A Study to Evaluate the Efficacy and Safety of GDC-8264 in Preventing Cardiac Surgery-Associated Acute Kidney Injury (AKI) and Major Adverse Kidney Events (MAKE)
A Phase II, Randomized, Double-Blind, Placebo-Controlled Study of the Efficacy and Safety of GDC-8264 in Preventing Cardiac Surgery-Associated Acute Kidney Injury and Major Adverse Kidney Events
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 Contact
Study Contact
- Name: Reference Study ID Number: GC45428 https://forpatients.roche.com/
- Phone Number: 888-662-6728 (U.S. Only)
- Email: global-roche-genentech-trials@gene.com
Study Locations
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Queensland
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Southport, Queensland, Australia, 4215
- Gold Coast University Hospital
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Townsville, Queensland, Australia, 4810
- Townsville Hospital
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Western Australia
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Murdoch, Western Australia, Australia, 6150
- Fiona Stanley Hospital
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Genk, Belgium, 3600
- ZOL Genk campus Sint Jan
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Leuven, Belgium, 3000
- UZ Leuven
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Liège, Belgium, 4000
- Hôpital de la Citadelle
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New Brunswick
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Saint John, New Brunswick, Canada, E2L 4L2
- Saint John Regional Hospital
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Prague, Czechia, 12808
- Vseobecna fakultni nemocnice v Praze
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Prague, Czechia, 150 06
- Fakultni nemocnice v Motole
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Angers, France, 49933
- CHU Angers
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Paris, France, 75013
- APHP - Hopital de la Pitie Salpetriere
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Reims, France, 51092
- CHU de Reims
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Dresden, Germany, 01307
- Herzzentrum Dresden GmbH Universitatsklinikum
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Essen, Germany, 45147
- Universitätsklinikum Essen
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Nijmegen, Netherlands, 6525 GA
- Radboud Universitair Medisch Centrum
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Auckland, New Zealand, 1023
- Auckland City Hospital
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Hamilton, New Zealand, 3248
- Waikato Hospital
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Seoul, South Korea, 03722
- Severance Hospital Yonsei University Health System - PPDS
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Seoul, South Korea, 06351
- Samsung Medical Center - PPDS
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Córdoba, Spain, 14004
- C.H. Regional Reina Sofia - PPDS
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Madrid, Spain, 28006
- Hospital Universitario de La Princesa
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Barcelona
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Badalona, Barcelona, Spain, 08916
- Hospital Universitario Germans Trias i Pujol
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L'Hospitalet de Llobregat, Barcelona, Spain, 08907
- Hospital Universitario de Bellvitge
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Edinburgh, United Kingdom, EH16 4SA
- Royal Infirmary of Edinburgh
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Southampton, United Kingdom, SO16 6YD
- Southampton General Hospital
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California
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Stanford, California, United States, 94305-2200
- University of Stanford Medical Center
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Florida
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Tampa, Florida, United States, 33612-4745
- James A Haley Veteran Affairs Medical Center - NAVREF - PPDS
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Maryland
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Lutherville, Maryland, United States, 21093
- John Hopkins Hospital
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Massachusetts
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Springfield, Massachusetts, United States, 01107
- Baystate Cardiac Surgery
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Minnesota
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Rochester, Minnesota, United States, 55905-0001
- Mayo Clinic - PPDS
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Nebraska
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Lincoln, Nebraska, United States, 68526-9437
- CHI Health Nebraska Heart
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North Carolina
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Durham, North Carolina, United States, 27705
- Duke University Medical Center
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Texas
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Dallas, Texas, United States, 75390-7202
- University of Texas Southwestern Medical Center
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Virginia
