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临床试验/EUCTR2018-001930-17-CZ
EUCTR2018-001930-17-CZ进行中(未招募)1 期

A MULTICENTER, DOUBLE-BLIND, RANDOMIZED, PLACEBO-CONTROLLED STUDY TO EVALUATE THE SAFETY AND EFFICACY OF INTRAVENOUS CR845 IN HEMODIALYSIS PATIENTS WITH MODERATE-TO-SEVERE PRURITUS, WITH A 52-WEEK OPEN-LABEL EXTENSION - CR845-CLIN3103

Cara Therapeutics INC0 个研究点目标入组 350 人开始时间: 2018年8月27日最近更新:

试验速览

阶段
1 期
状态
进行中(未招募)
入组人数
350

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

入选标准

  • Inclusion Criteria:
  • To be eligible for inclusion into the Double-blind Phase of the study, a patient must meet the following criteria:
  • 1.Willing and able to provide written informed consent prior to participating in this study;
  • 2.Able to communicate clearly with the Investigator and staff, able to understand the study procedures, and able and willing
  • to comply with the study requirements, including providing written responses to questionnaires;
  • 3.Male or female between 18 and 85 years of age inclusive; Note: Subjects in Korea, must be male or female between 19 and 85 years of age, inclusive.
  • 4.Has end-stage renal disease (ESRD) and has been on hemodialysis 3 times per week for at least 3 months prior to the start of screening;
  • Note 1: Patients who require an occasional additional dialysis treatment to manage fluid overload or electrolyte excesses may be enrolled as long as it is anticipated that no more than 1 such treatment will be required in any given week and no More than 4 occasions during the 12-week double-blind period. Patients routinely on 4 dialyses a week will not be eligible.
  • Note 2: Patients receiving in-home hemodialysis may participate as long as they have switched to in-center hemodialysis at least 2 weeks prior to screening and plan to remain on in-center hemodialysis for the duration of the study.
  • Note 3: Patients receiving alternate dialysis modalities such as nocturnal dialysis will not be eligible.
  • 5.If female, is not pregnant or nursing during any period of the study;
  • 6.If female:
  • a.Is surgically sterile; or
  • b.Has been amenorrhoeic for at least 1 year and is over the age of 55 years; or
  • c.Has a negative serum pregnancy test at screening and agrees to use acceptable contraceptive measures
  • (eg, hormonal contraceptives, barrier with spermicide, intrauterine device, vasectomized partner, or abstinence) from the time of informed consent until 7 days after the last dose of study drug;
  • 7.If male, agrees not to donate sperm after the first dose of study drug until 7 days after the last dose of study drug, and agrees to use a condom with spermicide or abstain from heterosexual intercourse during the study until 7 days after the last dose of study drug. (Note: No restrictions are required for a
  • vasectomized male provided his vasectomy was performed
  • =4 months prior to screening);
  • 8.Has a prescription dry body weight between 40.0 and 135.0 kg, inclusive;
  • 9.Has at least 2 single-pool Kt/V measurements =1.2, or at least 2 urea reduction ratio measurements =65%, or 1 single-pool
  • Kt/V measurement =1.2 and 1 urea reduction ratio measurement =65% on different dialysis days during the 3 months period prior to screening;
  • 10.Prior to randomization:
  • a.Has completed at least four out of eight Worst Itching
  • Intensity Numerical Rating Scale (NRS) worksheets fromhe start of the 7-day Run-in Period up to and including the
  • pre-randomization assessment on Day 1;
  • b.Has a mean baseline Worst Itching Intensity NRS score
  • =5, defined as the average of all non-missing scores reported from the start of the 7-d

排除标准

  • Exclusion Criteria:
  • A patient will be excluded from the Double-blind Phase of the study if
  • any of the following criteria are met:
  • 1. Known noncompliance with dialysis treatment that in the
  • opinion of the Investigator would impede completion or
  • validity of the study;
  • 2. Scheduled to receive a kidney transplant during the study;
  • 3. Known history of allergic reaction to opiates, such as hives
  • (Note: side effects related to the use of opioids, such as
  • constipation or nausea, would not exclude patients from the
  • 4. Has a concomitant disease or a history of 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:
  • a. Known or suspected history of alcohol, narcotic, or other
  • drug abuse, or substance dependence within 12 months
  • prior to screening;
  • b. Significant systolic or diastolic heart failure (eg, New
  • York Heart Association Class IV congestive heart failure
  • [Appendix 1, Section 14.1]);
  • c. Severe mental illness or cognitive impairment (eg,
  • d. Any other relevant acute or chronic medical or
  • neuropsychiatric condition within 3 months prior to
  • screening (eg, diagnosis of encephalopathy, coma,
  • 5. New or change of treatment received for itch including
  • antihistamines and corticosteroids (oral, IV, or topical) within
  • 14 days prior to screening; 6. New or change of prescription for opioids, gabapentin, or
  • pregabalin within 14 days prior to screening;
  • 7. Received another investigational drug within 30 days prior to
  • the start of screening or is planning to participate in another
  • clinical study while enrolled in this study;
  • 8. In the opinion of the Investigator, has pruritus attributed to a
  • cause other than ESRD or its complications (eg, patients with
  • concomitant pruritic dermatological disease or cholestatic liver
  • disease) (Note: Patients whose pruritus is attributed to ESRD
  • complications, such as hyperparathyroidism,
  • hyperphosphatemia, anemia, or the dialysis procedure or
  • prescription may be enrolled);
  • 9. Has localized itch restricted to the palms of the hands;
  • 10. Has pruritus only during the dialysis session (by patient
  • 11. Is receiving ongoing ultraviolet B treatment and anticipates
  • receiving such treatment during the study;
  • 12. Participated in a previous clinical study with CR845.

研究者

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