Trial Outcomes & Findings for Effect of SNF472 on Progression of Cardiovascular Calcification in End-Stage-Renal-Disease (ESRD) Patients on Hemodialysis (HD) (NCT NCT02966028)

NCT ID: NCT02966028

Last Updated: 2021-04-15

Results Overview

Coronary Artery Calcification (CAC) Volume Score is a calculation to quantify the calcification of coronary artery calcium without factoring in the calcium density as measured by the CAC Agatston Score. The CAC Score was log-transformed and the primary outcome measure was the change in Log CAC Volume Score from Baseline to Week 52 for the combined dose groups vs placebo. The primary analysis used an ANCOVA model with the change in log volume score (log 52-week volume score - log baseline volume score) as the dependent variable and with a fixed effect term for the combined randomized treatment groups and log CAC volume score at baseline as a covariate. The least squares means for the treatment groups was estimated and back transformed. A smaller change from baseline to follow up is a better outcome.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

274 participants

Primary outcome timeframe

Baseline (Week 1, Day 1) and Week 52

Results posted on

2021-04-15

Participant Flow

Participant milestones

Participant milestones
Measure
SNF472 300 mg
Dose 1 arm (300 mg): 1 vial of physiological saline and 1 vial of active (10 mL SNF472 at 30 mg/mL) SNF472: Administered 3 times weekly by intravenous infusion through the dialysis machine in conjunction with the patient's dialysis sessions.
SNF 472 600 mg
Dose 2 arm (600 mg): 2 vials of active (10 mL SNF472 at 30 mg/mL) SNF472: Administered 3 times weekly by intravenous infusion through the dialysis machine in conjunction with the patient's dialysis sessions.
Matching Placebo
Placebo arm: 2 vials of physiological saline Placebo: Administered 3 times weekly by intravenous infusion through the dialysis machine in conjunction with the patient's dialysis sessions.
Overall Study
STARTED
92
91
91
Overall Study
COMPLETED
68
57
60
Overall Study
NOT COMPLETED
24
34
31

Reasons for withdrawal

Reasons for withdrawal
Measure
SNF472 300 mg
Dose 1 arm (300 mg): 1 vial of physiological saline and 1 vial of active (10 mL SNF472 at 30 mg/mL) SNF472: Administered 3 times weekly by intravenous infusion through the dialysis machine in conjunction with the patient's dialysis sessions.
SNF 472 600 mg
Dose 2 arm (600 mg): 2 vials of active (10 mL SNF472 at 30 mg/mL) SNF472: Administered 3 times weekly by intravenous infusion through the dialysis machine in conjunction with the patient's dialysis sessions.
Matching Placebo
Placebo arm: 2 vials of physiological saline Placebo: Administered 3 times weekly by intravenous infusion through the dialysis machine in conjunction with the patient's dialysis sessions.
Overall Study
Adverse Event
7
13
10
Overall Study
Physician Decision
1
0
2
Overall Study
Withdrawal by Subject
7
5
5
Overall Study
Kidney transplant Changed dialysis units
9
16
14

Baseline Characteristics

Effect of SNF472 on Progression of Cardiovascular Calcification in End-Stage-Renal-Disease (ESRD) Patients on Hemodialysis (HD)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
SNF472 300 mg
n=92 Participants
Dose 1 arm (300 mg): 1 vial of physiological saline and 1 vial of active (10 mL SNF472 at 30 mg/mL) SNF472: Administered 3 times weekly by intravenous infusion through the dialysis machine in conjunction with the patient's dialysis sessions.
SNF 472 600 mg
n=91 Participants
Dose 2 arm (600 mg): 2 vials of active (10 mL SNF472 at 30 mg/mL) SNF472: Administered 3 times weekly by intravenous infusion through the dialysis machine in conjunction with the patient's dialysis sessions.
Matching Placebo
n=90 Participants
Placebo arm: 2 vials of physiological saline Placebo: Administered 3 times weekly by intravenous infusion through the dialysis machine in conjunction with the patient's dialysis sessions.
Total
n=273 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Age, Categorical
Between 18 and 65 years
54 Participants
n=5 Participants
51 Participants
n=7 Participants
40 Participants
n=5 Participants
145 Participants
n=4 Participants
Age, Categorical
>=65 years
38 Participants
n=5 Participants
40 Participants
n=7 Participants
50 Participants
n=5 Participants
128 Participants
n=4 Participants
Age, Continuous
63 years
STANDARD_DEVIATION 9.5 • n=5 Participants
64 years
STANDARD_DEVIATION 8.9 • n=7 Participants
64. years
STANDARD_DEVIATION 8.2 • n=5 Participants
63.5 years
STANDARD_DEVIATION 8.9 • n=4 Participants
Sex: Female, Male
Female
38 Participants
n=5 Participants
36 Participants
n=7 Participants
33 Participants
n=5 Participants
107 Participants
n=4 Participants
Sex: Female, Male
Male
54 Participants
n=5 Participants
55 Participants
n=7 Participants
57 Participants
n=5 Participants
166 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
31 Participants
n=5 Participants
36 Participants
n=7 Participants
32 Participants
n=5 Participants
99 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
60 Participants
n=5 Participants
51 Participants
n=7 Participants
56 Participants
n=5 Participants
167 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
4 Participants
n=7 Participants
2 Participants
n=5 Participants
7 Participants
n=4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
2 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
2 Participants
n=4 Participants
Race (NIH/OMB)
Asian
2 Participants
n=5 Participants
4 Participants
n=7 Participants
4 Participants
n=5 Participants
10 Participants
n=4 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
Race (NIH/OMB)
Black or African American
27 Participants
n=5 Participants
15 Participants
n=7 Participants
19 Participants
n=5 Participants
61 Participants
n=4 Participants
Race (NIH/OMB)
White
59 Participants
n=5 Participants
67 Participants
n=7 Participants
62 Participants
n=5 Participants
188 Participants
n=4 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
4 Participants
n=7 Participants
5 Participants
n=5 Participants
10 Participants
n=4 Participants
Region of Enrollment
United States
58 participants
n=5 Participants
53 participants
n=7 Participants
54 participants
n=5 Participants
165 participants
n=4 Participants
Region of Enrollment
United Kingdom
6 participants
n=5 Participants
3 participants
n=7 Participants
5 participants
n=5 Participants
14 participants
n=4 Participants
Region of Enrollment
Spain
28 participants
n=5 Participants
35 participants
n=7 Participants
31 participants
n=5 Participants
94 participants
n=4 Participants
CAC Agatston Score
917 units on a scale
STANDARD_DEVIATION 697 • n=5 Participants
963 units on a scale
STANDARD_DEVIATION 702 • n=7 Participants
965 units on a scale
STANDARD_DEVIATION 762 • n=5 Participants
948 units on a scale
STANDARD_DEVIATION 744 • n=4 Participants

PRIMARY outcome

Timeframe: Baseline (Week 1, Day 1) and Week 52

Population: Modified intent-to-treat (mITT) population, last observation carried forward (LOCF)

Coronary Artery Calcification (CAC) Volume Score is a calculation to quantify the calcification of coronary artery calcium without factoring in the calcium density as measured by the CAC Agatston Score. The CAC Score was log-transformed and the primary outcome measure was the change in Log CAC Volume Score from Baseline to Week 52 for the combined dose groups vs placebo. The primary analysis used an ANCOVA model with the change in log volume score (log 52-week volume score - log baseline volume score) as the dependent variable and with a fixed effect term for the combined randomized treatment groups and log CAC volume score at baseline as a covariate. The least squares means for the treatment groups was estimated and back transformed. A smaller change from baseline to follow up is a better outcome.

