LAST UPDATED
December 21, 2022
Clinicaltrials.gov ID
EudraCT ID
OVERVIEW
MOSAIC - A Phase 2b, Randomized, Double-Blind, Placebo-Controlled, Parallel Group, Multicenter Study Evaluating the Efficacy and Safety of Selonsertib in Subjects With Moderate to Advanced Diabetic Kidney Disease (MOSAIC)
PROTOCOL SUMMARY
The primary objective of this study is to evaluate whether selonsertib (SEL) can slow the decline in kidney function in participants with moderate to advanced diabetic kidney disease (DKD).
View moreParticipation requirements
Age
18 years - 80 years
Sex
All
Healthy Volunteers
No
Age
18 years - 80 years
Sex
All
Healthy Volunteers
No
Study details
Medical Condition
Diabetic Kidney Disease
Gender
N/A
Date
July 2019 - September 2021
Study Type
Interventional
Study Phase
Phase 2
Product
SEL, Placebo
Eligibility information
Inclusion criteria
- Diagnosis of type 2 diabetes mellitus (T2DM) as per local guidelines.
- Estimated glomerular filtration rate (eGFR) value calculated by central laboratory utilizing samples collected during screening and prior to enrollment of ≥ 20 mL/min/1.73 m^2 to < 60 mL/min/1.73 m^2 with albuminuria
- eGFR and urine albumin to creatinine ratio (UACR) must meet criteria a, b, or c
- a: eGFR (mL/min/1.73 m^2): ≥ 45 to < 60; UACR (mg/g): ≥ 600 to 5000
- b: eGFR (mL/min/1.73 m^2): ≥ 30 to < 45; UACR (mg/g): ≥ 300 to 5000
- c: eGFR (mL/min/1.73 m^2): ≥ 20 to < 30; UACR (mg/g): ≥ 150 to 5000
- Treatment with either an angiotensin converting enzyme inhibitor (ACEi) or angiotensin receptor blocker (ARB)
- Individuals not receiving an ACEi or ARB may be enrolled if there is documented intolerance to ACEi and ARB
- Individuals receiving less-than-maximal dose of an ACEi or ARB may be enrolled if there is a documented reason that the maximum labeled dose of ACEi and ARB could not be reached
- Individuals already receiving sodium-glucose co-transporter-2 (SGLT-2) inhibitors must be on a stable dose for at least 2 weeks prior to enrollment
- Mean systolic blood pressure (SBP) must be <160 mmHg and mean diastolic blood pressure (DBP) must be <100 mmHg
- Required baseline laboratory data, analyzed by central laboratory, within 30 days prior to enrollment
Exclusion criteria
- Hemoglobin A1c (HbA1c) > 12.0% within 30 days prior to enrollment
- Individuals with diagnosis of type 1 diabetes mellitus (T1DM) or maturity onset diabetes of the young (MODY)
- Body mass index (BMI) > 50 kg/m^2
- UACR > 5000 mg/g on any measurement during screening
- End stage kidney disease (ESKD) (i.e., chronic hemodialysis, chronic peritoneal dialysis, or history of kidney transplantation)
- Anticipated progression to ESKD (need for chronic hemodialysis, chronic peritoneal dialysis or receipt of kidney transplant) within 3 months after enrollment
- Unstable cardiovascular disease
- Pregnant or lactating females or planning to become pregnant or breastfeed during the study
- Concurrent use of either
- 1. ACEi and ARB or
- 2. Mineralocorticoid receptor antagonist (MRA) or direct renin inhibitor (DRI) in combination with an ACEi or ARB for at least 2 weeks prior to Enrollment
- Prior or ongoing clinically significant illness, medical condition, surgical history, physical finding, ECG finding, or laboratory abnormality that, in the investigator's opinion, could adversely affect the safety of the individual or impair the assessment of study results
- Note: Other protocol defined Inclusion/Exclusion criteria may apply.
Locations
Locations (111)
Arizona Kidney Disease and Hypertension Centers
Glendale, Arizona, United States, 85306
AKDHC Medical Research Services, LLC
Tucson, Arizona, United States, 85712
Clearview Medical Research, LLC
Canyon Country, California, United States, 91350
Kidney Disease Medical Group, Inc.
Glendale, California, United States, 91206
Renal Consultants Medical Group
Granada Hills, California, United States, 91344
Marin Endocrine Care & Research, Inc.
Greenbrae, California, United States, 94904
California Institute of Renal Research
La Mesa, California, United States, 91942-3059
Academic Medical Research Institute
Los Angeles, California, United States, 90022
Rose Salter Medical Research Foundation
Newport Beach, California, United States, 92663
Valley Renal Medical Group Research
Northridge, California, United States, 91324
California Institute of Renal Research
San Diego, California, United States, 92123
California Kidney Specialist
San Dimas, California, United States, 91773
Creekside Endocrine Associates, PC
Denver, Colorado, United States, 80246
Western Nephrology and Metabolic Bone Disease, PC
Westminster, Colorado, United States, 80031
South Florida Research Institute
Lauderdale Lakes, Florida, United States, 33313
Suncoast Clinical Research, Inc.
