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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT03510897
Registration number
NCT03510897
Ethics application status
Date submitted
18/04/2018
Date registered
27/04/2018
Date last updated
16/07/2021
Titles & IDs
Public title
QPI-1002 Phase 3 for Prevention of Major Adverse Kidney Events (MAKE) in Subjects at High Risk for AKI Following Cardiac Surgery
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Scientific title
A Randomized, Double-Blind, Placebo Controlled, Phase 3 Study to Evaluate the Efficacy and Safety of QPI-1002 for the Prevention of Major Adverse Kidney Events (MAKE) in Subjects at High Risk for Acute Kidney Injury (AKI) Following Cardiac Surgery
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Secondary ID [1]
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QRK309
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Cardiac Surgery
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Condition category
Condition code
Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - teprasiran
Treatment: Drugs - Placebo
Active comparator: QPI-1002 - QPI-1002 Injection, Single dose
Placebo comparator: Placebo - isotonic saline
Treatment: Drugs: teprasiran
IV injection
Treatment: Drugs: Placebo
isotonic saline
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Proportion of subjects through day 90 who develop major adverse kidney events
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Assessment method [1]
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Timepoint [1]
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Baseline through day 90
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Secondary outcome [1]
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Proportion of subjects developing AKI overall by modified AKIN criteria within 5 days post-surgery
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Assessment method [1]
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Timepoint [1]
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Baseline through day 5
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Secondary outcome [2]
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Renal function as estimated by glomerular filtration rate
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Assessment method [2]
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Timepoint [2]
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Baseline through Day 90
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Secondary outcome [3]
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Proportion of subjects who die or initiate dialysis through day 90
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Assessment method [3]
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Timepoint [3]
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Baseline through day 90
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Eligibility
Key inclusion criteria
Key
* 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
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Minimum age
18
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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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
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
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The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Stopped early
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
29/06/2018
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
12/04/2021
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Sample size
Target
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Accrual to date
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Final
1043
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Recruitment in Australia
Recruitment state(s)
NSW,QeenslandQLD,SA,VIC
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Westmead Hospital - Westmead
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The Prince Charles Hospital - Chermside
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Princess Alexandra Hospital - Woolloongabba
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The Townsville Hospital - Douglas
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Flinders Medical Centre - Bedford Park
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Monash Medical Centre - Clayton
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St. Vincent's Hospital Melbourne - Fitzroy
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Austin Hospital - Heidelberg
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The Alfred Hospital - Melbourne
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2145 - Westmead
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4032 - Chermside
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4102 - Woolloongabba
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4814 - Douglas
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5042 - Bedford Park
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3168 - Clayton
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3065 - Fitzroy
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3084 - Heidelberg
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3004 - Melbourne
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Quark Pharmaceuticals
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Address
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Ethics approval
Ethics application status
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Summary
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.
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Trial website
https://clinicaltrials.gov/study/NCT03510897
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Trial related presentations / publications
Thielmann M, Corteville D, Szabo G, Swaminathan M, Lamy A, Lehner LJ, Brown CD, Noiseux N, Atta MG, Squiers EC, Erlich S, Rothenstein D, Molitoris B, Mazer CD. Teprasiran, a Small Interfering RNA, for the Prevention of Acute Kidney Injury in High-Risk Patients Undergoing Cardiac Surgery: A Randomized Clinical Study. Circulation. 2021 Oct 5;144(14):1133-1144. doi: 10.1161/CIRCULATIONAHA.120.053029. Epub 2021 Sep 3. Hinze C, Karaiskos N, Boltengagen A, Walentin K, Redo K, Himmerkus N, Bleich M, Potter SS, Potter AS, Eckardt KU, Kocks C, Rajewsky N, Schmidt-Ott KM. Kidney Single-cell Transcriptomes Predict Spatial Corticomedullary Gene Expression and Tissue Osmolality Gradients. J Am Soc Nephrol. 2021 Feb;32(2):291-306. doi: 10.1681/ASN.2020070930. Epub 2020 Nov 25.
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Public notes
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Contacts
Principal investigator
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Nitsan Halevy, MD
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Address
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Quark Pharmaceuticals
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT03510897
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