- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05996835
Phase 2b Study to Investigate the Safety and Efficacy of TIN816 in Sepsis-associated Acute Kidney Injury (SA-AKI)
A Multicenter, Randomized, Double-blind, Placebo-controlled, Four-arm, Parallel-group, Dose-finding Phase 2b Study to Investigate the Safety and Efficacy of TIN816 Via a Single Intravenous Infusion in the Treatment of Participants With Sepsis-associated Acute Kidney Injury (SA-AKI)
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Estimated)
Phase
- Phase 2
Contacts and Locations
Study Contact
- Name: Novartis Pharmaceuticals
- Phone Number: 1-888-669-6682
- Email: novartis.email@novartis.com
Study Contact Backup
- Name: Novartis Pharmaceuticals
- Phone Number: +41613241111
Study Locations
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British Columbia
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Vancouver, British Columbia, Canada, V6Z 1Y6
- Recruiting
- Novartis Investigative Site
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Quebec
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Montreal, Quebec, Canada, H2W 1T8
- Recruiting
- Novartis Investigative Site
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Montreal, Quebec, Canada, H4J 1C5
- Recruiting
- Novartis Investigative Site
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Sainte Foy, Quebec, Canada, G1V 4G5
- Recruiting
- Novartis Investigative Site
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Bangkok, Thailand, 10700
- Recruiting
- Novartis Investigative Site
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Chiang Mai, Thailand, 50200
- Recruiting
- Novartis Investigative Site
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Istanbul, Turkey, 34093
- Recruiting
- Novartis Investigative Site
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Bristol, United Kingdom, BS2 8HW
- Recruiting
- Novartis Investigative Site
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London, United Kingdom, SE1 7EH
- Recruiting
- Novartis Investigative Site
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Michigan
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Detroit, Michigan, United States, 48202 2689
- Recruiting
- Henry Ford Hospital
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Contact:
- Karen Campana
- Phone Number: 313-876-1850
- Email: Kcampan1@hfhs.org
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Principal Investigator:
- Ryann Sohaney
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North Carolina
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Winston-Salem, North Carolina, United States, 27157-1071
- Recruiting
- Wake Forest Univ School of Medicine U Health Sciences
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Contact:
- Lynnette Harris
- Phone Number: 513-658-5866
- Email: lcharris@wakehealth.edu
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Principal Investigator:
- Ashish Khanna
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Oregon
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Corvallis, Oregon, United States, 97330
- Recruiting
- Good Samaritan Hospital
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Contact:
- Anthony Franklin
- Phone Number: 541-768-5202
- Email: anfranklin@samhealth.org
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Principal Investigator:
- Brian Delmonaco
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Pennsylvania
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Philadelphia, Pennsylvania, United States, 19140
- Recruiting
- Temple University
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Contact:
- Phone Number: 215-707-2230
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Principal Investigator:
- Avrum Gillespie
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Signed informed consent must be obtained prior to participation in the study.
- ≥ 18 to ≤ 85 years of age
- Admitted to ICU or intermediate care unit/ high dependency care unit (HDU)
Diagnosis of sepsis according to criteria defined by The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3) based on:
- Suspected or confirmed infection AND
- Acute increase of SOFA score of 2 or more (excluding renal component). The baseline SOFA score should be assumed to be zero unless the participant is known to have pre-existing (acute or chronic) organ dysfunction before the onset of infection
- Diagnosis of AKI Stage 1 or greater per the following criterion at randomization:
An absolute increase in serum or plasma creatinine by ≥ 0.3 mg/dL (≥ 26.5 µmol/L) within 48 hours or presumed to have occurred in the previous 48 hours as compared to the reference serum creatinine.
- For participants with hospital-acquired AKI, a stable serum creatinine obtained in the hospital prior to AKI diagnosis should be used as the reference serum creatinine.
