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Selonsertib

Phase 2

Diabetic Kidney Disease | Small molecule | Nephrology |Gilead Sciences, Inc.|Last Updated: Jan 27, 2021

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindCONTROLLEDDMCBiomarker
Total Trials2
Total Enrollment386
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02177786Efficacy, Safety, and Tolerability of Selonsertib (GS-4997) in Participants With Diabetic Kidney DiseasePHASE2 COMPLETED 334Jun 1, 2014Aug 1, 2016Nov 5, 2019105 United States, Canada
NCT02509624Study to Evaluate the Pharmacokinetics of Selonsertib in Participants With Normal and Impaired Hepatic FunctionPHASE1 COMPLETED 52Aug 18, 2015Dec 15, 2015Jan 27, 20215 United States
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Study Endpoints
Primary Endpoints
Change in eGFR From Baseline at Week 48
Baseline; Week 48

The values of eGFR were calculated using the MDRD equation: eGFR = 175 x Serum Creatinine\^-1.154 × age\^-0.203 × 1.212 (if participant is black) × 0.742 (if female).

Pharmacokinetic (PK) Parameter: AUCinf of Selonsertib and Its Metabolite GS-607509
0 (predose), 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 72, 96, and 120 hours postdose on Day 1. Additional PK samples were collected at the Day 10 and 14 follow-up visits approximately the same time as the Day 1 predose sample.

AUCinf is defined as the concentration of drug extrapolated to infinite time.

PK Parameter: AUClast of Selonsertib and Its Metabolite GS-607509
0 (predose), 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 72, 96, and 120 hours postdose on Day 1. Additional PK samples were collected at the Day 10 and 14 follow-up visits approximately the same time as the Day 1 predose sample.

AUClast is defined as the concentration of drug from time zero to the last observable concentration.

PK Parameter: Cmax of Selonsertib and Its Metabolite GS-607509
0 (predose), 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 72, 96, and 120 hours postdose on Day 1. Additional PK samples were collected at the Day 10 and 14 follow-up visits approximately the same time as the Day 1 predose sample.

Cmax is defined as the maximum concentration of drug.

Secondary Endpoints
Percentage of Participants Achieving at Least a 30% Reduction From Baseline in Albuminuria (As Measured by Urine Albumin to Creatinine Ratio) at Week 48
Baseline; Week 48
Percentage of Participants Experiencing Treatment-Emergent Study Drug-related Adverse Events (AEs)
Day 1 plus 30 days
Percentage of Participants Experiencing Any Treatment-Emergent and Grade ≥ 3 Laboratory Abnormalities
Day 1 plus 30 days
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Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Selonsertib 2 mgEXPERIMENTALParticipants will receive selonsertib 2 mg for 48 weeks.
Selonsertib 6 mgEXPERIMENTALParticipants will receive selonsertib 6 mg for 48 weeks.
Selonsertib 18 mgEXPERIMENTALParticipants will receive selonsertib 18 mg for 48 weeks.
Placebo to match selonsertibPLACEBO_COMPARATORParticipants will receive placebo to match selonsertib for 48 weeks.
Moderate hepatic impairment (Cohort 1)EXPERIMENTALParticipants with moderate hepatic impairment and matched healthy controls will receive a single dose of selonsertib on Day 1.
Severe hepatic impairment (Cohort 2)EXPERIMENTALParticipants with severe hepatic impairment and matched healthy controls will receive a single dose of selonsertib on Day 1.
Mild hepatic impairment (Cohort 3)EXPERIMENTALParticipants with mild hepatic impairment and matched healthy controls will receive a single dose of selonsertib on Day 1.
Interventions
NameTypeDescription
SelonsertibDRUGTablets administered orally once daily
Placebo to match selonsertibDRUGTablets administered orally once daily
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Eligibility Criteria
Age Range18 Years — 75 Years
SexALL
Healthy VolunteersNo
Study Sites105

Key Inclusion Criteria: * Adult male or females with prior diagnosis of Diabetic Kidney Disease * Type 2 diabetes mellitus diagnosis for at least 6 months * eGFR (MDRD) at screening ≥ 15 mL/min/1.73m\^2 to \< 60 mL/min/1.73m\^2 * Urine albumin to creatinine ratio (UACR) as follows: * Stage/Strat...

Countries:United StatesCanada
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