NCT04170543

Brief Summary

A Phase 2b Randomized, Double-blind, Placebo-controlled, Study to Evaluate the Efficacy and Safety of MEDI3506 in Subjects with Diabetic Kidney Disease

Trial Health

93
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
609

participants targeted

Target at P75+ for phase_2

Timeline
Completed

Started Nov 2019

Typical duration for phase_2

Geographic Reach
7 countries

97 active sites

Status
completed

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

First Submitted

Initial submission to the registry

November 18, 2019

Completed
Same day until next milestone

Study Start

First participant enrolled

November 18, 2019

Completed
2 days until next milestone

First Posted

Study publicly available on registry

November 20, 2019

Completed
3.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 16, 2023

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

May 16, 2023

Completed
1.2 years until next milestone

Results Posted

Study results publicly available

July 10, 2024

Completed
Last Updated

July 10, 2024

Status Verified

July 1, 2024

Enrollment Period

3.5 years

First QC Date

November 18, 2019

Results QC Date

May 14, 2024

Last Update Submit

July 8, 2024

Conditions

Outcome Measures

Primary Outcomes (1)

  • Percent Change From Baseline to Day 169 (Week 24) in UACR - Per Protocol Population

    UACR values are collected as triplicates at baseline and at each CSP planned visit. For each triplicate, the UACR are averaged with geometric mean. Baseline is defined as the geometric mean of UACR measurements prior to first dose of study treatment. For the intercurrent events, if a subject is lost to follow-up (EOT), discontinues treatment due to AE, or uses prohibited medication, the UACR data are treated as missing on or after the event and no imputation is performed. The LS means of percent change and difference in percent change, corresponding 90% confidence intervals are calculated based on a mixed model with repeated measures (MMRM) of log (UACR post-baseline/UACR baseline) as the response, adjusting for fixed effects of treatment, visit, and treatment-by-visit interaction, SGLT2i, region (Japan or ROW), baseline log UACR, and baseline log UACR-by-visit interaction. The MMRM includes UACR values at protocol specified visits from baseline up to Day 169.

    From baseline to Day 169

Secondary Outcomes (9)

  • Percent Change From Baseline to Day 85 (Week 12) in UACR - Per Protocol Population

    From baseline to Day 85

  • Percent Change From Day 85 (Week 12) to Day 169 (Week 24) in UACR - Per Protocol Population

    From Day 85 to Day 169

  • Proportion of Subjects With Reduction in UACR at Day 169 (Week 24) - Per Protocol Population

    Baseline and Day 169

  • Percent Change From Baseline to Day 169 (Week 24) in UACR - Full Analysis Population

    From baseline to Day 169

  • Percent Change From Baseline to Day 85 (Week 12) in UACR - Full Analysis Population

    From baseline to Day 85

  • +4 more secondary outcomes

Other Outcomes (1)

  • Plasma Concentration of MEDI3506 - PK Analysis Population

    Day 1, Day 29, Day 85 and Day 169

Study Arms (5)

Group 1

EXPERIMENTAL

MEDI3506 Dose 1 plus Dapagliflozin (Day 85 to Day 168).

Drug: MEDI3506Drug: Dapagliflozin

Group 2

EXPERIMENTAL

MEDI3506 Dose 2 plus Dapagliflozin (Day 85 to Day 168).

Drug: MEDI3506Drug: Dapagliflozin

Group 3

EXPERIMENTAL

MEDI3506 Dose 3 plus Dapagliflozin (Day 85 to Day 168).

Drug: MEDI3506Drug: Dapagliflozin

Group 4

EXPERIMENTAL

MEDI3506 Dose 4 plus Dapagliflozin (Day 85 to Day 168).

Drug: MEDI3506Drug: Dapagliflozin

Group 5

PLACEBO COMPARATOR

Placebo (volume matched) plus Dapagliflozin (Day 85 to Day 168).

