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Corticosteroid

Acthar Gel for Fibrillary Glomerulonephritis (FACT Trial)

Phase 4
Waitlist Available
Led By James Tumlin, MD
Research Sponsored by NephroNet, Inc.
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Patients with Type II non-insulin dependent diabetes will be eligible provided the renal biopsy does not show nodular Kimmelstiel Wilson lesions
Be older than 18 years old
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 24 months
Awards & highlights

FACT Trial Summary

This trial is studying the safety and efficacy of Acthar gel to reduce urinary proteinuria in patients with fibrillary glomerulopathy.

Who is the study for?
This trial is for adults over 18 with Fibrillary glomerulonephritis diagnosed within the last 3 years, stable on RAAS inhibitors, and have a certain level of protein in their urine. It's not for those with a history of myeloma, HIV, severe kidney damage, insulin-dependent diabetes or recent use of certain immune therapies.Check my eligibility
What is being tested?
The study tests Acthar Gel alone or combined with Tacrolimus to reduce proteinuria in patients with DNAJB9 Positive Fibrillary glomerulopathy. Participants will be randomly assigned to receive one treatment or the other.See study design
What are the potential side effects?
Acthar Gel can cause swelling, increased blood pressure and sugar levels, mood changes, and risk of infections. Tacrolimus may lead to kidney problems, tremors, high potassium levels, and could increase infection risk.

FACT Trial Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
Select...
I have Type II diabetes without specific kidney damage.

FACT Trial Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~24 months
This trial's timeline: 3 weeks for screening, Varies for treatment, and 24 months for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Therapeutic procedure
The change in UP/CR ratio with treatment of Acthar gel 80 units subcutaneous 2 times a week in combination with oral Tacrolimus
Secondary outcome measures
Percentage of patients complete or partial response
The change in Estimated Glomerular Filtration Rate
Body Weight Changes
+1 more
Other outcome measures
Diabetes Mellitus, Non-Insulin-Dependent

FACT Trial Design

2Treatment groups
Active Control
Group I: Treatment with Acthar gelActive Control1 Intervention
Group 1 - (17 patients) Acthar gel 80 units 2 times a week alone for 12 months of therapy.
Group II: Treatment with combination Acthar gel and Tacrolimus therapyActive Control1 Intervention
Group 2 - (17 patients) Acthar get 80 units 2 times a week plus oral Tacrolimus 1.0 mg two times a day titrated to trough Tacrolimus levels between 4-6 ng/ml

Find a Location

Who is running the clinical trial?

NephroNet, Inc.Lead Sponsor
2 Previous Clinical Trials
88 Total Patients Enrolled
MallinckrodtIndustry Sponsor
201 Previous Clinical Trials
16,194 Total Patients Enrolled
Jeremy Whitson, BSStudy DirectorNephroNet, Inc.
1 Previous Clinical Trials
88 Total Patients Enrolled

Media Library

Acthar Gel (Corticosteroid) Clinical Trial Eligibility Overview. Trial Name: NCT05546047 — Phase 4
Fibrillary Glomerulonephritis Research Study Groups: Treatment with Acthar gel, Treatment with combination Acthar gel and Tacrolimus therapy
Fibrillary Glomerulonephritis Clinical Trial 2023: Acthar Gel Highlights & Side Effects. Trial Name: NCT05546047 — Phase 4
Acthar Gel (Corticosteroid) 2023 Treatment Timeline for Medical Study. Trial Name: NCT05546047 — Phase 4

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

To what degree is the usage of Acthar gel deemed hazardous?

"The safety of Treatment with Acthar gel has been rated a 3, as this is an FDA-approved Phase 4 trial."

Answered by AI

What aims are being pursued in this research endeavor?

"This monitored clinical trial is set to run for 12 months and its primary objectives are to assess the UP/CR ratio in patients receiving Acthar gel 80 units subcutaneously twice a week combined with oral Tacrolimus. Secondary outcomes include relative change of protein/creatinine level at 24 months post-treatment, percentage of participants achieving complete or partial response within 12 months of therapy, and comparison between baseline urinary biomarkers such as VEGF 121, 165 189, 206; MCP-1; Synaptopodin; TGF-beta; Podocalyxin; Nephrin after treatment with either Acthar gel alone"

Answered by AI

What is the scope of sites where this examination is taking place?

"This trial is running in 5 distinct sites, located within the cities of Aurora, Bethlehem and Lawrenceville among others. In order to make participation more comfortable for everyone involved it is strongly recommended that patients join their closest clinic."

Answered by AI

Is recruitment still in progress for this clinical experiment?

"According to clinicaltrials.gov, the posting of this trial was launched on March 14th 2019 and its last update took place on October 27th 2022; however, it is not currently recruiting any new patients for participation. Nevertheless, 29 other studies are still open for recruitment at present."

Answered by AI
~6 spots leftby Apr 2025