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Trial ยท NCT03523728

A Medical Research Study Designed to Determine if Venglustat Can be a Future Treatment for ADPKD Patients

NCT03523728, Phase 2, Phase 3, Terminated, Genzyme, a Sanofi Company; results first posted 2022-11-09

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Medical Research Study Designed to Determine if Venglustat Can be a Future Treatment for ADPKD Patients. Trials, record NCT03523728. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03523728

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
A Medical Research Study Designed to Determine if Venglustat Can be a Future Treatment for ADPKD Patients
NCT number
NCT03523728
Status
Terminated
Phases
Phase 2, Phase 3
Enrollment
478 participants, actual
Lead sponsor
Genzyme, a Sanofi Company
Conditions
Polycystic Kidney, Autosomal Dominant
Interventions
Venglustat, Placebo
First posted
2018-05-14
Last updated
2023-02-03
Other registries' IDs
eudract:2017-004084-12
Results first posted
2022-11-09
Limitations and caveats
Following decision to discontinue EFC15392 based on the futility analysis, the two-steps analysis initially planned were not applicable, therefore only the final analysis of all safety endpoints (laboratory, vital sign, ECG, physical examination, BDI-II, and lens opacity) were performed on extended combined Stage 1 and Stage 2 safety population only.

Source ClinicalTrials.gov

Registered outcomes20

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryAnnualized Slope of Change in Total Kidney Volume (TKV) From Baseline to Month 18: Stage 1From Baseline to Month 18
Total kidney volume is a measure for assessing disease progression in participants with ADPKD, a prognostic biomarker of renal function decline and progression to end-stage renal disease. Kidney volume was assessed using magnetic resonance imaging (MRI). The annualized slope of change in TKV (in percentage \[%\] per year) in each treatment group was obtained from the back-transformation of the mean slope of log10-transformed TKV obtained from the linear mixed effect model. The model included fix effects of treatment (venglustat 15 mg, venglustat 8 mg or placebo), mayo imaging classification (as per randomization stratification factor: class 1C versus 1D versus 1E), time (as continuous variable in years), treatment \* time interaction and mayo imaging classification \* time interaction and included random intercept and slope.
PrimaryAnnualized Rate of Change in Estimated Glomerular Filtration Rate (eGFR) (Chronic Kidney Disease Epidemiology Collaboration [CKD-EPI]) From Baseline to Month 24: Combined Stage 1 and Stage 2From Baseline to Month 24
An eGFR was used to measure level of kidney function and determine the stage of kidney disease in ADPKD participants. Baseline eGFR was defined for each participant as the average of eGFR values assessed prior or equal to first dose of study drug or randomization for participants randomized and not exposed. Annualized rate of change in eGFR in each treatment group was obtained from the linear mixed effect model including the fixed categorical effects of treatment group (venglustat 15 mg, venglustat 8 mg or placebo), mayo imaging classification (as per interactive response technology \[IRT\]: 1C, 1D, 1E), time (as continuous variable in years), treatment-by-time, mayo imaging classification-by-time, and included random intercept and slope.
SecondaryAnnualized Rate of Change in Estimated Glomerular Filtration Rate (eGFR) From Baseline to Month 24: Stage 1From Baseline to Month 24
An eGFR was used to measure level of kidney function and determine the stage of kidney disease in ADPKD participants. Baseline eGFR was defined for each participant as the average of eGFR values assessed prior or equal to first dose of study drug or randomization for participants randomized and not exposed. Annualized rate of change in eGFR was obtained from the linear mixed effect model including the fixed categorical effects of treatment group, mayo imaging classification (as per IRT), time (as continuous variable in years), treatment-by-time, mayo imaging classification-by-time, and included random intercept and slope. Due to early termination of study for futility, the two-steps analysis initially planned was not applicable, then the annualized rate of change from baseline in eGFR in Stage 1 population were assessed using all data available up to database lock (i.e., including Month 24 assessment). As this is a slope, it allowed to have more data and to reduce variability.
SecondaryAnnualized Slope of Change in Total Kidney Volume (TKV) From Baseline to Month 18: Combined Stage 1 and Stage 2From Baseline to Month 18
