A Phase 2 interventional study of Tesevatinib and Placebo in Autosomal Dominant Polycystic Kidney and ADPKD, sponsored by Kadmon, a Sanofi Company. Completed at 19 sites in United States. Open to participants aged 18 Years to 60 Years. Per ClinicalTrials.gov, last updated 2023-02-06.
Sponsored by Kadmon, a Sanofi Company · Phase 2, Interventional, and Treatment
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).
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.
Platelets greater than (>) lower limit of normal (LLN); Hemoglobin > 9 grams per deciliter; Total bilirubin \<= 1.5 milligrams per deciliter; Aspartate aminotransferase less than (\<) 2.5*upper limit of normal (ULN); Alanine aminotransferase \< 2.5*ULN; Prothrombin time/partial thromboplastin time \<=1.5*ULN; Serum potassium levels within normal limits; Serum magnesium levels within normal limits; Albumin >= LLN; Amylase \<=1.5*ULN; Lipase \<=1.5*ULN; Prothrombin time and partial thromboplastin time \<=1.5*ULN; International normalized ratio (INR) \<=1.5, except those participants taking warfarin who must have INR \<=3.
Exclusion Criteria:
Participants received tesevatinib 50 mg tablet orally once daily (QD) for up to 25.3 months.
Drug: Tesevatinib
Participants received placebo matched to tesevatinib tablet orally QD for up to 25.3 months.
Drug: Placebo
Pharmaceutical form: Tablet; Route of administration: orally
Also known as: KD019
Pharmaceutical form: Tablet (identical to tesevatinib); Route of administration: orally
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.
Time frame: Baseline (Day 1), Month 12
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.
Time frame: Baseline (Day 1), Month 18
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.
Time frame: Baseline (Day 1), Month 24
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.
Time frame: Baseline (Day 1), End of study (anytime up to 26 months)
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.
Time frame: From Baseline (Day 1) up to 30 days post last dose of study drug (i.e., up to 26 months)
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.
Time frame: Baseline (Day 1), Months 12, 18, 24 and at end of study (i.e., anytime up to 26 months)
The study was conducted at 20 active sites in the United States. A total of 191 participants were screened between 12 October 2017 and 29 January 2020, of which 80 participants were enrolled.
| Milestone | Tesevatinib | Placebo |
|---|---|---|
| Started | 40 | 40 |
| Treated | 38 | 40 |
| Completed | 25 | 29 |
| Not completed | 15 | 11 |
| Withdrew: Adverse event | 3 | 1 |
| Withdrew: Withdrawal by subject | 6 | 6 |
| Withdrew: Lost to follow-up | 2 | 1 |
| Withdrew: Termination of the study by sponsor | 1 | 1 |
| Withdrew: Participant moved | 0 | 1 |
| Withdrew: Investigator's decision | 3 | 0 |
| Withdrew: Other than above specified | 0 | 1 |
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.
| milliliters per meter | Tesevatinib | Placebo |
|---|---|---|
| Change From Baseline in Height Adjusted Total Kidney Volume (htTKV) at Month 12 | 0.0236 ± 0.0059 | 0.0288 ± 0.0057 |
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.
| milliliters per meter | Tesevatinib | Placebo |
|---|---|---|
| Change From Baseline in Height Adjusted Total Kidney Volume at Month 18 | 0.0383 ± 0.0081 | 0.0425 ± 0.0075 |
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.
| milliliters per meter | Tesevatinib | Placebo |
|---|---|---|
| Change From Baseline in Height Adjusted Total Kidney Volume at Month 24 | 0.0485 ± 0.0103 | 0.0607 ± 0.0095 |
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.
| milliliters per meter | Tesevatinib | Placebo |
|---|---|---|
| Change From Baseline in Height Adjusted Total Kidney Volume at End of Study | 0.0604 ± 0.0090 | 0.0589 ± 0.0094 |
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.
