Prospective Observational Study to Evaluate Biomarkers of Aminoglycoside Nephrotoxicity in Patients With Cystic Fibrosis

NCT ID: NCT01543620

Last Updated: 2014-12-09

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

UNKNOWN

Total Enrollment

150 participants

Study Classification

OBSERVATIONAL

Study Start Date

2012-02-29

Study Completion Date

2015-06-30

Brief Summary

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The project is designed to test new biomarkers that are more sensitive than the current standard in detecting injury to the proximal kidney tubule and will establish better criteria for when kidney safety concerns may halt further testing of a drug in humans.

Detailed Description

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The goal of this clinical study is to advance the acceptance of new biomarkers designed to detect drug-induced kidney injury in clinical trials.

The Kidney Safety Project is being conducted at four major medical centers:

* University of Southern California
* University of Minnesota
* MD Anderson Cancer Center
* Dana-Farber Cancer Institute.

Blood and urine samples will be collected from patients undergoing treatment with either cisplatin or aminoglycosides, which are two different drugs known to cause injuries to the proximal tubule of the kidney. Aminoglycosides are a common antibiotic drug taken by patients with cystic fibrosis. Cisplatin is a common chemotherapy drug taken by patients with head and neck cancer.

The Aminoglycoside Study of the Kidney Safety Project is being conducted at the University of Southern California and the University of Minnesota and aims to evaluate aminoglycoside induced acute kidney injury in patients with cystic fibrosis.

The companion study, the Cisplatin Study of the Kidney Safety Project, is being conducted at the MD Anderson Cancer Center and the Dana-Farber Cancer Institute and aims to evaluate cisplatin induced acute kidney injury in patients with head and neck cancer.

The data from the Kidney Safety Project, from both the Aminoglycoside Study and the Cisplatin Study, will be combined for determination of the best biomarkers for predicting drug-induced acute kidney injury.

Conditions

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Cystic Fibrosis

Keywords

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kidney safety biomarkers serum creatinine BUN cystic fibrosis head and neck cancer renal injury drug induced acute kidney injury aminoglycoside cisplatin nephrotoxicity biomarker qualification

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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Patients with cystic fibrosis treated with aminoglycosides

No interventions assigned to this group

Patients with cystic fibrosis not treated with aminoglycosides

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

1. Males and females ≥ 18 years of age.
2. Documentation of CF diagnosis as evidenced by one or more clinical features consistent with the CF phenotype and one or more of the following criteria:

* Sweat chloride greater than or equal to 60 mEq/L by quantitative pilocarpine iontophoresis test.
* Two well-characterized mutations in the cystic fibrosis transmembrane conductance regulator (CFTR) gene; or
* Abnormal nasal potential difference.
3. Hospitalized and initiated on systemic antibiotic therapy for treatment of an acute pulmonary exacerbation.
4. Willingness and ability to comply with study procedures and study restrictions.
5. Ability to provide written informed consent.

Exclusion Criteria

1. Chronic kidney disease defined by microalbuminuria (\> 30 mcg/mg creatinine) or eGFR \< 60 mL/min/1.73m2.
2. Receiving medications known to alter the tubular secretion of creatinine (e.g. trimethoprim, cimetidine).
3. Hospitalized for treatment of an acute pulmonary exacerbation or received intravenous aminoglycoside antibiotics within 3-months of study entry.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Southern California

OTHER

Sponsor Role collaborator

University of Minnesota

OTHER

Sponsor Role collaborator

M.D. Anderson Cancer Center

OTHER

Sponsor Role collaborator

Dana-Farber Cancer Institute

OTHER

Sponsor Role collaborator

Brigham and Women's Hospital

OTHER

Sponsor Role collaborator

National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

NIH

Sponsor Role collaborator

Amgen

INDUSTRY

Sponsor Role collaborator

AstraZeneca

INDUSTRY

Sponsor Role collaborator

Eli Lilly and Company

INDUSTRY

Sponsor Role collaborator

Johnson & Johnson

INDUSTRY

Sponsor Role collaborator

Merck Sharp & Dohme LLC

INDUSTRY

Sponsor Role collaborator

Pfizer

INDUSTRY

Sponsor Role collaborator

Critical Path Institute

UNKNOWN

Sponsor Role collaborator

Predictive Safety Testing Consortium

UNKNOWN

Sponsor Role collaborator

Foundation for the National Institutes of Health

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Paul Beringer, PharmD

Role: PRINCIPAL_INVESTIGATOR

University of Southern California

Joanne Billings, MD

Role: PRINCIPAL_INVESTIGATOR

University of Minnesota

Locations

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University of Southern California

Los Angeles, California, United States

Site Status RECRUITING

University of Minnesota - Cystic Fibrosis Center

Minneapolis, Minnesota, United States

Site Status RECRUITING

University of Utah

Salt Lake City, Utah, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Irene Nunes, OD, PhD

Role: CONTACT

Phone: (732) 594-1137

Email: [email protected]

Jessica Ratay, MS

Role: CONTACT

Phone: (301) 435-4038

Email: [email protected]

Facility Contacts

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Research Coordinator1

Role: primary

Research Coordinator2

Role: backup

Research Coordinator1

Role: primary

Research Coordinator2

Role: backup

Research Coordinator1

Role: primary

Research Coordinator2

Role: backup

Other Identifiers

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Kidney Safety - Aminoglycoside

Identifier Type: -

Identifier Source: org_study_id