New Port Richey, Florida, United States, 34652
Discovery Medical Research Group, Inc
Ocala, Florida, United States, 34471
Coastal Nephrology Associates Research Center, LLC. D/B/A Volunteer Medical Research
Port Charlotte, Florida, United States, 33952
Atlanta Center for Clinical Research
Atlanta, Georgia, United States, 30342
Georgia Nephrology Research Institute
Lawrenceville, Georgia, United States, 30046
East-West Medical Research Institute
Honolulu, Hawaii, United States, 96814
Boise Kidney & Hypertension, PLLC
Meridian, Idaho, United States, 83642
Buynak Clinical Research, P.C.
Valparaiso, Indiana, United States, 46383
Kansas Nephrology Research Institute, LLC
Wichita, Kansas, United States, 67214
Four Rivers Clinical Research
Paducah, Kentucky, United States, 42003
Internal Medicine Specialists, Inc
New Orleans, Louisiana, United States, 70115
Northwest Louisiana Nephrology L.L.C
Shreveport, Louisiana, United States, 71101
Arcturus Healthcare, PLC, Troy Internal Medicine Research Division
Troy, Michigan, United States, 48098
Clinical Research Consultants, LLC
Kansas City, Missouri, United States, 64111
Pelican Point Dialysis - DaVita Clinical Research
Las Vegas, Nevada, United States, 89129
North Shore University Hospital: Division of Nephrology
Great Neck, New York, United States, 11021
Endocrine Associates of Long Island, PC
Smithtown, New York, United States, 11787
Mountain Kidney and Hypertension Associates
Asheville, North Carolina, United States, 28801
Mountain Diabetes & Endocrine Center
Asheville, North Carolina, United States, 28803
Carteret Medical Group
Morehead City, North Carolina, United States, 28557
Diabetes And Endocrinology Consultants, P.C.
Morehead City, North Carolina, United States, 28557
PMG Research of Rocky Mount, LLC
Rocky Mount, North Carolina, United States, 27804
PMG Research Inc., d/b/a PMG Research of Piedmont Healthcare
Statesville, North Carolina, United States, 28625
Wilmington Health, PLLC
Wilmington, North Carolina, United States, 28401
PMG Research of Winston-Salem, LLC
Winston-Salem, North Carolina, United States, 27103
Midwest Nephrology Group, PLLC
Midwest City, Oklahoma, United States, 73130
Heritage Valley Medical Group, Inc.
Beaver, Pennsylvania, United States, 15009
Northeast Clinical Research Center, LLC
Bethlehem, Pennsylvania, United States, 18017
Lifespan Clinical Research Center
East Providence, Rhode Island, United States, 02915
PMG Research Of Charleston, LLC
Mt. Pleasant, South Carolina, United States, 29464
Southeast Renal Research Institute
Chattanooga, Tennessee, United States, 37408
University Diabetes and Endocrine Consultants
Chattanooga, Tennessee, United States, 37411
PMG Research, Inc d/b/a/ PMG Research of Knoxville
Knoxville, Tennessee, United States, 37912
Knoxville Kidney Center, PLLC
Knoxville, Tennessee, United States, 37923
PMG Research, Inc. d/b/a PMG Research of Knoxville
Knoxville, Tennessee, United States, 37938
Memphis Veteran Affairs Medical Center
Memphis, Tennessee, United States, 38104
Corsicana Medical Research, LLC
Corsicana, Texas, United States, 75110
Houston Methodist Research Institute - CCAT Pearland
Pearland, Texas, United States, 77584
Northeast Clinical Research of San Antonio
San Antonio, Texas, United States, 78154
Clinical Advancement Center, PLLC
San Antonio, Texas, United States, 78215
Austin Health and University of Melbourne
Heidelberg, Victoria, Australia, 3081
National Hospital Organization Chiba-East-Hospital
Chiba, Japan, 260-0801
Japan Organization of Occupational Health and Safety Chubu Rosai Hospital
Nagoya, Japan, 455-8530
Auckland City Hospital (Auckland District Health Board)
Auckland, New Zealand, 1023
Middlemore Clinical Trials Trust trading as Middlemore Clinical Trials
Auckland, New Zealand,
Waitemata District Health Board- North Shore Hospital
North Shore, New Zealand, 622
Endocrine, Diabetes & Research Centre (Capital and Coast District Health Board)
Wellington, New Zealand, 6021
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