NCT03281538

Brief Summary

This is an open-label multicenter, long-term extension safety study to evaluate the safety of IV CR845 administered after each dialysis session over a Treatment Period of up to 52 weeks.

Trial Health

90
On Track

Trial Health Score

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

Enrollment
288

participants targeted

Target at P50-P75 for phase_3

Timeline
Completed

Started Aug 2017

Geographic Reach
2 countries

27 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

June 20, 2017

Completed
2 months until next milestone

Study Start

First participant enrolled

August 14, 2017

Completed
1 month until next milestone

First Posted

Study publicly available on registry

September 13, 2017

Completed
2.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 11, 2020

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

February 11, 2020

Completed
1.7 years until next milestone

Results Posted

Study results publicly available

October 14, 2021

Completed
Last Updated

October 14, 2021

Status Verified

September 1, 2021

Enrollment Period

2.5 years

First QC Date

June 20, 2017

Results QC Date

September 21, 2021

Last Update Submit

September 21, 2021

Conditions

Keywords

CR845difelikefalinPruritusChronic ItchItchItchinghemodialysisUremic PruritusDialysisCKDCKD-associated pruritusCKD-aPESRD (end stage renal disease)Chronic Kidney DiseaseKidney failure, chronicKidney dysfunctionGeneralized pruritus

Outcome Measures

Primary Outcomes (1)

  • Number of Participants With AEs

    Assessed by physical examination, monitoring of adverse events, vital signs and laboratory assessments

    Up to 52 weeks

Study Arms (1)

CR845 0.5mcg/kg

EXPERIMENTAL

CR845 0.5mcg/kg IV medication administered three times/week after dialysis

Drug: CR845

Interventions

CR845DRUG

IV CR845 0.5 mcg/kg administered after each dialysis session (3 times/week)

CR845 0.5mcg/kg

Eligibility Criteria

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

You may qualify if:

  • Willing and able to provide written informed consent prior to participating in this study;
  • Able to communicate clearly with the Investigator and staff, able to understand the study procedures, and able and willing to comply with the study schedules and all study requirements;
  • Males or females 18 years of age or older;
  • Currently on hemodialysis for end-stage renal disease and has been categorized as experiencing moderate to severe uremic pruritus;
  • If female:
  • Is not of childbearing potential (surgically sterile or postmenopausal, as defined in Section 6.5.1.6); or
  • Has a negative serum pregnancy test at screening and agrees to use acceptable contraceptive measures (as defined in Section 6.5.1.6) from the time of informed consent until the safety Follow-up Visit or 7 days after the last dose of study drug, whichever is later.
  • If male, agrees not to donate sperm after the first dose of study drug until 7 days after the last dose, and agrees to use a condom with spermicide or abstain from heterosexual intercourse during the study until 7 days after study drug administration. (Note: No restrictions are required for a vasectomized male provided his vasectomy was performed ≥4 months prior to dosing);
  • Has a dry body weight of ≥40.0 kg at screening (prescription target dry body weight);
  • Has adequacy of dialysis, defined as meeting 1 of the following criteria during the 3 months prior to screening:
  • ≥2 single pool Kt/V measurements ≥1.2; or
  • ≥2 urea reduction ratio measurements ≥65%; or
  • single pool Kt/V measurement ≥1.2 and 1 urea reduction ratio measurement ≥65%

You may not qualify if:

  • A patient will be excluded from the study if any of the following criteria are met:
  • Received an investigational drugwithin 30 days prior to the first dose of study drug, or is planning to participate in another interventional clinical study while enrolled in this study.
  • Has a concomitant disease or any medical condition that, in the opinion of the Investigator, could pose undue risk to the patient, impede completion of the study procedures, or would compromise the validity of the study measurements, including, but not limited to:
  • Known or suspected history of Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, -diagnosed alcohol, narcotic or other drug abuse, or substance dependence within 12 months prior to screening;
  • New York Heart Association Class IV congestive heart failure (Appendix 1, Section 14.0);
  • Severe mental illness or cognitive impairment (eg, dementia);
  • Any other relevant acute or chronic medical or neuropsychiatric condition;

