Senescence in Chronic Kidney Disease
Senescence, Frailty, and Mesenchymal Stem Cell Functionality in Chronic Kidney Disease: Effect of Senolytic Agents
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Locations
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-
Florida
-
Jacksonville, Florida, United States, 32224
- Mayo Clinic Florida
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-
Minnesota
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Rochester, Minnesota, United States, 55905
- Mayo Clinic in Rochester
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Age 40-80 years
- Chronic kidney disease estimated glomerular filtration rate (eGFR) 15-45 ml/min/1.73m2
- Diabetes mellitus and taking diabetes medications
Exclusion Criteria:
- Concomitant glomerulonephritis,
- Nephrotic syndrome,
- Solid organ transplantation,
- Autosomal dominant or recessive polycystic kidney disease,
- Known renovascular disease,
- Pregnancy,
- Active immunosuppression therapy,
- Hemoglobin A1c≥10% at screening,
- History of active substance abuse (including alcohol) within the past 2 years,
- Current alcohol abuse (>3 alcoholic beverages/day or >21 per week),
- Body weight >150 kg or body mass index>50
- Human immunodeficiency virus infection
- Active hepatitis B or C infection
- Tyrosine kinase inhibitor therapy
- Known hypersensitivity or allergy to dasatinib or quercetin
- Inability to give informed consent
- Uncontrolled systemic lupus erythematosus
- Uncontrolled pleural/pericardial effusions or ascites
- New invasive cancer except non-melanoma skin cancers
- Invasive fungal or viral infection
- Inability to tolerate oral medications
- Total bilirubin>2x upper limit of normal
- Subjects taking medications that are sensitive to substrates or substrates with a narrow therapeutic range for CYP3A4, CYP2C8, CYP2C9, or CYP2D6 or strong inhibitors or inducers of CYP3A4 (e.g. cyclosporine, tacrolimus or sirolimus). If antifungals are absolutely necessary from an infectious disease perspective, then they will be allowed only if the levels are therapeutic.
- Subjects on strong inhibitors of CYP3A4.
- Subjects on therapeutic doses of anticoagulants (Warfarin (Coumadin);Rivaroxaban (Xarleto); Apixaban (Eliquis); Dabigatran (Pradaxa, Prazaxa) or Other).
- Subjects on antiplatelet agents ((Clopidogrel (Plavix); Dipyridamole + Asprin (Aggrenox); Ticagrelor (Brilinta); Prasugrel (Effient); Ticlopidine (Ticlid) or Other) who are unable or unwilling to reduce or hold therapy prior to and during the 3-day drug dosing. Subjects may continue their previous regimen on day 4.
- Subjects on quinolone antibiotic therapy for treatment or for prevention of infections within 10 days
- Subjects taking H2-antagonists or proton pump inhibitors and unwilling to discontinue therapy 1 week prior and 2 weeks following enrollment.
- Corrected QT interval (QTc)>450 msec
- Presence of any condition that the Investigator believes would put the subject at risk or would preclude the patient from successfully completing all aspects of the trial.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
No Intervention: Group 1: Observational
Observational Only
|
|
|
Active Comparator: Group 2: Dasatinib & Quercetin
The drugs dasatinib and quercetin will be used in this arm
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Dasatinib - take one 100 mg tablet by mouth once daily for 3 consecutive days.
Other Names:
Quercetin - take four 250 mg capsules daily (total 1000 mg daily) for 3 consecutive days.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in proportion of senescent cells (representing the total senescent cell burden) present
Time Frame: Baseline, Day 14
|
Assessment of senescence markers in skin, fat, and/or blood at baseline and day 14.
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Baseline, Day 14
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in proportion of senescent mesenchymal stem cells present
Time Frame: Baseline, Day 14
|
Assessment of senescence markers in mesenchymal stem cells at baseline and day 14.
|
Baseline, Day 14
|
|
Change in mesenchymal stem cell function
Time Frame: Baseline, Day 14
|
Assessment of functional studies in mesenchymal stem cells at baseline and day 14.
Number of subjects with change in stem cell function related to treatment.
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Baseline, Day 14
|
|
Change in Frailty index score
Time Frame: Baseline, Day 14
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Assessment by Fried and other frailty criteria at baseline and day 14.
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Baseline, Day 14
|
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Change in kidney function
Time Frame: Baseline, Day 14, Month 4, Month 12
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Assessment by estimated and measured glomerular filtration rate at baseline, day 14, month 4, and month 12.
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Baseline, Day 14, Month 4, Month 12
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: LaTonya J Hickson, MD, Mayo Clinic
Publications and helpful links
General Publications
- Hickson LJ, Langhi Prata LGP, Bobart SA, Evans TK, Giorgadze N, Hashmi SK, Herrmann SM, Jensen MD, Jia Q, Jordan KL, Kellogg TA, Khosla S, Koerber DM, Lagnado AB, Lawson DK, LeBrasseur NK, Lerman LO, McDonald KM, McKenzie TJ, Passos JF, Pignolo RJ, Pirtskhalava T, Saadiq IM, Schaefer KK, Textor SC, Victorelli SG, Volkman TL, Xue A, Wentworth MA, Wissler Gerdes EO, Zhu Y, Tchkonia T, Kirkland JL. Senolytics decrease senescent cells in humans: Preliminary report from a clinical trial of Dasatinib plus Quercetin in individuals with diabetic kidney disease. EBioMedicine. 2019 Sep;47:446-456. doi: 10.1016/j.ebiom.2019.08.069. Epub 2019 Sep 18.
- Bian X, Snow ZK, Zinn CJ, Gowan CC, Conley SM, Bratulin AL, Elhusseiny KM, Miller J, Tchkonia T, Kirkland JL, Lerman LO, Hickson LJ. Activin A Antagonism with Follistatin Reduces Kidney Fibrosis, Injury, and Cellular Senescence-Associated Inflammation in Murine Diabetic Kidney Disease. Kidney360. 2025 Mar 28;6(8):1278-1291. doi: 10.34067/KID.0000000776.
Helpful Links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimated)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Urogenital Diseases
- Pathologic Processes
- Male Urogenital Diseases
- Kidney Diseases
- Urologic Diseases
- Female Urogenital Diseases
- Female Urogenital Diseases and Pregnancy Complications
- Chronic Disease
- Disease Attributes
- Renal Insufficiency
- Pathological Conditions, Signs and Symptoms
- Renal Insufficiency, Chronic
- Sulfur Compounds
- Organic Chemicals
- Heterocyclic Compounds, 1-Ring
- Heterocyclic Compounds
- Thiazoles
- Azoles
- Pyrimidines
- Dasatinib
Other Study ID Numbers
Other Study ID Numbers
- 15-005843
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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