CClinicalTrials.gg
CompletedNCT02836574Updated Aug 24, 2025

A Study of Renal Autologous Cell Therapy (REACT) in Type 2 Diabetics With Chronic Kidney Disease

A Phase 2 interventional study of Renal Autologous Cell Therapy (REACT) and Renal Biopsy in Type 2 Diabetes Mellitus and Chronic Kidney Disease, sponsored by Prokidney. Completed at 16 sites in United States. Open to participants aged 30 Years to 80 Years. Per ClinicalTrials.gov, last updated 2025-08-24.

Sponsored by Prokidney · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
83
Allocation
Randomized
Ages
30 Years to 80 Years
Sex
All
01

Study summary

To assess the safety and efficacy of up to two REACT injections given 6 months (+4 weeks) apart and delivered into the biopsied kidney using a percutaneous approach in participants with Type 2 Diabetes Mellitus (T2DM) and Chronic Kidney Disease (CKD).

Read the detailed description

Study Part 1: Multi-center, prospective, open-label, randomized, double-arm, deferred treatment study whereby eligible subjects will be randomized 1:1 after kidney biopsy to receive up to 2 injections of REACT (made from expanded autologous selected renal cells) into the biopsied kidney beginning as soon as REACT can be prepared, or the same series of up to 2 injections given 6 months (+4 weeks) apart beginning 12 months after renal biopsy. Subjects will be followed through 23 months after the last injection.

Study Part 2: An open-label extension study in which eligible subjects will be followed for an additional 36 months of long-term follow-up. Subjects will be able to roll from Study Part 2 into a Long Term Follow-Up Master protocol for up to 5 years

02

Conditions studied

  • Type 2 Diabetes Mellitus
  • Chronic Kidney Disease

Keywords

  • Rilparencel
03

In context

Diabetes Mellitus, Type 2

9,359 studies on the registry are indexed under Diabetes Mellitus, Type 2; 1,318 are open to participants now.

This study's enrollment of 83 is close to the median of 80 across 7,525 interventional studies indexed under Diabetes Mellitus, Type 2.

Browse Diabetes Mellitus, Type 2 studies →

Lead sponsor

Prokidney is the lead sponsor of 10 studies on the registry; 2 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
30 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Inclusion Criteria for Study Part 1:

  1. The subject is male or female, 30 to 80 years of age on the date of informed consent.
  2. The subject has an established diagnosis of Type 2 Diabetes Mellitus.
  3. The subject has an established diagnosis of diabetic nephropathy as the underlying cause of renal disease.
  4. The subject has an established diagnosis of Chronic Kidney Disease not requiring renal dialysis, defined as having an Estimated Glomerular Filtration Rate (eGFR) between 20 and 50 mL/min/1.73m².
  5. The subject has blood pressure less than 150/90 at the Screening Visit.
  6. The subject has stable blood pressure and is maintained on a stable anti-hypertensive medication regimen.
  7. A minimum of 2 measurements of Estimated Glomerular Filtration Rate (eGFR) or serum creatine ratio (sCr) should be obtained at least 3 months apart prior to the Screening Visit or within the previous 18 months to define the rate of progression of Chronic Kidney Disease (CKD).

Exclusion Criteria for Study Part 1:

  1. The subject has a history of type 1 diabetes mellitus.
  2. The subject has a history of renal transplantation.
  3. The subject has a serum Hemoglobin A1c (HbA1c) level greater than 10% at the Screening Visit.
  4. The subject has uncontrolled diabetes (defined as metabolically unstable by the Investigator).
  5. The subject has hemoglobin levels less than 9 g/dL prior to each Renal Autologous Cell Therapy (REACT) injection.

Inclusion Criteria for Study Part 2:

  1. The subject is willing and able to provide signed informed consent.
  2. The subject was enrolled into Part 1 of the study and received at least one Renal Autologous Cell Therapy (REACT) injection.