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (27)

Cara Therapeutics Study Site

Chula Vista, California, 91990, United States

Location

Cara Therapeutics Study Site

El Centro, California, 92243, United States

Location

Cara Therapeutics Study Site

Long Beach, California, 90813, United States

Location

Cara Therapeutics Study Site

Northridge, California, 91324, United States

Location

Cara Therapeutics Study Site

Denver, Colorado, 80230, United States

Location

Cara Therapeutics Study Site

Hollywood, Florida, 33024, United States

Location

Cara Therapeutics Study Site

Tampa, Florida, 33614, United States

Location

Cara Therapeutics Study Site

Winter Park, Florida, 32789, United States

Location

Cara Therapeutics Study Site

Albany, Georgia, 31701, United States

Location

Cara Therapeutics Study Site

Augusta, Georgia, 30909, United States

Location

Cara Therapeutics Study Site

Meridian, Idaho, 83642, United States

Location

Cara Therapeutics Study Site

Springfield, Massachusetts, 01107, United States

Location

Cara Therapeutics Study Site

Roseville, Michigan, 48066, United States

Location

Cara Therapeutics Study Site

Kansas City, Missouri, 64131, United States

Location

Cara Therapeutics Study Site

Albuquerque, New Mexico, 87109, United States

Location

Cara Therapeutics Study Site

Gallup, New Mexico, 87301, United States

Location

Cara Therapeutics Study Site

Mineola, New York, 11501, United States

Location

Cara Therapeutics Study Site

Ridgewood, New York, 11385, United States

Location

Cara Therapeutics Study Site

Bethlehem, Pennsylvania, 18017, United States

Location

Cara Therapeutics Study Site

Knoxville, Tennessee, 37920, United States

Location

Cara Therapeutics Study Site

El Paso, Texas, 79902, United States

Location

Cara Therapeutics Study Site

San Antonio, Texas, 78202, United States

Location

Cara Therapeutics Study Site

San Antonio, Texas, 78221, United States

Location

Cara Therapeutics Study Site

San Antonio, Texas, 78229, United States

Location

Cara Therapeutics Study Site

St. George, Utah, 84790, United States

Location

Cara Therapeutics Study Site

Wauwatosa, Wisconsin, 53326, United States

Location

Cara Therapeutics Study Site

San Juan, 00926, Puerto Rico

Location

Related Publications (1)

  • Fishbane S, Wen W, Munera C, Lin R, Bagal S, McCafferty K, Menzaghi F, Goncalves J. Safety and Tolerability of Difelikefalin for the Treatment of Moderate to Severe Pruritus in Hemodialysis Patients: Pooled Analysis From the Phase 3 Clinical Trial Program. Kidney Med. 2022 Jun 28;4(8):100513. doi: 10.1016/j.xkme.2022.100513. eCollection 2022 Aug.

MeSH Terms

Conditions

PruritusRenal Insufficiency, ChronicKidney Failure, Chronic

Condition Hierarchy (Ancestors)

Skin DiseasesSkin and Connective Tissue DiseasesSkin ManifestationsSigns and SymptomsPathological Conditions, Signs and SymptomsRenal InsufficiencyKidney DiseasesUrologic DiseasesFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesMale Urogenital DiseasesChronic DiseaseDisease AttributesPathologic Processes

Results Point of Contact

Title
Frédérique Menzaghi, PhD
Organization
Cara Therapeutics

Study Officials

  • Frederique Menzaghi

    Cara Therapeutics

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 3
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

June 20, 2017

First Posted

September 13, 2017

Study Start

August 14, 2017

Primary Completion

February 11, 2020

Study Completion

February 11, 2020

Last Updated

October 14, 2021

Results First Posted

October 14, 2021

Record last verified: 2021-09

Locations