Actively Recruiting

Phase 2
Age: 18Years +
All Genders
ID07268638

A Phase 2 Randomized, Double-Blind, Placebo-Controlled Study to Assess the Efficacy and Safety of Praliciguat in Patients With Biopsy-Confirmed Focal Segmental Glomerulosclerosis

Led by Akebia Therapeutics · Updated on 2026-06-05

60

Participants Needed

14

Research Sites

30 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are studying the effects of praliciguat in adults diagnosed with focal segmental glomerulosclerosis (FSGS), confirmed through kidney biopsy. This Phase 2, randomized, double-blind, placebo-controlled, multicenter study aims to evaluate how well praliciguat works and its safety in this patient group. The trial is sponsored by Akebia Therapeutics and focuses on reducing protein levels in urine, a key marker of kidney damage in FSGS. Participants will be randomly assigned to one of two groups for the first 24 weeks: one group will receive praliciguat, starting with dose escalation to reach a target dose, and the other will receive a matching placebo, both taken daily as oral tablets. After this double-blind period, all participants will continue receiving praliciguat openly for an additional 24 weeks, allowing for extended observation of treatment effects. During the study, participants will have their urine protein-to-creatinine ratio (UPCR) measured from baseline through week 24 as the main outcome. Additional assessments include monitoring the percentage of participants achieving partial remission by week 24. The study involves close monitoring for safety and effectiveness, with scheduled visits and evaluations over a total of 48 weeks, including both the blinded and open-label treatment phases.

CONDITIONS

Brief Title

A Study of Praliciguat in Participants With Focal Segmental Glomerulosclerosis (FSGS)

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Urine protein-to-creatinine ratio (UPCR) of 1 g/g or higher during screening
  • On maximally tolerated ACE inhibitor or angiotensin receptor blocker (ARB) within 1 month before consent
  • Estimated glomerular filtration rate (eGFR) of 25 milliliters per minute per 1.73 square meters or higher
  • Kidney biopsy within 3 years confirming FSGS or documented genetic mutation in a podocyte protein linked to FSGS
Not Eligible

You will not qualify if you...

  • Collapsing FSGS found in kidney biopsy report
  • History of sickle cell disease
  • HbA1c above 8% or non-fasting blood glucose above 180 mg/dL
  • Uncontrolled high blood pressure of 160/100 mm Hg or higher

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - Up to 48 weeks

Participants receive praliciguat or placebo daily with dose escalation to a target dose during a 24-week double-blind period followed by a 24-week open-label treatment period.

Visits occur periodically during the 48-week treatment period

Trial Site Locations

Total: 14 locations

1

Investigator Site #2

Chula Vista, California, United States, 91910

Actively Recruiting

2

Investigator Site #14

Los Angeles, California, United States, 90022

Actively Recruiting

3

Investigator Site #12

San Dimas, California, United States, 91773

Actively Recruiting

4

Investigator Site #13

Arvada, Colorado, United States, 80002

Actively Recruiting

5

Investigator Site #6

Coral Springs, Florida, United States, 33071

Actively Recruiting

6

Investigator Site #7

Miami, Florida, United States, 33172

Actively Recruiting

7

Investigator Site #8

Orlando, Florida, United States, 32806

Actively Recruiting

8

Investigator Site # 1

Lawrenceville, Georgia, United States, 30046

Actively Recruiting

9

Investigator Site #3

Chicago, Illinois, United States, 60643

Terminated

10

Investigator Site #11

Louisville, Kentucky, United States, 40205

Actively Recruiting

11

Investigator Site #10

Pontiac, Michigan, United States, 48341

Actively Recruiting

12

Investigator Site #4

Chattanooga, Tennessee, United States, 37404

Actively Recruiting

13

Investigator Site #5

Arlington, Texas, United States, 76015

Actively Recruiting

14

Investigator Site #9

Dallas, Texas, United States, 75231

Actively Recruiting

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Research Team

A

Akebia Therapeutics

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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