Drug: PlaceboDrug: Dapagliflozin

Interventions

Dose 1, Dose 2, Dose 3, Dose 4

Group 1Group 2Group 3Group 4

Placebo

Group 5

Dapagliflozin 10 mg

Group 1Group 2Group 3Group 4Group 5

Eligibility Criteria

Age18 Years - 101 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Adult men or women ≥ 18 years of age.
  • Diabetic kidney disease DKD defined as:
  • diagnosis of T2DM
  • eGFR 25-75 mL/min/1.73 m2
  • UACR 100-3000 mg albumin/g creatinine
  • BP ≤ 150/100 mmHg

You may not qualify if:

  • \. Serum potassium \> 5.5 mmol/L 2. Significant hepatic disease 3. Hemoglobin A1c \> 10.5 % 4. B-type natriuretic peptide level \> 200 pg/mL 5. History of clinically significant heart disease 6. Anticipated dialysis or renal transplantation within 1 year 7. History of underlying condition that predisposes the subject to infections 8. Significant infection (viral, bacterial, or fungal) 9. Amputation due to peripheral artery disease 10. Subjects with a positive diagnostic nucleic acid test for SARS-CoV-2 11. Pregnancy, breastfeeding or intention to become pregnant during the course of the study, 12. Any other medical condition or clinically relevant abnormal findings in physical examination, laboratory results, or electrocardiogram (ECG) during screening that, in the opinion of the investigator, may compromise the safety of the subject in the study, reduce the subject's ability to participate in the study, or interfere with evaluation of the investigational product

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (97)

Research Site

Birmingham, Alabama, 35209, United States

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Huntsville, Alabama, 35805, United States

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Mesa, Arizona, 85210, United States

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Alhambra, California, 91801, United States

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Glendale, California, 91204, United States

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Granada Hills, California, 91344, United States

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Huntington Park, California, 90255, United States

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Northridge, California, 91324, United States

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Sacramento, California, 95821, United States

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San Diego, California, 92123, United States

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San Dimas, California, 91773, United States

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Vacaville, California, 95687, United States

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Fleming Island, Florida, 32003, United States

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Hialeah, Florida, 33016, United States

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Jacksonville, Florida, 32204, United States

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Miami, Florida, 33015, United States

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Atlanta, Georgia, 30338, United States

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Honolulu, Hawaii, 96814, United States

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Chicago, Illinois, 60607, United States

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Chicago, Illinois, 60643, United States

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Iowa City, Iowa, 52242, United States

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Manhattan, Kansas, 66502, United States

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Topeka, Kansas, 66606, United States

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Wichita, Kansas, 67214, United States

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Flint, Michigan, 48504, United States

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Henderson, Nevada, 89014, United States

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Las Vegas, Nevada, 89129, United States

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Berlin, New Jersey, 08009, United States

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Charlotte, North Carolina, 28204, United States

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Greensboro, North Carolina, 27408, United States

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Greenville, North Carolina, 27834, United States

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Morehead City, North Carolina, 28557, United States

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Maumee, Ohio, 43537, United States

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Oklahoma City, Oklahoma, 73116, United States

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Bethlehem, Pennsylvania, 18017, United States

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East Providence, Rhode Island, 02915, United States

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Columbia, South Carolina, 29203, United States

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Memphis, Tennessee, 38119, United States

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Cypress, Texas, 77429, United States

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Houston, Texas, 77004, United States

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Houston, Texas, 77079, United States

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Katy, Texas, 77450, United States

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San Antonio, Texas, 78212, United States

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San Antonio, Texas, 78229, United States

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San Antonio, Texas, 78251, United States

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St. George, Utah, 84790, United States

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Burke, Virginia, 22015, United States

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Tacoma, Washington, 98405, United States

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Morgantown, West Virginia, 26506, United States

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Buenos Aires, 1425DES, Argentina

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Buenos Aires, C1056ABJ, Argentina

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Buenos Aires, C1429BWN, Argentina

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CABA, C1120AAC, Argentina

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Caba, C1128AAF, Argentina

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CABA, C1425AGC, Argentina

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Corrientes, W3400AMZ, Argentina

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Córdoba, X5000AAW, Argentina

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Mar del Plata, 7600, Argentina

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Pergamino, B2700LDK, Argentina

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Ramos Mejía, B1704ETD, Argentina

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Rosario, S2000DNM, Argentina

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San Luis, D5700CTA, Argentina

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San Nicolás, B2900DMH, Argentina

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San Vicente, 5006, Argentina

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Calgary, Alberta, T2H 2G4, Canada

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Red Deer, Alberta, T4N 6V7, Canada

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Brampton, Ontario, L6S 0S9, Canada

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Brampton, Ontario, L6T 0G1, Canada

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Concord, Ontario, L4K 4M2, Canada

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Etobicoke, Ontario, M9R 4E1, Canada

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Toronto, Ontario, M4G 3E8, Canada

