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Fulacimstat

Phase 2

Diabetic Kidney Disease | Small molecule | Nephrology |Bayer AG|Last Updated: Mar 3, 2022

Success Probability

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials1
Total Enrollment152

FDA Designations

No designations recorded

Clinical trial landscape

Fulacimstat · 3 trials · 3 indications

Phase 2 2Phase 1 1
NCT03412006A Double-blind Study to Investigate Efficacy, Safety and Tolerability of BAY1142524 in Patients With Type II Diabetes and a Clinical Diagnosis of Diabetic Kidney DiseaseDiabetic Kidney Disease
COMPLETED152 Analytics
NCT02976467A Double-blind Study to Investigate Efficacy, Safety and Tolerability of BAY 1142524 in Patients After Acute Myocardial Infarction With Left-ventricular DysfunctionMyocardial Infarction
COMPLETED107 Analytics
PHASE2COMPLETED
A Double-blind Study to Investigate Efficacy, Safety and Tolerability of BAY1142524 in Patients With Type II Diabetes and a Clinical Diagnosis of Diabetic Kidney Disease
Diabetic Kidney DiseaseUnlock trial analytics
PHASE2COMPLETED
A Double-blind Study to Investigate Efficacy, Safety and Tolerability of BAY 1142524 in Patients After Acute Myocardial Infarction With Left-ventricular Dysfunction
Myocardial InfarctionUnlock trial analytics

Study Endpoints

Primary Endpoints

Change in urinary albumin to creatinine ratio (UACR)
Baseline and at 6 months

The ratio of albumin to creatinin will be determined in first morning void urine at baseline (before treatment start) and after 6 months of treatment

Change in left-ventricular ejection fraction (LVEF)
At 6 months
Change in end diastolic volume index (EDVI)
At 6 months
Change in end systolic volume index (ESVI)
At 6 months
Area under the concentration vs. time curve from zero to infinity after single (first) dose (AUC) of BAY1142524
Pre-dose,0.25,0.5,0.75,1,1.5,2,3,4,6,8,10,12,15,24,36,48,96hours post dose

AUC(0-tlast) will be used if mean AUC(tlast ∞) \>20% of AUC)

Maximum observed drug concentration in measured matrix after single dose administration (Cmax) of BAY1142524
Pre-dose,0.25,0.5,0.75,1,1.5,2,3,4,6,8,10,12,15,24,36,48,96hours post dose
AUC of unbound drug (AUCu) of BAY1142524
Pre-dose,0.25,0.5,0.75,1,1.5,2,3,4,6,8,10,12,15,24,36,48,96hours post dose

AUC (0-tlast) u will be used if mean AUC (tlast ∞) \>20% of AUC). An additional blood sample for fu will be collected at 2 hours after dosing.

Cmax of unbound drug (Cmax,u) of BAY1142524
Pre-dose,0.25,0.5,0.75,1,1.5,2,3,4,6,8,10,12,15,24,36,48,96hours post dose

An additional blood sample for fu will be collected at 2 hours after dosing.

Secondary Endpoints

Number of patients with treatment-emergent adverse event
From first intake of study drug up to 3 days after last administration of study drug
Number of patients with serious adverse events
From first intake of study drug up to 3 days after last administration of study drug
Number of patients with adverse events
Up to 7 months
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Fulacimstat (BAY1142524)EXPERIMENTALPatients have to have a clinical diagnosis of diabetic kidney disease and have to be treated with standard of care for this condition
PlaceboPLACEBO_COMPARATORPatients have to have a clinical diagnosis of diabetic kidney disease and have to be treated with standard of care for this condition
Normal (healthy subjects)EXPERIMENTALHealthy subjects matched for age, body weight and gender to the groups with renal impairment
Mildly renal impairedEXPERIMENTALSubjects with renal impairment and an estimated glomerular function rate between equal or above 60 and below 90 ml/min/1.75 m\*2
Moderately renal impairedEXPERIMENTALSubjects with renal impairment and an estimated glomerular function rate between equal or above 30 and below 60 ml/min/1.75 m\*2
Severely renal impairedEXPERIMENTALSubjects with renal impairment and an estimated glomerular function rate between below 30 ml/min/1.75 m\*2

Interventions

NameTypeDescription
Fulacimstat (BAY1142524)DRUG25 mg BAY1142524 are given twice daily over a treatment period of 6 months
PlaceboDRUGMatching placebo tablets are given twice daily over a treatment period of 6 months
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Eligibility Criteria

Age Range18 Years to 79 Years
SexALL
Healthy VolunteersNo
Study Sites27

Inclusion Criteria: * Patients with Type 2 Diabetes Mellitus and a clinical diagnosis of diabetic kidney disease (DKD) (as judged by the investigator) who have finished their up-titration with an angiotensin receptor blocker (ARB) or an ACEI (angiotensin-converting enzyme inhibitor) to their maximu...

Countries:BulgariaDenmarkFinlandIsraelItalySpainSwedenCzechiaGermany
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Frequently asked questions about Fulacimstat

What is Fulacimstat used for?

Fulacimstat is an investigational small molecule being studied for diabetic kidney disease and for patients after acute myocardial infarction with left-ventricular dysfunction. It has also been evaluated in a renal impairment study. Fulacimstat is in clinical development and is not approved by the FDA.

Who is developing Fulacimstat?

Fulacimstat is being developed by Bayer AG, a German pharmaceutical company traded on the OTC market under the ticker BAYRY. Bayer is conducting clinical trials of Fulacimstat in multiple countries including Germany, Israel, Italy, and Spain.

What phase is Fulacimstat in?

Fulacimstat has completed Phase 1 and Phase 2 clinical trials. The most advanced completed study was a Phase 2 trial in patients with diabetic kidney disease. Fulacimstat remains an investigational drug and has not received FDA approval.

What clinical trials has Fulacimstat been in?

Fulacimstat has been studied in three completed clinical trials. NCT02976467 was a Phase 2 study in myocardial infarction patients, NCT03402438 was a Phase 1 renal impairment study, and NCT03412006 was a Phase 2 study in diabetic kidney disease patients. All trials have been completed.

Is Fulacimstat the same as BAY 1142524?

Yes, Fulacimstat is also known as BAY 1142524. Clinical trial records for Fulacimstat, including NCT02976467 and NCT03412006, refer to the drug as BAY 1142524. Both names refer to the same investigational compound being developed by Bayer.