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REGEN-006 Study Newsletter

Enrollment Update, Cell Therapy Clarification & Data Cleaning Ahead

Kidney Cell Therapy Explained

What’s the Difference and Why It Matters

ProKidney’s investigational treatment, rilparencel, is an autologous cell therapy made from each patient’s own kidney biopsy cells. These therapeutic cells, which resemble cells present within their own kidney that naturally repair damaged tubules, are grown to large amounts then injected back into each kidney. Because they are sourced directly from the patient, there is no need for immunosuppression before or after treatment. Stem cell therapy is a general term that primarily refers to mesenchymal stem cell (MSC) therapy. These cells are often sourced from fat, bone marrow, or umbilical cords and are utilized as a therapeutic by several companies and clinics. Another form of stem cells is embryonic stem cells (ESCs), which are utilized for basic research and never directly as a therapeutic. ProKidney’s treatment is specifically an autologous adult kidney cell therapy and is not a stem cell therapy of any kind. When discussing the study with patients, it is important to emphasize that rilparencel is unique and tailored specifically for each person using their own adult kidney cells, rather than from a donor, embryonic, or any other form of stem cell. If you have any questions on this topic or would like guidance on how to talk to patients about this, please reach out to Paula.Gutierrez@prokidney.com

End Of Treatment Guidance

As we progress through the study, please remember that participants who do not complete all procedures should continue their study participation. This helps us capture important safety and efficacy data. Additionally, participants reaching transplant, dialysis, or specific kidney function milestones have abbreviated follow-up schedules. If you have any questions, please contact your PSI CRA or Medical Monitor.  

  • Occurs when a participant receives either: 
  • Two rilparencel/sham injections (standard completion), OR 
  • One rilparencel/sham injection if they discontinued treatment early 
  • It does NOT mean the end of study participation 
  • If they don’t complete all procedures, encourage continued participation through Global Trial End Date (GTED) and transition to an abbreviated schedule (do not automatically withdraw).  
  • Withdrawal by subject – participant is unable or unwilling to complete the treatment portion of the study (biopsy/sham or injection/sham)  
  • Pregnancy 
  • Withdrawal of consent – participant decides to stop his/her participation in the study and revokes consent.  
  • If this option is selected, End of Study form should also be completed. 
  • Physician Decision – If the decision is related to an adverse event, select Adverse Event instead. 
  • Adverse event – discontinuation due to any adverse event must be reflected in the AE form with ‘dose withdrawn’ selected as the action taken.   
  • Death  
  • Non-compliance with study schedule 
  • Sponsor Request – If the request is related to an adverse event, select Adverse Event instead. 
  • Lost to Follow-Up – the participant fails to return to the clinic for their scheduled visit and does not respond to attempts to contact. 
  • Protocol Deviation – Examples include, but are not limited to, randomization errors and/or enrollment of participants who do not meet eligibility criteria.  
  • Request for termination by sponsor or investigator – This option is no longer expected to be selected as a reason for termination.   
  • Physician Decision or Sponsor Request should be used in its place, as appropriate.  
  • Other, specify (free text) 
  • Note: If treatment is discontinued due to eGFR <15 and this is not clinically significant or reported as an AE, enter the following in the Other, specify field: “Discontinued for criteria eGFR <15 ml/min/1.73m2.” 
  • Conducted at GTED or at time of early withdrawal 
  • MRI waived if completed within prior 6 months 
  • Should include all assessments in Schedule of Events when possible 

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Guidance on End of Treatment 

As we progress through the study, please remember that participants who do not complete all procedures should continue their study participation. This helps us capture important safety and efficacy data. Additionally, participants reaching transplant, dialysis, or specific kidney function milestones have abbreviated follow-up schedules. If you have any questions, please contact your PSI CRA or Medical Monitor.  

 

End of Treatment (EOT) 

  • Occurs when a participant receives either: 
  • Two rilparencel/sham injections (standard completion), OR 
  • One rilparencel/sham injection if they discontinued treatment early 
  • It does NOT mean the end of study participation 
  • If they don’t complete all procedures, encourage continued participation through Global Trial End Date (GTED) and transition to an abbreviated schedule (do not automatically withdraw).  

 

Reasons End of Treatment in EDC: 

  • Withdrawal by subject – participant is unable or unwilling to complete the treatment portion of the study (biopsy/sham or injection/sham)  
  • Pregnancy 
  • Withdrawal of consent – participant decides to stop his/her participation in the study and revokes consent.  
  • If this option is selected, End of Study form should also be completed. 
  • Physician Decision – If the decision is related to an adverse event, select Adverse Event instead. 
  • Adverse event – discontinuation due to any adverse event must be reflected in the AE form with ‘dose withdrawn’ selected as the action taken.   
  • Death  
  • Non-compliance with study schedule 
  • Sponsor Request – If the request is related to an adverse event, select Adverse Event instead. 
  • Lost to Follow-Up – the participant fails to return to the clinic for their scheduled visit and does not respond to attempts to contact. 
  • Protocol Deviation – Examples include, but are not limited to, randomization errors and/or enrollment of participants who do not meet eligibility criteria.  
  • Request for termination by sponsor or investigator – This option is no longer expected to be selected as a reason for termination.   
  • Physician Decision or Sponsor Request should be used in its place, as appropriate.  
  • Other, specify (free text) 
  • Note: If treatment is discontinued due to eGFR <15 and this is not clinically significant or reported as an AE, enter the following in the Other, specify field: “Discontinued for criteria eGFR <15 ml/min/1.73m2.” 

 

End of Study (EOS) 

  • Conducted at GTED or at time of early withdrawal 
  • MRI waived if completed within prior 6 months 
  • Should include all assessments in Schedule of Events when possible 

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