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Autosomal Dominant Polycystic KidneyPhase 2NCT03203642

Study of the Efficacy and Safety of Tesevatinib in Subjects With ADPKD

A Phase 2 study testing Tesevatinib in people with Autosomal Dominant Polycystic Kidney and ADPKD, run by Kadmon, a Sanofi Company at 19 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The goal of the study was to compare and evaluate safety and efficacy of tesevatinib 50 milligrams (mg) versus placebo in participants with autosomal dominant polycystic kidney disease (ADPKD). Read more about this study

Who is it for?
Ages 18 to 60 years
Conditions the study is for
Autosomal Dominant Polycystic Kidney, ADPKD
What is being tested?
Tesevatinib
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
80 participants
Where
19 sitesUnited States
Study dates
12 Oct 2017to 25 Jan 2022
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 60 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • ADPKD diagnosis based on Ravine's criteria.
  • Cysts of at least 1 centimeter.
  • Estimated glomerular filtration rate greater than or equal to (>=) 25 milliliter per minute per 1.73 square meter (mL/min/1.73 m^2) and less than or equal to (<=) 90 mL/min/1.73 m^2, using the Modification of Diet in Renal Disease-4 variable formula.
  • htTKV must meet the following requirements: >= 500 milliliters (mL) for participants 18-35 years of age; >= 750 mL for participants 36-49 years of age; >= 900 mL for participants 50-60 years of age.
  • The participant had the following laboratory values:
  • Platelets greater than (>) lower limit of normal (LLN); Hemoglobin > 9 grams per deciliter; Total bilirubin <= 1.5 milligrams per deciliter; Aspartate aminotransferase less than (<) 2.5upper limit of normal (ULN); Alanine aminotransferase < 2.5ULN; Prothrombin time/partial thromboplastin time <=1.5ULN; Serum potassium levels within normal limits; Serum magnesium levels within normal limits; Albumin >= LLN; Amylase <=1.5ULN; Lipase <=1.5ULN; Prothrombin time and partial thromboplastin time <=1.5ULN; International normalized ratio (INR) <=1.5, except those participants taking warfarin who must have INR <=3.
  • Female participants of childbearing potential with negative pregnancy test at screening.
  • If sexually active, the participant agreed to use 2 accepted methods of contraception during the course of the study and for 6 months after their last dose of study drug.

Who cannot join

  • Previous nephrectomy.
  • Kidney transplant.
  • Tuberous sclerosis.
  • Hippel-Lindau disease.
  • Acquired cystic disease.
  • Congenital absence of 1 kidney and/or need for dialysis or transplantation in the foreseeable future.
Show all 33Show fewer
  • Moderate hematuria.
  • Uncontrolled hypertension.
  • Presence of renal or hepatic calculi (stones) causing symptoms.
  • Received any investigational therapy within 30 days prior to initiation of therapy (Day 1 visit).
  • Received tolvaptan 30 days prior to initiation of therapy (Day 1 visit).
  • Received active treatment for urinary tract infection 4 weeks prior to initiation of therapy (Day 1 visit).
  • History of pancreatitis or known risk of pancreatitis.
  • The participant met any of the following cardiac criteria:
  • Mean QTc interval corrected for heart rate using Fridericia's formula (QTcF) of >450 milliseconds.
  • History of torsade de pointes, ventricular tachycardia or fibrillation, pathologic sinus bradycardia (< 50 beats per minute), heart block (excluding first-degree block, being PR interval prolongation only), congenital long QT syndrome or new ST segment elevation or depression or new Q wave on electrocardiogram.
  • Participants with a history of atrial arrhythmias were discussed with the Medical Monitor.
  • Family history of congenital long QT syndrome or unexplained cardiac death.
  • Symptomatic heart failure (per New York Heart Association guidelines), unstable angina, myocardial infarction, or cerebrovascular accident within 6 months prior to study entry.
  • History of ventricular rhythm disturbances.
  • History of cardiac arrhythmias, stroke, or myocardial infarction.
  • Has a cardiac pacemaker.
  • History of pericardial effusion or presence of pericardial effusion on screening echocardiogram.
  • Taking any medication known to inhibit the cytochrome P450 (CYP)3A4 isozyme or any drugs that are CYP3A4 inducers, or any drugs associated with torsade de pointes or known to prolong the QTcF interval, including anti-arrhythmic medications within 2 weeks prior to screening.
  • Uncontrolled intercurrent illness that would limit compliance with study requirements.
  • Participant was pregnant, planed to become pregnant, or nursing.
  • Human immunodeficiency virus positive.
  • Hepatitis B or C positive.
  • Immunocompromised.
  • Documented renal vascular disease resulting in uncontrolled hypertension.
  • Previously received an epithelial growth factor receptor (EGFR).
  • Allergy or hypersensitivity to components of tesevatinib or placebo or their formulations.
  • Been aphakic due to previous cataract surgery or congenital abnormality.

