A Study to Test Safety and Efficacy of Baricitinib in Participants With Diabetic Kidney Disease
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Purpose
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.
| Condition | Intervention | Phase |
|---|---|---|
|
Diabetic Kidney Disease |
Drug: baricitinib Drug: Placebo |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Investigator) Primary Purpose: Treatment |
| Official Title: | A Multicenter, Randomized, Double-Blind, Placebo-Controlled, Dose-Ranging, Phase 2 Study to Evaluate the Safety and Renal Efficacy of LY3009104 in Patients With Diabetic Kidney Disease |
- Change from Baseline in Urinary Albumin/Creatinine Ratio (UACR) at 24 Weeks [ Time Frame: Baseline, 24 Weeks ] [ Designated as safety issue: No ]
- Change from Baseline in Creatinine Clearance at 24 Weeks [ Time Frame: Baseline, 24 Weeks ] [ Designated as safety issue: No ]
- Change from Baseline in European Quality of Life-5 Dimensions 5 Levels (EQ-5D-5L) at 24 Weeks [ Time Frame: Baseline, 24 Weeks ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 250 |
| Study Start Date: | August 2012 |
| Estimated Study Completion Date: | December 2014 |
| Estimated Primary Completion Date: | October 2014 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: High dose baricitinib (once daily)
Dose Group 1 Administered orally, given as three tablets in the morning and one tablet in the evening for 24 weeks. Placebo tablets given to maintain blind. |
Drug: baricitinib
Administered orally
Other Names:
Drug: Placebo
Administered orally
|
|
Experimental: Medium dose baricitinib (once daily)
Dose Group 2 Administered orally, given as three tablets in the morning and one tablet in the evening for 24 weeks. Placebo tablets given to maintain blind. |
Drug: baricitinib
Administered orally
Other Names:
Drug: Placebo
Administered orally
|
|
Experimental: Medium dose baricitinib (twice daily)
Dose Group 3 Administered orally, given as three tablets in the morning and one tablet in the evening for 24 weeks. The total daily dose remains the same as Dose Group 2. Placebo tablets given to maintain blind. |
Drug: baricitinib
Administered orally
Other Names:
Drug: Placebo
Administered orally
|
|
Experimental: Low dose baricitinib (once daily)
Dose Group 4 Administered orally, given as three tablets in the morning and one tablet in the evening for 24 weeks. Placebo tablets given to maintain blind. |
Drug: baricitinib
Administered orally
Other Names:
Drug: Placebo
Administered orally
|
|
Placebo Comparator: Placebo
Placebo administered orally, twice daily, three tablets in the morning and one tablet in the evening for 24 weeks. Placebo tablets given to maintain blind.
|
Drug: Placebo
Administered orally
|
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- 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 m^2) (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
Exclusion Criteria:
- 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
- Electrocardiogram (ECG) heart trace abnormalities
- Alcohol or illegal drug abuse
- Donated more than 500 mL of blood in the last 30 days (no blood donations allowed during the study)
- Pregnant or breastfeeding
Contacts and Locations| Contact: There may be multiple sites in this clinical trial. 1-877-CTLILLY (1-877-285-4559) or | : 1-317-615-4559 |
Show 49 Study Locations| 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 |
More Information
No publications provided
| Responsible Party: | Eli Lilly and Company |
| ClinicalTrials.gov Identifier: | NCT01683409 History of Changes |
| Other Study ID Numbers: | 14734, I4V-MC-JAGQ |
| Study First Received: | September 7, 2012 |
| Last Updated: | May 14, 2013 |
| Health Authority: | United States: Food and Drug Administration Japan: Pharmaceuticals and Medical Devices Agency Mexico: Federal Commission for Protection Against Health Risks |
Additional relevant MeSH terms:
|
Diabetic Nephropathies Kidney Diseases Urologic Diseases |
Diabetes Complications Diabetes Mellitus Endocrine System Diseases |
ClinicalTrials.gov processed this record on June 13, 2013