Total kidney volume is a measure for assessing disease progression in participants with ADPKD, a prognostic biomarker of renal function decline and progression to end-stage renal disease. Kidney volume was assessed using MRI. The annualized slope of change in TKV (in % per year) in each treatment group was obtained from the back-transformation of the mean slope of log10-transformed TKV obtained from the linear mixed effect model. The model included fix effects of treatment (venglustat 15 mg, venglustat 8 mg or placebo), mayo imaging classification (as per randomization stratification factor: class 1C versus 1D versus 1E), time (as continuous variable in years), treatment \* time interaction and mayo imaging classification \* time interaction and included random intercept and slope.
SecondaryChange in Pain Severity as Measured by Brief Pain Inventory-Short Form (BPI-SF)-Item 3 Scale Score From Baseline to Month 18: Stage 1From Baseline to Month 18
The BPI-SF is a validated, self-administered questionnaire designed to measure a participant's perceived level of pain. The BPI-SF consisted of 15 items that use a numeric rating scale (NRS) to assess pain severity and pain interference in the past 24 hours and the past week. BPI-SF Item 3 asks participants to "Please rate your pain by marking the box beside the number that best describes your pain at its worst in the past 24 hours." The NRS ranged from 0 (no pain) to 10 (worst imaginable pain), where higher scores indicates greater intensity of pain. Least-squares (LS) means, and standard errors (SE) were estimated from mixed-effect model with repeated measures (MMRM) analysis.
SecondaryChange in Pain Severity as Measured by Brief Pain Inventory-Short Form (BPI-SF)-Item 3 Scale Score From Baseline to Month 24: Combined Stage 1 and Stage 2From Baseline to Month 24
The BPI-SF is a validated, self-administered questionnaire designed to measure a participant's perceived level of pain. The BPI-SF consisted of 15 items that use a NRS to assess pain severity and pain interference in the past 24 hours and the past week. BPI-SF Item 3 asks participants to "Please rate your pain by marking the box beside the number that best describes your pain at its worst in the past 24 hours." The NRS ranged from 0 (no pain) to 10 (worst imaginable pain), where higher scores indicate greater intensity of pain. LS means and SE were estimated from MMRM analysis.
SecondaryChange in Fatigue Severity as Measured by Brief Fatigue Inventory (BFI-SF)-Item 3 Scale Score From Baseline to Month 18: Stage 1From Baseline to Month 18
The BFI-SF is a 10-item, validated, self-administered questionnaire that was originally developed to assess fatigue severity. The 10-items were measured on a 0-10 scale, with 0 being 'does not interfere' and 10 being 'completely interferes.' BFI - Item 3 asks participants to 'Please rate your fatigue (weariness, tiredness) by circling the one number that best describes your worst level of fatigue during the past 24 hours. The NRS ranged from 0 (no fatigue) to 10 (worst imaginable fatigue). Higher global scores were associated with more severe fatigue. LS means and SE were estimated from MMRM analysis.
SecondaryChange in Fatigue Severity as Measured by Brief Fatigue Inventory (BFI-SF)-Item 3 Scale Score From Baseline to Month 24: Combined Stage 1 and Stage 2From Baseline to Month 24
The BFI-SF is a 10-item, validated, self-administered questionnaire that was originally developed to assess fatigue severity. The 10-items were measured on a 0-10 scale, with 0 being 'does not interfere' and 10 being 'completely interferes.' BFI - Item 3 asks participants to "Please rate your fatigue (weariness, tiredness) by circling the one number that best describes your worst level of fatigue during the past 24 hours. The NRS ranged from 0 (no fatigue) to 10 (worst imaginable fatigue). Higher global scores were associated with more severe fatigue. LS means and SE were estimated from MMRM analysis.
SecondaryPharmacokinetics: Plasma Concentration of Venglustat: Stage 1Day 1: 3 hours Post-Dose, Month 1: Pre-Dose and 3 hours Post-Dose, Month 6: Pre-Dose, Month 18: Pre-Dose
Venglustat plasma concentrations was determined using a validated liquid chromatography tandem mass spectrometry (LC-MS/MS) method. Data for this outcome measure was not planned to be collected and analyzed for placebo arm.
SecondaryPharmacokinetics: Plasma Concentration of Venglustat: Stage 2Month 1: Pre-dose and 3 hours Post-doseVenglustat plasma concentrations was determined using a validated LC-MS/MS method. Data for this outcome measure was not planned to be collected and analyzed for placebo arm.