Trial locations and contacts

19 sites in 1 country.

19 sites in 1 country

United States19 sites
  • Emory University School of Medicine

    Atlanta, Georgia, 30322

  • University of Colorado Denver

    Aurora, Colorado, 80045

  • University of Maryland

    Baltimore, Maryland, 21201

  • Tufts Medical Center

    Boston, Massachusetts, 02111

  • Beth Israel Deaconess Medical Center

    Boston, Massachusetts, 02215

  • University of Virginia

    Charlottesville, Virginia, 22908

  • University of California San Diego

    La Jolla, California, 92037

  • California Institute for Renal Research

    La Mesa, California, 91942

  • University of California Los Angeles

    Los Angeles, California, 90095

  • Medical College of Wisconsin

    Milwaukee, Wisconsin, 53226

  • Yale Nephrology Clinical Research

    New Haven, Connecticut, 06520

  • Rogosin Institute

    New York, New York, 10021

  • University of Pennsylvania

    Philadelphia, Pennsylvania, 19104

  • Coastal Nephrology Associates Research Center, LLC

    Port Charlotte, Florida, 33952

  • Mayo Clinic

    Rochester, Minnesota, 55905

  • University of California San Francisco

    San Francisco, California, 94143

  • Washington University

    St Louis, Missouri, 63110

  • Genesis Clinical Research

    Tampa, Florida, 33614

  • Baylor Scott & White Research Institute

    Temple, Texas, 10016

Other trials in United States

About this study

Official title: A Double-blind Randomized Parallel Group Study of the Efficacy and Safety of Tesevatinib in Subjects With Autosomal Dominant Polycystic Kidney Disease

The goal of the study was to compare and evaluate safety and efficacy of tesevatinib 50 milligrams (mg) versus placebo in participants with autosomal dominant polycystic kidney disease (ADPKD).

Read the detailed description

Safety and efficacy of 50 mg tesevatinib in comparison to placebo in participants with ADPKD was assessed.

The primary purpose of this study was focused on evaluating the change from Baseline in height-adjusted total kidney volume (htTKV) as measured by magnetic resonance imaging (MRI) at Months 12, 18, and 24, and 30 days post-dose in participants with ADPKD treated with tesevatinib or placebo.

If eligible for the study participation, participants were randomly assigned to either investigational treatment group or placebo group. Treatment group received 50 mg tesevatinib once daily for 24 months and control group received the placebo once daily for 24 months.

Being tested
Tesevatinib, Placebo
Keywords
ADPKD, Autosomal Dominant Polycystic Kidney Disease, Polycystic Kidney, Tesevatinib, Polycystic Kidney Disease, PKD
Medical subject headings
Polycystic Kidney, Autosomal Dominant, Polycystic Kidney Diseases

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • TesevatinibDrug

    Also called KD019

    Pharmaceutical form: Tablet; Route of administration: orally

  • PlaceboDrug

    Pharmaceutical form: Tablet (identical to tesevatinib); Route of administration: orally

