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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT02836574
Other study ID # RMCL-002
Secondary ID
Status Completed
Phase Phase 2
First received
Last updated
Start date September 2016
Est. completion date December 2023

Study information

Verified date February 2024
Source Prokidney
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

To assess the safety and efficacy of up to two REACT injections given 6 months (+4 weeks) apart and delivered into the biopsied kidney using a percutaneous approach in participants with T2DM and CKD.


Description:

Study Part 1: Multi-center, prospective, open-label, randomized, double-arm, deferred treatment study whereby eligible subjects will be randomized 1:1 after kidney biopsy to receive up to 2 injections of REACT (made from expanded autologous selected renal cells) into the biopsied kidney beginning as soon as REACT can be prepared, or the same series of up to 2 injections given 6 months (+4 weeks) apart beginning 12 months after renal biopsy. Subjects will be followed through 23 months after the last injection. Study Part 2: An open-label extension study in which eligible subjects will be followed for an additional 36 months of long-term follow-up. Subjects will be able to roll from Study Part 2 into a Long Term Follow-Up Master protocol for up to 5 years


Recruitment information / eligibility

Status Completed
Enrollment 83
Est. completion date December 2023
Est. primary completion date December 2023
Accepts healthy volunteers No
Gender All
Age group 30 Years to 80 Years
Eligibility Inclusion Criteria for Study Part 1: 1. The subject is male or female, 30 to 80 years of age on the date of informed consent. 2. The subject has an established diagnosis of T2DM. 3. The subject has an established diagnosis of diabetic nephropathy as the underlying cause of renal disease. 4. The subject has an established diagnosis of CKD not requiring renal dialysis, defined as having an eGFR between 20 and 50 mL/min/1.73m². 5. The subject has blood pressure less than 150/90 at the Screening Visit. 6. The subject has stable blood pressure and is maintained on a stable anti-hypertensive medication regimen. 7. A minimum of 2 measurements of eGFR or sCr should be obtained at least 3 months apart prior to the Screening Visit or within the previous 18 months to define the rate of progression of CKD. Exclusion Criteria for Study Part 1: 1. The subject has a history of type 1 diabetes mellitus. 2. The subject has a history of renal transplantation. 3. The subject has a serum HbA1c level greater than 10% at the Screening Visit. 4. The subject has uncontrolled diabetes (defined as metabolically unstable by the Investigator). 5. The subject has hemoglobin levels less than 9 g/dL prior to each REACT injection. Inclusion Criteria for Study Part 2: 1. The subject is willing and able to provide signed informed consent. 2. The subject was enrolled into Part 1 of the study and received at least one REACT injection. Exclusion Criteria for Study Part 2: 1. The subject is currently receiving renal dialysis.

Study Design


Intervention

Biological:
Renal Autologous Cell Therapy (REACT)
Autologous selected renal cells (SRC).

Locations

Country Name City State
United States Lehigh Valley Health Network Allentown Pennsylvania
United States University of Michigan Ann Arbor Michigan
United States Renal Associates of Baton Rouge Baton Rouge Louisiana
United States University of North Carolina- Chapel Hill Chapel Hill North Carolina
United States University of Chicago Medical Center Chicago Illinois
United States Kidney Associates of Colorado Denver Colorado
United States University of Florida Gainesville Florida
United States Paragon Health Kalamazoo Michigan
United States University of Louisville Louisville Kentucky
United States University of Wisconsin-Madison Madison Wisconsin
United States Boise Kidney and Hypertension Institute Meridian Idaho
United States Vanderbilt University Nashville Tennessee
United States Yale Univeristy New Haven Connecticut
United States Mt. Sinai Hospital New York New York
United States University of Arizona Tucson Arizona
United States Nephrology & Hypertension Associates Tupelo Mississippi

Sponsors (2)

Lead Sponsor Collaborator
Prokidney CTI Clinical Trial and Consulting Services

Country where clinical trial is conducted

United States, 

Outcome

Type Measure Description Time frame Safety issue
Primary Change in Renal Function Serial measurements of estimated glomerular filtration rate (eGFR) obtained pre-randomization and at three-month intervals through 24 months after the last REACT injection in the active treatment group and at least 12 months post last REACT injection in the deferred treatment group. Through 24 months following last REACT injection for active arm and at least 12 months following last REACT injection for the deferred arm
Secondary Treatment emergent adverse events Treatment emergent adverse events, serial safety laboratory results Through 24 months following last REACT injection for the active arm and at least 12 months following the last REACT injection for the deferred arm
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