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Concepción, Chile

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Ñuñoa, 8520398, Chile

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Santiago, 7500021, Chile

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Santiago, 7500710, Chile

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Santiago, 8320000, Chile

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Santiago, Chile

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Victoria, Chile

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Chūōku, 103-0027, Japan

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Fukuoka, 815-8555, Japan

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Ise-shi, 516-8512, Japan

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Kisarazu-shi, 292-8535, Japan

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Koshigaya-shi, 343-8577, Japan

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Nagano, 388-8004, Japan

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Research Site

Nagoya, 451-8511, Japan

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Research Site

Nishinomiya-Shi, 662-0918, Japan

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Research Site

Osaka, 530-0001, Japan

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Osaka, 558-8558, Japan

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Sayama-Shi, Japan

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Piura, Peru

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Gangnam-Gu, 6273, South Korea

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Research Site

Goyang-si, 10444, South Korea

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Jongno-gu, 110-746, South Korea

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Research Site

Seongbuk-Gu, 02841, South Korea

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Seoul, 06351, South Korea

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Research Site

Suwon, 16499, South Korea

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Research Site

Wŏnju, 26426, South Korea

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Related Publications (2)

  • Hofherr A, Maki-Petaja K, Selvarajah V, Grice D, Bartesaghi S, Jimenez E, Pecoits-Filho R, Heerspink HJL. Inhibition of IL-33 in Diabetic Kidney Disease: A Randomized, Placebo-Controlled Phase 2b Trial. J Am Soc Nephrol. 2025 Dec 5. doi: 10.1681/ASN.0000000966. Online ahead of print. No abstract available.

  • Hofherr A, Liarte Marin E, Musial B, Seth A, Slidel T, Conway J, Baker D, Hansen PBL, Challis B, Bartesaghi S, Bhat M, Pecoits-Filho R, Tu X, Selvarajah V, Woollard K, Heerspink HJL. Inhibition of Interleukin-33 to Reduce Glomerular Endothelial Inflammation in Diabetic Kidney Disease. Kidney Int Rep. 2024 Mar 18;9(6):1876-1891. doi: 10.1016/j.ekir.2024.03.009. eCollection 2024 Jun.

Related Links

MeSH Terms

Conditions

Diabetic Nephropathies

Interventions

dapagliflozin

Condition Hierarchy (Ancestors)

Kidney DiseasesUrologic DiseasesFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesMale Urogenital DiseasesDiabetes ComplicationsDiabetes MellitusEndocrine System Diseases

Limitations and Caveats

41 randomized participants were excluded from analysis populations in order to avoid heterogeneity in the data (bias, etc.) : * 2 participants did not received any IP * 24 participants were enrolled in phase 2a without having the possibility to be enrolled in phase 2b * 15 participants were randomized in a site with GCP breach (inability to confirm the validity of the data reported) These 41 participants are excluded from Baseline characteristics (558 participants).

Results Point of Contact

Title
Global Clinical Lead
Organization
AstraZeneca

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Masking Details
This is a double-blinded study in which MEDI3506 and placebo. Neither the subject nor any of the investigator or sponsor staff who are involved in the treatment or clinical evaluation of the subjects will be aware of the treatment received.
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: Eligible subjects will be randomized to receive MEDI3506 or placebo as follows: Group 1: MEDI3506 Dose 1. Group 2: MEDI3506 Dose 2. Group 3: MEDI3506 Dose 3 Group 4: MEDI3506 Dose 4 Group 5: Placebo (volume matched) All subjects will receive Dapa from Day 85 to Day 168.
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

November 18, 2019

First Posted

November 20, 2019

Study Start

November 18, 2019

Primary Completion

May 16, 2023

Study Completion

May 16, 2023

Last Updated

July 10, 2024

Results First Posted

July 10, 2024

Record last verified: 2024-07

Data Sharing

IPD Sharing
Will share

Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal.All request will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure. Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared

Shared Documents
STUDY PROTOCOL, SAP
Time Frame
AstraZeneca will meet or exceed data availability as per the commitments made to the EFPIA Pharma Data Sharing Principles.For details of our timelines, please rerefer to our disclosure commitment at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.
Access Criteria
When a request has been approved AstraZeneca will provide access to the de-identified individual patient-level data in an approved sponsored tool . Signed Data Sharing Agreement (non-negotiable contract for data accessors) must be in place before accessing requested information. Additionally, all users will need to accept the terms and conditions of the SAS MSE to gain access.For additional details, please review the Disclosure Statements at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.
More information

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