Outcome measures

Outcome measures
Measure
SNF472 300 mg & 600 mg Combined
n=142 Participants
Dose (300 mg or 600 mg): 1 vial of physiological saline and 1 vial of active (10 mL SNF472 at 30 mg/mL) or 2 vials of active (10 mL SNF472 at 30 mg/mL) SNF472: Administered 3 times weekly by intravenous infusion through the dialysis machine in conjunction with the patient's dialysis sessions.
Matching Placebo
n=77 Participants
Placebo arm: 2 vials of physiological saline Placebo: Administered 3 times weekly by intravenous infusion through the dialysis machine in conjunction with the patient's dialysis sessions.
Matching Placebo
Placebo arm: 2 vials of physiological saline Placebo: Administered 3 times weekly by intravenous infusion through the dialysis machine in conjunction with the patient's dialysis sessions.
Matching Placebo
Placebo arm: 2 vials of physiological saline Placebo: Administered 3 times weekly by intravenous infusion through the dialysis machine in conjunction with the patient's dialysis sessions.
Change in Log CAC Volume Score From Baseline to Week 52 for the Combined Dose Groups vs Placebo
1.11 ratio
Interval 1.067 to 1.153
1.20 ratio
Interval 1.138 to 1.262

SECONDARY outcome

Timeframe: Baseline (Week 1, Day 1) and Week 52

Population: Modified intent-to-treat (mITT) population, last observation carried forward (LOCF)

Coronary Artery Calcification (CAC) Volume Score is a calculation to quantify the calcification of coronary artery calcium without factoring in the calcium density as measured by the CAC Agatston Score. The CAC Score was log-transformed and the primary outcome measure was the change in Log CAC Volume Score from Baseline to Week 52 for the combined dose groups vs placebo. This secondary outcome measure was the change in Log CAC Volume Score from Baseline to Week 52 for each dose group vs placebo. The analysis used an ANCOVA model with the change in log volume score (log 52-week volume score - log baseline volume score) as the dependent variable and with a fixed effect term for each randomized treatment groups and log CAC volume score at baseline as a covariate. The least squares means for each of the treatment groups was estimated and back transformed. A smaller change from baseline to follow up is a better outcome.

Outcome measures

Outcome measures
Measure
SNF472 300 mg & 600 mg Combined
n=77 Participants
Dose (300 mg or 600 mg): 1 vial of physiological saline and 1 vial of active (10 mL SNF472 at 30 mg/mL) or 2 vials of active (10 mL SNF472 at 30 mg/mL) SNF472: Administered 3 times weekly by intravenous infusion through the dialysis machine in conjunction with the patient's dialysis sessions.
Matching Placebo
n=65 Participants
Placebo arm: 2 vials of physiological saline Placebo: Administered 3 times weekly by intravenous infusion through the dialysis machine in conjunction with the patient's dialysis sessions.
Matching Placebo
n=77 Participants
Placebo arm: 2 vials of physiological saline Placebo: Administered 3 times weekly by intravenous infusion through the dialysis machine in conjunction with the patient's dialysis sessions.
Matching Placebo
Placebo arm: 2 vials of physiological saline Placebo: Administered 3 times weekly by intravenous infusion through the dialysis machine in conjunction with the patient's dialysis sessions.
Change in Log CAC Volume Score From Baseline to Week 52 for Each Dose Group (300 mg and 600 mg) vs Placebo
1.12 ratio
Interval 1.06 to 1.175
1.10 ratio
Interval 1.042 to 1.165
1.20 ratio
Interval 1.138 to 1.262

SECONDARY outcome

Timeframe: Baseline (Week 1, Day 1) and Week 52

Population: Modified intent-to-treat (mITT) population, last observation carried forward (LOCF)

Coronary Artery Calcification (CAC) Agatston Score is a semi-automated tool to calculate a score the reflects the extent of coronary artery calcification as detected by an unenhanced CT scan. Scores range from 0 to \>1000 Agatston units where higher scores indicate an increased amount of calcification and an increased risk for a major adverse cardiac event. This secondary outcome measure was the change in Log CAC Agatston Score from Baseline to Week 52 for each dose group and the treated arms combined vs placebo. The analysis used an ANCOVA model with the change in log score (log 52-week score - log baseline score) as the dependent variable and with a fixed effect term for each randomized treatment groups and log CAC score at baseline as a covariate. The least squares means for each of the treatment groups separately and combined was estimated and back transformed.

Outcome measures

Outcome measures
Measure
SNF472 300 mg & 600 mg Combined
n=77 Participants
Dose (300 mg or 600 mg): 1 vial of physiological saline and 1 vial of active (10 mL SNF472 at 30 mg/mL) or 2 vials of active (10 mL SNF472 at 30 mg/mL) SNF472: Administered 3 times weekly by intravenous infusion through the dialysis machine in conjunction with the patient's dialysis sessions.
Matching Placebo
n=65 Participants
Placebo arm: 2 vials of physiological saline Placebo: Administered 3 times weekly by intravenous infusion through the dialysis machine in conjunction with the patient's dialysis sessions.
Matching Placebo
n=142 Participants
Placebo arm: 2 vials of physiological saline Placebo: Administered 3 times weekly by intravenous infusion through the dialysis machine in conjunction with the patient's dialysis sessions.
Matching Placebo
n=77 Participants
Placebo arm: 2 vials of physiological saline Placebo: Administered 3 times weekly by intravenous infusion through the dialysis machine in conjunction with the patient's dialysis sessions.
Change in Log CAC Agatston Score Between Baseline and Week 52 for Each Dose Group (300 mg and 600 mg) vs Placebo and for the Combined Dose Groups vs the Placebo Group
1.10 ratio
Interval 1.027 to 1.17
1.13 ratio
Interval 1.055 to 1.215
1.11 ratio
Interval 1.06 to 1.17
1.20 ratio
Interval 1.122 to 1.278

SECONDARY outcome

Timeframe: Baseline (Week 1, Day 1) and Week 52

Population: Modified intent-to-treat (mITT) population, last observation carried forward (LOCF)

Agatston score is a semi-automated tool to calculate a score that reflects the extent of coronary artery calcification as detected by an unenhanced CT scan. Scores range from 0 to \>1000 Agatston units where higher scores indicate an increased amount of calcification and an increased risk for a major adverse cardiac event. Change in Agatston Score values from baseline to Week 52 were calculated as a percentage of change (progression or worsening of calcification). The number of subjects with \<15% progression were counted.

Outcome measures

Outcome measures
Measure
SNF472 300 mg & 600 mg Combined
n=77 Participants
Dose (300 mg or 600 mg): 1 vial of physiological saline and 1 vial of active (10 mL SNF472 at 30 mg/mL) or 2 vials of active (10 mL SNF472 at 30 mg/mL) SNF472: Administered 3 times weekly by intravenous infusion through the dialysis machine in conjunction with the patient's dialysis sessions.
Matching Placebo
n=65 Participants
Placebo arm: 2 vials of physiological saline Placebo: Administered 3 times weekly by intravenous infusion through the dialysis machine in conjunction with the patient's dialysis sessions.
Matching Placebo
n=142 Participants
Placebo arm: 2 vials of physiological saline Placebo: Administered 3 times weekly by intravenous infusion through the dialysis machine in conjunction with the patient's dialysis sessions.
Matching Placebo
n=77 Participants
Placebo arm: 2 vials of physiological saline Placebo: Administered 3 times weekly by intravenous infusion through the dialysis machine in conjunction with the patient's dialysis sessions.
Number of Subjects With <15% Progression in CAC Agatston Score From Baseline to Week 52 for Each Dose Group and the Combined Dose Groups vs Placebo
46 Participants
41 Participants
87 Participants
37 Participants

SECONDARY outcome

Timeframe: Baseline (Week 1, Day 1) and Week 52

Population: Modified intent-to-treat (mITT) population, last observation carried forward (LOCF)

Agatston score is a semi-automated tool to calculate a score the reflects the extent of coronary artery calcification as detected by an unenhanced CT scan. Scores range from 0 to \>1000 Agatston units where higher scores indicate an increased amount of calcification and an increased risk for a major adverse cardiac event. Change in Agatston Score values from baseline to Week 52 was calculated as a percentage of change (progression or worsening of calcification). The number of subjects with \>=15% progression were counted for each treatment group, the combined treatments groups and placebo.

Outcome measures

Outcome measures
Measure
SNF472 300 mg & 600 mg Combined
n=77 Participants
Dose (300 mg or 600 mg): 1 vial of physiological saline and 1 vial of active (10 mL SNF472 at 30 mg/mL) or 2 vials of active (10 mL SNF472 at 30 mg/mL) SNF472: Administered 3 times weekly by intravenous infusion through the dialysis machine in conjunction with the patient's dialysis sessions.
Matching Placebo
n=65 Participants
Placebo arm: 2 vials of physiological saline Placebo: Administered 3 times weekly by intravenous infusion through the dialysis machine in conjunction with the patient's dialysis sessions.
Matching Placebo
n=142 Participants
Placebo arm: 2 vials of physiological saline Placebo: Administered 3 times weekly by intravenous infusion through the dialysis machine in conjunction with the patient's dialysis sessions.
Matching Placebo
n=77 Participants
Placebo arm: 2 vials of physiological saline Placebo: Administered 3 times weekly by intravenous infusion through the dialysis machine in conjunction with the patient's dialysis sessions.
Number of Subjects With >=15% Progression in CAC Agatston Score at Week 52 for Each Dose Group and the Combined Dose Groups vs Placebo
31 Participants
24 Participants
55 Participants
40 Participants

SECONDARY outcome

Timeframe: Baseline (Week 1, Day 1) and Week 52

Population: Modified intent-to-treat (mITT) population, last observation carried forward (LOCF)

Coronary Artery Calcification (CAC) Volume Score is a calculation to quantify the calcification of coronary artery calcium without factoring in the calcium density as measured by the CAC Agatston Score. The CAC volume score observed in the thoracic aorta was used for this analysis. The CAC volume Score was log-transformed and the primary outcome measure was the change in Log CAC Volume Score from Baseline to Week 52 for the combined dose groups and each dose group vs placebo. The secondary analysis used an ANCOVA model with the change in log volume score (log 52-week volume score - log baseline volume score) as the dependent variable and with a fixed effect term for the combined randomized treatment groups and log CAC volume score at baseline as a covariate. The least squares means for the treatment groups was estimated and back transformed. A smaller change from baseline to follow up is a better outcome.