Outcomes20

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYAnnualized Slope of Change in Total Kidney Volume (TKV) From Baseline to Month 18: Stage 1From Baseline to Month 18
Analysis was performed on Stage 1 intent-to-treat (ITT) population that includes all participants randomized in Stage 1 and were analyzed according to the intervention allocated by randomization (venglustat 15 mg, venglustat 8 mg or placebo). Here, 'Overall number of participants analyzed' signifies participants who were evaluable for the outcome measure.
percent change in TKV/yearGEOMETRIC_LEAST_SQUARES_MEAN
PRIMARYAnnualized Rate of Change in Estimated Glomerular Filtration Rate (eGFR) (Chronic Kidney Disease Epidemiology Collaboration [CKD-EPI]) From Baseline to Month 24: Combined Stage 1 and Stage 2From Baseline to Month 24
Analysis was performed on Combined Stage 1 and Stage 2 ITT population that included all participants with an eGFR between 45 and 89.9 mL/min/1.73 m\^2 at screening who are randomized in Stage 1 or Stage 2 and were analyzed according to the intervention allocated by randomization (venglustat 15 mg, venglustat 8 mg or placebo). Data for this outcome measure (OM) was planned to be collected and analyzed for combined Stage 1 and Stage 2 population as pre-specified in protocol.
mL/min/1.73 m^2/yearLEAST_SQUARES_MEAN
SECONDARYAnnualized Rate of Change in Estimated Glomerular Filtration Rate (eGFR) From Baseline to Month 24: Stage 1From Baseline to Month 24Analysis was performed on Stage 1 ITT population.mL/min/1.73 m^2/yearLEAST_SQUARES_MEAN
SECONDARYAnnualized Slope of Change in Total Kidney Volume (TKV) From Baseline to Month 18: Combined Stage 1 and Stage 2From Baseline to Month 18As no post-baseline MRI data were collected in Stage 2 due to early study discontinuation, the analysis of TKV in Combined Stage 1 and Stage 2 was not done.
SECONDARYChange in Pain Severity as Measured by Brief Pain Inventory-Short Form (BPI-SF)-Item 3 Scale Score From Baseline to Month 18: Stage 1From Baseline to Month 18Analysis was performed on Stage 1 ITT population. Here, 'Overall number of participants analyzed' signifies participants who were evaluable for the outcome measure.score on a scaleLEAST_SQUARES_MEAN
SECONDARYChange in Pain Severity as Measured by Brief Pain Inventory-Short Form (BPI-SF)-Item 3 Scale Score From Baseline to Month 24: Combined Stage 1 and Stage 2From Baseline to Month 24
Analysis was performed on Combined Stage 1 and Stage 2 ITT population. Here, 'Overall number of participants analyzed' signifies participants who were evaluable for the outcome measure. Data for this OM was planned to be collected and analyzed for combined Stage 1 and Stage 2 population as pre-specified in protocol.
score on a scaleLEAST_SQUARES_MEAN
SECONDARYChange in Fatigue Severity as Measured by Brief Fatigue Inventory (BFI-SF)-Item 3 Scale Score From Baseline to Month 18: Stage 1From Baseline to Month 18Analysis was performed on Stage 1 ITT population. Here, 'Overall number of participants analyzed' signifies participants who were evaluable for the outcome measure.score on a scaleLEAST_SQUARES_MEAN
SECONDARYChange in Fatigue Severity as Measured by Brief Fatigue Inventory (BFI-SF)-Item 3 Scale Score From Baseline to Month 24: Combined Stage 1 and Stage 2From Baseline to Month 24
Analysis was performed on Combined Stage 1 and Stage 2 ITT population. Here, 'Overall number of participants analyzed' signifies participants who were evaluable for the outcome measure. Data for this OM was planned to be collected and analyzed for combined Stage 1 and Stage 2 population as pre-specified in protocol.
score on a scaleLEAST_SQUARES_MEAN
SECONDARYPharmacokinetics: Plasma Concentration of Venglustat: Stage 1Day 1: 3 hours Post-Dose, Month 1: Pre-Dose and 3 hours Post-Dose, Month 6: Pre-Dose, Month 18: Pre-Dose
Analysed on Stage 1 pharmacokinetic (PK) population that included all participants randomized in Stage 1 who took at least one dose of study drug and had at least one post-baseline PK assessment; analyzed according to the intervention they actually received. Here, number analyzed signifies participants with available data for each specified category.
nanograms per milliliterMEAN
SECONDARYPharmacokinetics: Plasma Concentration of Venglustat: Stage 2Month 1: Pre-dose and 3 hours Post-dose
Analysis was performed on Stage 2 PK population that included all participants with an eGFR between 45 and 89.9 mL/min/1.73 m\^2 at screening who were randomized in Stage 2, who took at least one dose of study drug and who had at least one post-baseline PK assessment. Participants were analyzed according to study drug they actually received. Here, number analyzed signifies participants with available data for each specified category.
nanograms per milliliterMEAN

