This is an open-label Phase 2 study evaluating the long term safety and tolerability of GFB-887 in patients with focal segmental glomerulosclerosis (FSGS), and treatment-resistant minimal change disease (TR-MCD)
Participants will be enrolled from the ongoing GFB-887 multiple ascending dose trial. Participants will be transitioned to a 200 mg QD dose level regardless of the dose received in the previous study although the data review team (DRT) and Medical Monitor may elect to decrease or increase the dose to minimize adverse events or improve clinical efficacy. The DRT may also elect to change dosing levels due to emerging data on GFB-887. Participants will take GFB-887 once daily at home. A phone visit will be conducted at Week 4 and at Week 8 to assess safety and tolerability. Participants will return to the clinic for follow up visits at Weeks 12, 24, 36, 48, and every 24 weeks thereafter through approximately 3 years from the time of the participant's first dose to evaluate long-term safety and durability of response (for up to approximately 13 scheduled in-clinic visits).
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
31
GFB-887 is a potent, small molecule inhibitor of TRPC5.
Academic Medical Research Institute (AMRI)
Los Angeles, California, United States
Amicis Research Center
Northridge, California, United States
Incidence and severity of adverse events
Incidence and severity of adverse events
Time frame: Approximately 3 years
Percent reduction in urine protein:creatinine ratio (UPCR) from baseline
Percent reduction in urine protein:creatinine ratio (UPCR) from baseline
Time frame: Approximately 3 years
Proportion of participants achieving modified partial remission status
Proportion of participants achieving modified partial remission status
Time frame: Approximately 3 years
Proportion of participants achieving complete remission status
Proportion of participants achieving complete remission status
Time frame: Approximately 3 years
Proportion of participants with a UPCR decrease of at least 30% from baseline
Proportion of participants with a UPCR decrease of at least 30% from baseline
Time frame: Approximately 3 years
Proportion of participants with a UPCR decrease of at least 40% from baseline
Proportion of participants with a UPCR decrease of at least 40% from baseline
Time frame: Approximately 3 years
Proportion of participants with a UPCR decrease of at least 50% from baseline
Proportion of participants with a UPCR decrease of at least 50% from baseline
Time frame: Approximately 3 years
Time to maximal percent reduction in UPCR from baseline
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Kidney and Hypertension Center - Apple Valley
Victorville, California, United States
University of Colorado Anschutz Medical Center
Aurora, Colorado, United States
Colorado Kidney Care (Denver Nephrology)
Denver, Colorado, United States
Boise Kidney and Hypertension Institute
Nampa, Idaho, United States
NANI Research, LLC
Hinsdale, Illinois, United States
St. Clair Nephrology
Roseville, Michigan, United States
Clinical Research Consultants
Kansas City, Missouri, United States
Icahn School of Medicine at Mount Sinai
New York, New York, United States
...and 7 more locations
Time to maximal percent reduction in UPCR from baseline
Time frame: Approximately 3 years
Summary of plasma pharmacokinetic (PK) concentrations: Dose proportionality
Dose proportionality of GFB-887
Time frame: Approximately 3 years
Summary of Plasma PK concentrations (AUCinf)
Area under the plasma concentration-time curve from time zero to infinity
Time frame: Approximately 3 years
Summary of Plasma PK concentrations (AUClast)
Area under the plasma concentration-time curve from time zero to the time of the last quantifiable concentration
Time frame: Approximately 3 years
Summary of Plasma PK concentrations (Cmax)
Maximum observed plasma concentration
Time frame: Approximately 3 years
Changes in estimated glomerular filtration rate (eGFR) including slope
Glomerular filtration rate will be estimated using the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equation based on serum creatinine
Time frame: Approximately 3 years