Outcome measures

Outcome measures
Measure
SNF472 300 mg & 600 mg Combined
n=74 Participants
Dose (300 mg or 600 mg): 1 vial of physiological saline and 1 vial of active (10 mL SNF472 at 30 mg/mL) or 2 vials of active (10 mL SNF472 at 30 mg/mL) SNF472: Administered 3 times weekly by intravenous infusion through the dialysis machine in conjunction with the patient's dialysis sessions.
Matching Placebo
n=60 Participants
Placebo arm: 2 vials of physiological saline Placebo: Administered 3 times weekly by intravenous infusion through the dialysis machine in conjunction with the patient's dialysis sessions.
Matching Placebo
n=134 Participants
Placebo arm: 2 vials of physiological saline Placebo: Administered 3 times weekly by intravenous infusion through the dialysis machine in conjunction with the patient's dialysis sessions.
Matching Placebo
n=75 Participants
Placebo arm: 2 vials of physiological saline Placebo: Administered 3 times weekly by intravenous infusion through the dialysis machine in conjunction with the patient's dialysis sessions.
Change in Log Thoracic Aorta Calcification Volume Score Between Baseline and Week 52 for Each Dose Group (300 mg and 600 mg) vs Placebo and the Combined Dose Groups vs Placebo
1.25 ratio
Interval 1.156 to 1.346
1.21 ratio
Interval 1.113 to 1.318
1.23 ratio
Interval 1.161 to 1.302
1.28 ratio
Interval 1.187 to 1.381

SECONDARY outcome

Timeframe: Baseline (Week 1, Day 1) and Week 52

Population: Modified intent-to-treat (mITT) population, last observation carried forward (LOCF)

Coronary Artery Calcification (CAC) Agatston Score is a semi-automated tool to calculate a score that reflects the extent of coronary artery calcification as detected by an unenhanced CT scan. Scores range from 0 to \>1000 Agatston units where higher scores indicate an increased amount of calcification and an increased risk for a major adverse cardiac event. This secondary outcome measure was the change in CAC Agatston Score in the thoracic aorta from Baseline to Week 52 for each dose group and the treated arms combined vs placebo. The analysis used an ANCOVA model with the change in log score (log 52-week score - log baseline score) as the dependent variable and with a fixed effect term for each randomized treatment groups and log CAC score at baseline as a covariate. The least squares means for each of the treatment groups separately and combined was estimated and back transformed. A smaller change from baseline to follow up is a better outcome.

Outcome measures

Outcome measures
Measure
SNF472 300 mg & 600 mg Combined
n=74 Participants
Dose (300 mg or 600 mg): 1 vial of physiological saline and 1 vial of active (10 mL SNF472 at 30 mg/mL) or 2 vials of active (10 mL SNF472 at 30 mg/mL) SNF472: Administered 3 times weekly by intravenous infusion through the dialysis machine in conjunction with the patient's dialysis sessions.
Matching Placebo
n=60 Participants
Placebo arm: 2 vials of physiological saline Placebo: Administered 3 times weekly by intravenous infusion through the dialysis machine in conjunction with the patient's dialysis sessions.
Matching Placebo
n=134 Participants
Placebo arm: 2 vials of physiological saline Placebo: Administered 3 times weekly by intravenous infusion through the dialysis machine in conjunction with the patient's dialysis sessions.
Matching Placebo
n=75 Participants
Placebo arm: 2 vials of physiological saline Placebo: Administered 3 times weekly by intravenous infusion through the dialysis machine in conjunction with the patient's dialysis sessions.
Change in Log Thoracic Aorta Calcification Agatston Score Between Baseline and Week 52 for Each Dose Group (300 mg and 600 mg) vs Placebo and the Combined Dose Groups vs Placebo
1.30 ratio
Interval 1.186 to 1.432
1.28 ratio
Interval 1.149 to 1.416
1.29 ratio
Interval 1.201 to 1.384
1.32 ratio
Interval 1.205 to 1.452

SECONDARY outcome

Timeframe: Baseline (Week 1, Day 1) and Week 52

Coronary Artery Calcification (CAC) Volume Score is a calculation to quantify the calcification of coronary artery calcium without factoring in the calcium density as measured by the CAC Agatston Score. The CAC volume score observed in the aortic valve was used for this analysis. The CAC volume Score was log-transformed and the primary outcome measure was the change in Log CAC Volume Score from Baseline to Week 52 for the combined dose groups and each dose group vs placebo. The secondary analysis used an ANCOVA model with the change in log volume score (log 52-week volume score - log baseline volume score) as the dependent variable and with a fixed effect term for the combined randomized treatment groups and log CAC volume score at baseline as a covariate. The least squares means for the treatment groups was estimated and back transformed. A smaller change from baseline to follow up is a better outcome.

Outcome measures

Outcome measures
Measure
SNF472 300 mg & 600 mg Combined
n=75 Participants
Dose (300 mg or 600 mg): 1 vial of physiological saline and 1 vial of active (10 mL SNF472 at 30 mg/mL) or 2 vials of active (10 mL SNF472 at 30 mg/mL) SNF472: Administered 3 times weekly by intravenous infusion through the dialysis machine in conjunction with the patient's dialysis sessions.
Matching Placebo
n=63 Participants
Placebo arm: 2 vials of physiological saline Placebo: Administered 3 times weekly by intravenous infusion through the dialysis machine in conjunction with the patient's dialysis sessions.
Matching Placebo
n=138 Participants
Placebo arm: 2 vials of physiological saline Placebo: Administered 3 times weekly by intravenous infusion through the dialysis machine in conjunction with the patient's dialysis sessions.
Matching Placebo
n=69 Participants
Placebo arm: 2 vials of physiological saline Placebo: Administered 3 times weekly by intravenous infusion through the dialysis machine in conjunction with the patient's dialysis sessions.
Change in Log Aortic Valve Calcification Volume Score Between Baseline and Week 52 for Each Dose Group (300 mg and 600 mg) vs Placebo and the Combined Dose Groups vs Placebo
1.28 ratio
Interval 1.143 to 1.426
1.01 ratio
Interval 0.899 to 1.144
1.14 ratio
Interval 1.048 to 1.235
1.98 ratio
Interval 1.768 to 2.226

SECONDARY outcome

Timeframe: Baseline (Week 1, Day 1) and Week 52

Population: Modified intent-to-treat (mITT) population, last observation carried forward (LOCF)

Coronary Artery Calcification (CAC) Agatston Score is a semi-automated tool to calculate a score the reflects the extent of coronary artery calcification as detected by an unenhanced CT scan. Scores range from 0 to \>1000 Agatston units where higher scores indicate an increased amount of calcification and an increased risk for a major adverse cardiac event. This secondary outcome measure was the change in Log CAC Agatston Score or the aortic valve from Baseline to Week 52 for each dose group and the treated arms combined vs placebo. The analysis used an ANCOVA model with the change in log score (log 52-week score - log baseline score) as the dependent variable and with a fixed effect term for each randomized treatment groups and log CAC score at baseline as a covariate. The least squares means for each of the treatment groups separately and combined was estimated and back transformed. A smaller change from baseline to follow up is a better outcome.

