NADPH oxidase enzymes (NOX) have been implicated in the development of several diabetic complications including diabetic nephropathy. GKT137831 is the first in class NOX1/4 inhibitor. The primary objective of this study is to evaluate the efficacy of oral GKT137831 in patients with residual albuminuria despite maximal inhibition of the renin angiotensin aldosterone system.
A double-blind, placebo-controlled, randomized, multicenter, parallel group Phase 2 study assessing a 12-week period of treatment with oral GKT137831 administered in addition to standard of care for patients with type 2 diabetes.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
136
Albuminuria Absolute Value and Ratio to Baseline by Study Visit and Treatment Group
UACR from baseline to Visits 9, 10, and 11 (i.e. weeks 8, 10 and 12 of the treatment period, respectively). Baseline for UACR is defined as the geometric mean of the geometric means of the UACR values measured on Day-14 (visit 4) and Day 1 (visit 5). End of treatment is defined as the geometric mean of the geometric means of the UACR values measured at week 8 (visit 9), week 10 (visit 10) and week 12 (visit 11).
Time frame: Visit 4 (week -2) to visit 11 (week 12)
Glucose Metabolism by Homeostatic Model Assessment (HOMA)
Change in homeostasis model assessment-estimated β cell function (HOMA-B) and homeostasis model assessment-estimated insulin resistance (HOMA-IR) from baseline. HOMA-IR = fasting insulin (μIU/mL) x fasting glucose (mM/L)/22.5. A higher HOMA-IR value indicates greater insulin resistance. HOMA-B = 20 x fasting insulin (μIU/mL)/(fasting glucose \[mmol/mL\] - 3.5). Generally, a higher HOMA-B value indicates better beta-cell function, meaning the pancreas is producing insulin effectively.
Time frame: Visits 5 (week 0), 8 (week 6), and 11 (week 12)
Glucose Metabolism HbA1c
Change in HbA1c from Baseline
Time frame: Visit 5 (week 0), 8 (week 6) and 11 (week 12)
24 Hours Albumin Excretion
Change in 24 hours Albumin excretion from baseline
Time frame: Visits 5 (week 0) and 11 (week 12)
24 Hours Urine UACR
Change in 24 hours Urine UACR from baseline
Time frame: Visits 5 (week 0) and 11 (week 12)
eGFR Change by Study Visit
Change in eGFR from baseline by study visit
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Time frame: Visits 5 (week 0), 6 (week 2), 7 (week 4), 8 (week 6), 9 (week 8), 10 (week 10), 11 (week 12), follow up (week 16)