ClinicalTrials.gg
CompletedNCT03270956Updated Mar 24, 2025Results posted

A Study of Autologous Renal Autologous Cell Therapy (REACT) in Patients With Diabetic Chronic Kidney Disease

A Phase 2 interventional study of Renal Autologous Cell Therapy (REACT) in Type 2 Diabetes Mellitus and Chronic Kidney Disease, sponsored by Prokidney. Completed at 4 sites in United States. Open to participants aged 30 Years to 65 Years. Per ClinicalTrials.gov, last updated 2025-03-24.

Sponsored by Prokidney · Phase 2, Interventional, and Treatment

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Phase
Phase 2
Study type
Interventional
Enrollment
10
Allocation
Not applicable
Ages
30 Years to 65 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 3,304 studies in Diabetes Mellitus, Type 2 with a site in United States — 344 open to participants now, 478 under way, 51 of them phase 3. Diabetes Mellitus, Type 2 · United States.

Enrollment
2,742nd of 2,957
10 · median 90
Started
2018
with 125 others
Phase 2
391 of 3,304
25 open now
Registered
1,990th of 3,304
by date

Among the 3,304 studies in Diabetes Mellitus, Type 2 with a site in United States, this one is the 2,742nd largest by enrollment of the 2,957 interventional ones that give a count, is one of 126 that started in 2018, is one of 391 in phase 2, and was the 1,990th registered.

Diabetes Mellitus, Type 2

10,378 studies on the registry are indexed under Diabetes Mellitus, Type 2; 1,410 are open to participants now.

Browse Diabetes Mellitus, Type 2 studies →

Open to participants now

344 of the 3,304 studies in Diabetes Mellitus, Type 2 with a site in United States are open now. Recruiting first, the newest first:

339 more — sign in →

All 344 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 882 Diabetes Mellitus, Type 2 studies recruiting now, 374 (42%) set no upper age limit and 383 (43%) stop at 75 or younger; 52 take children under 18; 203 take healthy volunteers.

This study: 30 Years to 65 Years · all sexes · no healthy volunteers.

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02

Study summary

The purpose of the present study is to assess the safety and efficacy of up to 2 injections of REACT given 6 months (+4 weeks) apart (maximum).

Read the detailed description

All subjects enrolled will receive REACT. Subjects will receive their first REACT injection as soon as the REACT product is manufactured and shipped to the clinical site. After 6 months (+4 weeks), a second injection will be given, as appropriate. Each subject's baseline rate of renal decline, based on adequate historical clinical data obtained 24 months prior to screening visit, will serve as a comparator for monitoring the rate of progression of renal insufficiency over time.

03

Conditions studied

  • Type 2 Diabetes Mellitus
  • Chronic Kidney Disease
04

Who can participate

Ages eligible
30 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. The subject is male or female, 30 to 65 years of age on the date of .
  2. The subject has an established diagnosis of T2DM.
  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 CKD not requiring renal dialysis, defined as having an between 14 and 20 mL/min/1.73m² inclusive at the Screening Visit and prior to REACT injection.
  5. The subject has blood pressure less than 150/90 at the Screening Visit, prior to renal , and prior to REACT injection(s). Note BP should not be significantly below the previously recorded stable pressure.
  6. A minimum of 3 measurements of eGFR or sCr should be obtained at least 3 months apart prior to the Screening Visit or within the previous 24 months to define the rate of progression of CKD. The subject should have adequate, historical clinical data to provide a reasonable estimate of the rate of progression of CKD. The Medical Monitor may be consulted to ensure there is sufficient data.

Exclusion criteria

Exclusion Criteria:

  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 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 levels less than 9 g/dL prior to each REACT injection.
Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

HbA1c

A blood test of average blood sugar over the past two to three months, given as a percentage or in mmol/mol. 6.5% (48 mmol/mol) or more is the usual threshold for diabetes, normally confirmed by a second test.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
10 participants (actual)

Study arms

  • Experimental
    Renal Autologous Cell Therapy (REACT)

    Renal Autologous Cell Therapy (REACT) Treatment - Patients will receive their first treatment of 2 injections of REACT as soon as REACT product is made available.

    Biological: Renal Autologous Cell Therapy (REACT)

Interventions

06

What researchers measure

Primary outcomes

  1. Procedure and/or Product Related Adverse Events

    Percentage of subjects with procedures and/or product related adverse events by System Organ Class and Preferred Term

    Time frame: Through 24 months following last REACT injection

Secondary outcomes

  1. Renal Specific Adverse Events

    Percentage of subjects with renal-specific adverse events by System Order Class and Preferred Term

    Time frame: Through 24 months following last REACT injection

07

Results

Posted Mar 24, 2025

Participant flow

Participant flow — Overall Study
MilestoneRenal Autologous Cell Therapy (REACT)
Started10
Completed3
Not completed7

Outcome measures

PrimaryProcedure and/or Product Related Adverse Events

Percentage of subjects with procedures and/or product related adverse events by System Organ Class and Preferred Term