Outcome measures

Outcome measures
Measure
SNF472 300 mg & 600 mg Combined
n=75 Participants
Dose (300 mg or 600 mg): 1 vial of physiological saline and 1 vial of active (10 mL SNF472 at 30 mg/mL) or 2 vials of active (10 mL SNF472 at 30 mg/mL) SNF472: Administered 3 times weekly by intravenous infusion through the dialysis machine in conjunction with the patient's dialysis sessions.
Matching Placebo
n=63 Participants
Placebo arm: 2 vials of physiological saline Placebo: Administered 3 times weekly by intravenous infusion through the dialysis machine in conjunction with the patient's dialysis sessions.
Matching Placebo
n=138 Participants
Placebo arm: 2 vials of physiological saline Placebo: Administered 3 times weekly by intravenous infusion through the dialysis machine in conjunction with the patient's dialysis sessions.
Matching Placebo
n=69 Participants
Placebo arm: 2 vials of physiological saline Placebo: Administered 3 times weekly by intravenous infusion through the dialysis machine in conjunction with the patient's dialysis sessions.
Change in Log Aortic Valve Calcification Agatston Score Between Baseline and Week 52 for Each Dose Group (300 mg and 600 mg) vs Placebo and the Combined Dose Groups vs Placebo
1.33 ratio
Interval 1.141 to 1.541
0.98 ratio
Interval 0.836 to 1.16
1.14 ratio
Interval 1.022 to 1.277
2.86 ratio
Interval 2.449 to 3.349

SECONDARY outcome

Timeframe: Baseline (Week 1, Day 1) and Week 52

Population: Safety Population

The number of subjects meeting this composite safety endpoint were counted and expressed by the randomized arm as a % of patients for the safety population.terms resulting in death from cardiovascular causes, myocardial infarction, stroke, or heart failure for each dose group and placebo were summarized .

Outcome measures

Outcome measures
Measure
SNF472 300 mg & 600 mg Combined
n=92 Participants
Dose (300 mg or 600 mg): 1 vial of physiological saline and 1 vial of active (10 mL SNF472 at 30 mg/mL) or 2 vials of active (10 mL SNF472 at 30 mg/mL) SNF472: Administered 3 times weekly by intravenous infusion through the dialysis machine in conjunction with the patient's dialysis sessions.
Matching Placebo
n=91 Participants
Placebo arm: 2 vials of physiological saline Placebo: Administered 3 times weekly by intravenous infusion through the dialysis machine in conjunction with the patient's dialysis sessions.
Matching Placebo
n=183 Participants
Placebo arm: 2 vials of physiological saline Placebo: Administered 3 times weekly by intravenous infusion through the dialysis machine in conjunction with the patient's dialysis sessions.
Matching Placebo
n=90 Participants
Placebo arm: 2 vials of physiological saline Placebo: Administered 3 times weekly by intravenous infusion through the dialysis machine in conjunction with the patient's dialysis sessions.
Number of Participants With the Composite Safety Endpoint (Cardiovascular Death, Nonfatal Myocardial Infarction, Non-fatal Stroke, Heart Failure or Non-fatal Cardiac Arrest.
7 Participants
6 Participants
13 Participants
10 Participants

SECONDARY outcome

Timeframe: Baseline (Week 1, Day 1) and Week 52

Population: Safety Population

The number of deaths were counted and expressed by the randomized arm as a % of patients for the safety population.

Outcome measures

Outcome measures
Measure
SNF472 300 mg & 600 mg Combined
n=92 Participants
Dose (300 mg or 600 mg): 1 vial of physiological saline and 1 vial of active (10 mL SNF472 at 30 mg/mL) or 2 vials of active (10 mL SNF472 at 30 mg/mL) SNF472: Administered 3 times weekly by intravenous infusion through the dialysis machine in conjunction with the patient's dialysis sessions.
Matching Placebo
n=91 Participants
Placebo arm: 2 vials of physiological saline Placebo: Administered 3 times weekly by intravenous infusion through the dialysis machine in conjunction with the patient's dialysis sessions.
Matching Placebo
n=183 Participants
Placebo arm: 2 vials of physiological saline Placebo: Administered 3 times weekly by intravenous infusion through the dialysis machine in conjunction with the patient's dialysis sessions.
Matching Placebo
n=90 Participants
Placebo arm: 2 vials of physiological saline Placebo: Administered 3 times weekly by intravenous infusion through the dialysis machine in conjunction with the patient's dialysis sessions.
Mortality Rate (All-cause) for Each Dose Group and Placebo
1 Participants
6 Participants
7 Participants
5 Participants

