AMPK-activation by Metformin in FSGS: AMP-FSGS

Trial statusRecruiting
Trial phasePhase 1, Phase 2
Trial typeInterventional
Biological sexAll
Age18-80
SponsorYale University

About this trial

The primary objective of this study is to determine whether extended-release MF (in addition to standard of care (S-o-C)) is superior to placebo in reducing podocyte injury and promoting podocyte survival by 6-months in Focal Segmental Glomerulosclerosis (FSGS).

Eligibility criteria

Qualifiers

Provision of signed and dated informed consent form

Stated willingness to comply with all study procedures and availability for the duration of the study

Male or female, aged greater than or equal to 18 years, but </= 80 years age at the time of signing the informed consent

Biopsy-confirmed primary FSGS as defined by expert renal pathology at either institutions. For homogeneity of diagnoses, demonstrable segmental or global sclerosis lesions (>/=1 glomerulus) with diffuse podocyte foot process effacement by electron microscopy (>/+ 50% of examined glomerular tufts), or show evidence of mesangial expansion or mesangial sclerosis, also confirmed by electron microscopy.

Disqualifiers

Liver disease: confirmed cirrhosis liver (any stage), acute hepatitis (> 2 fold increase in liver enzymes, any coagulopathy, hyperbilirubinemia, ascites or encephalopathy)

estimated GFR < 32 ml/min

Diabetes Mellitus diagnosis at the time of biopsy or need for oral hypoglycemic agents/Insulin, or taking Metformin for other indications

Treatment with another investigational drug or other intervention within 3 months

Trial design

Treatments tested in this trial

  • Metformin + Standard of Care
  • Placebo + Standard of Care

Treatment groups

30 Participants
are divided into 2 treatment groups

Sponsors and collaborators

Yale University

Lead sponsor

United States Department of Defense

Collaborator