A Study to Test Safety and Efficacy of Baricitinib in Participants With Diabetic Kidney Disease
A Multicenter, Randomized, Double-Blind, Placebo-Controlled, Dose-Ranging, Phase 2 Study to Evaluate the Safety and Renal Efficacy of Baricitinib in Patients With Diabetic Kidney Disease
2 other identifiers
interventional
130
4 countries
45
Brief Summary
This is a dose ranging study to evaluate the safety and efficacy of baricitinib in the treatment of participants with mild to moderate diabetic kidney disease.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2
Started Aug 2012
45 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
August 1, 2012
CompletedFirst Submitted
Initial submission to the registry
September 7, 2012
CompletedFirst Posted
Study publicly available on registry
September 11, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
November 1, 2014
CompletedResults Posted
Study results publicly available
July 2, 2017
CompletedSeptember 30, 2019
September 1, 2019
2.1 years
September 7, 2012
March 10, 2017
September 10, 2019
Conditions
Outcome Measures
Primary Outcomes (1)
Change From Baseline in Urinary Albumin/Creatinine Ratio (UACR) at Week 24
UACR is a potential marker of chronic kidney disease, calculated as a ratio of Urinary Albumin and Urinary Creatinine. The least squares mean (LS mean) are from mixed model repeated measures (MMRM) analyses which include treatment, baseline estimated Glomerular Filtration Rate (eGFR) group (higher: 50 to 70 mL/min/1.73m² and lower: 25 to \<50 mL/min/1.73m²), visit, treatment-by-visit interaction, baseline UACR, and baseline UACR-by-visit interaction.
Baseline, Week 24
Secondary Outcomes (4)
Change From Baseline in Urinary Monocyte Chemotactic Protein 1 (MCP-1)/Creatinine Ratio
Baseline, Week 24
Change From Baseline in Creatinine Clearance at Week 24
Baseline, Week 24
Change From Baseline in European Quality of Life-5 Dimensions-5 Levels (EQ-5D-5L) at Week 24
Baseline, Week 24
Pharmacokinetics (PK): Area Under the Concentration-Time Curve at Steady State (AUC,ss)
Weeks 2 and 4 (1-2 hours postdose), 8 (3-6 hours postdose), 12 (in fasted state), 16 and 20 (6-9 hours postdose), 24 (in fasted state)
Study Arms (5)
Placebo
PLACEBO COMPARATORAdministered orally, given as three placebo tablets in the morning and one placebo tablet in the evening for 24 weeks.
Baricitinib 0.75 mg/0.5 mg QD
EXPERIMENTALAdministered orally, 0.75 mg given as one 0.75 mg tablets and two placebo tablets in the morning and one placebo tablet in the evening for 24 weeks or 0.5 mg given as one 0.5 mg tablet and two placebo tablets in the morning and one placebo tablet in the evening for 24 weeks. Placebo tablets given to maintain blind.
Baricitinib 0.75 mg/0.5 mg BID
EXPERIMENTALAdministered orally, 0.75 mg given as one 0.75 tablet and 2 placebo in the morning and one 0.75 mg tablet in the evening for 24 weeks or 0.5 mg given as one 0.5 mg tablet and two placebo tablets in the morning and one 0.5 mg tablet in the evening. Placebo tablets given to maintain blind.
Baricitinib 1.5 mg/1 mg
EXPERIMENTALAdministered orally, 1.5 mg given as two 0.75 mg tablets and 1 placebo tablet in the morning and one placebo tablet in the evening for 24 weeks or 1 mg tablet and two placebo tablets in the morning and one placebo tablet in the evening for 24 weeks. Placebo tablets given to maintain blind.
Baricitinib 4 mg/2.75 mg
EXPERIMENTALAdministered orally, 4 mg given as one tablet and 2 placebo tablets in the morning and one placebo tablet in the evening for 24 weeks or 2.75 mg given as two 1 mg tablets and one 0.75 mg tablet in the morning and one placebo tablet in the evening for 24 weeks. Placebo tablets given to maintain blind.