Adverse Events

SNF472 300 mg

Serious events: 38 serious events
Other events: 62 other events
Deaths: 1 deaths

SNF 472 600 mg

Serious events: 55 serious events
Other events: 64 other events
Deaths: 6 deaths

Matching Placebo

Serious events: 49 serious events
Other events: 67 other events
Deaths: 5 deaths

Serious adverse events

Serious adverse events
Measure
SNF472 300 mg
n=92 participants at risk
Dose 1 arm (300 mg): 1 vial of physiological saline and 1 vial of active (10 mL SNF472 at 30 mg/mL) SNF472: Administered 3 times weekly by intravenous infusion through the dialysis machine in conjunction with the patient's dialysis sessions.
SNF 472 600 mg
n=91 participants at risk
Dose 2 arm (600 mg): 2 vials of active (10 mL SNF472 at 30 mg/mL) SNF472: Administered 3 times weekly by intravenous infusion through the dialysis machine in conjunction with the patient's dialysis sessions.
Matching Placebo
n=90 participants at risk
Placebo arm: 2 vials of physiological saline Placebo: Administered 3 times weekly by intravenous infusion through the dialysis machine in conjunction with the patient's dialysis sessions.
Respiratory, thoracic and mediastinal disorders
Pneumonitis
0.00%
0/92 • Collected over one year
0.00%
0/91 • Collected over one year
1.1%
1/90 • Number of events 1 • Collected over one year
Respiratory, thoracic and mediastinal disorders
Pulmonary embolism
0.00%
0/92 • Collected over one year
1.1%
1/91 • Number of events 1 • Collected over one year
0.00%
0/90 • Collected over one year
Respiratory, thoracic and mediastinal disorders
Pulmonary oedema
0.00%
0/92 • Collected over one year
1.1%
1/91 • Number of events 1 • Collected over one year
0.00%
0/90 • Collected over one year
General disorders
Chest pain
1.1%
1/92 • Number of events 1 • Collected over one year
0.00%
0/91 • Collected over one year
3.3%
3/90 • Number of events 3 • Collected over one year
General disorders
Pyrexia
0.00%
0/92 • Collected over one year
3.3%
3/91 • Number of events 3 • Collected over one year
0.00%
0/90 • Collected over one year
General disorders
Multiple organ dysfunction syndrome
0.00%
0/92 • Collected over one year
1.1%
1/91 • Number of events 1 • Collected over one year
1.1%
1/90 • Number of events 1 • Collected over one year
General disorders
Asthenia
0.00%
0/92 • Collected over one year
1.1%
1/91 • Number of events 1 • Collected over one year
0.00%
0/90 • Collected over one year
General disorders
Non-cardiac chest pain
1.1%
1/92 • Number of events 1 • Collected over one year
0.00%
0/91 • Collected over one year
0.00%
0/90 • Collected over one year
General disorders
Systemic inflammatory response syndrome
1.1%
1/92 • Number of events 1 • Collected over one year
0.00%
0/91 • Collected over one year
0.00%
0/90 • Collected over one year
Hepatobiliary disorders
Acute hepatic failure
1.1%
1/92 • Number of events 1 • Collected over one year
1.1%
1/91 • Number of events 1 • Collected over one year
0.00%
0/90 • Collected over one year
Hepatobiliary disorders
Cholecystitis acute
1.1%
1/92 • Number of events 1 • Collected over one year
0.00%
0/91 • Collected over one year
1.1%
1/90 • Number of events 1 • Collected over one year
Hepatobiliary disorders
Cholecystitis
0.00%
0/92 • Collected over one year
1.1%
1/91 • Number of events 1 • Collected over one year
0.00%
0/90 • Collected over one year
Hepatobiliary disorders
Cholelithiasis
0.00%
0/92 • Collected over one year
0.00%
0/91 • Collected over one year
1.1%
1/90 • Number of events 1 • Collected over one year
Hepatobiliary disorders
Drug-induced liver injury
1.1%
1/92 • Number of events 1 • Collected over one year
0.00%
0/91 • Collected over one year
0.00%
0/90 • Collected over one year
Hepatobiliary disorders
Hepatic ischaemia
1.1%
1/92 • Number of events 1 • Collected over one year
0.00%
0/91 • Collected over one year
0.00%
0/90 • Collected over one year
Hepatobiliary disorders
Hepatitis acute
0.00%
0/92 • Collected over one year
1.1%
1/91 • Number of events 1 • Collected over one year
0.00%
0/90 • Collected over one year
Blood and lymphatic system disorders
Anaemia
1.1%
1/92 • Number of events 1 • Collected over one year
0.00%
0/91 • Collected over one year
2.2%
2/90 • Number of events 2 • Collected over one year
Blood and lymphatic system disorders
Agranulocytosis
0.00%
0/92 • Collected over one year
1.1%
1/91 • Number of events 1 • Collected over one year
0.00%
0/90 • Collected over one year
Blood and lymphatic system disorders
Anaemia of chronic disease
0.00%
0/92 • Collected over one year
1.1%
1/91 • Number of events 1 • Collected over one year
0.00%
0/90 • Collected over one year
Blood and lymphatic system disorders
Coagulopathy
0.00%
0/92 • Collected over one year
0.00%
0/91 • Collected over one year
1.1%
1/90 • Number of events 1 • Collected over one year
Blood and lymphatic system disorders
Haemorrhagic anaemia
0.00%
0/92 • Collected over one year
1.1%
1/91 • Number of events 1 • Collected over one year
0.00%
0/90 • Collected over one year
Blood and lymphatic system disorders
Nephrogenic anaemia
1.1%
1/92 • Number of events 1 • Collected over one year
0.00%
0/91 • Collected over one year
0.00%
0/90 • Collected over one year
Investigations
Blood lactic acid increased
0.00%
0/92 • Collected over one year
0.00%
0/91 • Collected over one year
1.1%
1/90 • Number of events 1 • Collected over one year
Investigations
Cardiac stress test abnormal
0.00%
0/92 • Collected over one year
0.00%
0/91 • Collected over one year
1.1%
1/90 • Number of events 1 • Collected over one year
Investigations
Influenza a virus test positive
0.00%
0/92 • Collected over one year
1.1%
1/91 • Number of events 1 • Collected over one year
0.00%
0/90 • Collected over one year
Investigations
International normalised ratio increased
1.1%
1/92 • Number of events 1 • Collected over one year
0.00%
0/91 • Collected over one year
0.00%
0/90 • Collected over one year
Investigations
Myocardial necrosis marker increased
0.00%
0/92 • Collected over one year
0.00%
0/91 • Collected over one year
1.1%
1/90 • Number of events 1 • Collected over one year
Investigations
Stress echocardiogram abnormal
0.00%
0/92 • Collected over one year
1.1%
1/91 • Number of events 1 • Collected over one year
0.00%
0/90 • Collected over one year
Investigations
Troponin increased
1.1%
1/92 • Number of events 1 • Collected over one year
0.00%
0/91 • Collected over one year
0.00%
0/90 • Collected over one year
Musculoskeletal and connective tissue disorders
Pain in extremity
0.00%
0/92 • Collected over one year
1.1%
1/91 • Number of events 1 • Collected over one year
1.1%
1/90 • Number of events 1 • Collected over one year
Musculoskeletal and connective tissue disorders
Arthralgia
1.1%
1/92 • Number of events 1 • Collected over one year
0.00%
0/91 • Collected over one year
0.00%
0/90 • Collected over one year
Musculoskeletal and connective tissue disorders
Musculoskeletal pain
0.00%
0/92 • Collected over one year
1.1%
1/91 • Number of events 1 • Collected over one year
0.00%
0/90 • Collected over one year
Eye disorders
Retinal detachment
0.00%
0/92 • Collected over one year
1.1%
1/91 • Number of events 1 • Collected over one year
0.00%
0/90 • Collected over one year
Eye disorders
Vitreous haemorrhage
0.00%
0/92 • Collected over one year
0.00%
0/91 • Collected over one year
1.1%
1/90 • Number of events 1 • Collected over one year
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Colon cancer
1.1%
1/92 • Number of events 1 • Collected over one year
0.00%
0/91 • Collected over one year
0.00%
0/90 • Collected over one year
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Large intestine benign neoplasm
0.00%
0/92 • Collected over one year
0.00%
0/91 • Collected over one year
1.1%
1/90 • Number of events 1 • Collected over one year
Renal and urinary disorders
Renal mass
0.00%
0/92 • Collected over one year
0.00%
0/91 • Collected over one year
1.1%
1/90 • Number of events 1 • Collected over one year
Renal and urinary disorders
Urinary retention
1.1%
1/92 • Number of events 1 • Collected over one year
0.00%
0/91 • Collected over one year
0.00%
0/90 • Collected over one year
Psychiatric disorders
Mental status changes
0.00%
0/92 • Collected over one year
1.1%
1/91 • Number of events 1 • Collected over one year
0.00%
0/90 • Collected over one year
Infections and infestations
Clostridium difficile infection
0.00%
0/92 • Collected over one year
0.00%
0/91 • Collected over one year
1.1%
1/90 • Number of events 1 • Collected over one year
Surgical and medical procedures
Lymphadenectomy
0.00%
0/92 • Collected over one year
0.00%
0/91 • Collected over one year
1.1%
1/90 • Number of events 1 • Collected over one year
Surgical and medical procedures
Toe amputation
0.00%
0/92 • Collected over one year
0.00%
0/91 • Collected over one year
1.1%
1/90 • Number of events 1 • Collected over one year
Infections and infestations
Pneumonia
4.3%
4/92 • Number of events 4 • Collected over one year
3.3%
3/91 • Number of events 3 • Collected over one year
7.8%
7/90 • Number of events 7 • Collected over one year
Infections and infestations
Sepsis
2.2%
2/92 • Number of events 2 • Collected over one year
2.2%
2/91 • Number of events 2 • Collected over one year
1.1%
1/90 • Number of events 1 • Collected over one year
Infections and infestations
Cellulitis
2.2%
2/92 • Number of events 2 • Collected over one year
1.1%
1/91 • Number of events 1 • Collected over one year
1.1%
1/90 • Number of events 1 • Collected over one year
Infections and infestations
Septic shock
1.1%
1/92 • Number of events 1 • Collected over one year
1.1%
1/91 • Number of events 1 • Collected over one year
1.1%
1/90 • Number of events 1 • Collected over one year
Infections and infestations
Staphylococcal bacteraemia
2.2%
2/92 • Number of events 2 • Collected over one year
1.1%
1/91 • Number of events 1 • Collected over one year
0.00%
0/90 • Collected over one year
Infections and infestations
Arteriovenous graft site infection
1.1%
1/92 • Number of events 1 • Collected over one year
1.1%
1/91 • Number of events 1 • Collected over one year
0.00%
0/90 • Collected over one year
Infections and infestations
Bronchitis
0.00%
0/92 • Collected over one year
1.1%
1/91 • Number of events 1 • Collected over one year
1.1%
1/90 • Number of events 1 • Collected over one year
Infections and infestations
Device related infection
0.00%
0/92 • Collected over one year
2.2%
2/91 • Number of events 2 • Collected over one year
0.00%
0/90 • Collected over one year
Infections and infestations
Endocarditis
1.1%
1/92 • Number of events 1 • Collected over one year
1.1%
1/91 • Number of events 1 • Collected over one year
0.00%
0/90 • Collected over one year
Infections and infestations
Gangrene
1.1%
1/92 • Number of events 1 • Collected over one year
1.1%
1/91 • Number of events 1 • Collected over one year
0.00%
0/90 • Collected over one year
Infections and infestations
Respiratory tract infection
