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QPI-1002 Phase 3 for Prevention of Major Adverse Kidney Events (MAKE) in Subjects at High Risk for AKI Following Cardiac Surgery

Phase 3
Terminated
Conditions
Cardiac Surgery
Interventions
Drug: Placebo
Registration Number
NCT03510897
Lead Sponsor
Quark Pharmaceuticals
Brief Summary

This trial is designed to evaluate QPI-1002 versus placebo for the prevention of Major Adverse Kidney Events (MAKE) in subjects at high risk for acute kidney injury following cardiac surgery. Half of the participants will receive QPI-1002 while the other half will receive placebo.

Detailed Description

This is a randomized, double-blind, placebo-controlled, Phase 3 trial to evaluate QPI-1002 versus placebo for the prevention of Major Adverse Kidney Events in subjects at high risk for acute kidney injury following cardiac surgery. Subjects will be dosed with active drug or placebo after the completion of cardiovascular surgery.

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
1043
Inclusion Criteria
  • Male or female, age ≥ 18 years old

  • At risk for AKI following cardiac surgery on the basis of at least one of the following pre-operatively assessed risk factors:

    • Reduced renal function
    • Diabetes with ongoing insulin treatment
    • Albuminuria
  • Undergoes non-emergent open chest cavity cardiovascular surgeries, with use of cardiopulmonary bypass (CPB), with or without hypothermic circulatory arrest

Key

Exclusion Criteria
  • Emergent surgeries, including aortic dissection, and major congenital heart defects
  • Undergoes cardiac surgery off CPB for subjects ≥45 years old. (Cardiac surgery off CPB for subjects <45 years old is allowed.)
  • Perioperative or post cardiac surgery, an left ventricular assist device (LVAD) is inserted or anticipated

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
PlaceboPlaceboisotonic saline
QPI-1002teprasiranQPI-1002 Injection, Single dose
Primary Outcome Measures
NameTimeMethod
Proportion of subjects through day 90 who develop major adverse kidney eventsBaseline through day 90
Secondary Outcome Measures
NameTimeMethod
Proportion of subjects who die or initiate dialysis through day 90Baseline through day 90
Proportion of subjects developing AKI overall by modified AKIN criteria within 5 days post-surgeryBaseline through day 5
Renal function as estimated by glomerular filtration rateBaseline through Day 90

Trial Locations

Locations (104)

University of Alabama at Birmingham Hospital

🇺🇸

Birmingham, Alabama, United States

Keck Hospital of USC

🇺🇸

Los Angeles, California, United States

Cedar-Sinai Heart Institute

🇺🇸

Los Angeles, California, United States

Ronald Regan UCLA Medical Center

🇺🇸

Los Angeles, California, United States

Yale University School of Medicine

🇺🇸

New Haven, Connecticut, United States

River City Clinical Research

🇺🇸

Jacksonville, Florida, United States

Jacksonville Center for Clinical Research

🇺🇸

Jacksonville, Florida, United States

Emory Saint Joseph's Hospital

🇺🇸

Atlanta, Georgia, United States

Northwestern University

🇺🇸

Evanston, Illinois, United States

Indiana/ Ohio Heart, a division of Luthern Medical Group, LLC

🇺🇸

Fort Wayne, Indiana, United States

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University of Alabama at Birmingham Hospital
🇺🇸Birmingham, Alabama, United States

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