A Safety and Efficacy Trial of Multiple Dosing Regimens of ABT-719 for the Prevention of Acute Kidney Injury in Subjects Undergoing High Risk Cardiac Surgery
A Phase 2b, Randomized, Double-Blind,Placebo-Controlled, Safety and Efficacy Trial of Multiple Dosing Regimens of ABT-719 for the Prevention of Acute Kidney Injury in Subjects Undergoing High Risk Cardiac Surgery
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Locations
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Aarhus N, Denmark, DK-8200
- Site Reference ID/Investigator# 94956
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Copenhagen O, Denmark, 2100
- Site Reference ID/Investigator# 109295
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Odense C, Denmark, 5000
- Site Reference ID/Investigator# 94955
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Connecticut
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Danbury, Connecticut, United States, 06810
- Site Reference ID/Investigator# 83739
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Florida
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Gainesville, Florida, United States, 32610
- Site Reference ID/Investigator# 87720
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Jacksonville, Florida, United States, 32207
- Site Reference ID/Investigator# 83746
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Jacksonville, Florida, United States, 32216
- Site Reference ID/Investigator# 83733
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Tampa, Florida, United States, 33613
- Site Reference ID/Investigator# 89178
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Georgia
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Atlanta, Georgia, United States, 30322
- Site Reference ID/Investigator# 87693
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Augusta, Georgia, United States, 30912
- Site Reference ID/Investigator# 87717
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Indiana
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Fort Wayne, Indiana, United States, 46804
- Site Reference ID/Investigator# 89180
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Indianapolis, Indiana, United States, 46237
- Site Reference ID/Investigator# 101942
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Kentucky
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Lexington, Kentucky, United States, 40536
- Site Reference ID/Investigator# 85917
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Maryland
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Bethesda, Maryland, United States, 20814
- Site Reference ID/Investigator# 83732
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Massachusetts
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Boston, Massachusetts, United States, 02115
- Site Reference ID/Investigator# 83724
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Boston, Massachusetts, United States, 02135
- Site Reference ID/Investigator# 83745
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Michigan
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Grand Blanc, Michigan, United States, 48439
- Site Reference ID/Investigator# 83750
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Petoskey, Michigan, United States, 49770
- Site Reference ID/Investigator# 83747
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Royal Oak, Michigan, United States, 48073
- Site Reference ID/Investigator# 83744
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Minnesota
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Saint Paul, Minnesota, United States, 55102
- Site Reference ID/Investigator# 85913
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Missouri
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Saint Louis, Missouri, United States, 63131
- Site Reference ID/Investigator# 96455
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Nebraska
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Omaha, Nebraska, United States, 68198-2315
- Site Reference ID/Investigator# 91253
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New Jersey
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Newark, New Jersey, United States, 07102
- Site Reference ID/Investigator# 93673
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New York
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New York, New York, United States, 10032
- Site Reference ID/Investigator# 83722
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North Carolina
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Asheville, North Carolina, United States, 28803
- Site Reference ID/Investigator# 89176
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Durham, North Carolina, United States, 27710
- Site Reference ID/Investigator# 83723
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Gastonia, North Carolina, United States, 28054
- Site Reference ID/Investigator# 92413
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Winston-Salem, North Carolina, United States, 27103
- Site Reference ID/Investigator# 87733
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Ohio
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Cincinnati, Ohio, United States, 45219
- Site Reference ID/Investigator# 83735
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Columbus, Ohio, United States, 43210
- Site Reference ID/Investigator# 91813
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Toledo, Ohio, United States, 43606
- Site Reference ID/Investigator# 83738
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Oregon
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Portland, Oregon, United States, 97225
- Site Reference ID/Investigator# 91693
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Springfield, Oregon, United States, 97447
- Site Reference ID/Investigator# 89182
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Pennsylvania
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Pittsburgh, Pennsylvania, United States, 15232
- Site Reference ID/Investigator# 83734
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Tennessee
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Knoxville, Tennessee, United States, 37923
- Site Reference ID/Investigator# 83730
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Memphis, Tennessee, United States, 38120
- Site Reference ID/Investigator# 101876
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Virginia
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Charlottesville, Virginia, United States, 22908
- Site Reference ID/Investigator# 90614
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Richmond, Virginia, United States, 23225
- Site Reference ID/Investigator# 83725
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Washington
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Tacoma, Washington, United States, 98405
- Site Reference ID/Investigator# 87714
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Wisconsin
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Madison, Wisconsin, United States, 53792
- Site Reference ID/Investigator# 91814
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Milwaukee, Wisconsin, United States, 53215
- Site Reference ID/Investigator# 87739
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Subject must be male or female, age greater than or equal to 18 years old.