0.00%
0/92 • Collected over one year
2.2%
2/91 • Number of events 2 • Collected over one year
0.00%
0/90 • Collected over one year
Infections and infestations
Urinary tract infection
1.1%
1/92 • Number of events 1 • Collected over one year
1.1%
1/91 • Number of events 1 • Collected over one year
0.00%
0/90 • Collected over one year
Infections and infestations
Arteriovenous graft site abscess
1.1%
1/92 • Number of events 1 • Collected over one year
0.00%
0/91 • Collected over one year
0.00%
0/90 • Collected over one year
Infections and infestations
Arthritis infective
0.00%
0/92 • Collected over one year
1.1%
1/91 • Number of events 1 • Collected over one year
0.00%
0/90 • Collected over one year
Infections and infestations
Bacteraemia
1.1%
1/92 • Number of events 1 • Collected over one year
0.00%
0/91 • Collected over one year
0.00%
0/90 • Collected over one year
Infections and infestations
Clostridium difficile colitis
0.00%
0/92 • Collected over one year
0.00%
0/91 • Collected over one year
1.1%
1/90 • Number of events 1 • Collected over one year
Infections and infestations
Diabetic foot infection
0.00%
0/92 • Collected over one year
0.00%
0/91 • Collected over one year
1.1%
1/90 • Number of events 1 • Collected over one year
Infections and infestations
Diverticulitis
0.00%
0/92 • Collected over one year
0.00%
0/91 • Collected over one year
1.1%
1/90 • Number of events 1 • Collected over one year
Infections and infestations
Emphysematous cystitis
1.1%
1/92 • Number of events 1 • Collected over one year
0.00%
0/91 • Collected over one year
0.00%
0/90 • Collected over one year
Infections and infestations
Enterocolitis viral
1.1%
1/92 • Number of events 1 • Collected over one year
0.00%
0/91 • Collected over one year
0.00%
0/90 • Collected over one year
Infections and infestations
Gastroenteritis
1.1%
1/92 • Number of events 1 • Collected over one year
0.00%
0/91 • Collected over one year
0.00%
0/90 • Collected over one year
Infections and infestations
Gastroenteritis bacterial
0.00%
0/92 • Collected over one year
1.1%
1/91 • Number of events 1 • Collected over one year
0.00%
0/90 • Collected over one year
Infections and infestations
Herpes zoster
1.1%
1/92 • Number of events 1 • Collected over one year
0.00%
0/91 • Collected over one year
0.00%
0/90 • Collected over one year
Infections and infestations
Influenza
0.00%
0/92 • Collected over one year
0.00%
0/91 • Collected over one year
1.1%
1/90 • Number of events 1 • Collected over one year
Infections and infestations
Localised infection
0.00%
0/92 • Collected over one year
0.00%
0/91 • Collected over one year
1.1%
1/90 • Number of events 1 • Collected over one year
Infections and infestations
Osteomyelitis bacterial
1.1%
1/92 • Number of events 1 • Collected over one year
0.00%
0/91 • Collected over one year
0.00%
0/90 • Collected over one year
Infections and infestations
Pseudomonas infection
0.00%
0/92 • Collected over one year
1.1%
1/91 • Number of events 1 • Collected over one year
0.00%
0/90 • Collected over one year
Infections and infestations
Urosepsis
0.00%
0/92 • Collected over one year
1.1%
1/91 • Number of events 1 • Collected over one year
0.00%
0/90 • Collected over one year
Infections and infestations
Vascular access site infection
0.00%
0/92 • Collected over one year
1.1%
1/91 • Number of events 1 • Collected over one year
0.00%
0/90 • Collected over one year
Infections and infestations
Wound infection
0.00%
0/92 • Collected over one year
0.00%
0/91 • Collected over one year
1.1%
1/90 • Number of events 1 • Collected over one year
Infections and infestations
Wound infection pseudomonas
0.00%
0/92 • Collected over one year
0.00%
0/91 • Collected over one year
1.1%
1/90 • Number of events 1 • Collected over one year
Surgical and medical procedures
Renal Transplant
6.5%
6/92 • Number of events 6 • Collected over one year
15.4%
14/91 • Number of events 14 • Collected over one year
12.2%
11/90 • Number of events 11 • Collected over one year
Injury, poisoning and procedural complications
Arteriovenous fistula site complication
1.1%
1/92 • Number of events 1 • Collected over one year
3.3%
3/91 • Number of events 3 • Collected over one year
1.1%
1/90 • Number of events 1 • Collected over one year
Injury, poisoning and procedural complications
Arteriovenous fistula thrombosis
2.2%
2/92 • Number of events 2 • Collected over one year
0.00%
0/91 • Collected over one year
2.2%
2/90 • Number of events 2 • Collected over one year
Injury, poisoning and procedural complications
Hip fracture
0.00%
0/92 • Collected over one year
2.2%
2/91 • Number of events 2 • Collected over one year
2.2%
2/90 • Number of events 2 • Collected over one year
Injury, poisoning and procedural complications
Vascular graft complication
1.1%
1/92 • Number of events 1 • Collected over one year
0.00%
0/91 • Collected over one year
2.2%
2/90 • Number of events 2 • Collected over one year
Injury, poisoning and procedural complications
Ankle fracture
1.1%
1/92 • Number of events 1 • Collected over one year
0.00%
0/91 • Collected over one year
0.00%
0/90 • Collected over one year
Injury, poisoning and procedural complications
Arterial injury
1.1%
1/92 • Number of events 1 • Collected over one year
0.00%
0/91 • Collected over one year
0.00%
0/90 • Collected over one year
Injury, poisoning and procedural complications
Arteriovenous fistula site haematoma
0.00%
0/92 • Collected over one year
1.1%
1/91 • Number of events 1 • Collected over one year
0.00%
0/90 • Collected over one year
Injury, poisoning and procedural complications
Arteriovenous fistula site haemorrhage
0.00%
0/92 • Collected over one year
1.1%
1/91 • Number of events 1 • Collected over one year
0.00%
0/90 • Collected over one year
Injury, poisoning and procedural complications
Arteriovenous graft aneurysm
1.1%
1/92 • Number of events 1 • Collected over one year
0.00%
0/91 • Collected over one year
0.00%
0/90 • Collected over one year
Injury, poisoning and procedural complications
Arteriovenous graft thrombosis
0.00%
0/92 • Collected over one year
1.1%
1/91 • Number of events 1 • Collected over one year
0.00%
0/90 • Collected over one year
Injury, poisoning and procedural complications
Fall
1.1%
1/92 • Number of events 1 • Collected over one year
0.00%
0/91 • Collected over one year
0.00%
0/90 • Collected over one year
Injury, poisoning and procedural complications
Femoral neck fracture
1.1%
1/92 • Number of events 1 • Collected over one year
0.00%
0/91 • Collected over one year
0.00%
0/90 • Collected over one year
Injury, poisoning and procedural complications
Fractured sacrum
0.00%
0/92 • Collected over one year
1.1%
1/91 • Number of events 1 • Collected over one year
0.00%
0/90 • Collected over one year
Injury, poisoning and procedural complications
Limb injury
0.00%
0/92 • Collected over one year
1.1%
1/91 • Number of events 1 • Collected over one year
0.00%
0/90 • Collected over one year
Injury, poisoning and procedural complications
Lower limb fracture
1.1%
1/92 • Number of events 1 • Collected over one year
0.00%
0/91 • Collected over one year
0.00%
0/90 • Collected over one year
Injury, poisoning and procedural complications
Post procedural complication
0.00%
0/92 • Collected over one year
0.00%
0/91 • Collected over one year
1.1%
1/90 • Number of events 1 • Collected over one year
Injury, poisoning and procedural complications
Post procedural haemorrhage
0.00%
0/92 • Collected over one year
1.1%
1/91 • Number of events 1 • Collected over one year
0.00%
0/90 • Collected over one year
Injury, poisoning and procedural complications
Procedural hypotension
0.00%
0/92 • Collected over one year
0.00%
0/91 • Collected over one year
1.1%
1/90 • Number of events 1 • Collected over one year
Injury, poisoning and procedural complications
Tendon rupture
0.00%
0/92 • Collected over one year
1.1%
1/91 • Number of events 1 • Collected over one year
0.00%
0/90 • Collected over one year
Injury, poisoning and procedural complications
Toxicity to various agents
0.00%
0/92 • Collected over one year
1.1%
1/91 • Number of events 1 • Collected over one year
0.00%
0/90 • Collected over one year
Injury, poisoning and procedural complications
Upper limb fracture
0.00%
0/92 • Collected over one year
1.1%
1/91 • Number of events 1 • Collected over one year
0.00%
0/90 • Collected over one year
Cardiac disorders
Atrial fibrillation
3.3%
3/92 • Number of events 3 • Collected over one year
3.3%
3/91 • Number of events 3 • Collected over one year
2.2%
2/90 • Number of events 2 • Collected over one year
Cardiac disorders
Acute myocardial infarction
1.1%
1/92 • Number of events 1 • Collected over one year
1.1%
1/91 • Number of events 1 • Collected over one year
4.4%
4/90 • Number of events 4 • Collected over one year
Cardiac disorders
Cardiac arrest
1.1%
1/92 • Number of events 1 • Collected over one year
3.3%
3/91 • Number of events 3 • Collected over one year
0.00%
0/90 • Collected over one year
Cardiac disorders
Atrial flutter
0.00%
0/92 • Collected over one year
3.3%
3/91 • Number of events 3 • Collected over one year
0.00%
0/90 • Collected over one year
Cardiac disorders
Arteriosclerosis coronary artery
1.1%
1/92 • Number of events 1 • Collected over one year
1.1%
1/91 • Number of events 1 • Collected over one year
0.00%
0/90 • Collected over one year
Cardiac disorders
Cardiac failure
0.00%
0/92 • Collected over one year
0.00%
0/91 • Collected over one year
2.2%
2/90 • Number of events 2 • Collected over one year
Cardiac disorders
Coronary artery disease
1.1%
1/92 • Number of events 1 • Collected over one year
0.00%
0/91 • Collected over one year
1.1%
1/90 • Number of events 1 • Collected over one year
Cardiac disorders
Angina unstable
0.00%
0/92 • Collected over one year
1.1%
1/91 • Number of events 1 • Collected over one year
0.00%
0/90 • Collected over one year
Cardiac disorders
Aortic valve stenosis
0.00%
0/92 • Collected over one year
0.00%
0/91 • Collected over one year
1.1%
1/90 • Number of events 1 • Collected over one year
Cardiac disorders
Atrioventricular block complete
0.00%
0/92 • Collected over one year
1.1%
1/91 • Number of events 1 • Collected over one year
0.00%
0/90 • Collected over one year
Cardiac disorders
Cardiac failure congestive
0.00%
0/92 • Collected over one year
0.00%
0/91 • Collected over one year
1.1%
1/90 • Number of events 1 • Collected over one year
Cardiac disorders
Cardiogenic shock
1.1%
1/92 • Number of events 1 • Collected over one year
0.00%
0/91 • Collected over one year
0.00%
0/90 • Collected over one year
Cardiac disorders
Coronary artery stenosis
0.00%
0/92 • Collected over one year
0.00%
0/91 • Collected over one year
1.1%
1/90 • Number of events 1 • Collected over one year
Cardiac disorders
Hypertensive heart disease
0.00%
0/92 • Collected over one year
1.1%
1/91 • Number of events 1 • Collected over one year
0.00%
0/90 • Collected over one year
Cardiac disorders
Left ventricular failure
