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This clinical study is being conducted at multiple sites to determine the activity, safety and tolerability of XL784 when given daily to patients with albuminuria due to diabetic nephropathy. XL784 is a small molecule reno-protective metalloproteinase inhibitor, inhibiting both ADAMs (including ADAM10, a target of significant interest because of its important role in blood vessel formation and cell proliferation, and ADAM17/TACE, activation of which has been associated with renal deterioration) and MMPs (including MMP-2 and MMP-9). XL784 was specifically optimized to be MMP-1 sparing, which may be clinically significant because inhibition of MMP-1 has been hypothesized to be associated with musculoskeletal toxicity.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Arm 1: XL784 | Experimental |
| |
| Arm 2: Placebo Gel capsules | Placebo Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| XL784 | Drug | XL784 softgel capsules (100 mg per capsule) orally administered at a dose of 200 mg/day (or placebo softgel capsules) |
|
| Measure | Description | Time Frame |
|---|---|---|
| Reduction in albumin excretion relative to creatinine | 27 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Safety and tolerability | 27 weeks | |
| Pharmacokinetics and renal elimination | 27 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Sanjay K Aggarwal, MD, MBA | Exelixis | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Parkway Medical Center | Birmingham | Alabama | 35215 | United States | ||
| Winston Technology, Inc. |
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| Haleyville |
| Alabama |
| 35565 |
| United States |
| Redpoint Research | Phoenix | Arizona | 85209 | United States |
| International Clinical Research Network, Inc. | Chula Vista | California | 91911 | United States |
| Scripps Clinic, Torrey Pines, Division of Nephrology | La Jolla | California | 92037 | United States |
| National Research Institute | Los Angeles | California | 90057 | United States |
| West Los Angeles VA Medical Center | Los Angeles | California | 90073 | United States |
| UCLA Medical Center, Center for the Health Sciences | Los Angeles | California | 90095 | United States |
| Arroyo Research Inc. | Pasadena | California | 91105 | United States |
| Western Nephrology and Metabolic Bone Disease, PC | Lakewood | Colorado | 80214 | United States |
| Western Nephrology and Metabolic Bone Disease, PC | Thornton | Colorado | 80260 | United States |
| Soundview Research Associates | Norwalk | Connecticut | 06850 | United States |
| Chase Medical Research, LLC | Waterbury | Connecticut | 06708 | United States |
| MedStar Clinical Research Center | Washington D.C. | District of Columbia | 20003 | United States |
| Clinical Research of South Florida | Coral Gables | Florida | 33134 | United States |
| The Center for Diabetes and Endocrine Care | Hollywood | Florida | 33021 | United States |
| FPA Clinical Research | Kissimmee | Florida | 34741 | United States |
| Pines Clinical Research, Inc. | Pembroke Pines | Florida | 33028 | United States |
| Rocky Mountain Diabetes and Osteoporosis Center, PA | Idaho Falls | Idaho | 83404 | United States |
| Renal Associate of Baton Rouge | Baton Rouge | Louisiana | 70809 | United States |
| Intermed | Portland | Maine | 04102 | United States |
| MODEL Clinical Research | Baltimore | Maryland | 21204 | United States |
| Renal Unit, Joslin Diabetes Center | Boston | Massachusetts | 02215 | United States |
| Fallon Clinic Inc. at Worcester Medical Center, Department of Nephrology | Worchester | Massachusetts | 01608 | United States |
| Center for Urban and African American Health | Detroit | Michigan | 48201 | United States |
| South Mississippi Nephrology | Gulfport | Mississippi | 39501 | United States |
| Kansas City VA Medical Center | Kansas City | Missouri | 64128 | United States |
| Clayton Medical Research | St Louis | Missouri | 63117 | United States |
| Creighton Dibetes Center | Omaha | Nebraska | 68131 | United States |
| University of Nebraska Medical Center - Nephrology | Omaha | Nebraska | 68198 | United States |
| LAND Clinical Studies, LLC | West Caldwell | New Jersey | 07006 | United States |
| Montefiore Medical Center | The Bronx | New York | 10461 | United States |
| Duke South | Durham | North Carolina | 27710 | United States |
| Division of Nephrology/Department of Medicine, Case Western Rserve University, MetroHealth Medical Center Campus | Cleveland | Ohio | 44109 | United States |
| The Ohio State University Medical Center, Division of Nephrology | Columbus | Ohio | 43210 | United States |
| COR Clinical Research, LLC | Oklahoma City | Oklahoma | 73103 | United States |
| Clinical Research Institute of Southern Oregon, PC | Medford | Oregon | 97504 | United States |
| Mountain View Clinical Research, Inc. | Greer | South Carolina | 29651 | United States |
| Nephrology Associates, PC | Nashville | Tennessee | 37205 | United States |
| Heartland Medical, PC | New Tazewell | Tennessee | 37825 | United States |
| Diabetes Center of the Southwest | Midland | Texas | 79705 | United States |
| dgd Research | San Antonio | Texas | 78229 | United States |
| University of Texas Health Science Center at San Antonio | San Antonio | Texas | 78229 | United States |
| University of Virginia Health System, Nephrology Division | Charlottesville | Virginia | 22908 | United States |
| Zablocki Veterans Affairs Medical Center, Nephrology Section | Milwaukee | Wisconsin | 53295 | United States |
| ID | Term |
|---|---|
| D000419 | Albuminuria |
| D003928 | Diabetic Nephropathies |
| D003920 | Diabetes Mellitus |
| ID | Term |
|---|---|
| D011507 | Proteinuria |
| D014555 | Urination Disorders |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
| D020924 | Urological Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D007674 | Kidney Diseases |
| D048909 | Diabetes Complications |
| D004700 | Endocrine System Diseases |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
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