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Glomerulosclerosis, Focal SegmentalNCT04235621

A Study to Understand the Genetics and Clinical Course of Focal Segmental Glomerulosclerosis (FSGS), Treatment-Resistant Minimal Change Disease (TR-MCD), and Diabetic Nephropathy (DN)

An observational study of Glomerulosclerosis, Focal Segmental and Minimal Change Disease, run by Goldfinch Bio, Inc. at 18 sites in United States.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

This is a study with 2 parts. Part 1 comprises a visit to collect biological samples necessary for the molecular characterization of chronic kidney disease. Part 2 comprises an observational period of 5 visits over a period up to 8 weeks. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
FSGS/TR-MCD and Diabetic Nephropathy (DN)
How many people
20 participants
Where
18 sitesUnited States
Study dates
20 Dec 2019to 27 May 2020
Phase
Observational
Are there results?
None posted in the registry

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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Patients will be drawn from participating investigators' clinics

Who may be able to join

  • For FSGS/TR-MCD patients :
  • Competent and willing to provide informed consent and adhere to all study assessments and restrictions.
  • Male or female ≥ 18 years of age with FSGS or TR-MCD at the time of providing written informed consent.
  • Diagnosis of FSGS or TR-MCD, based on either biopsy or genetic testing.
  • Urinary protein to creatinine ratio (UPCR) ≥ 1.0 g/g.
  • Estimated glomerular filtration rate (eGFR) ≥ 45 mL/min/1.73 m2.
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  • For DN patients:
  • Competent and willing to provide informed consent and adhere to all study assessments and restrictions.
  • Male or female ≥ 18 years of age with DN at the time of providing written informed consent.
  • Diagnosis of type 2 diabetes
  • Urinary albumin to creatinine ratio (UACR) ≥ 150 mg/g.
  • Estimated glomerular filtration rate (eGFR) ≥ 45 mL/min/1.73 m2.

Who cannot join

  • For FSGS/TR-MCD patients:
  • Evidence of another kidney disease or kidney disease secondary to an infectious process.
  • History of human immunodeficiency virus (HIV), hepatitis B, or hepatitis C. Patients whose results are compatible with prior immunization or treatment may be included.
  • Body mass index (BMI) > 42 kg/m2.
  • Significant history or evidence of clinically significant disorder, condition, current illness, or disease that, in the opinion of the Investigator, would pose a risk to patient safety or interfere with the study evaluation, procedures, or completion (eg, severe cardiac disease, cardiac conduction defect, or severe or chronic hepatobiliary disease).
  • History of malignancy not in remission within the last 5 years other than adequately treated basal cell or squamous cell skin cancer or cervical carcinoma in situ.
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  • History of any organ or bone marrow transplant, including kidney grafts.
  • History of alcoholism or drug/chemical abuse within 12 months.
  • Preplanned surgery or procedures that would interfere with the conduct of the study.
  • For DN patients:
  • Evidence of another kidney disease or kidney disease secondary to an infectious process.
  • History of HIV, hepatitis B, or hepatitis C. Patients whose results are compatible with prior immunization or treatment may be included.
  • BMI > 42 kg/m2.
  • Significant history or evidence of clinically significant disorder, condition, current illness, or disease that, in the opinion of the Investigator, would pose a risk to patient safety or interfere with the study evaluation, procedures, or completion (eg, severe cardiac disease, cardiac conduction defect, or severe or chronic hepatobiliary disease).
  • History of malignancy not in remission within the last 5 years other than adequately treated basal cell or squamous cell skin cancer or cervical carcinoma in situ.
  • History of any organ or bone marrow transplant, including kidney grafts.
  • History of alcoholism or drug/chemical abuse within 12 months.
  • Preplanned surgery or procedures that would interfere with the conduct of the study.
  • Renal disease that requires immunosuppressive therapy (currently, or in the past).

Trial locations and contacts

18 sites in 1 country.

18 sites in 1 country

United States18 sites
  • Akron Nephrology Associates, Inc.

    Akron, Ohio, 44302-1715

  • Arlington Nephrology, PC

    Arlington, Texas, 76015

  • Southeast Renal Research Institute

    Chattanooga, Tennessee, 37404-2743

  • Colorado Kidney Care

    Denver, Colorado, 80230-7200

  • High Desert Nephrology

    Gallup, New Mexico, 87301-5655

  • Glendale Adventist Medical Center

    Glendale, California, 91206

  • Clinical Research Consultants

    Kansas City, Missouri, 64111

  • DaVita Pelican Point Dialysis

    Las Vegas, Nevada, 89129-6201

  • North Texas Kidney Disease Association

    Lewisville, Texas, 75057-6039

  • Aventiv Research - Phoenix

    Mesa, Arizona, 85210-6041

  • DaVita Clinical Research

    Minneapolis, Minnesota, 55404-1212

  • St. Clair Nephrology

    Roseville, Michigan, 48066

  • South Texas Renal Care Group (Downtown)

    San Antonio, Texas, 78207

  • San Antonio Kidney Disease Center Physicians Group (Wurzbach Road)

    San Antonio, Texas, 78229-3809

  • South Texas Renal Care Group (Westover Hills)

    San Antonio, Texas, 78251-1230

  • San Antonio Kidney Disease Center Physicians Group (Carnoustie Drive)