1.1%
1/92 • Number of events 1 • Collected over one year
0.00%
0/91 • Collected over one year
0.00%
0/90 • Collected over one year
Cardiac disorders
Mitral valve incompetence
0.00%
0/92 • Collected over one year
1.1%
1/91 • Number of events 1 • Collected over one year
0.00%
0/90 • Collected over one year
Cardiac disorders
Myocardial infarction
0.00%
0/92 • Collected over one year
1.1%
1/91 • Number of events 1 • Collected over one year
0.00%
0/90 • Collected over one year
Cardiac disorders
Sinus node dysfunction
0.00%
0/92 • Collected over one year
1.1%
1/91 • Number of events 1 • Collected over one year
0.00%
0/90 • Collected over one year
Gastrointestinal disorders
Gastrointestinal haemorrhage
0.00%
0/92 • Collected over one year
4.4%
4/91 • Number of events 4 • Collected over one year
0.00%
0/90 • Collected over one year
Gastrointestinal disorders
Pancreatitis acute
1.1%
1/92 • Number of events 1 • Collected over one year
1.1%
1/91 • Number of events 1 • Collected over one year
1.1%
1/90 • Number of events 1 • Collected over one year
Gastrointestinal disorders
Abdominal pain
0.00%
0/92 • Collected over one year
0.00%
0/91 • Collected over one year
2.2%
2/90 • Number of events 2 • Collected over one year
Gastrointestinal disorders
Colitis ischaemic
1.1%
1/92 • Number of events 1 • Collected over one year
1.1%
1/91 • Number of events 1 • Collected over one year
0.00%
0/90 • Collected over one year
Gastrointestinal disorders
Upper gastrointestinal haemorrhage
1.1%
1/92 • Number of events 1 • Collected over one year
0.00%
0/91 • Collected over one year
1.1%
1/90 • Number of events 1 • Collected over one year
Gastrointestinal disorders
Abdominal hernia
1.1%
1/92 • Number of events 1 • Collected over one year
0.00%
0/91 • Collected over one year
0.00%
0/90 • Collected over one year
Gastrointestinal disorders
Abdominal mass
1.1%
1/92 • Number of events 1 • Collected over one year
0.00%
0/91 • Collected over one year
0.00%
0/90 • Collected over one year
Gastrointestinal disorders
Ascites
0.00%
0/92 • Collected over one year
0.00%
0/91 • Collected over one year
1.1%
1/90 • Number of events 1 • Collected over one year
Gastrointestinal disorders
Diabetic gastroparesis
0.00%
0/92 • Collected over one year
0.00%
0/91 • Collected over one year
1.1%
1/90 • Number of events 1 • Collected over one year
Gastrointestinal disorders
Diarrhoea
0.00%
0/92 • Collected over one year
1.1%
1/91 • Number of events 1 • Collected over one year
0.00%
0/90 • Collected over one year
Gastrointestinal disorders
Gastrointestinal necrosis
0.00%
0/92 • Collected over one year
1.1%
1/91 • Number of events 1 • Collected over one year
0.00%
0/90 • Collected over one year
Gastrointestinal disorders
Gastrointestinal ulcer haemorrhage
1.1%
1/92 • Number of events 1 • Collected over one year
0.00%
0/91 • Collected over one year
0.00%
0/90 • Collected over one year
Gastrointestinal disorders
Haemorrhoidal haemorrhage
0.00%
0/92 • Collected over one year
1.1%
1/91 • Number of events 1 • Collected over one year
0.00%
0/90 • Collected over one year
Gastrointestinal disorders
Impaired gastric emptying
0.00%
0/92 • Collected over one year
0.00%
0/91 • Collected over one year
1.1%
1/90 • Number of events 1 • Collected over one year
Gastrointestinal disorders
Inguinal hernia
0.00%
0/92 • Collected over one year
1.1%
1/91 • Number of events 1 • Collected over one year
0.00%
0/90 • Collected over one year
Gastrointestinal disorders
Lower gastrointestinal haemorrhage
0.00%
0/92 • Collected over one year
1.1%
1/91 • Number of events 1 • Collected over one year
0.00%
0/90 • Collected over one year
Gastrointestinal disorders
Rectal haemorrhage
0.00%
0/92 • Collected over one year
0.00%
0/91 • Collected over one year
1.1%
1/90 • Number of events 1 • Collected over one year
Gastrointestinal disorders
Ulcerative gastritis
1.1%
1/92 • Number of events 1 • Collected over one year
0.00%
0/91 • Collected over one year
0.00%
0/90 • Collected over one year
Vascular disorders
Hypotension
3.3%
3/92 • Number of events 3 • Collected over one year
2.2%
2/91 • Number of events 2 • Collected over one year
1.1%
1/90 • Number of events 1 • Collected over one year
Vascular disorders
Hypertension
1.1%
1/92 • Number of events 1 • Collected over one year
1.1%
1/91 • Number of events 1 • Collected over one year
1.1%
1/90 • Number of events 1 • Collected over one year
Vascular disorders
Haematoma
0.00%
0/92 • Collected over one year
1.1%
1/91 • Number of events 1 • Collected over one year
1.1%
1/90 • Number of events 1 • Collected over one year
Vascular disorders
Hypertensive crisis
1.1%
1/92 • Number of events 1 • Collected over one year
0.00%
0/91 • Collected over one year
1.1%
1/90 • Number of events 1 • Collected over one year
Vascular disorders
Peripheral vascular disorder
0.00%
0/92 • Collected over one year
2.2%
2/91 • Number of events 2 • Collected over one year
0.00%
0/90 • Collected over one year
Vascular disorders
Aortic stenosis
0.00%
0/92 • Collected over one year
1.1%
1/91 • Number of events 1 • Collected over one year
0.00%
0/90 • Collected over one year
Vascular disorders
Deep vein thrombosis
0.00%
0/92 • Collected over one year
1.1%
1/91 • Number of events 1 • Collected over one year
0.00%
0/90 • Collected over one year
Vascular disorders
Foreign body embolism
1.1%
1/92 • Number of events 1 • Collected over one year
0.00%
0/91 • Collected over one year
0.00%
0/90 • Collected over one year
Vascular disorders
Peripheral ischaemia
0.00%
0/92 • Collected over one year
0.00%
0/91 • Collected over one year
1.1%
1/90 • Number of events 1 • Collected over one year
Metabolism and nutrition disorders
Fluid overload
1.1%
1/92 • Number of events 1 • Collected over one year
1.1%
1/91 • Number of events 1 • Collected over one year
3.3%
3/90 • Number of events 3 • Collected over one year
Metabolism and nutrition disorders
Hyperkalaemia
2.2%
2/92 • Number of events 2 • Collected over one year
1.1%
1/91 • Number of events 1 • Collected over one year
2.2%
2/90 • Number of events 2 • Collected over one year
Metabolism and nutrition disorders
Hyperglycaemia
0.00%
0/92 • Collected over one year
1.1%
1/91 • Number of events 1 • Collected over one year
1.1%
1/90 • Number of events 1 • Collected over one year
Metabolism and nutrition disorders
Hypoglycaemia
1.1%
1/92 • Number of events 1 • Collected over one year
1.1%
1/91 • Number of events 1 • Collected over one year
0.00%
0/90 • Collected over one year
Metabolism and nutrition disorders
Calciphylaxis
0.00%
0/92 • Collected over one year
0.00%
0/91 • Collected over one year
1.1%
1/90 • Number of events 1 • Collected over one year
Metabolism and nutrition disorders
Diabetes mellitus inadequate control
1.1%
1/92 • Number of events 1 • Collected over one year
0.00%
0/91 • Collected over one year
0.00%
0/90 • Collected over one year
Metabolism and nutrition disorders
Malnutrition
0.00%
0/92 • Collected over one year
1.1%
1/91 • Number of events 1 • Collected over one year
0.00%
0/90 • Collected over one year
Nervous system disorders
Metabolic encephalopathy
2.2%
2/92 • Number of events 2 • Collected over one year
1.1%
1/91 • Number of events 1 • Collected over one year
0.00%
0/90 • Collected over one year
Nervous system disorders
Transient ischaemic attack
1.1%
1/92 • Number of events 1 • Collected over one year
0.00%
0/91 • Collected over one year
2.2%
2/90 • Number of events 2 • Collected over one year
Nervous system disorders
Ischaemic stroke
1.1%
1/92 • Number of events 1 • Collected over one year
0.00%
0/91 • Collected over one year
1.1%
1/90 • Number of events 1 • Collected over one year
Nervous system disorders
Loss of consciousness
1.1%
1/92 • Number of events 1 • Collected over one year
0.00%
0/91 • Collected over one year
1.1%
1/90 • Number of events 1 • Collected over one year
Nervous system disorders
Cognitive disorder
1.1%
1/92 • Number of events 1 • Collected over one year
0.00%
0/91 • Collected over one year
0.00%
0/90 • Collected over one year
Nervous system disorders
Dizziness postural
0.00%
0/92 • Collected over one year
1.1%
1/91 • Number of events 1 • Collected over one year
0.00%
0/90 • Collected over one year
Nervous system disorders
Epilepsy
0.00%
0/92 • Collected over one year
1.1%
1/91 • Number of events 1 • Collected over one year
0.00%
0/90 • Collected over one year
Nervous system disorders
Myasthenia gravis
0.00%
0/92 • Collected over one year
1.1%
1/91 • Number of events 1 • Collected over one year
0.00%
0/90 • Collected over one year
Nervous system disorders
Seizure
0.00%
0/92 • Collected over one year
0.00%
0/91 • Collected over one year
1.1%
1/90 • Number of events 1 • Collected over one year
Nervous system disorders
Syncope
0.00%
0/92 • Collected over one year
0.00%
0/91 • Collected over one year
1.1%
1/90 • Number of events 1 • Collected over one year
Nervous system disorders
Uraemic encephalopathy
0.00%
0/92 • Collected over one year
1.1%
1/91 • Number of events 1 • Collected over one year
0.00%
0/90 • Collected over one year
Respiratory, thoracic and mediastinal disorders
Acute pulmonary oedema
1.1%
1/92 • Number of events 1 • Collected over one year
1.1%
1/91 • Number of events 1 • Collected over one year
0.00%
0/90 • Collected over one year
Respiratory, thoracic and mediastinal disorders
Acute respiratory failure
1.1%
1/92 • Number of events 1 • Collected over one year
1.1%
1/91 • Number of events 1 • Collected over one year
0.00%
0/90 • Collected over one year
Respiratory, thoracic and mediastinal disorders
Asthma
0.00%
0/92 • Collected over one year
1.1%
1/91 • Number of events 1 • Collected over one year
1.1%
1/90 • Number of events 1 • Collected over one year
Respiratory, thoracic and mediastinal disorders
Respiratory distress
1.1%
1/92 • Number of events 1 • Collected over one year
0.00%
0/91 • Collected over one year
1.1%
1/90 • Number of events 1 • Collected over one year
Respiratory, thoracic and mediastinal disorders
Respiratory failure
1.1%
1/92 • Number of events 1 • Collected over one year
1.1%
1/91 • Number of events 1 • Collected over one year
0.00%
0/90 • Collected over one year
Respiratory, thoracic and mediastinal disorders
Chronic obstructive pulmonary disease
1.1%
1/92 • Number of events 1 • Collected over one year
0.00%
0/91 • Collected over one year
0.00%
0/90 • Collected over one year
Respiratory, thoracic and mediastinal disorders
Dyspnoea
0.00%
0/92 • Collected over one year
0.00%
0/91 • Collected over one year
1.1%
1/90 • Number of events 1 • Collected over one year
Respiratory, thoracic and mediastinal disorders
Haemoptysis
1.1%
1/92 • Number of events 1 • Collected over one year
0.00%
0/91 • Collected over one year
0.00%
0/90 • Collected over one year
Respiratory, thoracic and mediastinal disorders
Pleural effusion
0.00%
0/92 • Collected over one year
1.1%
1/91 • Number of events 1 • Collected over one year
0.00%
0/90 • Collected over one year

