NCT00298168

Brief Summary

Selectins have been implicated in the pathogenesis of ischemia/reperfusion (I/R)-induced kidney injury and resultant delayed graft function (DGF). PSGL-1 is a ligand for P-, E-, and L-selectin. It has been reported that YSPSL (rPSGL-Ig) blocks P-selectin and, to a lesser degree, E- and L-selectin. Both sPSGL-1 and YSPSL (rPSGL-Ig) have been shown in animal models to reduce both cytokines and tissue damage associated with ischemia reperfusion and to improve renal function post-transplant. Therefore, the current phase I/II clinical study is designed to assess the safety and efficacy of YSPSL (rPSGL-Ig) in preventing DGF in patients undergoing cadaveric kidney transplants and to determine a dose for future pivotal studies.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
60

participants targeted

Target at P75+ for phase_1

Timeline
Completed

Started May 2006

Geographic Reach
1 country

15 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

February 27, 2006

Completed
2 days until next milestone

First Posted

Study publicly available on registry

March 1, 2006

Completed
2 months until next milestone

Study Start

First participant enrolled

May 1, 2006

Completed
1.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 1, 2007

Completed
3 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2007

Completed
Last Updated

January 29, 2008

Status Verified

January 1, 2008

Enrollment Period

1.3 years

First QC Date

February 27, 2006

Last Update Submit

January 24, 2008

Conditions

Keywords

Delayed Graft Function

Outcome Measures

Primary Outcomes (1)

  • delayed graft function post transplant

    6 months

Secondary Outcomes (1)

  • renal function parameters through 6 months post transplant

    6 months

Study Arms (3)

1

EXPERIMENTAL
Drug: YSPSL

2

EXPERIMENTAL
Drug: YSPSL

3

PLACEBO COMPARATOR
Drug: placebo

Interventions

YSPSLDRUG

YSPSL administered intravenously (IV) as a single bolus infusion of 1 mg/kg with 200 mL Lactated Ringer's for Injection USP total volume administered as an ex vivo flush intra-arterially to donor organ prior to implantation

Also known as: rPSGL-Ig, recombinant P-selectin glycoprotein ligand-Ig
1

0.9% normal saline administered IV as a single bolus infusion with 200 mL Lactated Ringer's for Injection USP total volume administered as an ex vivo flush intra-arterially to donor organ prior to implantation

3

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Patients undergoing primary cadaver renal transplants

You may not qualify if:

  • Patient has a planned transplant of a donor kidney from a non-heart beating donor
  • Patient has a planned transplant of kidneys that are implanted en bloc (dual kidney transplant) or from donors \< 6 years of age
  • Patient has a planned transplant of a kidney from a donor who has received investigational therapies designed to reduce the impact of ischemia/reperfusion (I/R) injury, DGF, or other donor-related immune events
  • Patient is planned to receive a living donor kidney; or patient is planned to receive an ABO-incompatible donor kidney

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (15)

Dumont-UCLA Transplant Center

Los Angeles, California, 90095, United States

Location

California Pacific Medical Center Department of Transplantation

San Francisco, California, 94115, United States

Location

University of Colorado Health Sciences Center

Denver, Colorado, 80262, United States

Location

Shands Hospital at University of Florida

Gainesville, Florida, 32610, United States

Location

Lifelink Foundation

Tampa, Florida, 33606, United States

Location

Rush University Medical Center

Chicago, Illinois, 60612, United States

Location

Tulane University Hospital & Clinic

New Orleans, Louisiana, 70112, United States

Location

Henry Ford Hospital Transplant Institute

Detroit, Michigan, 48202, United States

Location

Saint Barnabas Medical Center

Livingston, New Jersey, 07039, United States

Location

Westchester Medical Center, New York Medical College

Hawthorne, New York, 10532, United States

Location

University of Cincinnati, Department of Internal Medicine

Cincinnati, Ohio, 45267, United States

Location

Methodist Healthcare University Hospital

Memphis, Tennessee, 38104, United States

Location

Baylor University Medical Center Transplantation Services

Dallas, Texas, 75246, United States

Location

The Methodist Hospital

Houston, Texas, 77030, United States

Location

University of Texas, Organ Transplantation

Houston, Texas, 77030, United States

Location

Related Publications (2)

  • Cheadle C, Watkins T, Ehrlich E, Barnes K, Gaber AO, Hemmerich S, Rabb H. Effects of anti-adhesive therapy on kidney biomarkers of ischemia reperfusion injury in human deceased donor kidney allografts. Clin Transplant. 2011 Sep-Oct;25(5):766-75. doi: 10.1111/j.1399-0012.2010.01365.x. Epub 2010 Nov 28.

  • Gaber AO, Mulgaonkar S, Kahan BD, Woodle ES, Alloway R, Bajjoka I, Jensik S, Klintmalm GB, Patton PR, Wiseman A, Lipshutz G, Kupiec-Weglinski J, Gaber LW, Katz E, Irish W, Squiers EC, Hemmerich S. YSPSL (rPSGL-Ig) for improvement of early renal allograft function: a double-blind, placebo-controlled, multi-center Phase IIa study. Clin Transplant. 2011 Jul-Aug;25(4):523-33. doi: 10.1111/j.1399-0012.2010.01295.x. Epub 2010 Jun 22.

MeSH Terms

Conditions

Kidney DiseasesDelayed Graft Function

Condition Hierarchy (Ancestors)

Urologic DiseasesFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesMale Urogenital DiseasesPathologic ProcessesPathological Conditions, Signs and Symptoms

Study Officials

  • Stefan Hemmerich, PhD

    Y's Therapeutics, Inc.

    STUDY DIRECTOR

Study Design

Study Type
interventional
Phase
phase 1
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Expanded Access
Yes

Study Record Dates

First Submitted

February 27, 2006

First Posted

March 1, 2006

Study Start

May 1, 2006

Primary Completion

September 1, 2007

Study Completion

December 1, 2007

Last Updated

January 29, 2008

Record last verified: 2008-01

Locations