Results by group384

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Annualized Slope of Change in Total Kidney Volume (TKV) From Baseline to Month 18: Stage 1Stage 1- Placebo6.3595% Confidence Interval 5.10 to 7.62percent change in TKV/year
Annualized Slope of Change in Total Kidney Volume (TKV) From Baseline to Month 18: Stage 1Stage 1- Venglustat 8 mg7.7195% Confidence Interval 6.46 to 8.98percent change in TKV/year
Annualized Slope of Change in Total Kidney Volume (TKV) From Baseline to Month 18: Stage 1Stage 1- Venglustat 15 mg6.3895% Confidence Interval 5.11 to 7.66percent change in TKV/year
Annualized Rate of Change in Estimated Glomerular Filtration Rate (eGFR) (Chronic Kidney Disease Epidemiology Collaboration [CKD-EPI]) From Baseline to Month 24: Combined Stage 1 and Stage 2Placebo-2.4095% Confidence Interval -3.30 to -1.49mL/min/1.73 m^2/year
Annualized Rate of Change in Estimated Glomerular Filtration Rate (eGFR) (Chronic Kidney Disease Epidemiology Collaboration [CKD-EPI]) From Baseline to Month 24: Combined Stage 1 and Stage 2Venglustat 8 mg-4.8295% Confidence Interval -5.82 to -3.83mL/min/1.73 m^2/year
Annualized Rate of Change in Estimated Glomerular Filtration Rate (eGFR) (Chronic Kidney Disease Epidemiology Collaboration [CKD-EPI]) From Baseline to Month 24: Combined Stage 1 and Stage 2Venglustat 15 mg-4.8995% Confidence Interval -5.80 to -3.99mL/min/1.73 m^2/year
Annualized Rate of Change in Estimated Glomerular Filtration Rate (eGFR) From Baseline to Month 24: Stage 1Stage 1- Placebo-3.1495% Confidence Interval -4.09 to -2.18mL/min/1.73 m^2/year
Annualized Rate of Change in Estimated Glomerular Filtration Rate (eGFR) From Baseline to Month 24: Stage 1Stage 1- Venglustat 8 mg-4.7495% Confidence Interval -5.68 to -3.80mL/min/1.73 m^2/year
Annualized Rate of Change in Estimated Glomerular Filtration Rate (eGFR) From Baseline to Month 24: Stage 1Stage 1- Venglustat 15 mg-4.5995% Confidence Interval -5.53 to -3.65mL/min/1.73 m^2/year
Change in Pain Severity as Measured by Brief Pain Inventory-Short Form (BPI-SF)-Item 3 Scale Score From Baseline to Month 18: Stage 1Stage 1- Placebo-0.09Standard Error 0.15score on a scale

Participant flow45

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Stage 1 (24 Months)STARTEDStage 1- Placebo78
Stage 1 (24 Months)STARTEDStage 1- Venglustat 8 mg78
Stage 1 (24 Months)STARTEDStage 1- Venglustat 15 mg80
Stage 1 (24 Months)STARTEDStage 2- Placebo0
Stage 1 (24 Months)STARTEDStage 2- Venglustat 15 mg0
Stage 1 (24 Months)COMPLETEDStage 1- Placebo12
Stage 1 (24 Months)COMPLETEDStage 1- Venglustat 8 mg10
Stage 1 (24 Months)COMPLETEDStage 1- Venglustat 15 mg12
Stage 1 (24 Months)COMPLETEDStage 2- Placebo0
Stage 1 (24 Months)COMPLETEDStage 2- Venglustat 15 mg0

Adverse events390

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherCovid-19Infections and infestationsStage 1- Placebo5785
otherCovid-19Infections and infestationsStage 1- Venglustat 8 mg6786
otherCovid-19Infections and infestationsStage 1- Venglustat 15 mg1801
otherCovid-19Infections and infestationsStage 2- Placebo31223
otherCovid-19Infections and infestationsStage 2- Venglustat 15 mg71197
otherConjunctivitisInfections and infestationsStage 1- Placebo4785
otherConjunctivitisInfections and infestationsStage 1- Venglustat 8 mg0780
otherConjunctivitisInfections and infestationsStage 1- Venglustat 15 mg1801
otherConjunctivitisInfections and infestationsStage 2- Placebo11221
otherConjunctivitisInfections and infestationsStage 2- Venglustat 15 mg11191

Adverse event totals15

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityStage 1- Placebo078
Total, all-cause mortalityStage 1- Venglustat 8 mg078
Total, all-cause mortalityStage 1- Venglustat 15 mg080
Total, all-cause mortalityStage 2- Placebo0122
Total, all-cause mortalityStage 2- Venglustat 15 mg0119
Total, other adverse eventsStage 1- Placebo4278
Total, other adverse eventsStage 1- Venglustat 8 mg4678
Total, other adverse eventsStage 1- Venglustat 15 mg4880
Total, other adverse eventsStage 2- Placebo32122
Total, other adverse eventsStage 2- Venglustat 15 mg48119

Papers3

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
36204243DERIVEDPubMed
36535535RESULTPubMed
39356039DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

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