For participants presenting from community, the reference serum creatinine should be estimated using the following order of preference:
- The most recent value within 3 months of the hospital admission. If not available:
- The most recent value between 3 and 12 months prior to hospital admission. If not available:
- At hospital admission
Exclusion criteria
- Not expected to survive for 24 hours
- Not expected to survive for 30 days due to medical conditions other than SA-AKI
- History of CKD with a documented estimated GFR <45 mL/min prior to admission to hospital
- eGFR <45mL/min at admission without any other reference serum eGFR within last 12-months
- Receiving RRT or a decision has been made to initiate RRT within 24 hours after randomization
- Weight is less than 40 kg or more than 125 kg.
- Limitations to the use of mechanical ventilation, RRT or vasopressors/inotropes (N.B. limitations on Cardiopulmonary resuscitation (CPR)e.g., do-not-resuscitate orders are not an exclusion criterion unless associated with likely poor outcome in next 24 hours)
- Sepsis diagnosis according to sepsis inclusion criteria for a period longer than 72 hours prior to ICU admission
- AKI diagnosis according to AKI inclusion criteria over 48 hours after admission to ICU
- Inability to administer study drug within 24 hours of diagnosis of AKI according to AKI inclusion criteria
- Presence of AKI, in the Investigator's opinion, as suggested by clinical manifestation, e.g., prolonged oliguria or severe renal dysfunction on admission without a history of CKD, for a period longer than 24 hours prior to study drug administration
- Evidence of recovery from AKI based on the investigator's clinical judgement prior to randomization
- AKI is most likely attributable to other causes than sepsis, such as nephrotoxic drugs (Non-steroidal anti-inflammatory drugs (NSAIDs), contrast, aminoglycosides, etc.) or renal perfusion-related (acute abdominal aortic aneurysm, dissection, renal artery stenosis), urinary obstruction
- Documented (biopsy proven) or suspected history of acute or sub-acute kidney diseases such as rapidly progressive glomerular nephritis (RPGN) and acute interstitial nephritis (AIN)
- Patients who are post-nephrectomy
- Patients who are thrombocytopenic at screening (platelet count <50,000 per microliter) or other high risk for bleeding in the opinion of the investigator
Immunosuppressed patients
- History of immunodeficiency diseases
- Receiving immunosuppressant treatment or on chronic high doses (high-dose therapy exceeding 2 weeks of treatment) of steroids equivalent to prednisone/prednisolone 0.5 mg/kg/day, including solid organ transplant patients. Patients with septic shock treated with corticosteroids (as per the Surviving Sepsis Guidelines) can be included. See Appendix Section 10.6 Immunosuppresant drugs, (Table 10 5 Immunosuppressant drug exclusions)
- Known active hepatitis B or C infection, or positive Hepatitis B Virus (HBV) or Hepatitis C Virus (HCV) serology or patients with advanced chronic liver disease, confirmed by a Child-Pugh score of 10-15 (Class C)
- Acute pancreatitis with no established source of infection
- Active hematological malignancy (previous hematological malignancies that are not actively treated are allowable)
- Burns requiring ICU treatment
- Sepsis attributed to confirmed COVID-19
- Use of other investigational drugs within 5 half-lives of enrollment, within 30 days (e.g., small molecules) or until the expected pharmacodynamic effect has returned to baseline (e.g., biologics), whichever is longer; or longer if required by local regulations
- History of hypersensitivity to the study treatment or its excipients or to drugs of similar chemical classes
- Any medical conditions that could significantly increase risk of participants' safety by participating in this study according to investigator's judgement
- Women with a positive pregnancy test, pregnancy or breast feeding
- Women of childbearing potential, unless they are using highly effective methods of contraception for the entire duration of the trial.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
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Experimental: TIN816 Dose A
Administered as a one time intravenous dose
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Immunotherapy Recombinant human CD39 enzyme
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Experimental: TIN816 Dose B
Administered as a one time intravenous dose
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Immunotherapy Recombinant human CD39 enzyme
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Experimental: TIN816 Dose C
Administered as a one time intravenous dose
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Immunotherapy Recombinant human CD39 enzyme
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Placebo Comparator: Placebo
0.9% sterile saline administered as a one time intravenous dose
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0.9% sterile saline solution
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Average of area under the time-corrected creatinine clearance curve (AUC1-8)
Time Frame: Day 1 to Day 8
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The weighted average of area under the time-corrected endogenous creatinine clearance curve. Urine volume, urinary creatinine, and the serum creatinine measurements will be used for calculation. Day 1-8 measurements will be included. |
Day 1 to Day 8
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Percentage of participants with major adverse kidney events (MAKE)
Time Frame: Day 1 to Day 90
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A binary composite endpoint of major adverse kidney events (MAKE) including death, use of Renal Replacement Therapy (RRT) and ≥25% reduction in estimated Glomular Filtration Rate (eGFR) at Day 90.
