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Study to evaluate the effect of CCX140-B on albuminuria in subjects with type 2 diabetes mellitus
ISRCTN ISRCTN81307356
ClinicalTrials.gov identifier NCT01440257
Public title Study to evaluate the effect of CCX140-B on albuminuria in subjects with type 2 diabetes mellitus
Scientific title A randomized, double-blind, placebo-controlled phase 2 study to evaluate the effect of CCX140-B on albuminuria in subjects with type 2 diabetes mellitus
Acronym N/A
Serial number at source CL007_140
Study hypothesis The rationale for this study is to investigate whether CCX140-B treatment of subjects with type 2 diabetes mellitus (T2DM) and albuminuria can reduce albuminuria. Because CCX140-B blocks the monocyte / macrophage migration from blood to tissues that occurs only during inflammation, it is anticipated that administration of CCX140-B will provide selective therapeutic benefit without compromising general immune surveillance.
Lay summary Lay summary under review
Ethics approval Leiden University Medical Center Medical Ethics Committee, Leiden, Netherlands approved on 29 August 2011, ref: CHDR 1112
Study design Randomized double-blind placebo-controlled single-center phase 2a study
Countries of recruitment Netherlands
Disease/condition/study domain Type 2 Diabetes Mellitus with albuminuria
Participants - inclusion criteria 1. Male or female, aged 18-75 years inclusive, with documented previously diagnosed type 2 diabetes mellitus (per American Diabetes Association [ADA] criteria)
2. Albumin:creatinine ratio (ACR) of 200 to 3000 mg/g creatinine, inclusive, based on two values obtained from two first morning urine samples taken on two separate days during the screening period
3. Estimated glomerular filtration rate based on serum creatinine (eGFR), determined by Modification of Diet in Renal Disease [MDRD] equation of greater than or equal to 25 mL/min/1.73 m2
4. Must be on a stable dose of an angiotensin-converting enzyme (ACE) inhibitor or an angiotensin receptor blocker (ARB) for at least 8 weeks prior to screening
5. Fasting plasma glucose less than 270 mg/dL at screening
Participants - exclusion criteria 1. Type 1 diabetes mellitus or history of diabetic ketoacidosis
2. Previous renal transplant or known non-diabetic renal disease, except related to hypertension
3. Has undergone renal dialysis at any time in the past
4. Received chronic (more than 7 days continuously) systemic glucocorticoid or other immunosuppressive treatment within 8 weeks of screening
5. Use of bardoxolone, atrasentan or other endothelin antagonist within 8 weeks of screening
6. Received chronic (more than 7 days continuously) non-steroidal anti-inflammatory (NSAID) treatment within 2 weeks of screening
7. Cardiac failure (class III or IV), history of unstable angina, symptomatic coronary artery disease, myocardial infarction or stroke within 12 weeks of screening
8. Poorly-controlled blood pressure (systolic blood pressure >155 or diastolic blood pressure >95, with blood pressure measured in the seated position after at least 5 minutes of rest)
Anticipated start date 01/09/2011
Anticipated end date 30/06/2012
Status of trial Ongoing
Patient information material Not available in web format, please use the contact details below to request a patient information sheet.
Target number of participants Approximately 20
Interventions Treatment: Four CCX140-B 2.5 mg capsules once daily for 84 days
Control: Four Placebo capsules once daily for 84 days
Following the 84-day dosing period, there will be a 28-day follow-up period
Primary outcome measure(s) 1. Change from baseline in 24-hour urinary albumin excretion over 84 days
2. Subject incidence of adverse events over 84 days
Secondary outcome measure(s) Change in baseline of hemoglobin A1c over 84 days
Sources of funding ChemoCentryx, Inc. (USA)
Trial website
Publications
Contact name Dr  Koos  Burggraaf
  Address Centre for Human Drug Research
Zernikedreef 10
  City/town Leiden
  Zip/Postcode 2333 CL
  Country Netherlands
  Email kb@chdr.nl
Sponsor ChemoCentryx, Inc. (USA)
  Address 850 Maude Avenue
  City/town Mountain View, CA
  Zip/Postcode 94043
  Country United States of America
  Sponsor website: http://www.ChemoCentryx.com
Date applied 27/10/2011
Last edited 02/12/2011
Date ISRCTN assigned 02/12/2011
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