Other adverse events

Other adverse events
Measure
SNF472 300 mg
n=92 participants at risk
Dose 1 arm (300 mg): 1 vial of physiological saline and 1 vial of active (10 mL SNF472 at 30 mg/mL) SNF472: Administered 3 times weekly by intravenous infusion through the dialysis machine in conjunction with the patient's dialysis sessions.
SNF 472 600 mg
n=91 participants at risk
Dose 2 arm (600 mg): 2 vials of active (10 mL SNF472 at 30 mg/mL) SNF472: Administered 3 times weekly by intravenous infusion through the dialysis machine in conjunction with the patient's dialysis sessions.
Matching Placebo
n=90 participants at risk
Placebo arm: 2 vials of physiological saline Placebo: Administered 3 times weekly by intravenous infusion through the dialysis machine in conjunction with the patient's dialysis sessions.
Gastrointestinal disorders
Diarrhoea
7.6%
7/92 • Number of events 7 • Collected over one year
12.1%
11/91 • Number of events 11 • Collected over one year
11.1%
10/90 • Number of events 10 • Collected over one year
Gastrointestinal disorders
Abdominal pain upper
12.0%
11/92 • Number of events 11 • Collected over one year
2.2%
2/91 • Number of events 2 • Collected over one year
2.2%
2/90 • Number of events 2 • Collected over one year
Gastrointestinal disorders
Vomiting
1.1%
1/92 • Number of events 1 • Collected over one year
8.8%
8/91 • Number of events 8 • Collected over one year
4.4%
4/90 • Number of events 4 • Collected over one year
Gastrointestinal disorders
Nausea
2.2%
2/92 • Number of events 2 • Collected over one year
5.5%
5/91 • Number of events 5 • Collected over one year
4.4%
4/90 • Number of events 4 • Collected over one year
Musculoskeletal and connective tissue disorders
Pain in extremity
7.6%
7/92 • Number of events 7 • Collected over one year
7.7%
7/91 • Number of events 7 • Collected over one year
7.8%
7/90 • Number of events 7 • Collected over one year
Musculoskeletal and connective tissue disorders
Musculoskeletal pain
3.3%
3/92 • Number of events 3 • Collected over one year
6.6%
6/91 • Number of events 6 • Collected over one year
5.6%
5/90 • Number of events 5 • Collected over one year
Musculoskeletal and connective tissue disorders
Back pain
6.5%
6/92 • Number of events 6 • Collected over one year
2.2%
2/91 • Number of events 2 • Collected over one year
4.4%
4/90 • Number of events 4 • Collected over one year
Musculoskeletal and connective tissue disorders
Arthralgia
5.4%
5/92 • Number of events 5 • Collected over one year
2.2%
2/91 • Number of events 2 • Collected over one year
4.4%
4/90 • Number of events 4 • Collected over one year
Infections and infestations
Upper respiratory tract infection
2.2%
2/92 • Number of events 2 • Collected over one year
4.4%
4/91 • Number of events 4 • Collected over one year
6.7%
6/90 • Number of events 6 • Collected over one year
Infections and infestations
Nasopharyngitis
3.3%
3/92 • Number of events 3 • Collected over one year
1.1%
1/91 • Number of events 1 • Collected over one year
6.7%
6/90 • Number of events 6 • Collected over one year
Respiratory, thoracic and mediastinal disorders
Cough
10.9%
10/92 • Number of events 10 • Collected over one year
9.9%
9/91 • Number of events 9 • Collected over one year
8.9%
8/90 • Number of events 8 • Collected over one year
Respiratory, thoracic and mediastinal disorders
Dyspnoea
5.4%
5/92 • Number of events 5 • Collected over one year
7.7%
7/91 • Number of events 7 • Collected over one year
7.8%
7/90 • Number of events 7 • Collected over one year

Additional Information

SVP Clinical Development Operations

Sanifit

Phone: 18582815976

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place