Pilot Study to Evaluate the Safety and Efficacy of Abatacept in Adults and Children 6 Years and Older With Excessive Loss of Protein in the Urine Due to Either Focal Segmental Glomerulosclerosis (FSGS) or Minimal Change Disease (MCD)
| Status: | Recruiting | 
|---|---|
| Conditions: | Arthritis, Rheumatoid Arthritis, Nephrology | 
| Therapuetic Areas: | Nephrology / Urology, Rheumatology | 
| Healthy: | No | 
| Age Range: | 6 - Any | 
| Updated: | 11/14/2018 | 
| Start Date: | March 1, 2016 | 
| End Date: | June 29, 2020 | 
| Contact: | Recruiting sites have contact information. Please contact the sites directly. If there is no contact information, | 
| Email: | Clinical.Trials@bms.com | 
| Phone: | please email: | 
A Phase II Randomized, Placebo-Controlled, Double-Blind, Parallel Arms, Pilot Study to Evaluate the Efficacy and Safety of Intravenous Abatacept in Treatment Resistant Nephrotic Syndrome (Focal Segmental Glomerulosclerosis/ Minimal Change Disease)
The purpose of this study is evaluate if abatacept is effective and safe in decreasing the
level of protein loss in the urine in patients with excessive loss of protein in the urine
(nephrotic syndrome) due to either focal segmental glomerulosclerosis (FSGS) or minimal
change disease (MCD). Candidates must have a prior kidney biopsy with either diagnosis.
Another kidney biopsy will not be required as part of the study. Candidates must have failed
or be intolerant of prior therapy for their kidney disease. The failed or intolerant therapy
must include corticosteroids and at least one other drug. Candidates can be adults and
children over the age of 6. Abatacept will be administered by venous infusion every 4 weeks.
			level of protein loss in the urine in patients with excessive loss of protein in the urine
(nephrotic syndrome) due to either focal segmental glomerulosclerosis (FSGS) or minimal
change disease (MCD). Candidates must have a prior kidney biopsy with either diagnosis.
Another kidney biopsy will not be required as part of the study. Candidates must have failed
or be intolerant of prior therapy for their kidney disease. The failed or intolerant therapy
must include corticosteroids and at least one other drug. Candidates can be adults and
children over the age of 6. Abatacept will be administered by venous infusion every 4 weeks.
For more information regarding BMS clinical trial participation, please visit
www.BMSStudyConnect.com
Inclusion Criteria:
- Male and female subjects ages ≥ 6 years
- Subjects resistant to corticosteroids, calcineurin inhibitors (cyclosporine and
tacrolimus), sirolimus, mycophenolate mofetil (MMF), mycophenolic acid (MPA), or
cyclophosphamide or intolerant to at least 2 of these
- UPCR ≥ 3 at screening
- FSGS or MCD confirmed by renal biopsy
- eGFR ≥ 45 for children and adults
- Concomitant use of angiotensin-converting-enzyme inhibitor (ACEi) or angiotensin
receptor blocker (ARB) at stable doses for at least 2 weeks or have intolerance
documented in the source documents maintained at the site
Exclusion Criteria:
- Kidney diseases other than FSGS or MCD
- Collapsing FSGS
- Systemic lupus erythematosus
- Diabetes mellitus, both type 1 and type 2
- Clinically significant congestive heart failure
- Post renal transplantation, including relapsing post-transplant FSGS
- Body mass index (BMI): > 40 in subjects ≥ 18 years of age and ≥ 99% percentile for
subjects < 18 years of age
Other protocol defined inclusion/exclusion criteria may apply
We found this trial at
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		Emory University Emory University, recognized internationally for its outstanding liberal artscolleges, graduate and professional schools,...  
  
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									1720 2nd Ave S
Birmingham, Alabama 35233
	
			Birmingham, Alabama 35233
(205) 934-4011  
							 
					Phone: 205-638-9781
					
		University of Alabama at Birmingham The University of Alabama at Birmingham (UAB) traces its roots...  
  
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									75 Francis street
Boston, Massachusetts 02115
	
			Boston, Massachusetts 02115
(617) 732-5500 
							 
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		Brigham and Women's Hosp Boston’s Brigham and Women’s Hospital (BWH) is an international leader in...  
  
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									3333 Burnet Avenue # Mlc3008
Cincinnati, Ohio 45229
	
			Cincinnati, Ohio 45229
 1-513-636-4200  
							 
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		Cincinnati Children's Hospital Medical Center Patients and families from across the region and around the...  
  
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									2401 Gillham Rd
Kansas City, Missouri 64108
	
			Kansas City, Missouri 64108
(816) 234-3000 
							 
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		Children's Mercy Hospital Children's Mercy Hospitals and Clinics continues redefining pediatric medicine throughout the Midwest...  
  
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									1601 Northwest 12th Avenue
Miami, Florida 33136
	
			Miami, Florida 33136
(305) 243-6545
							 
					Phone: 305-585-6726
					
		University of Miami Miller School of Medicine The University of Miami Leonard M. Miller School...  
  
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									4401 Penn Avenue
Pittsburgh, Pennsylvania 15224
	
			Pittsburgh, Pennsylvania 15224
412-692-5325 
							 
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		Children's Hospital of Pittsburgh of UPMC UPMC is one of the leading nonprofit health systems...  
  
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		University of Michigan The University of Michigan was founded in 1817 as one of the...  
  
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									13001 E. 17th Pl
Aurora, Colorado 80045
	
			Aurora, Colorado 80045
303-724-5000
							 
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		University of Colorado Denver The University of Colorado Denver | Anschutz Medical Campus provides a...  
  
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									1720 2nd Avenue South
Birmingham, Alabama 35294
	
			
					Birmingham, Alabama 35294
Phone: 205-934-7649
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									300 Longwood Ave
Boston, Massachusetts 02115
	
			Boston, Massachusetts 02115
(617) 355-6000
							 
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		Boston Children's Hospital Boston Children's Hospital is a 395-bed comprehensive center for pediatric health care....  
  
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									410 W 10th Ave
Columbus, Ohio 43210
	
			Columbus, Ohio 43210
(614) 293-8652
							 
					Phone: 614-293-6205
					
		The Ohio State University, Wexner Medical Center Located in Columbus, The Ohio State University Wexner...  
  
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									1801 Inwood Rd
Dallas, Texas 75390
	
			Dallas, Texas 75390
(214) 645-3300 
							 
					Phone: 214-648-3438
					
		University of Texas Southwestern Medical Center UT Southwestern is an academic medical center, world-renowned for...  
  
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									2160 South 1st Avenue
Maywood, Illinois 60153
	
			Maywood, Illinois 60153
(888) 584-7888
							 
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		Loyola University Medical Center Loyola University Health System is committed to excellence in patient care...  
  
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									550 1st Ave
New York, New York 10016
	
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		New York University Langone Medical Center NYU NYU Langone Medical Center, a world-class, patient-centered, integrated,...  
  
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									13535 Nemours Parkway
Orlando, Florida 32827
	
			Orlando, Florida 32827
(407) 567-4000
							 
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		Nemours Children's Hospital Nemours Children's Hospital in Orlando brings pediatric specialty care never before offered...  
  
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									3451 Walnut St
Philadelphia, Pennsylvania 19104
	
			Philadelphia, Pennsylvania 19104
1 (215) 898-5000 
							 
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		Univ of Pennsylvania Penn has a long and proud tradition of intellectual rigor and pursuit...  
  
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