- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06168799
Ilofotase Alfa for Prevention of Renal Damage After Cardiac Surgery
Double-Blind, Randomized, Placebo-Controlled Trial to Evaluate the Efficacy and Safety of Ilofotase Alfa in Patients at Risk for Renal Damage Following Open Heart Surgery
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Estimated)
Phase
- Phase 2
Contacts and Locations
Study Contact
- Name: Hof
- Phone Number: +31302289222
- Email: CSA-RD.phase2@am-pharma.com
Study Locations
-
-
-
Munich, Germany
- Recruiting
- Research Site
-
Contact:
- JF Bohm
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Age ≥18 years
Planned for one of the following types of open chest cardiovascular surgery with the use of cardiopulmonary bypass pump (CPB):
- combined valve and CABG surgery
- CABG with 3 or more distal anastomoses
- Pre-operative eGFR ≥25 mL/min/1.73m2 and ≤65 mL/min/1.73m2
Female patients of childbearing potential agreeing to use effective contraception within IP treatment and 14 days thereafter
Post-menopausal females (i.e., no menses for 12 consecutive months without an alternative medical cause with confirmatory follicle-stimulating hormone level of ≥40 mIU/mL) do not require contraception during the trial.
- Male patients agreeing to refrain from donating sperm, use a male condom when having sexual intercourse and in case their partner is of childbearing potential they must agree to use adequate and effective contraception method (see inclusion criterion 4) within IP treatment and 14 days thereafter
The five most important Exclusion Criteria:
- Body weight ≤55 kg
- Known or suspected glomerulonephritis (other than diabetic kidney disease) or other systemic vasculitis
- Confirmed or treated endocarditis requiring antimicrobial or antiviral treatment within 30 days prior to surgery or other current active infection requiring antimicrobial or antiviral treatment within 14 days prior to surgery
- Known chronic liver disorder with Child-Pugh C classification
- Current planned (or scheduled) surgical intervention under conditions of circulatory arrest, including planned deep hypothermic circulatory arrest
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 |
---|---|
Placebo Comparator: Placebo
|
After dilution of the concentrate, the investigational medicinal product will be administered by intravenous infusion for 1 hour at the same day before and after the surgery (Day 1)
|
Experimental: Ilofotase alfa
|
After dilution of the concentrate, the investigational medicinal product will be administered by intravenous infusion for 1 hour at the same day before and after the surgery (Day 1)
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Assessment of serum creatinine values
Time Frame: From Baseline to Day 5
|
Ratio between the highest value postsurgery (post-surgery Day 1 and Days 2, 3, 4, and 5) and the pre-operative baseline value for serum creatinine
|
From Baseline to Day 5
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Assessment of adverse event (AE) and serious adverse event (SAE) occurrence
Time Frame: From Day -1 to Day 28
|
From Day -1 to Day 28
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
AUC of AKI
Time Frame: From Day 1 to Day 5
|
The area under the curve (AUC) of AKI (kidney disease improving global outcomes [KDIGO] sCreat), defined as duration (in days) and severity of AKI; measured over the first 5 days after surgery
|
From Day 1 to Day 5
|
Assessment of major adverse kidney events (MAKE) 60
Time Frame: Daily post-surgery through Day 5
|
Major adverse kidney events (MAKE) 60, defined as died up to and including Day 61, have received or are receiving new renal replacement therapy (RRT) up to and including Day 61, or have a decrease in estimated glomerular filtration rate (eGFR) ≥25% on Day 61 compared to the pre-operative eGFR reference value
|
Daily post-surgery through Day 5
|
Assessment of surgery-related complications occurrence
Time Frame: From Day 1 to Day 28
|
Postoperative surgery-related complications within 28 days of surgery, assessed according to the Society of Thoracic Surgeons (STS) definition
|
From Day 1 to Day 28
|
Assessment of length of stay in the intensive care unit
Time Frame: From Baseline to Day 28
|
Length of stay in the intensive care unit (ICU) in days after the initial surgery
|
From Baseline to Day 28
|
Investigation of biomarkers of AKI (optional after the end of the trial)
Time Frame: Pre-operative Baseline, Day 1 post-surgery, Day 2, Day 3, Day 4, Day 5, and Day 61
|
Changes in biomarkers of AKI (urine and blood) compared to Baseline: sCreat, cystatin C and potentially further biomarkers of AKI
|
Pre-operative Baseline, Day 1 post-surgery, Day 2, Day 3, Day 4, Day 5, and Day 61
|
Serum levels of ilofotase alfa
Time Frame: Day 1 postsurgery, Day 2, Day 3, Day 4, and Day 5
|
Population (Pop) PK
|
Day 1 postsurgery, Day 2, Day 3, Day 4, and Day 5
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Pickkers, Prof, MD, PhD, Radboud University Medical Center
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
Other Study ID Numbers
- AP-recAP-CSA-RD-02-01
- WHO Universal Trial Number (Registry Identifier: U1111-1295-0827)
- EU Clinical Trial Number (Registry Identifier: 2023-505859-45)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
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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