| Participants | Tesevatinib | Placebo |
|---|---|---|
| Number of Participants With Treatment-emergent Adverse Events (TEAEs) | 37 | 40 |
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.
| mL/min/1.73m^2 | Tesevatinib | Placebo |
|---|---|---|
| Month 12 | -6.8032 ± 1.2293 | -2.1780 ± 1.1709 |
| Month 18 | -7.3626 ± 1.6645 | -3.8950 ± 1.6971 |
| Month 24 | -9.7307 ± 1.4708 | -6.4070 ± 1.4138 |
| End of study | -3.2757 ± 0.5990 | -3.7497 ± 0.6323 |
Collected over From Baseline (Day 1) up to 30 days post last dose of the study drug (i.e., up to 26 months). Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Tesevatinib | 0/38 (0%) | 6/38 (15.8%) | 37/38 (97.4%) |
| Placebo | 0/40 (0%) | 2/40 (5%) | 40/40 (100%) |
| Event | Tesevatinib | Placebo |
|---|---|---|
| Renal cyst infectionInfections and infestations | 1/38 | 0/40 |
| Pain in extremityMusculoskeletal and connective tissue disorders | 1/38 | 0/40 |
| Rheumatoid arthritisMusculoskeletal and connective tissue disorders | 1/38 | 0/40 |
| Coronary artery diseaseCardiac disorders | 1/38 | 0/40 |
| Retinal detachmentEye disorders | 1/38 | 0/40 |
| Colitis ulcerativeGastrointestinal disorders | 1/38 | 0/40 |
| DehydrationMetabolism and nutrition disorders | 1/38 | 0/40 |
| AppendicitisInfections and infestations | 0/38 | 1/40 |
| Pulmonary embolismRespiratory, thoracic and mediastinal disorders | 0/38 | 1/40 |
| Event | Tesevatinib | Placebo |
|---|---|---|
| DiarrhoeaGastrointestinal disorders | 21/38 | 13/40 |
| NauseaGastrointestinal disorders | 14/38 | 6/40 |
| HeadacheNervous system disorders | 13/38 | 9/40 |
| Viral upper respiratory tract infectionInfections and infestations | 12/38 | 12/40 |
| Muscle spasmsMusculoskeletal and connective tissue disorders | 12/38 | 4/40 |
| DizzinessNervous system disorders | 12/38 | 0/40 |
| RashSkin and subcutaneous tissue disorders | 9/38 | 6/40 |
| VomitingGastrointestinal disorders | 7/38 | 5/40 |
| Upper respiratory tract infectionInfections and infestations | 7/38 | 6/40 |
| Flank painMusculoskeletal and connective tissue disorders | 7/38 | 4/40 |
Analysis was performed on modified Intent-To-Treat (mITT) population which included all randomized participants who receive at least 1 dose of study drug.
| Age, Continuous(years) | Tesevatinib | Placebo | Total |
|---|---|---|---|
| Mean | 47.0 ± 9.6 | 45.6 ± 10.0 | 46.3 ± 9.7 |
| Sex: Female, Male(Participants) | Tesevatinib | Placebo | Total |
|---|---|---|---|
| Female | 24 | 18 | 42 |
| Male | 14 | 22 | 36 |
| Race (NIH/OMB)(Participants) | Tesevatinib | Placebo | Total |
|---|---|---|---|
| American Indian or Alaska Native | 0 | 1 | 1 |
| Asian | 2 | 2 | 4 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 |
| Black or African American | 3 | 3 | 6 |
| White | 32 | 33 | 65 |
| More than one race | 0 | 0 | 0 |
| Unknown or Not Reported | 1 | 1 | 2 |
Documents are hosted by the registry — open the source record to download them.
Plan to share: 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
This study is completed, as verified in Jan 2023. You cannot join it, but the record below documents what was studied.
Get an email when the registry record changes — status, dates, results — or when someone posts here.
Sign in to followQuestions 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.
Kadmon, a Sanofi Company