Interventions
Administered orally
Administered orally
Eligibility Criteria
You may qualify if:
- Participants with Type 2 diabetes treated with at least one antihyperglycemic medicine for 12 months
- Have diabetic kidney disease and receiving one of two specific medicines used to treat high blood pressure or diabetic kidney disease for at least 3 months
- Estimated Glomerular Filtration Rate (eGFR) of 25 to 70 milliliter per minute per 1.73 square meter (mL/min/1.73 m²) (as determined by the Chronic Kidney Disease Epidemiology Collaboration equation) and a urinary albumin/creatinine ratio (UACR) \>300 milligram per gram (mg/g) and \<5000 mg/g
You may not qualify if:
- Too high blood pressure when you enter the study
- Some specific medicines used to treat high blood pressure or diabetic kidney disease
- Frequent high blood glucose levels
- Renal transplant or past history of dialysis
- Nonsteroidal anti-inflammatory drugs (NSAIDs)
- Had a special X-ray in the past 30 days which involved also receiving an injection of dye into the vein
- Major surgery within 8 weeks of study entry or will require major surgery during the study
- Some types of vaccination
- Shingles or currently have symptoms of a cold sore
- Serious viral, bacterial, fungal, or parasitic infection, or a urinary infection, Tuberculosis (TB)
- Human immunodeficiency virus (HIV) infection- the virus that causes Acquired immunodeficiency syndrome (AIDS)
- Have or had some blood disorders, enlarged lymph glands or spleen, or some cancers.
- Serious circulatory, breathing, liver, stomach or bowel problems, neurological or psychiatric disorders
- Heart attack or heart failure, or a stroke
- Other serious disorders or illnesses
- +4 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Eli Lilly and Companylead
- Incyte Corporationcollaborator
Study Sites (45)
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
Lancaster, California, 93534, United States
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San Diego, California, 92103, United States
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Torrance, California, 90502, United States
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Lakewood, Colorado, 80227, United States
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Fort Lauderdale, Florida, 33316, United States
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Jacksonville, Florida, 32258, United States
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Miami, Florida, 33173, United States
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Tampa, Florida, 33614, United States
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Augusta, Georgia, 30909, United States
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Honolulu, Hawaii, 96814, United States
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Meridian, Idaho, 83642, United States
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Gurnee, Illinois, 60031, United States
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Peoria, Illinois, 60603, United States
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Evansville, Indiana, 47713, United States
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Topeka, Kansas, 66606, United States
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Rockville, Maryland, 20852, United States
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Ann Arbor, Michigan, 48109, United States
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Detroit, Michigan, 48236, United States
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Pontiac, Michigan, 48341, United States
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Springfield, Missouri, 65807, United States
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Billings, Montana, 59101, United States
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Nashua, New Hampshire, 03063, United States
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Albany, New York, 12209, United States
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New York, New York, 10021, United States
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Rosedale, New York, 11422, United States
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Winston-Salem, North Carolina, 27103, United States
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Bethlehem, Pennsylvania, 18017, United States
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Philadelphia, Pennsylvania, 19102, United States
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Sumter, South Carolina, 29150, United States
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Chattanooga, Tennessee, 37408, United States
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Houston, Texas, 77030, United States
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San Antonio, Texas, 78229, United States
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Seattle, Washington, 98104, United States
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Spokane, Washington, 99204, United States
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Wenatchee, Washington, 98801, United States
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Fukuoka, 830-0011, Japan
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Hokkaido, 004-0053, Japan
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Ibaraki, 305-0812, Japan
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Ibaraki, 311-0113, Japan
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Osaka, 530-0001, Japan
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Tokyo, 103-0027, Japan
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Mexico City, 03300, Mexico
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Mérida, 97070, Mexico
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Ponce, 00716, Puerto Rico
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Rio Piedras, 00936, Puerto Rico
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Chief Medical Officer
- Organization
- Eli Lilly and Company
Study Officials
- STUDY DIRECTOR
Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST)
Eli Lilly and Company
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- GT60
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 7, 2012
First Posted
September 11, 2012
Study Start
August 1, 2012
Primary Completion
September 1, 2014
Study Completion
November 1, 2014
Last Updated
September 30, 2019
Results First Posted
July 2, 2017
Record last verified: 2019-09
Data Sharing
- IPD Sharing
- Will share
- Shared Documents
- STUDY PROTOCOL, SAP, CSR
- Time Frame
- Data are available 6 months after the primary publication and approval of the indication studied in the US and EU, whichever is later. Data will be indefinitely available for requesting.
- Access Criteria
- A research proposal must be approved by an independent review panel and researchers must sign a data sharing agreement.
Anonymized individual patient level data will be provided in a secure access environment upon approval of a research proposal and a signed data sharing agreement.