NCT01442337

Brief Summary

The purpose of this study is to evaluate the efficacy, safety and tolerability of a single intravenous dose of ASP8597 in kidney transplant recipients.

Trial Health

57
Monitor

Trial Health Score

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

Enrollment
21

participants targeted

Target at below P25 for phase_2

Timeline
Completed

Started Dec 2011

Geographic Reach
1 country

19 active sites

Status
terminated

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

September 16, 2011

Completed
12 days until next milestone

First Posted

Study publicly available on registry

September 28, 2011

Completed
2 months until next milestone

Study Start

First participant enrolled

December 1, 2011

Completed
1.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 1, 2013

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

July 1, 2013

Completed
Last Updated

June 20, 2014

Status Verified

June 1, 2014

Enrollment Period

1.6 years

First QC Date

September 16, 2011

Last Update Submit

June 17, 2014

Conditions

Keywords

de novo kidney transplantkidney transplantASP8597diannexinischemia-reperfusion injury

Outcome Measures

Primary Outcomes (4)

  • Pharmacokinetic (PK) variable for ASP8597: Maximum concentration (Cmax)

    Part 1 PK variable

    3 days

  • Pharmacokinetic variable for ASP8597: Area under the concentration-time curve from time 0 to last quantifiable concentration (AUClast)

    Part 1 PK variable

    3 days

  • Pharmacokinetic variable for ASP8597: Area under the concentration-time curve from time 0 to infinity (AUCinf)

    Part 1 PK variable

    3 days

  • Estimated glomerular filtration rate (eGFR) using abbreviated Modified Diet in Renal Disease (MDRD) formula - Part 2

    Part 2 efficacy variable

    12 months

Secondary Outcomes (11)

  • Pharmacokinetic variable for ASP8597: Time to attain Cmax (Tmax)

    3 days

  • Pharmacokinetic variable for ASP8597: Clearance (CL)

    3 days

  • Pharmacokinetic variable for ASP8597: Volume of Distribution (Vz)

    3 days

  • Pharmacokinetic variable for ASP8597: Apparent terminal elimination half-life (t1/2)

    3 days

  • Requirement of dialysis within the first 7 days post transplant - Part 1

    7 days

  • +6 more secondary outcomes

Study Arms (4)

ASP8597 low dose

EXPERIMENTAL
Drug: ASP8597

ASP8597 high dose

EXPERIMENTAL
Drug: ASP8597

ASP8597 highest dose

EXPERIMENTAL
Drug: ASP8597

Placebo

PLACEBO COMPARATOR

Placebo comparator used in Part 2 only

Drug: Placebo

Interventions

one time IV dose

Also known as: diannexin
ASP8597 high doseASP8597 highest doseASP8597 low dose

one time IV dose

Placebo

Eligibility Criteria

Age18 Years - 70 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Subject is scheduled to receive a kidney transplant from a deceased donor meeting at least one of the following criteria:
  • Expanded Criteria Donor (ECD)
  • i Donor was \> 60 years of age, OR
  • ii. Donor was 50-59 years of age, inclusive, and met at least two of the following criteria:
  • Donor died of a cerebral bleed
  • Donor had a history of hypertension
  • Donor's terminal serum creatinine concentration was \> 1.5 mg/dL
  • Donation after Cardiac Death (DCD) - Donor was pronounced dead prior to procurement of the kidney
  • Standard Criteria Donor (SCD)
  • i. Donor with terminal serum creatinine \< 1.5 mg/dL where kidney is anticipated to have a minimum of 24 hours of cold ischemia prior to transplantation, OR
  • Female subject is not pregnant and agrees to use an acceptable form of contraception throughout study
  • Male subject agrees to use an adequate method of contraception and agrees to no sperm donation throughout the study

You may not qualify if:

  • Female subject is pregnant or lactating
  • Donor kidney is anticipated to have more than 40 hours of cold ischemia time
  • Donor is \> 66 years of age
  • Donor meets both DCD and ECD criteria
  • Subject has previously received, or is receiving an organ transplant other than a kidney
  • Subject has a positive T or B cell crossmatch by the investigational site's standard method of determination. For recipients where only a flow cytometry crossmatch is performed and is positive in either T or B cell testing, recipients are excluded only if donor specific, anti-HLA antibody is detected by flow cytometry based, specific anti-HLA antibody testing
  • Subject has ABO blood type incompatibility with his/her organ donor
  • Recipient or donor is known by medical history to be seropositive for human immunodeficiency virus (HIV)
  • Subject has a known bleeding diathesis
  • Subject has a International Normalized Ratio (INR) \> 1.5 times upper limit of normal at Screening
  • Subject has a platelet count \< 100,000 platelets/µL at Screening
  • Subject used anti-platelet agents \[e.g., Plavix® (clopidogrel bisulfate), Brilinta® (ticagrelor)\] (with the exception of aspirin \< 100 mg/day for cardiovascular prophylaxis), anti-coagulants \[e.g., Pradaxa® (dabigatran), Xarelto® (rivaroxaban)\], anti-thrombotics, and/or blood-thinning agents within the 10 days prior to Screening; and/or subject is expected to require use of any of these agents during the first 15 days of the study period (with the exception of standard of care peri-operative administration of heparin for DVT prophylaxis)
  • Subject has an uncontrolled concomitant infection
  • Subject has a current malignancy or a history of any malignancy (within the past 5 years), except non-metastatic basal or squamous cell carcinoma of the skin that has been treated successfully
  • Subject currently is participating in an investigational drug study, or participated in an investigational drug study within the last 30 days)
  • +3 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (19)

St. Vincent Medical Center

Los Angeles, California, 90057, United States

Location

Sharp Memorial

San Diego, California, 92123, United States

Location

California Pacific Medical Center

San Francisco, California, 94115, United States

Location

University of California at San Francisco

San Francisco, California, 94143, United States

Location

University of Colorado

Aurora, Colorado, 80045, United States

Location

University of Michigan

Ann Arbor, Michigan, 48109, United States

Location

Washington University

St Louis, Missouri, 63110, United States

Location

St. Barnabas Medical Center

Livingston, New Jersey, 07039, United States

Location

New York Presbyterian Hospital

New York, New York, 10065, United States

Location

Montefiore Medical Center

The Bronx, New York, 10467, United States

Location

Carolinas Medical Center

Charlotte, North Carolina, 28203, United States

Location

Duke University

Durham, North Carolina, 27710, United States

Location

East Carolina University

Greenville, North Carolina, 27834, United States

Location

Pinnacle Health at Harrisburg

Harrisburg, Pennsylvania, 17011, United States

Location

Baylor University Medical Center

Dallas, Texas, 75246, United States

Location

Baylor All Saints Medical Center

Fort Worth, Texas, 76104, United States

Location

The Methodist Hospital

Houston, Texas, 77030, United States

Location

University of Virginia

Charlottesville, Virginia, 22908, United States

Location

University of Wisconsin

Madison, Wisconsin, 53792, United States

Location

MeSH Terms

Conditions

Reperfusion Injury

Interventions

diannexin, human

Condition Hierarchy (Ancestors)

Vascular DiseasesCardiovascular DiseasesPostoperative ComplicationsPathologic ProcessesPathological Conditions, Signs and Symptoms

Study Officials

  • Medical Director

    Astellas Pharma Global Development

    STUDY DIRECTOR

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

September 16, 2011

First Posted

September 28, 2011

Study Start

December 1, 2011

Primary Completion

July 1, 2013

Study Completion

July 1, 2013

Last Updated

June 20, 2014

Record last verified: 2014-06

Locations