Study to Improve Renal Function After Kidney Transplantation
Multicenter Pilot Study of BB3 to Improve Renal Function in Patients With Signs and Symptoms of Significant Renal Injury After Kidney Transplantation and at Risk for Dialysis
2 other identifiers
interventional
30
1 country
6
Brief Summary
The objective of the study is to evaluate the safety and activity of a investigational drug in improving renal function in patients who have undergone renal transplantation and have signs and symptoms of significant renal injury and are at risk for dialysis.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_2
Started Feb 2010
Longer than P75 for phase_2
6 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
February 1, 2010
CompletedFirst Submitted
Initial submission to the registry
January 27, 2011
CompletedFirst Posted
Study publicly available on registry
January 31, 2011
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
February 1, 2016
CompletedMay 5, 2015
October 1, 2014
4.9 years
January 27, 2011
May 4, 2015
Conditions
Outcome Measures
Primary Outcomes (1)
Urine production
mean time (days) until production of ≥ 50 cc/H of urine over a 12 hour period
28 days
Secondary Outcomes (10)
Change from baseline urine production
28 days
creatinine clearance
28 days
Incidence of delayed graft function
7 days
Number of dialysis sessions
28 days
Daily urine output
14 days
- +5 more secondary outcomes
Study Arms (2)
Normal Saline
PLACEBO COMPARATORPlacebo
BB3
ACTIVE COMPARATORInterventions
Eligibility Criteria
You may qualify if:
- Males and females ≥ 18 years of age
- Had renal transplantation due to end stage disease requiring chronic dialysis
- Study drug can be administered within 36 hours after transplantation
- Received kidney from healthy donor or donor with history of diabetes mellitus or hypertension
- Donor terminal serum creatinine ≤ 2.2 mg/dL.
- No urine output, OR average urine output of \< 50 cc/H over 8 or more consecutive hours, OR normal urine output following transplantation that diminished to average of \< 50 cc/H over 8 or more consecutive hours, OR creatinine reduction ratio at 24 hours after transplantation to pre-transplantation is \< 30%.
- Reason for low urine output is unlikely due to structural changes. If clinically indicated, an ultrasound will be performed
- Dry weight to\< 120kg and BMI \<35
- Women of child bearing potential have a negative serum pregnancy test prior to transplantation.
- Women of child bearing potential (including perimenopausal women who have had a menstrual period within 1 year) must agree to use 2 forms of effective birth control regimen (at least one-barrier method) during the 28-day study period. Men must agree to use condoms during the 28-day study period.
- In the opinion of the investigator, the subject is capable of understanding and complying with the protocol.
- Subjects must have signed the informed consent document prior to performance of any study related procedure including screening procedure.
You may not qualify if:
- Subject with normal urine output and not requiring dialysis prior to renal transplantation (i.e., had pre-emptive renal transplantation).
- Signs and symptoms of volume depletion.
- Recipient of multiple organ transplantation or scheduled for multiple organ transplantation.
- Recipient of pediatric en-bloc kidney transplantation.
- Recipient of kidney with cold ischemia time \> 40 hours
- Has measurable donor-specific antibody or positive cross-match requiring deviation from standard immunosuppressive therapy.
- Currently participating in or has participated in an investigational drug or medical device study within 30 days or five half-lives, whichever is longer, prior to enrollment into this study.
- Concurrent sepsis or active bacterial infection.
- Have an active malignancy or history of solid, metastatic or hematologic malignancy with the exception of basal or squamous cell carcinoma of the skin that has been removed.
- Women of child bearing potential who are breast feeding.
- History of positive HIV test.
- History of rheumatoid arthritis.
- Subjects who require the cytochrome P450 1A2 (CYP1A2) inhibitors, ciprofloxacin and/or fluvoxamine (Luvox®)
- Subject is unwilling or unable to comply with the protocol or to cooperate fully with the Investigator or the site personnel.
- Subject is not deemed medically stable for the study in the opinion of the Investigator or the subject's primary nephrologist.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (6)
California Institute of Renal Research
San Diego, California, 92123, United States
Medstar Georgetown University Hospital
Washington D.C., District of Columbia, 20007, United States
MedStar Washington Hospital Center
Washington D.C., District of Columbia, 20010, United States
Division of Transplant Surgery, University of Maryland School of Medicine, University of Maryland Medical Center
Baltimore, Maryland, 21201, United States
State University of New York at Buffalo
Buffalo, New York, 14215, United States
The Methodist Hospital
Houston, Texas, 77030, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Weizhong Cai, PhD
Sponsor GmbH
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 27, 2011
First Posted
January 31, 2011
Study Start
February 1, 2010
Primary Completion
January 1, 2015
Study Completion
February 1, 2016
Last Updated
May 5, 2015
Record last verified: 2014-10