuzinaxib (Drug)

Placebo

Placebo Comparator

Subject will receive the Placebo.

干预措施: Placebo (Drug)

结局指标

主要结局

Efficacy endpoint: Urine Albumin-Creatinine Ratio

时间窗: Over 24 Weeks

Change in Urine Albumin-Creatinine Ratio from baseline through Week 24 in the Isuzinaxib treatment groups versus the placebo group

次要结局

  • Efficacy endpoint: eGFR(Over 24 Weeks)
  • Efficacy endpoint: Urine Albumin-Creatinine Ratio(Over 20 Weeks)
  • Efficacy endpoint: Urine Albumin-Creatinine Ratio decrease(Over 24 Weeks)
  • Efficacy endpoint: Incidence of Composite Renal Outcome(Over 24 Weeks)
  • Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability](Over 24 Weeks)
  • PK Endpoint: Pharmacokinetics(Over 24 Weeks)

研究者

申办方类型
Indiv
责任方
Sponsor

研究点 (20)

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