Study groups in NCT03203642
Study groupRoleWhat they receive
TesevatinibExperimentalParticipants received tesevatinib 50 mg tablet orally once daily (QD) for up to 25.3 months.
Receives: Drug: Tesevatinib
PlaceboPlacebo comparatorParticipants received placebo matched to tesevatinib tablet orally QD for up to 25.3 months.
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change From Baseline in Height Adjusted Total Kidney Volume (htTKV) at Month 12

    htTKV was calculated using total kidney volume (in milliliters) obtained from magnetic resonance imaging (MRI) divided by height (in meters). Least square (LS) mean and standard error (SE) were estimated by using analysis of covariance (ANCOVA) model. Change from Baseline in htTKV at Month 12 was reported in this outcome measure.

    Measured: Baseline (Day 1), Month 12

  2. Change From Baseline in Height Adjusted Total Kidney Volume at Month 18

    htTKV was calculated using total kidney volume (in milliliters) obtained from MRI divided by height (in meters). LS mean and SE were estimated by using ANCOVA model. Change from Baseline in htTKV at Month 18 was reported in this outcome measure.

    Measured: Baseline (Day 1), Month 18

  3. Change From Baseline in Height Adjusted Total Kidney Volume at Month 24

    htTKV was calculated using total kidney volume (in milliliters) obtained from MRI divided by height (in meters). LS mean and SE were estimated by using ANCOVA model. Change from Baseline in htTKV at Month 24 was reported in this outcome measure.

    Measured: Baseline (Day 1), Month 24

  4. Change From Baseline in Height Adjusted Total Kidney Volume at End of Study

    htTKV was calculated using total kidney volume (in milliliters) obtained from MRI divided by height (in meters). LS mean and SE were estimated by using ANCOVA model. Change from Baseline in htTKV at end of study (i.e., up to 26 months) was reported in this outcome measure.

    Measured: Baseline (Day 1), End of study (anytime up to 26 months)

Secondary outcomes (2)
  1. Number of Participants With Treatment-emergent Adverse Events (TEAEs)

    An adverse event (AE) was any untoward medical occurrence in a clinical study participant administered a medicinal product and which did not necessarily had to have a causal relationship with the treatment. TEAEs were AEs that developed or worsened or became serious from the first dose (Day 1) of the study drug until end of study.

    Measured: From Baseline (Day 1) up to 30 days post last dose of study drug (i.e., up to 26 months)

  2. Change From Baseline in Estimated Glomerular Filtration Rate (eGFR) at Months 12, 18, 24 and End of Study

    eGFR is a test for renal function. eGFR was calculated by using the 4-variable modification of diet in renal disease (MDRD-4) formula reported as milliliters per minute per 1.73 square meter (mL/min/1.73 m^2). LS mean and SE were estimated using ANCOVA model.

    Measured: Baseline (Day 1), Months 12, 18, 24 and at end of study (i.e., anytime up to 26 months)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted29 Jun 2017
  2. Study start12 Oct 2017
  3. Primary completion25 Jan 2022
  4. Study completion25 Jan 2022

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
80 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03203642
Sponsor's protocol ID
ACT17675
Other IDs
KD019-211
Status last verified
Jan 2023
First submitted
26 Jun 2017
Last updated
6 Feb 2023
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org

Publications

  • Chen CY, Hadla M, Khambati I, Kashyap S, Westerfield V, Fedeles S, Besse W, Hopp K, Harris PC, Patel V, Chini E, Salih M, Barry MA, Chebib FT. Emerging Therapies in Autosomal Dominant Polycystic Kidney Disease. Kidney360. 2026 Jul 1;7(7):1662-1676. doi: 10.34067/KID.0000001109. Epub 2025 Dec 12.

    PubMed 41385299

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Tesevatinib in people with Autosomal Dominant Polycystic Kidney and ADPKD, run by Kadmon, a Sanofi Company at 19 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 8 inclusion and 33 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 6 Feb 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 19 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 6 Feb 2023). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change From Baseline in Height Adjusted Total Kidney Volume (htTKV) at Month 12 (time frame: Baseline (Day 1), Month 12). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03203642, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 Feb 2023.

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