Pharmacokinetics of AP214 Acetate in Patients Undergoing Cardiac Surgery

NCT ID: NCT00903604

Last Updated: 2011-05-17

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

42 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-05-31

Study Completion Date

2010-06-30

Brief Summary

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The purpose of the present research study is to investigate the pharmacokinetics, as well as safety, tolerability and pharmacodynamics of different ascending dosing regimens of AP214 in patients undergoing cardiac surgery. AP214, the investigational drug, is being developed to potentially prevent post-surgical kidney injury after thoracic aortic aneurysm repair.

Detailed Description

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Conditions

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Cardiac Surgery Coronary Artery Bypass Grafting Valve Surgery Aortic Root or Ascending Aortic Aneurysm Repair Surgery

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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AP214

Infusions of sequential ascending dosages of AP214

Group Type EXPERIMENTAL

AP214

Intervention Type DRUG

Three 10-minutes infusions of sequential ascending dosages of AP214

Placebo

Infusions of saline solution

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Three 10-minutes infusions of isotonic saline solution

Interventions

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AP214

Three 10-minutes infusions of sequential ascending dosages of AP214

Intervention Type DRUG

Placebo

Three 10-minutes infusions of isotonic saline solution

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Has signed the trial-specific informed consent form.
2. Patients ≥ 18 years old, male or female, not of childbearing potential (postmenopausal or permanently sterilized, e.g. tubal ligation, hysterectomy, bilateral salpingectomy), regardless of ethnicity.
3. Patients undergoing CABG, valve(s), CABG/valve(s) and/or aortic root or ascending aortic aneurysm repair surgery.
4. Cleveland Clinic Renal Score ≥ 2 (higher than average risk for AKI).
5. EF ≥ 30%, evaluated within 2 months prior to screening visit.

Exclusion Criteria

1. Cardiac surgery to be performed "off pump" without cardiopulmonary bypass.
2. Circulatory arrest in connection with aortic root or ascending aortic aneurysm repair surgery.
3. Confirmed or suspected endocarditis.
4. Requiring a reoperation on one of the valves within 3 months following the original valve surgical procedure.
5. Receiving Aprotinin during the trial, from Screening to Day 90.
6. Having undergone cardiovascular catheterization ≤ 48 hours prior to scheduled surgery.
7. Active peptic ulcer disease and gastritis.
8. Hemoccult positive stools, hematological, bleeding, and coagulation disorders.
9. Receiving dopamine at renal doses (2-4 mcg/kg/min), from Screening to Day of surgery.
10. S-Creatinine greater than 2.1 mg/dl.
11. Known or suspected hypersensitivity to the investigational medicinal product.
12. Known or suspected hypersensitivity to Ondansetron or other selective 5-hydroxytryptamine 3 (5-HT3) receptor antagonists.
13. Current participation in any other interventional clinical trial.
14. Previously dosed with AP214.
15. Use of investigational medicinal products within the previous 6 months.
16. Body weight above 140 kg.
17. History of any organ transplant.
18. Women who are of childbearing potential, pregnant, or breast-feeding.
19. Current abuse of alcohol or substance, according to the investigator's medical judgment.
20. Has a mental incapacity or language barriers precluding adequate understanding of trial procedures.
21. Is considered by the Investigator unsuitable to participate in the trial for any other reason, for instance due to a significant serious underlying condition.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Action Pharma A/S

INDUSTRY

Sponsor Role lead

Responsible Party

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Action Pharma A/S

Principal Investigators

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Daniel Steinbrüchel, Professor

Role: PRINCIPAL_INVESTIGATOR

Department of Cardiac and Thoracic Surgery, Copenhagen University Hospital, Rigshospitalet

Locations

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Department of Cardiac and Thoracic Surgery, Copenhagen University Hospital, Rigshospitalet

Copenhagen, , Denmark

Site Status

Odense University Hospital, Department of Cardiac, Thoracic and Vascular Surgery

Odense, , Denmark

Site Status

Countries

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Denmark

Other Identifiers

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AP214-CS005

Identifier Type: -

Identifier Source: org_study_id

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