Study to Evaluate IV CR845 in Hemodialysis Patients With Moderate-to-Severe Pruritus

NCT ID: NCT02858726

Last Updated: 2020-07-29

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2/PHASE3

Total Enrollment

226 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-06-30

Study Completion Date

2017-03-14

Brief Summary

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2 Part Study: Part A will assess 3 different dosing levels of IV CR845 versus placebo in patient on hemodialysis who have moderate-to-severe itching due to uremic pruritus. Patients will receive either CR845 or placebo after each dialysis session for eight weeks. The safety and efficacy of CR845 will be monitored throughout the study. A sub-group of patients will also have pharmacokinetic assessments completed. Part B of the study will assess one dose of IVCR845 versus placebo for 12 weeks in patients on hemodialysis who have moderate-to-severe itching. The dose of CR845 used in Part B will be based on safety and efficacy found in Part A.

Detailed Description

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This is a two-part study. Patients participating in Part A will be consented and trained on the completion of questionnaires about the severity of itching and overall health. Patients will be required to complete questionnaires during their visits to the dialysis center and also while at home on other days. Results of the screening questionnaires will assess eligibility for the study. Additional laboratory tests and measurements for safety will also be completed during the screening period. Patients meeting all criteria for entry into Part A of the study will be randomized to receive either one of three different doses of CR845 or a placebo. Patients will receive the study drug for eight weeks IV after each hemodialysis treatment (i.e. 3 times per week). Assessments for intensity of itch and safety will also be completed during the 8 week treatment period. When patients have completed treatment, a Follow-up visit will be completed 7 days later.

Patients participating in Part B will be consented and trained on the completion of questionnaires about itching and overall health. Patients will be required to complete questionnaires during their visits to the dialysis center and also while at home on other days. Laboratory tests and measurements for safety will also be completed during the screening period to determine study eligibility. Patients meeting all criteria for entry into Part B of the study will be randomized to receive either CR845 or a placebo. The dose of CR845 used will have been determined based on the safety and efficacy from Part A. Patients will be dosed with either CR845 or placebo for twelve weeks after each hemodialysis treatment (i.e. 3 times per week). Assessments for intensity of itch and safety will be completed during the treatment period also. When patients have completed treatment, a Follow-up visit will be completed 7 days later.

Conditions

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Uremic Pruritus

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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CR845 0.5mcg/kg

Part A of study: IV CR845 0.5 mcg/kg administered after each dialysis session (3 times/week)

Group Type EXPERIMENTAL

CR845 0.5 mcg/kg

Intervention Type DRUG

IV medication delivered three times/week

CR845 1 mcg/kg

Part A of study: IV CR845 1 mcg/kg administered after each dialysis session (3 times/week)

Group Type EXPERIMENTAL

CR845 1 mcg/kg

Intervention Type DRUG

IV medication delivered three times/week

CR845 1.5mcg/kg

Part A of study: IV CR845 1.5 mcg/kg administered after each dialysis session (3 times/week)

Group Type EXPERIMENTAL

CR845 1.5mcg/kg

Intervention Type DRUG

IV medication delivered three times/week

Placebo

Part A of study: IV Placebo administered after each dialysis session (3 times/week)

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

IV medication delivered three times/week

Interventions

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CR845 0.5 mcg/kg

IV medication delivered three times/week

Intervention Type DRUG

CR845 1 mcg/kg

IV medication delivered three times/week

Intervention Type DRUG

CR845 1.5mcg/kg

IV medication delivered three times/week

Intervention Type DRUG

Placebo

IV medication delivered three times/week

Intervention Type DRUG

Other Intervention Names

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CR845 CR845 CR845

Eligibility Criteria

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Inclusion 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 read, complete questionnaires, and understand the study procedures;
3. Males or females 18 years of age or older;
4. ESRD patients who have been on hemodialysis 3 times per week for at least 3 months prior to the start of Screening;
5. Women of child-bearing potential must have a negative serum pregnancy test and agree to practice an acceptable form of birth control for the duration of the study
6. Male patients that are not biologically or surgically sterile must agree to practice an acceptable from of birth control for the duration of the study
7. Weigh between 88.2 lb (40.0 kg) and 297.6 lb (135.0 kg).
8. Patient must self-report pruritus in the month prior to screening.
9. If patient is receiving treatment for itch, this treatment must be stable prior to screening and during treatment period.
10. 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;
11. Patient who self-categorize as moderate-to-severe itch.

