Pyridorin in Diabetic Nephropathy

This is a randomized, double-blind, placebo-controlled, multi-center Phase 3 study to
evaluate the safety and efficacy of Pyridorin 300 mg BID (twice daily, every 12 hours) in
subjects with nephropathy due to type 2 diabetes mellitus. In this study, nephropathy is
defined as a Serum Creatinine (SCr) >= 1.3 (≥1.25) mg/dL (111 umol/L) for female and >=1.5
(≥1.45) mg/dL (128 umol/L) for male subjects and a 24-hour urine collection
protein/creatinine ration (PCR) >=1200 mg/g (136 mg/mmol), and if applicable for PS Phase,
at Visit 1S or 1.1S a 24-urine collection PCR ≥600 mg/g (68 mg/mmol). Subjects must have a
baseline SCr < 3.0 mg/dL (265 umol/L) and must be on previously established standard of care
at screening.

Inclusion Criteria:

Patients meeting all of the following criteria will be eligible to participate in the
study:

1. Patients who have given voluntary written informed consent to participate in this
study prior to conducting Screening (Visit 1) procedures;

2. Patients 18 years of age or older with a diagnosis of type 2 diabetes;

3. Women of childbearing potential (WOCBP) who agree to use appropriate birth control
(double-barrier methods, hormonal contraceptives, or intrauterine device) for the
duration of the study (women of childbearing potential is defined as all women who
are not surgically sterile or are not at least 1 year post menopausal). All women of
childbearing potential must have a negative serum pregnancy test at Visit 1;

4. All men (unless surgically sterile, as defined below) who have sexual intercourse
with a WOCBP must agree and commit to use a highly effective method of contraception
for the duration of the study (defined as the time of the signing of the informed
consent form through the conclusion of patient participation). Highly effective
methods of contraception include:

i. Male subjects agreeing that they and their female spouse/partners will use
adequate contraception (2 forms of birth control, one of which must be barrier
method) or be of non-childbearing potential.

ii. To be considered surgically sterilized, a male partner must have had a vasectomy
at least 24 weeks before Visit 1;

5. At Visit 1, patients must have a history of overt diabetic nephropathy, as defined by
the following:

- A SCr measurement ≥1.3 (≥1.25)mg/dL (111 µmol/L) for females or ≥1.5 (≥1.45)
mg/dL (128 µmol/L) for males;

- At Visit 1 or 1.1 24-hour urine collection PCR >1200 mg/g (130 mg/µmol) and, if
applicable for PS phase, at Visit 1S or 1.1S a 24-urine collection PCR >600 mg/g
(67 mg/µmol)

- For eligibility determination, laboratory reported values of PCR will be rounded
up to 2 significant digits (e.g. ≥1150 mg/g to 1200 mg/g; ≥595 mg/g to 600
mg/g),

6. Patients must have a SCr measurement <3.0 mg/dL (265 µmol/L);

7. Patients must have an eGFR of ≥20 mL/min/1.73m2, using the 4-variable Modification of
Diet in Renal Disease equation in which eGFR = 175 x (SCr(mg/dL))-1.154 x
(Age(years))-0.203 x (0.742 if female) x (1.212 if African American);

8. Patient must have a second screening SCr measurement at Visit 1.1 or 1.1S taken 1
week (± 2 days) after screening (Visit 1 or 1S). The value of the second screening
SCr measurement must be <3.0 mg/dL (265 µmol/L) for both genders and within 25% of
the first screening measurement;

9. Patients must be taking a single ACE-I or ARB at a constant dose for at least 26
weeks prior to Visit 1, where the dose of the ACE-I or the ARB is considered
appropriate for that patient (can be zero to max dose approved by the FDA) and it is
anticipated that the same dose can and will be maintained throughout the course of
the study;

10. Patients taking any blood pressure medications in addition to an ACE-I or ARB,
including diuretics, must be on a stable dose for 13 weeks prior to Visit 1 (and
Visit 1S if applicable) with a seated blood pressure of ≤ 150/90 mmHg;

11. Patients not taking any blood pressure medications, including diuretics, other than
an ACE-I or ARB must have a seated blood pressure ≤ 150/90 mmHg at Visit 1 (and Visit
1S if applicable) and a seated blood pressure considered appropriate for the patient
and one that can be sustained throughout the study.

Exclusion Criteria:

Patients are excluded from participation in the study if any of the following criteria
apply

1. Patients with type 1 diabetes or MODY (a monogenic form of diabetes);

2. Patients with a diagnosis of chronic kidney disease other than diabetic renal disease
with or without hypertensive renal disease

3. Patients receiving a renin inhibitor or an aldosterone antagonist or a combination of
an ACE-I and an ARB within 26 weeks of Visit 1

4. Patients with a history of solid organ transplantation

5. Patients with a history of myocardial infarction, coronary re-vascularization
procedures (including percutaneous transluminal coronary angioplasty), stroke, or
transient ischemic attack within 30 days prior to Visit 1

6. Patients with a diagnosis of New York Heart Association Class III or IV congestive
heart failure at any time

7. Patients with a history of being treated for neoplastic disease (except basal or
squamous cell carcinoma of the skin) within 5 years prior to Visit 1

8. Patients with any history of dialysis within 2 years prior to Visit 1

9. Patients in whom dialysis or renal transplantation is anticipated by their physician
within 1 year after Visit 1

10. Patients who used SCr-altering drugs within 30 days prior to Visit 1

11. Patients who require systemic immunosuppression therapy for >2 weeks (except for
inhalant steroids)

12. Patients with clinically significant liver disease or transaminase (alanine
aminotransferase and aspartate aminotransferase) levels >2.5 × the upper limit of
normal (ULN) measured at Visit 1.1 or Visit 1.1S

13. Patients with bilirubin levels >1.5 × ULN measured at Visit 1.1 or Visit 1.1S

14. Patients with a history of allergic or other adverse response to vitamin B
preparations

15. Patients who require >50 mg of vitamin B6 daily

16. Patients who have an active history of dysphagia or swallowing disorders

17. Patients with a history of hypersensitivity to Pyridorin or any of the excipients
(non-active ingredients) in the Pyridorin formulation

18. Patients who have taken pyridoxamine or any other investigational drug within 30 days
prior to Visit 1, or have participated in a previous Pyridorin study or another
interventional clinical study within 30 days prior to Visit 1

19. Patients with an active history of drug or alcohol abuse

20. Patients unlikely to comply with the study protocol (eg, an inability and
unwillingness to participate in adequate training, an uncooperative attitude,
inability to return for follow-up visits, or unlikelihood of completing the study)

21. Women who are lactating, pregnant, or intend to become pregnant during the course of
the study

22. Persons employed with the sponsor, CRO, or one of the study investigative sites must
be excluded from participation, even if they are not involved directly in the conduct
of the study.