Exclusion Criteria for Study Part 2:

1. The subject is currently receiving renal dialysis.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
83 participants (actual)

Study arms

  • Experimental
    Active Treatment

    Renal Autologous Cell Therapy (REACT) immediate treatment - Patients who are randomized to receive their first treatment of 2 injections of REACT as soon as REACT product is made available.

    Biological: Renal Autologous Cell Therapy (REACT) · Procedure: Renal Biopsy

  • Active comparator
    Deferred Treatment

    Renal Autologous Cell Therapy (REACT) delayed treatment - Patients who are randomized to receive standard of care treatment for the first 12 months after REACT product is made available before receiving 2 injections of REACT.

    Biological: Renal Autologous Cell Therapy (REACT) · Procedure: Renal Biopsy

Interventions

  • BiologicalRenal Autologous Cell Therapy (REACT)

    Autologous selected renal cells (SRC).

    Also known as: Rilparencel

  • ProcedureRenal Biopsy

    a procedure in which a small sample of kidney tissue is removed

    Also known as: Kidney Biopsy

06

What researchers measure

Primary outcomes

  1. Change in Renal Function

    Serial measurements of estimated glomerular filtration rate (eGFR) obtained pre-randomization and at three-month intervals through 24 months after the last REACT injection in the active treatment group and at least 12 months post last REACT injection in the deferred treatment group.

    Time frame: Through 24 months following last REACT injection for active arm and at least 12 months following last REACT injection for the deferred arm

Secondary outcomes

  1. Treatment emergent adverse events

    Treatment emergent adverse events, serial safety laboratory results

    Time frame: Through 24 months following last REACT injection for the active arm and at least 12 months following the last REACT injection for the deferred arm

07

Study locations

16 sites
  • University of Arizona
    Tucson, Arizona 85724, United States
  • Kidney Associates of Colorado
    Denver, Colorado 80210, United States
  • Yale Univeristy
    New Haven, Connecticut 06520, United States
  • University of Florida
    Gainesville, Florida 32610, United States
  • Boise Kidney and Hypertension Institute
    Meridian, Idaho 83642, United States
  • University of Chicago Medical Center
    Chicago, Illinois 60637, United States
  • University of Louisville
    Louisville, Kentucky 40202, United States
  • Renal Associates of Baton Rouge
    Baton Rouge, Louisiana 70808, United States
  • University of Michigan
    Ann Arbor, Michigan 48109, United States
  • Paragon Health
    Kalamazoo, Michigan 49007, United States
  • Nephrology & Hypertension Associates
    Tupelo, Mississippi 38801, United States
  • Mt. Sinai Hospital
    New York, New York 45246, United States
  • University of North Carolina- Chapel Hill
    Chapel Hill, North Carolina 27599, United States
  • Lehigh Valley Health Network
    Allentown, Pennsylvania 18103, United States
  • Vanderbilt University
    Nashville, Tennessee 37212, United States
  • University of Wisconsin-Madison
    Madison, Wisconsin 53705, United States
08

References and documents

Publications

  • Stavas J, Gerber D, Coca SG, Silva AL, Johns A, Jain D, Bertram T, Diaz-Gonzalez de Ferris M, Bakris G. Novel Renal Autologous Cell Therapy for Type 2 Diabetes Mellitus Chronic Diabetic Kidney Disease: Clinical Trial Design. Am J Nephrol. 2022;53(1):50-58. doi: 10.1159/000520231. Epub 2022 Jan 14. PubMed 35034024 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 24, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02836574
Lead sponsor
Prokidney
Collaborators
CTI Clinical Trial and Consulting Services
Responsible party
Sponsor
First posted
Jul 19, 2016
Start date
Sep 2016
Primary completion
Dec 2023
Completion
Dec 2023
Last update
Aug 24, 2025

Study contacts

Brian Johnston
study director · CTI

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Oct 2024. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion