A Pilot Study to Evaluate the Use of C1 Esterase Inhibitor (Human) in Patients With Acute Antibody-Mediated Rejection

NCT ID: NCT01147302

Last Updated: 2021-06-11

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

18 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-08-24

Study Completion Date

2013-06-28

Brief Summary

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The purpose of this research study is to evaluate the safety, effect, and pharmacology of C1 Esterase Inhibitor (human) in kidney transplant patients with acute Antibody-Mediated Rejection (AMR).

Detailed Description

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Conditions

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Graft Rejection

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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C1 Esterase Inhibitor (Human)

Subjects were to receive C1 esterase inhibitor intravenously at a rate of approximately 1 mL per minute as tolerated. Subjects were to receive a total of 7 doses over a 2-week period: an initial IV infusion of 5000 U (not to exceed 100 U/kg) on Day 1, followed by 2500 U (not to exceed 50 U/kg) IV on Days 3, 5, 7, 9, 11, and 13

Group Type EXPERIMENTAL

C1 Esterase Inhibitor (Human)

Intervention Type BIOLOGICAL

Normal Saline

placebo infused as above

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type BIOLOGICAL

Interventions

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Placebo

Intervention Type BIOLOGICAL

C1 Esterase Inhibitor (Human)

Intervention Type BIOLOGICAL

Other Intervention Names

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C1 INH-nf

Eligibility Criteria

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Inclusion Criteria

* ≥18 years of age.
* Weigh ≥50 kg.
* Donor specific antibody identified.

Exclusion Criteria

* Any surgical or medical condition that could interfere with the administration of study drug or interpretation of study results.
* History of allergic reaction to C1 Esterase Inhibitor or other blood products.
* Participation in the active dosing phase of any other investigational drug study within 30 days prior to dosing with study drug.
* Pregnancy or lactation.
* Receipt of any experimental agents for AMR within 1 month prior to the first dose of study drug.
* Any infection that causes hemodynamic compromise.
* History of bleeding or clotting abnormality.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Shire

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Study Director

Role: STUDY_DIRECTOR

Takeda

Locations

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ViroPharma Investigative Site

Los Angeles, California, United States

Site Status

ViroPharma Investigative Site

Baltimore, Maryland, United States

Site Status

ViroPharma Investigative Site

Minneapolis, Minnesota, United States

Site Status

ViroPharma Investigative Site

Cincinnati, Ohio, United States

Site Status

ViroPharma Investigative Site

Heidelberg, , Germany

Site Status

Countries

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United States Germany

References

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Montgomery RA, Orandi BJ, Racusen L, Jackson AM, Garonzik-Wang JM, Shah T, Woodle ES, Sommerer C, Fitts D, Rockich K, Zhang P, Uknis ME. Plasma-Derived C1 Esterase Inhibitor for Acute Antibody-Mediated Rejection Following Kidney Transplantation: Results of a Randomized Double-Blind Placebo-Controlled Pilot Study. Am J Transplant. 2016 Dec;16(12):3468-3478. doi: 10.1111/ajt.13871. Epub 2016 Jun 27.

Reference Type DERIVED
PMID: 27184779 (View on PubMed)

Other Identifiers

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2012-000441-12

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

0624-201

Identifier Type: -

Identifier Source: org_study_id

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