    San Antonio, Texas, 78258-4800

  • Renal and Transplant Associates of New England, PC

    Springfield, Massachusetts, 01107-1369

  • DaVita Mojave Sage Dialysis

    Victorville, California, 92395-8322

Other trials in United States

About this study

Official title: A Study to Characterize the Genetic, Biomarker, and Clinical Profile of Patients With Focal Segmental Glomerulosclerosis (FSGS), Treatment-Resistant Minimal Change Disease (TR-MCD), and Diabetic Nephropathy (DN)

This is a study with 2 parts. Part 1 comprises a visit to collect biological samples necessary for the molecular characterization of chronic kidney disease. Part 2 comprises an observational period of 5 visits over a period up to 8 weeks. During Part 2, baseline tests will be conducted, and urine will be collected approximately every 2 weeks for 8 weeks. Patients may participate in Part 1, Part 2, or both, and will be followed for up to 1 year consisting of data collection from the patient's medical records and home collection of urine samples every 4 months.

Being tested
FSGS/TR-MCD, Diabetic Nephropathy (DN)
Medical subject headings
Glomerulosclerosis, Focal Segmental, Nephrosis, Lipoid, Diabetic Nephropathies

What participants receive

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

  • FSGS/TR-MCDOther

    This is a non-interventional study

  • Diabetic Nephropathy (DN)Other

    This is a non-interventional study

Study groups in NCT04235621
Study groupRoleWhat they receive
FSGS/TR-MCDPatients with FSGS/TR-MCD
Receives: Other: FSGS/TR-MCD
Diabetic Nephropathy (DN)Patients with DN
Receives: Other: Diabetic Nephropathy (DN)

What is being measured

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

  1. Change in Urine Protein-to-Creatinine Ratio (UPCR)

    Measured: Approximately 1 year

  2. Change in Urine Albumin-to-Creatinine Ratio (UACR)

    Measured: Approximately 1 year

  3. Estimated Glomerular Filtration Rate (eGFR)

    Measured: Baseline/Biomarker collection visit

  4. Change in Estimated Glomerular Filtration Rate (eGFR)

    Measured: Approximately 8 weeks

  5. Change in Urine Biomarker: Nephrin

    Measured: Approximately 1 year

  6. Change in Urine Biomarker: Podocin

    Measured: Approximately 1 year

  7. Change in Urine Biomarker: Rac1

    Measured: Approximately 1 year

  8. Change in Urine Biomarker: Synaptopodin

    Measured: Approximately 1 year

  9. Change in Urine Biomarker: Urea

    Measured: Approximately 1 year

  10. Change in Urine Biomarker: Other Exploratory

    Measured: Approximately 1 year

  11. Change in Serum/Plasma Biomarker: Other Exploratory

    Measured: Approximately 8 weeks

  12. Number of patients with genetic variants predicted to be associated with chronic kidney disease and functional consequence

    DNA analysis of blood sample

    Measured: Baseline/Biomarker collection visit

  13. Gene expression profile and phenotype of inducible pluripotent stem cell (iPSC)-generated organoids

    Generation of iPSC from whole blood sample

    Measured: Baseline/Biomarker collection visit

  14. Change from Baseline Patient-reported Assessment of FSGS Symptoms

    FSGS/TR-MCD patients will assess disease symptomatology utilizing the FSGS Symptom Diary and FSGS Symptom Impact Questionnaire

    Measured: Approximately 8 weeks

  15. Change from Baseline Patient-reported Assessment of Health Status

    Patients will assess health status using the 36-Item Short Form Health Survey (SF-36)

    Measured: Approximately 8 weeks

  16. Change from Baseline Patient-reported Assessment of Fatigue

    Patients will assess the symptom of fatigue utilizing the Modified Fatigue Impact Scale

    Measured: Approximately 8 weeks

  17. Change from Baseline Clinician-reported Assessment of Edema

    Clinicians will assess edema in FSGS/TR-MCD patients using a standardized measurement of edema in FSGS/TR-MCD patients

    Measured: Approximately 8 weeks

  18. Incidence of Untoward Medical Occurrences

    Incidence of untoward medical occurrences that result in death; are life threatening; require inpatient hospitalization or prolongation of existing hospitalization; result in persistent or significant disability/incapacity; results in a congenital anomaly/birth defect; or result in an important medical event.

    Measured: Approximately 1 year

  19. % of Patients with Change in Treatment

    Change in treatment as indicated by patient medical record

    Measured: Approximately 1 year

Timeline

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

  1. First posted22 Jan 2020
  2. Study start20 Dec 2019
  3. Primary completion27 May 2020
  4. Study completion27 May 2020

Why it stopped: Sponsor decision for administrative reasons

Resources

More details

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

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
20 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04235621
Sponsor's protocol ID
GFB-887-501
Status last verified
Jul 2021
First submitted
31 Dec 2019
Last updated
20 Jul 2021
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Patient reported outcome (and other relevant data) will be shared with other researchers.

Questions about this trial

What is this clinical trial studying?

An observational study of Glomerulosclerosis, Focal Segmental and Minimal Change Disease, run by Goldfinch Bio, Inc. at 18 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 12 inclusion and 19 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: stopped early, as of the sponsor's last update on 20 Jul 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 18 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. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study was stopped early (reason given: Sponsor decision for administrative reasons). Results are not available in the source record.

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 in Urine Protein-to-Creatinine Ratio (UPCR) (time frame: Approximately 1 year). The study lists 19 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 20 Jul 2021.

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