New pill for diabetic kidney disease enters human testing
NCT ID NCT06666283
First seen Jun 26, 2026 · Last updated Jun 26, 2026 · Updated 1 time
Summary
This early-stage trial is testing a new oral drug called AP303 in 18 people with diabetic kidney disease. The main goal is to check the drug's safety and how the body processes it over two weeks. Participants will be randomly assigned to receive either AP303 or a placebo, and researchers will monitor side effects and drug levels in the blood.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- AP303
- What this could lead to
- If successful, this could lead to a new oral treatment option for diabetic kidney disease, potentially helping to slow disease progression.
- What could go wrong
- This is a very early Phase 1 trial with only 18 participants, so results may not apply to everyone. The main goal is safety, not yet effectiveness, and side effects are possible.
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
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Phase 1
The first testing in people. Mainly checks safety and dose, usually in a small group.
- Participants
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About 18 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Feb 2025
- Expected to finish
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Sep 2025
An estimate. End dates often move.
- Lead sponsor
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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
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30 years and older
- Sex
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Anyone
- Healthy volunteers
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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 Hide 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: 1. Male and female participants, ≥30 years of age at the time of signing the informed consent form. 2. BMI (body mass index) 18-30 kg/m². 3. Patient has a clinical diagnosis of Type 2 Diabetes Mellitus and is taking at least one type of hypoglycemic drugs, before screening visits, the doses of hypoglycemic drugs, including insulin, need to be stable for at least two weeks.. 4. Patient must be on a stable dose of angiotensin converting anzyme inhibitior (ACEI) or Angiotensin II receptor blockers (ARB) for at least 4 weeks prior to screening. 5. Hemoglobin A1c ≥6.5% but ≤10.5% at the screening visit. 6. Estimated GFR ≥30 mL/min/1.73m² but \< 60 mL/min/1.73m² at the screening visit. 7. Urinary albumin to creatinine ratio ≥ 30 mg/g at the screening visit. Exclusion Criteria: 1. Chronic kidney disease other than type 2 diabetic kidney disease. 2. Patient receiving corticosteroid immunotherapy or other immunosuppressants (such as calcineurin inhibitors ciclosporin, cyclophosphamide, or mycophenolate mofetil) in the past 3 months before screening. 3. Recently having acute kidney injury or received renal surgery within the last 6 months before screening visit, or have received renal transplantation. 4. Congestive heart failure classified New York Heart Association (NYHA) class II to IV within the last 3 months before the screening visit. 5. Peripheral edema above the ankle level at the screening or randomization visit. 6. Confirmed (based on the average of 2 separate resting blood pressure measurements in a sitting position, after at least 5 minutes rest) systolic BP greater than 160 or less than 90 mmHg, and diastolic BP greater than 100 or less than 50 mmHg at screening. 7. Myocardial infarction, acute coronary syndrome, stroke or transient ischemic attack, cardiovascular surgery within 6 months prior to the screening visit. 8. Abnormalities of ECG parameters and abnormal shape of ECG wave on screening ECG: e.g. * QTc interval (QTcF \> 450 ms for male and QTcF \> 470 ms for female) based on the average interval on triplicate ECGs obtained after 5 minute's rest in a supine position * Notable resting bradycardia (mean HR \< 40 bpm) * Notable resting tachycardia (mean HR \> 100 bpm) * ECG with QRS and/or T wave judged to be unfavorable for a consistently accurate QT measurement (e.g., neuromuscular artifact that cannot be readily eliminated, indistinct QRS onset, low amplitude T wave, merged T- and U-waves, prominent U waves) * Any other significant abnormality 9. Implantation of cardiac pacemaker or clinically significant arrhythmia, e.g. atrial fibrillation, atrial flutter, right or left bundle branch block, Wolf-Parkinson-White Syndrome. 10. Current or previous treatment with a thiazolidinedione (e.g., medications containing pioglitazone or rosiglitazone, like Actos, Avandia, ActoplusMet, Avandamet, Avandaryl), PPARa agonist (like fenofibrate) or any dual/multiple PPARa/g agonist (e.g., Chiglitazar Sodium) in the 3 months preceding screening visit. 11. Previous treatment with CYP2C8 inducer or strong/moderate inhibitor (refer to the list in Appendix 4) in the 1 month preceding screening visit. 12. Chronic therapy with non-steroidal anti-inflammatory drugs (NSAIDs) (except prophylactic stable low dose aspirin, defined as its dose not higher than 100 mg daily; paracetamol/acetaminophen was allowed) in the last month before screening. 13. ALT or AST \>1.5 × ULN, or laboratory tests revealed other clinically significant abnormalities in liver function at screening. 14. Creatine phosphokinase (CPK) elevated \> 3 x ULN at screening visit or history of drug-induced myopathy. 15. History of malignancy within 5 years before screening (exceptions: squamous and basal cell carcinomas of the skin and carcinoma of the cervix in situ, or a malignancy that in the opinion of the investigator, with concurrence with the sponsor's medical monitor, is considered cured with minimal risk of recurrence). 16. Participants who have had significant acute infection, e.g., COVID-19, influenza, local infection, acute gastrointestinal symptoms or any other clinically significant illness within two weeks before study drug administration. 17. Positive test at screening of any of the following: Hepatitis B (HBsAg), Hepatitis C (HCVAb), human immunodeficiency virus (HIV Ab) or syphilis AB. 18. Dosed with a small-molecule investigational drug within 3 months, or biologic investigational drug within 3 months or 5 half-lives (whichever is the longer) prior to first dose of this study. 19. History of drug and/or alcohol abuse or addiction. History (within 3 months of screening) of alcohol consumption exceeding 3 and 2 standard drinks per day on average (1 standard drink = 10 grams of alcohol) for male and female, respectively. 20. Within 2 weeks prior to admission, use of \>5 cigarettes or equivalent nicotine-containing product per day. 21. Medical or social conditions that would potentially interfere with the participant's ability to comply with the study visit schedule or the study assessments.
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Peking University First Hospital
RECRUITINGBeijing, Beijing Municipality, 100009, China
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a Patient's own kidney cells hold off dialysis?
- 12,000 diabetes records put kidney risk under the microscope
- A simple blood ratio may predict diabetic kidney disease
- Can a Patient's own kidney cells slow kidney disease?
- Can we predict kidney damage in young diabetics before it starts?
- A blood test that could spot kidney trouble in diabetes?