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Day 1 to Day 90
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Area under the time-corrected endogenous serum creatinine curve for Day 1 to Day 14 and Day 1 to Day 30.
Time Frame: Day 1 to Day 14 and Day 1 to Day 30
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The weighted average of area under the time-corrected endogenous serum creatinine curve from Day 1 to Day 14 and Day 1 to Day 30.
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Day 1 to Day 14 and Day 1 to Day 30
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Area under the time-corrected endogenous serum cystatin C curve for Day 1 to Day 14 and Day 1 to Day 30
Time Frame: Day 1 to Day 14 and Day 1 to Day 30
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The weighted average of area under the time-corrected endogenous serum cystatin-C curve from Day 1 to Day 14 and Day 1 to Day 30.
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Day 1 to Day 14 and Day 1 to Day 30
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Area under the time-corrected creatinine clearance curve (AUC5-14)
Time Frame: Day 5 to Day 14
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The weighted average of area under the time-corrected endogenous creatinine clearance curve. Urine volume, urinary creatinine, and the serum creatinine measurements will be used for calculation. Day 5-14 measurements will be included. |
Day 5 to Day 14
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Percentage of participants who had renal replacement therapy (RRT) from Day 1 to Day 90
Time Frame: Day 1 to Day 90
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Use of RRT at any time during the treatment period will be reported.
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Day 1 to Day 90
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Percentage of participants with RRT dependency at Day 90
Time Frame: Day 90
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Use of RRT dependency at Day 90 will be reported
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Day 90
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Number of days participants alive and free of RRT from Day 1 to Day 90
Time Frame: Day 1 to Day 90
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Participants who are alive and free of RRT, defined as any participant receiving any form of RRT, will be reported.
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Day 1 to Day 90
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Change in Kidney disease improving global outcomes (KDIGO) score from Baseline to Day 14
Time Frame: 14 Days
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The KDIGO classification system stages AKI into three levels based on serum creatinine elevation in parallel with degree and duration of oliguria.
Participants are classified based on the worst finding (either serum creatinine or oliguria).
The stages range from 1-3, with higher scores indicating the most severe stage of AKI.
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14 Days
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Percentage of participants with ≥25% reduction in eGFR at Day 90
Time Frame: 90 Days
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Percentage of participants with ≥ 25% reduction from baseline to Day 90.
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90 Days
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Mean change of sequential organ failure score (SOFA) from baseline to Day 30
Time Frame: 30 Days
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The SOFA score was developed to assess the acute morbidity of critical illness at a population level. The score is routinely calculated on admission to ICU and at each 24-hour period that follows. It is composed of six criteria which reflect the function of a specific organ system (respiratory, cardiovascular, renal, neurological, hepatic and hematological) and allocates a score of 0-4. Scores ranges from 0-24, with higher scores indicating greater dysfunction. |
30 Days
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Collaborators and Investigators
Sponsor
Investigators
- Study Director: Novartis Pharmaceuticals, Novartis Pharmaceuticals
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Pathologic Processes
- Infections
- Kidney Diseases
- Urologic Diseases
- Systemic Inflammatory Response Syndrome
- Inflammation
- Renal Insufficiency
- Female Urogenital Diseases
- Female Urogenital Diseases and Pregnancy Complications
- Urogenital Diseases
- Male Urogenital Diseases
- Sepsis
- Toxemia
- Wounds and Injuries
- Acute Kidney Injury
Other Study ID Numbers
- CTIN816B12202
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations.
This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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