New drug gemini tested for kidney disease safety

NCT ID NCT06863467

What the study statuses mean

This study's is highlighted.

Recruitment status, easiest to join first

Recruiting now
This trial is taking on new participants right now.
Not yet recruiting
Registered, but not yet taking participants.
By invitation only
Not open to general applications. Only people the study team invites can take part.
Paused
Paused for now. It may or may not start again.
Ongoing
Running, but no longer taking on new participants.
Completed This study
The trial has finished. Results may not be published yet.
Stopped early
Stopped early, before it reached the end. That can be for many reasons, including safety.
Cancelled
Cancelled before anyone took part.

Expanded access (not trials)

Expanded access
Not a trial. This treatment can be requested outside a study, case by case, for people who qualify.
Expanded access (paused)
Not a trial. The treatment can normally be requested outside a study, but is unavailable right now.
Expanded access (ended)
Not a trial. The treatment could once be requested outside a study, but no longer can.
Approved
The treatment has been approved, so it is available normally rather than through this programme.

When the status isn't known

Details not published
The full record has not been published yet, so there is little to show here.
Status unknown
This status has not been confirmed recently, so it may be out of date.

First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time

Summary

This completed study tested a single dose of the experimental drug Gemini in 40 adults with stage 3 or 4 chronic kidney disease. The main goal was to check safety and side effects compared to a placebo. Researchers also measured how the drug moves through the body and its effect on inflammation and kidney function markers.

What this could mean

Our plain-language read of the trial. This is informational only, not medical advice or a prediction.

Active substance
Gemini (a phosphorylated hexaacylated disaccharide)
What this could lead to
If successful, this could point toward a new way to reduce inflammation and slow kidney damage in chronic kidney disease.
What could go wrong
This is a very early, small study focused on safety, not effectiveness. It may not show any benefit, and side effects are unknown.

This is an AI summary of the original study and may miss details. Read our disclaimer.

Study facts

What this study's own registry entry says, in plain language.

Phase

Phase 1/2

Runs two stages together: safety and dose first, then whether the treatment works.

Participants

40 people

The number who actually took part.

Started

Jan 2025

Finished

Jul 2025

Lead sponsor

A company

The lead sponsor is a pharmaceutical, biotech, or medical-device company.

Who can take part

This study's own entry requirements. Only the study team can say for certain whether you qualify.

Ages

18 to 80 years

Sex

Anyone

Healthy volunteers

Not accepted

This study is not open to healthy volunteers. The entry requirements below say who it is open to.

Show the full entry requirements

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

Inclusion Criteria: * Male or female subjects ≥18 to ≤ 80 years of age at screening * Willing and able to provide written informed consent * eGFR of ≥ 15 and ≤ 60 per * Female subjects must be of non-childbearing potential or using a medically acceptable contraceptive regimen * Male subjects must be surgically sterile or using a medically acceptable contraceptive regimen * Willing and able to tolerate IV infusions and multiple blood draws * Willing to comply with the study schedule, restrictions, and requirements Exclusion Criteria: * CKD Secondary to or associated with any of the following: 1. History of rapidly progressive glomerulonephritis (RPGN) 2. Glomerulonephritis requiring any use of immunosuppression in the last 6 months * Body mass index ≤ 19.0 kg/m2 or ≥ 40.0 kg/m2 * Currently taking a sodium/glucose cotransporter-2 inhibitor (SGLT2i) or non-steroidal mineralocorticoidantagonist (MRA) requiring dose adjustments within 12 weeks prior to Day 1 or if dose is anticipated to change * Currently taking tumor necrosis factor (TNF) inhibitors, TNF blocker, interleukin-6 (IL-6) blockers or interleukin-1 (IL-1) blocking drugs * Receiving steroids or any other immunosuppressive agent or anti-inflammatory drugs * Currently taking an angiotensin-converting enzyme inhibitor (ACEi) and/or an angiotensin II receptor blocker (ARB) requiring dose adjustments * Any use of direct renin inhibitors; * Live vaccinations within 3 months prior to the start of the trial or expected during the trial * Received a mRNA vaccine within 4 weeks * Uncontrolled diabetes (HbA1c \> 11.0%) * Clinical laboratory results of ALT and/or AST that are \> 2.5X upper limit of normal (ULN) * Clinical Laboratory results of Total bilirubin that is \> 1.5X the ULN * Has a Urine Albumin-to-Creatinine Ratio (uACR) level \> 3000 mg/g * Age-related macular degeneration (AMD), diabetic macular edema or active diabetic proliferative retinopathy that was likely to require treatment during the trial * Uncontrolled hypertension * New York Heart Association Class IV congestive heart failure * Any organ transplant recipient, or a planned transplant during the study * Currently has known Hepatitis B or uncontrolled human immunodeficiency virus (HIV) or uncontrolled Hepatitis C virus (HCV) that may interfere with the study * Myocardial infarction, acute coronary syndrome, or stroke within 6 months * History of myelodysplastic syndrome * History of deep vein thrombosis (DVT) that required active treatment in the last 6 months. Superficial thrombosis is not excluded * History of hemosiderosis or hemochromatosis * History of rheumatoid arthritis or systemic lupus erythematosus (SLE) * History of drug use that may interfere with the study or study result * Red cell transfusion within 12 weeks * History of malignancy in the previous 5 years except for curatively resected basal cell carcinoma of skin, squamous cell carcinoma of skin or cervical carcinoma in situ * Coronavirus disease 2019 (COVID-19) diagnosis within 1 month * Evidence of active infection unless subject is appropriate for this study per the Investigator * Life expectancy less than 6 months * Intolerance to study medication * Pregnancy or lactation * Received treatment with any investigational product in any clinical study within 30 days prior to administration of study drug or five half-lives, whichever is longer * In the opinion of the Investigator or identified Sub-I(s), any other disease processes or confounding variables that would inappropriately alter the outcome of the study

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Conditions

The condition(s) this trial relates to.

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • California Institute of Renal Research

    Chula Vista, California, 91911, United States

  • California Institute of Renal Research

    La Mesa, California, 92942, United States

  • Clinical Advance Center, PLLC

    San Antonio, Texas, 78212, United States

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