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临床试验/2024-513562-19-00
2024-513562-19-00招募中3 期

A Study to Evaluate the Efficacy and Safety of XyloCore, a Glucose Sparing Experimental Solution, for Peritoneal Dialysis (ELIXIR)

Iperboreal Pharma S.r.l.43 个研究点 分布在 5 个国家目标入组 155 人开始时间: 2024年7月3日最近更新:

试验速览

阶段
3 期
状态
招募中
发起方
入组人数
155
试验地点
43
主要终点
Weekly Kt/V urea (V1, V3, V4, V5)

研究概览

简要总结

To demonstrate the non-inferiority of XyloCore compared to the standard treatment of glucose PD solutions, with regards to the weekly Kt/V urea

研究设计

分配方式
Randomized
主要目的
After-treatment Follow-up
盲法
None

入排标准

年龄范围
18 years 至 65+ years(18-64 Years, 65+ Years)
接受健康志愿者

入选标准

  • Age ≥18 years
  • Diagnosis of ESRD and treated with CAPD in the last 3 months
  • In stable clinical condition during the 3 months before screening as demonstrated by the absence of non-elective hospitalisation and major cardiovascular events
  • Have not experienced peritonitis episodes in the last 3 months
  • In treatment with Extraneal (nocturnal long-dwell exchange for at least one month)
  • In treatment with 1, 2 or 3 short-dwell prescribed exchanges with Physioneal (including Clear-Flex bag), Fixioneal, Dianeal or Dianeal Low Calcium (1.36%, 2.27% or 3.86% glucose), or Balance, Bicavera, Bicanova or Equibalance (1.5%, 2.3%, 4.25% glucose)
  • Weekly Kt/V urea measurement > 1.7
  • Followed-up/treated by the participating clinical Center/Investigator in the last three months
  • Understanding the nature of the study and providing informed consent to participate in the study

排除标准

  • History of drug or alcohol abuse in the six months prior to entering the protocol
  • Patients affected by Primary Hyperoxaluria as per known medical history
  • Patients affected by gout, who have had one or more flares of gout during the last 12 months before the screening, with serum levels of uric acid > 7.2 mg/dl (male and postmenopausal women) or > 6.0 mg/dl (premenopausal women)
  • Patients with a major cardiovascular event in the last 3 months
  • Patients with advanced cardiac failure (NYHA 4)
  • Hypersensitivity to any of the constituents of the study IMPs
  • Any contraindication to the prescribed Peritoneal Dialysis solutions (for long-dwell and short-dwell exchange) as per each product SmPC
  • Participants with medical history of oxalate or lactate abnormalities considered clinically significant by the investigator
  • History or evidence of any other medical, neurological or psychological condition that would expose the subject to an undue risk of a significant AE or interfere with study assessments during the course of the trial as determined by the clinical judgment of the investigator
  • In treatment with androgens
  • Clinically significant abnormal liver function test (Gamma-GT and/or AST and/or ALT > 2 UNL; and/or total bilirubin > 3 UNL)
  • Acute infectious conditions (i.e.: pulmonary infection, acute hepatitis, high or low tract urinary infections, renal parenchymal infection, pericarditis, etc)
  • Expected patient’s survival shorter than trial duration
  • L-Carnitine therapy in the month prior to entering the protocol
  • Have used any investigational drug in the 3 months prior to entering the protocol
  • Female patients who are pregnant or breast-feeding
  • Female patients of childbearing age (less than 24 months after the last menstrual cycle) who do not use adequate contraception

结局指标

主要结局

Weekly Kt/V urea (V1, V3, V4, V5)

Weekly Kt/V urea (V1, V3, V4, V5)

次要结局

  • Glycemic and lipid metabolic parameters: LDL, HDL and total cholesterol, serum triglycerides, insulin (V1, V3, V4, V5)
  • Patients’ subjective assessment of fatigue (V1, V3, V5)
  • EPO requirements (V1, V3, V5)
  • 24h peritoneal dialysate analysis: volume, ultrafiltration, urea, creatinine (V1, V3, V4, V5)
  • 24h urine analysis: volume, urea, creatinine (V1, V3, V4, V5)
  • Residual Kidney Function (V1, V3, V4, V5)
  • Safety, evaluated by physical examinations, vital signs, laboratory outcomes and adverse events (whole study)

研究者

发起方
Iperboreal Pharma S.r.l.
申办方类型
Pharmaceutical company
责任方
Principal Investigator
主要研究者

Arduino Arduini

Scientific

Iperboreal Pharma S.r.l.

研究点 (43)

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