Actively Recruiting

Phase 1
Phase 2
Age: 18Years - 80Years
All Genders
NCT06090227

AMPK-activation by Metformin in FSGS: AMP-FSGS

Led by Yale University · Updated on 2026-02-03

30

Participants Needed

2

Research Sites

202 weeks

Total Duration

On this page

Sponsors

Y

Yale University

Lead Sponsor

U

United States Department of Defense

Collaborating Sponsor

AI-Summary

What this Trial Is About

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).

CONDITIONS

Official Title

AMPK-activation by Metformin in FSGS: AMP-FSGS

Who Can Participate

Age: 18Years - 80Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Signed and dated informed consent form provided
  • Willingness to comply with all study procedures and available for study duration
  • Male or female, aged 18 to 80 years at consent
  • Biopsy-confirmed primary FSGS with specific kidney pathology features
  • Planned immunomodulatory treatment using glucocorticoids
  • Able to take oral medication and willing to follow metformin or placebo regimen
  • For females of reproductive potential: use of effective contraception before and during study, and for 12 weeks after
  • For males of reproductive potential: use of condoms or effective contraception methods with partner
Not Eligible

You will not qualify if you...

  • Liver disease including cirrhosis, acute hepatitis, or related complications
  • Estimated glomerular filtration rate (eGFR) less than 32 ml/min
  • Diagnosis of diabetes mellitus at biopsy or need for insulin/oral hypoglycemics, or current metformin use
  • Treatment with another investigational drug or intervention within past 3 months
  • Current pregnancy or desire to become pregnant during study
  • Unwillingness to use two forms of birth control for women of childbearing age
  • Under hospice care
  • Confirmed dementia diagnosis
  • Incarceration or homelessness
  • Unable to provide consent
  • Participation in another investigational drug/device study within past 30 days
  • Life expectancy under 6 months
  • Allergy or sensitivity to metformin
  • Low platelet count, bleeding disorders, or anticoagulant use contraindicating biopsy
  • Use of carbonic anhydrase inhibitors
  • Use of systemic immunosuppressive medication for non-renal reasons

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 2 locations

1

Yale New Haven Hospital

New Haven, Connecticut, United States, 06510

Actively Recruiting

2

Mount Sinai Hospital

New York, New York, United States, 10029

Actively Recruiting

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Research Team

M

Madhav C Menon, MD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

TRIPLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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