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DM199

Phase 2

Kidney Diseases | Small molecule | Nephrology |DiaMedica Therapeutics Inc.|Last Updated: Mar 31, 2022

Success Probability

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Market & Valuation

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Trial Design

CONTROLLED
Total Trials1
Total Enrollment79

FDA Designations

No designations recorded

Clinical trial landscape

DM199 · 3 trials · 6 indications

Phase 2 1Phase 1 2
NCT04123613Multiple Doses of DM199 in Patients With Chronic Kidney Disease (REDUX)Kidney Diseases
COMPLETED79 Analytics
PHASE2COMPLETED
Multiple Doses of DM199 in Patients With Chronic Kidney Disease (REDUX)
Kidney DiseasesUnlock trial analytics

Study Endpoints

Primary Endpoints

Incidence of treatment emergent adverse events
12 weeks

Incidence, severity, and causality of adverse events

Change in renal function
12 weeks

eGFR

Change in urine albumin to creatinine ratio
12 weeks

UACR change from baseline

Plasma measurements of DM199
12 weeks

Maximum plasma concentration of DM199

Safety as assessed by incidence, severity, and causality of adverse events
11 days
Tolerability as assessed by incidence and severity of AEs
11 days
DM199 urine concentrations of KLK1
11 days

urine KLK1 will be measured pre and post study drug administration.

Safety and tolerability of single and multiple subcutaneous doses of DM199
Up to 13 days after final dose

Number of participants with adverse events in the single and multiple ascending dose studies.

Determine the pharmacokinetic of DM199 after single and multiple doses
Up to 3 days after final dose

Determine the plasma pharmacokinetic profile of DM199 after administration of single and multiple doses of DM199 in healthy subjects and type 2 diabetes mellitus patients. Measure plasma DM199 levels in individual participants.

Secondary Endpoints

Tumor necrosis factor receptor 1 (TNF R1) concentration in plasma, change from baseline
12 weeks
C-reactive protein (CRP) concentration in plasma, change from baseline
12 weeks
Matrix metalloproteainase-9 (MMP-9) concentration in plasma, change from baseline
12 weeks
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
2.0 µg/kg, multiple doseEXPERIMENTALn=45 with 15 Participants from cohort 1, 15 from cohort 2, and 15 from cohort 3
5.0 µg/kg, multiple doseEXPERIMENTALn=45 with 15 Participants from cohort 1, 15 from cohort 2 and 15 from cohort 3
3.0 µg/kg SC, single doseEXPERIMENTALn=8, study group of T1D or T2D with stage 3 CKD. separate n=8 of study group with T1D or T2D with CKD stage 4).
5.0 µg/kg SC, single doseEXPERIMENTALn=8, study group of T1D or T2D with stage 3 CKD.
8.0 µg/kg SC, single doseEXPERIMENTALn=8, study group of T1D or T2D with stage 3 CKD.
Part A - SAD in healthy subjectsEXPERIMENTALA randomized, double-blinded, placebo-controlled, single ascending dose (SAD) study in healthy male and/or female subjects. Subjects will receive DM199 subcutaneously (sc).
Part B - SAD in type 2 diabetic patientsEXPERIMENTALA randomized, partially double-blinded, placebo-controlled, sequential SAD study in male and/or female type 2 diabetes mellitus patients. Subjects will receive DM199 subcutaneously (sc).
Part C - MAD in healthy subjectsEXPERIMENTALA randomized, double-blinded, placebo-controlled, 14-day multiple ascending dose (MAD) study in healthy male and/or female subjects each. Subjects will receive sequential doses of DM199 sc for 14 days.
Part D - POC in type 2 diabetes patientsEXPERIMENTALA randomized, double-blinded, placebo-controlled, 28-day multiple-dose proof of concept (POC) study in male and/or female type 2 diabetes mellitus patients. Subjects will receive doses of DM199 sc for 28 days.
Part A - Healthy subjects SAD placeboPLACEBO_COMPARATORA randomized, double-blinded, placebo-controlled, single ascending dose (SAD) study in healthy male and/or female subjects. Subjects will receive placebo subcutaneously (sc).
Part B - Type 2 diabetic patients SAD placeboPLACEBO_COMPARATORA randomized, partially double-blinded, placebo-controlled, sequential SAD study in male and/or female type 2 diabetes mellitus patients. Subjects will receive placebo subcutaneously (sc).
Part C - Healthy subjects MAD placeboPLACEBO_COMPARATORA randomized, double-blinded, placebo-controlled, 14-day multiple ascending dose (MAD) study in healthy male and/or female subjects each. Subjects will receive placebo sc for 14 days.
Part D - Type 2 diabetic patients POC placeboPLACEBO_COMPARATORA randomized, double-blinded, placebo-controlled, 28-day multiple-dose proof of concept (POC) study in male and/or female type 2 diabetes mellitus patients. Subjects will receive placebo sc for 28 days.

Interventions

NameTypeDescription
DM199DRUGA pharmaceutical formulation comprised of recombinant human tissue kallikrein-1 (rhKLK-1) that is being developed as an injectable protein drug
PlaceboDRUG -
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites14

Inclusion Criteria: Cohort I * African American * Hypertension as defined by the American Heart Association for Stage I hypertension where systolic blood pressure (BP) ≥130 mmHg or diastolic BP ≥ 80 mmHg or on medication for treatment of hypertension. Cohort II * IgA nephropathy confirmed by med...

Countries:United StatesNetherlands
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Frequently asked questions about DM199

What is DM199 used for?

DM199 is an investigational small molecule being studied for kidney diseases, chronic kidney disease, and type 2 diabetes. It has been evaluated in clinical trials involving healthy subjects and patients with type 2 diabetes, chronic kidney disease stages 3 and 4, and other kidney diseases.

Who makes DM199?

DM199 is being developed by DiaMedica Therapeutics Inc., a biopharmaceutical company. The company's stock is traded under the ticker symbol DMAC.

What phase is DM199 in?

DM199 is in clinical development. It has completed Phase 1 and Phase 2 trials. The most advanced completed trial was a Phase 2 study in patients with chronic kidney disease. DM199 is not approved and remains investigational.

What clinical trials is DM199 in?

DM199 has been studied in three completed clinical trials. NCT01845064 evaluated safety and effectiveness in healthy subjects and type 2 diabetes patients. NCT03795389 assessed pharmacokinetics, safety, and tolerability in patients with diabetes and chronic kidney disease. NCT04123613, the REDUX study, tested multiple doses in patients with kidney diseases.

Is DM199 the same as any other drug?

No alternative names for DM199 have been identified. The drug is consistently referred to as DM199 across its clinical trials and development program.