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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View full resultsBasic Information
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COMPLETED
PHASE2/PHASE3
226 participants
INTERVENTIONAL
2016-06-30
2017-03-14
Brief Summary
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Detailed Description
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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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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
DOUBLE
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)
CR845 0.5 mcg/kg
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)
CR845 1 mcg/kg
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)
CR845 1.5mcg/kg
IV medication delivered three times/week
Placebo
Part A of study: IV Placebo administered after each dialysis session (3 times/week)
Placebo
IV medication delivered three times/week
Interventions
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CR845 0.5 mcg/kg
IV medication delivered three times/week
CR845 1 mcg/kg
IV medication delivered three times/week
CR845 1.5mcg/kg
IV medication delivered three times/week
Placebo
IV medication delivered three times/week
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
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
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.
18 Years
ALL
No
Sponsors
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Cara Therapeutics, Inc.
INDUSTRY
Responsible Party
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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
Cara Therapeutics Study Site
Pine Bluff, Arkansas, United States
Cara Therapeutics Investigator Site
Long Beach, California, United States
Cara Therapeutics Study Site
Northridge, California, United States
Cara Therapeutics Study Site
Whittier, California, United States
Cara Therapeutics Study Site
Denver, Colorado, United States
Cara Therapeutics Study Site
Hollywood, Florida, United States
Cara Therapeutics Study Site
Tampa, Florida, United States
Cara Therapeutics Study Site
Winter Park, Florida, United States
Cara Therapeutics Study Site
Augusta, Georgia, United States
Cara Therapeutics Study Site
Meridian, Idaho, United States
Cara Therapetics Study Site
Creve Coeur, Missouri, United States
Cara Therapeutics Study Site
Kansas City, Missouri, United States
Cara Therapeutics Study Site
Kansas City, Missouri, United States
Cara Therapeutics Study Site
Omaha, Nebraska, United States
Cara Therapetics Investigator Site
Albuquerque, New Mexico, United States
Cara Therapeutics Study Site
Gallup, New Mexico, United States
Cara Therapeutics Study Site
College Point, New York, United States
Cara Therapeutics Investigator Site
Mineola, New York, United States
Cara Therapeutics Investigator Site
Wilmington, North Carolina, United States
Cara Therapeutics Study Site
Winston-Salem, North Carolina, United States
Cara Therapeutics Study Site
Bethlehem, Pennsylvania, United States
Cara Therapeutics Investigator Site
Philadelphia, Pennsylvania, United States
Cara Therapeutics Study Site
Chattanooga, Tennessee, United States
Cara Therapetics Study Site
Knoxville, Tennessee, United States
Cara Therapeutics Study Site
San Antonio, Texas, United States
Cara Therapeutics Study Site
San Antonio, Texas, United States
Cara Therapeutics Study Site
San Antonio, Texas, United States
Cara Therapeutics Study Site
Milwaukee, Wisconsin, United States
Countries
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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.
Provided Documents
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Document Type: Study Protocol
Document Type: Statistical Analysis Plan
Other Identifiers
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CR845-CLIN2101
Identifier Type: -
Identifier Source: org_study_id
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