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Richmond, Virginia, United States, 99999
- Richmond VA Medical Center NAVREF PPDS
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- One of the following non-emergent cardiac surgery types that requires cardiopulmonary bypass (CPB) to be done in one procedure rather than separate procedures: Isolated Coronary Artery Bypass Grafting (CABG); Isolated Surgical Aortic Valve Replacement (AVR), Mitral Valve Replacement (MVR), Mitral Valve repair (MVr); Combined CABG+AVR, CABG+MVR, CABG+MVr, AVR+MVR, AVR+MVr
- At least one or at least two of the following AKI risk factors, depending on the type of surgery: age > 70 years, history of CKD with eGFR < 60 milliliters/ minutes/ 1.73 meter square (ml/min/1.73 m^2) within the last 6 months, diabetes (type 1 or type 2) requiring at least one oral hypoglycemic agent or insulin, history of chronic obstructive pulmonary disease (COPD) requiring medical therapy, left ventricular ejection fraction (LVEF) < 40%, preoperative anemia [hemoglobin <10 grams/deciliters (g/dL)]
- Stable kidney function with no known episodes of AKI within 2 weeks of screening
Exclusion Criteria:
- Need for renal replacement therapy (peritoneal dialysis or hemodialysis)
- Need for intra-aortic balloon pump, temporary mechanical circulatory support, or extracorporeal membrane oxygenation prior to scheduled surgery
- Presence of a durable left ventricular assist device
- Need for concurrent aortic surgery that requires circulatory arrest and deep hypothermia or repair of congenital heart defects
- Heart transplant
- Transcatheter valve replacements
- Hypotension or shock requiring hospital admission
- Cardiopulmonary resuscitation
- eGFR < 20 mL/min/1.73 m^2
- Heart failure with ejection fraction < 20%, or episode of decompensated heart failure requiring intervention within 2 weeks prior to screening
- History of kidney transplant or only one kidney (due to donation)
- Renal agenesis, total nephrectomy, or partial nephrectomy of > 50%
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: Part 1: GDC-8264
Participants will receive GDC-8264 as per a pre-defined dosing regimen in Part 1.
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GDC-8264 will be administered as per pre-defined regimen.
Other Names:
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Placebo Comparator: Part 1: Placebo
Participants will receive GDC-8264 matching placebo as per a pre-defined dosing regimen in Part 1.
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Placebo will be administered as per pre-defined regimen.
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Experimental: Part 2: GDC-8264
Participants will receive GDC-8264 as per a pre-defined dosing regimen in Part 2.
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GDC-8264 will be administered as per pre-defined regimen.
Other Names:
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Placebo Comparator: Part 2: Placebo
Participants will receive GDC-8264 matching placebo as per a pre-defined dosing regimen in Part 1.
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Placebo will be administered as per pre-defined regimen.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
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Percentage of Participants who Develop MAKE90
Time Frame: From Day 0 (day of surgery) up to Day 90 post-surgery
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From Day 0 (day of surgery) up to Day 90 post-surgery
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Number of Participants With Adverse Events (AEs)
Time Frame: Up to Day 90 post surgery
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Up to Day 90 post surgery
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
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Percentage of Participants who Develop AKI
Time Frame: From Day 0 (day of surgery) up to Day 7 post surgery
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From Day 0 (day of surgery) up to Day 7 post surgery
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Number of Participants With New or Worsened Chronic Kidney Disease (CKD)
Time Frame: Baseline up to Day 90 post surgery
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Baseline up to Day 90 post surgery
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Percentage of Participants who Develop MAKE30 and MAKE60
Time Frame: From Day 0 (day of surgery) to Day 30, Day 60 post surgery
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From Day 0 (day of surgery) to Day 30, Day 60 post surgery
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Change From Baseline in Estimated Glomerular Filtration Rate (eGFR)
Time Frame: Baseline up to Days 30, 60 and 90 post surgery
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Baseline up to Days 30, 60 and 90 post surgery
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Clinical Trials, Hoffmann-La Roche
Study record dates
Study Major Dates
Study Start (Actual)
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 (Actual)
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
- GC45428
- 2024-513125-23-00 (Registry Identifier: EU CT)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
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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