Time frame:
Through 24 months following last REACT injection
Reported as:
Number · percent of participants
Procedure and/or Product Related Adverse Events
percent of participantsRenal Autologous Cell Therapy (REACT)
All Body Systems70.0
Renal and urinary disorders60.0
renal haematoma30.0
subcapsular renal hematoma20.0
haematuria10.0
perinephric collection10.0
Blood and lymphatic system disorder10.0
anaemia10.0
General disorders and administration site conditions10.0
fatigue10.0
Injury, poisoning, and procedural complications10.0
procedural pain10.0
SecondaryRenal Specific Adverse Events

Percentage of subjects with renal-specific adverse events by System Order Class and Preferred Term

Time frame:
Through 24 months following last REACT injection
Reported as:
Number · percent of participants
Renal Specific Adverse Events
percent of participantsRenal Autologous Cell Therapy (REACT)
Renal and urinary disorders90.0
End Stage Renal Disease50.0
Renal haematoma40.0
Acute Kidney Disease30.0
Chronic Kidney Disease20.0
Subcapsular renal haematoma20.0
Haematuria10.0
Hydronephrosis10.0
perinephric collection10.0

Adverse events

Collected over the day of biopsy through 24 months after the final injection of REACT, approximately 33 months. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Renal Autologous Cell Therapy (REACT)2/10 (20%)8/10 (80%)10/10 (100%)
Most frequent serious events
Showing 10 of 15
Most frequent serious events
EventRenal Autologous Cell Therapy (REACT)
ESRDRenal and urinary disorders4/10
Acute kidney injuryRenal and urinary disorders2/10
Acute respiratory failureRespiratory, thoracic and mediastinal disorders2/10
COVID-19Infections and infestations2/10
Abdominal wall abscessInfections and infestations1/10
AnemiaBlood and lymphatic system disorders1/10
CellulitisInfections and infestations1/10
Cerebrovascular accidentNervous system disorders1/10
Chronic kidney diseaseRenal and urinary disorders1/10
COVID-19 pneumoniaInfections and infestations1/10
Most frequent other events
Most frequent other events
EventRenal Autologous Cell Therapy (REACT)
ESRDRenal and urinary disorders5/10
FatigueGeneral disorders4/10
Urinary tract infectionInfections and infestations4/10
DiarrheaGastrointestinal disorders4/10
renal haematomaRenal and urinary disorders4/10
Acute kidney injuryRenal and urinary disorders3/10
Back painMusculoskeletal and connective tissue disorders3/10
COVID-19Infections and infestations3/10
DizzinessNervous system disorders3/10
PyrexiaGeneral disorders3/10

Baseline characteristics

Age, Continuous
Age, Continuous(years)Renal Autologous Cell Therapy (REACT)
Mean58.3 ± 5.03
Sex: Female, Male
Sex: Female, Male(Participants)Renal Autologous Cell Therapy (REACT)
Female5
Male5
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Renal Autologous Cell Therapy (REACT)
Hispanic or Latino3
Not Hispanic or Latino7
Unknown or Not Reported0
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Renal Autologous Cell Therapy (REACT)
American Indian or Alaska Native0
Asian1
Native Hawaiian or Other Pacific Islander0
Black or African American0
White8
More than one race0
Unknown or Not Reported1
BMI (kg/m^2) at Screening,
BMI (kg/m^2) at Screening,(kg/m^2)Renal Autologous Cell Therapy (REACT)
Mean35.20 ± 8.415
Volume (cm^3) - Treated kidney
Volume (cm^3) - Treated kidney(cm^3)Renal Autologous Cell Therapy (REACT)
Mean180.97 ± 76.077
Volume (cm^3) - Untreated kidney
Volume (cm^3) - Untreated kidney(cm^3)Renal Autologous Cell Therapy (REACT)
Mean163.93 ± 35.279
08

Study locations

4 sites
  • University of Arizona [WITHDRAWN]
    Tucson, Arizona 85724, United States
  • Boise Kidney & Hypertension Institute
    Boise, Idaho 83642, United States
  • University of North Carolina- Chapel Hill
    Chapel Hill, North Carolina 27599, United States
  • Vanderbilt University [WITHDRAWN]
    Nashville, Tennessee 37212, United States
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Apr 2018 to primary completion in Nov 2022, 54 months.

Results were first posted in Mar 2025, 2 years 4 months after primary completion.

Of 194 industry-sponsored phase 2 interventional studies under Diabetes Mellitus, Type 2, half reached primary completion within 13 months of starting (the median), counting those still running; a quarter within 9 and three quarters within 18. This study's 54 months is above that.

Counting every sponsor, half of 293 studies reached it within 15 months; a quarter within 11 and three quarters within 27.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 25, 2017
First posted
Sep 1, 2017
StartActual
Apr 25, 2018
Primary completionActual
Nov 17, 2022
CompletionActual
Nov 17, 2022
Results first posted
Mar 24, 2025
Last update
Mar 24, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Mar 24, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03270956
Lead sponsor
Prokidney
Collaborators
CTI Clinical Trial and Consulting Services
Responsible party
Sponsor
First posted
Sep 1, 2017
Start date
Apr 25, 2018
Primary completion
Nov 17, 2022
Completion
Nov 17, 2022
Results posted
Mar 24, 2025
Last update
Mar 24, 2025

Study contacts

Ashley Johns
study director · Prokidney

Oversight

FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Mar 2025. You cannot join it, but the record below documents what was studied.

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