Exclusion Criteria

1. Known to be non-compliant with dialysis treatment (i.e., has missed more than 2 dialysis sessions in the past 2 months because of non-compliance);
2. Anticipated to receive a kidney transplant during the study;
3. Known history of allergic reaction to opiates, such as hives
4. Known or suspected history of alcohol, narcotic, or other drug abuse or dependence within 12 months prior to Screening;
5. Patient has any clinically relevant acute or chronic medical or neuropsychiatric condition which, in the opinion of the Investigator, would pose undue risk to the patient, would impede completion of the study procedures, or would compromise the validity of the study measurements;
6. Serum alanine aminotransferase or aspartate aminotransferase greater than 2.5 times the reference upper limit of normal (ULN), or total bilirubin greater than 2 times ULN at Screening;
7. Received another investigational drug within 30 days prior to the start of Screening or has planned to participate in another clinical trial while enrolled in this study;
8. Has pruritus probably or definitely attributed to a cause other than ESRD or its complications (e.g., patients with concomitant pruritic dermatological disease or cholestatic liver disease would be excluded). (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 report);
11. Anticipated to receive opioid antagonists (e.g., naloxone, naltrexone), or opioid mixed agonist-antagonist (e.g., buprenorphine, nalbuphine) from the start of Screening through the end of the Treatment Period;
12. Used Salvia divinorum or Salvinorin A within 30 days prior to the start of Screening or is anticipated to use it during the study;
13. Received ultraviolet B treatment within 30 days prior to the start of Screening or anticipated to receive such treatment during the study;
14. Participated in a previous clinical trial with CR845.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Cara Therapeutics, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Frederique Menzaghi, PhD

Role: STUDY_DIRECTOR

Cara Therapeutics

Locations

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Cara Therapeutics Investigator Site

Phoenix, Arizona, United States

Site Status

Cara Therapeutics Study Site

Pine Bluff, Arkansas, United States

Site Status

Cara Therapeutics Investigator Site

Long Beach, California, United States

Site Status

Cara Therapeutics Study Site

Northridge, California, United States

Site Status

Cara Therapeutics Study Site

Whittier, California, United States

Site Status

Cara Therapeutics Study Site

Denver, Colorado, United States

Site Status

Cara Therapeutics Study Site

Hollywood, Florida, United States

Site Status

Cara Therapeutics Study Site

Tampa, Florida, United States

Site Status

Cara Therapeutics Study Site

Winter Park, Florida, United States

Site Status

Cara Therapeutics Study Site

Augusta, Georgia, United States

Site Status

Cara Therapeutics Study Site

Meridian, Idaho, United States

Site Status

Cara Therapetics Study Site

Creve Coeur, Missouri, United States

Site Status

Cara Therapeutics Study Site

Kansas City, Missouri, United States

Site Status

Cara Therapeutics Study Site

Kansas City, Missouri, United States

Site Status

Cara Therapeutics Study Site

Omaha, Nebraska, United States

Site Status

Cara Therapetics Investigator Site

Albuquerque, New Mexico, United States

Site Status

Cara Therapeutics Study Site

Gallup, New Mexico, United States

Site Status

Cara Therapeutics Study Site

College Point, New York, United States

Site Status

Cara Therapeutics Investigator Site

Mineola, New York, United States

Site Status

Cara Therapeutics Investigator Site

Wilmington, North Carolina, United States

Site Status

Cara Therapeutics Study Site

Winston-Salem, North Carolina, United States

Site Status

Cara Therapeutics Study Site

Bethlehem, Pennsylvania, United States

Site Status

Cara Therapeutics Investigator Site

Philadelphia, Pennsylvania, United States

Site Status

Cara Therapeutics Study Site

Chattanooga, Tennessee, United States

Site Status

Cara Therapetics Study Site

Knoxville, Tennessee, United States

Site Status

Cara Therapeutics Study Site

San Antonio, Texas, United States

Site Status

Cara Therapeutics Study Site

San Antonio, Texas, United States

Site Status

Cara Therapeutics Study Site

San Antonio, Texas, United States

Site Status

Cara Therapeutics Study Site

Milwaukee, Wisconsin, United States

Site Status

Countries

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United States

References

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Hercz D, Jiang SH, Webster AC. Interventions for itch in people with advanced chronic kidney disease. Cochrane Database Syst Rev. 2020 Dec 7;12(12):CD011393. doi: 10.1002/14651858.CD011393.pub2.

Reference Type DERIVED
PMID: 33283264 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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CR845-CLIN2101

Identifier Type: -

Identifier Source: org_study_id

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