- Subjects must have stable renal function, per Investigator discretion and no known increase in serum creatinine of greater than or equal to 0.3 mg during the preceding 4 weeks.
- Subjects with estimated glomerular filtration rate less than or equal to 60 mL/min/1.73 m2 who require intravascular iodinated contrast within 48 hours of the day of surgery, will only be included if there is no known serum creatinine increase greater than or equal to 0.3 mg.
- Subjects must be undergoing a pre-defined on-pump cardiac surgery meeting one of the following acute kidney injury risk factors:
- Subject is undergoing combined coronary artery bypass grafting (CABG) surgery and surgery of one or more cardiac valve (valve(s) surgery), or
- Subject is undergoing surgery of more than one cardiac valve (valves surgery), or
- Subject is undergoing surgery of the aortic root or ascending part of the aorta, or
- Subject is undergoing surgery of the aortic root or ascending part of the aorta, combined with coronary artery bypass graft and/or valve(s) surgery, or
- Subject has an estimated glomerular filtration rate greater than or equal to 16 mL/min/1.73 m2 and less than or equal to 59 mL/min/1.73 m2 as determined by Chronic Kidney Disease Epidemiology Collaboration (CKD EPI) formula at Screening, and is undergoing coronary artery bypass graft or single valve surgery.
Exclusion Criteria:
- Has an eGFR less than or equal to 15 mL/min/1.73 m2.
- Cardiac surgery to be performed without cardiopulmonary bypass.
- Has ongoing sepsis or history of sepsis within the last 2 weeks or untreated diagnosed infection prior to Screening visit. Sepsis is defined as presence of a confirmed pathogen, along with fever or hypothermia, and hypoperfusion or hypotension.
- Has known or documented RIFLE "R" or AKIN "Stage I" within the previous 4 weeks.
- Recently received (within the last 10 weeks) or is anticipated to receive chemotherapy which can interfere with kidney function
Study Plan
How is the study designed?
Design Details
- Primary Purpose: PREVENTION
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: QUADRUPLE
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
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EXPERIMENTAL: Arm 1 ABT-719 lower dose
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1 arm of ABT-719 higher dose, 1 arm of ABT-719 intermediate dose, and 1 arm ABT-719 lower dose
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EXPERIMENTAL: Arm 2 ABT-719 intermediate dose
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1 arm of ABT-719 higher dose, 1 arm of ABT-719 intermediate dose, and 1 arm ABT-719 lower dose
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EXPERIMENTAL: Arm 3 ABT-719 higher dose
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1 arm of ABT-719 higher dose, 1 arm of ABT-719 intermediate dose, and 1 arm ABT-719 lower dose
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PLACEBO_COMPARATOR: Arm 4 placebo
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Placebo infusion
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
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Number of patients developing acute kidney injury based on the Acute Kidney Injury Network (AKIN) scoring criteria by comparing the ABT-719 dose groups versus placebo group.
Time Frame: Up through Day 7
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Up through Day 7
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
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Proportion of subjects developing at least one of the composite events: death, needing renal replacement therapy, or having greater than or equal to 25 percent reduction in estimated glomerular filtration rate or measured glomerular filtration rate
Time Frame: Up through Day 90
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Up through Day 90
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Proportion of subjects developing at least one of the composite events: death, needing renal replacement therapy, or having greater than or equal to 25 percent reduction in serum creatinine based estimated glomerular filtration rate (GFR)
Time Frame: Up through Day 60
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Up through Day 60
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Proportion of subjects developing AKI as defined by the Risk, Injury, Failure, Loss, or ESRD (RIFLE) model
Time Frame: Up through Day 7
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Up through Day 7
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Proportion of subjects developing AKI as defined by the Kidney Disease Improving Global Outcomes (KDIGO) model
Time Frame: Up through Day 7
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Up through Day 7
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Changes from baseline (defined as within 24 hours of day 0) in serum creatinine (SCr) and S-Cystatin C at all study visits from baseline to Day 90
Time Frame: Up through Day 90
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Up through Day 90
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Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (ACTUAL)
Primary Completion
Study Completion (ACTUAL)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (ESTIMATE)
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
Other Study ID Numbers
Other Study ID Numbers
- M13-796
- 2012-003942-33 (EUDRACT_NUMBER)
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