Trial Outcomes & Findings for Phase 3 Study of Reltecimod vs Placebo in Patients With Sepsis-associated Acute Kidney Injury (NCT NCT03403751)

NCT ID: NCT03403751

Last Updated: 2021-10-12

Results Overview

Freedom from durable loss of renal function at Day 28 required all of the following 3 components: alive at Day 28, free of dialysis at Day 28, and less than 37% loss of estimated glomerular filtration rate (eGFR) at Day 28 from patient reference eGFR (measured by Modification of Diet in Renal Disease \[MDRD\] formula).

Recruitment status

TERMINATED

Study phase

PHASE3

Target enrollment

58 participants

Primary outcome timeframe

28 Days

Results posted on

2021-10-12

Participant Flow

Participant milestones

Participant milestones
Measure
Reltecimod 0.5 mg/kg
Single IV infusion of 0.5 mg/kg Reltecimod (at a concentration of 1 mg/mL)
Placebo
Single IV infusion of 0.5 mL/kg of 0.9% sodium chloride (volume equivalent with Reltecimod dosing schema)
Overall Study
STARTED
28
30
Overall Study
COMPLETED
21
22
Overall Study
NOT COMPLETED
7
8

Reasons for withdrawal

Reasons for withdrawal
Measure
Reltecimod 0.5 mg/kg
Single IV infusion of 0.5 mg/kg Reltecimod (at a concentration of 1 mg/mL)
Placebo
Single IV infusion of 0.5 mL/kg of 0.9% sodium chloride (volume equivalent with Reltecimod dosing schema)
Overall Study
Death
5
6
Overall Study
Discontinuation (includes missing from Day 29)
2
2

Baseline Characteristics

Phase 3 Study of Reltecimod vs Placebo in Patients With Sepsis-associated Acute Kidney Injury

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Reltecimod 0.5 mg/kg
n=28 Participants
Single IV infusion of 0.5 mg/kg Reltecimod (at a concentration of 1 mg/mL)
Placebo
n=30 Participants
Single IV infusion of 0.5 mL/kg of 0.9% sodium chloride (volume equivalent with Reltecimod dosing schema)
Total
n=58 Participants
Total of all reporting groups
Age, Continuous
61.7 years
STANDARD_DEVIATION 14.6 • n=5 Participants
61.8 years
STANDARD_DEVIATION 13.6 • n=7 Participants
61.7 years
STANDARD_DEVIATION 14.0 • n=5 Participants
Sex: Female, Male
Female
16 Participants
n=5 Participants
15 Participants
n=7 Participants
31 Participants
n=5 Participants
Sex: Female, Male
Male
12 Participants
n=5 Participants
15 Participants
n=7 Participants
27 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
2 Participants
n=5 Participants
0 Participants
n=7 Participants
2 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
23 Participants
n=5 Participants
29 Participants
n=7 Participants
52 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
3 Participants
n=5 Participants
1 Participants
n=7 Participants
4 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=5 Participants
4 Participants
n=7 Participants
5 Participants
n=5 Participants
Race (NIH/OMB)
White
23 Participants
n=5 Participants
22 Participants
n=7 Participants
45 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
4 Participants
n=5 Participants
4 Participants
n=7 Participants
8 Participants
n=5 Participants
Body Mass Index (BMI)
30.5 kg/m^2
STANDARD_DEVIATION 6.9 • n=5 Participants
32.3 kg/m^2
STANDARD_DEVIATION 12.2 • n=7 Participants
31.4 kg/m^2
STANDARD_DEVIATION 9.9 • n=5 Participants
Disease Category
Abdominal Infection
27 Participants
n=5 Participants
29 Participants
n=7 Participants
56 Participants
n=5 Participants
Disease Category
Necrotizing Soft Tissue Infection (NSTI)
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Comorbidities
Diabetes
11 Participants
n=5 Participants
6 Participants
n=7 Participants
17 Participants
n=5 Participants
Comorbidities
Cardiovascular Disease
7 Participants
n=5 Participants
6 Participants
n=7 Participants
13 Participants
n=5 Participants
Comorbidities
Smoker
1 Participants
n=5 Participants
5 Participants
n=7 Participants
6 Participants
n=5 Participants
Comorbidities
Alcohol Abuse
1 Participants
n=5 Participants
2 Participants
n=7 Participants
3 Participants
n=5 Participants
Modified Sequential Organ Failure Assessment (mSOFA) Score
4.9 score on a scale
STANDARD_DEVIATION 2.3 • n=5 Participants
5.4 score on a scale
STANDARD_DEVIATION 3.1 • n=7 Participants
5.1 score on a scale
STANDARD_DEVIATION 2.8 • n=5 Participants
Acute Physiology and Chronic Health Evaluation (APACHE) Score
17.1 score on a scale
STANDARD_DEVIATION 8.5 • n=5 Participants
16.4 score on a scale
STANDARD_DEVIATION 7.9 • n=7 Participants
16.7 score on a scale
STANDARD_DEVIATION 8.2 • n=5 Participants
Sepsis Presentation
Cardiovascular Organ Failure
12 Participants
n=5 Participants
17 Participants
n=7 Participants
29 Participants
n=5 Participants
Sepsis Presentation
Respiratory Organ Failure
2 Participants
n=5 Participants
3 Participants
n=7 Participants
5 Participants
n=5 Participants
Acute Kidney Injury (AKI) Presentation
Stage 2 AKI
20 Participants
n=5 Participants
25 Participants
n=7 Participants
45 Participants
n=5 Participants
Acute Kidney Injury (AKI) Presentation
Stage 3 AKI
8 Participants
n=5 Participants
5 Participants
n=7 Participants
13 Participants
n=5 Participants
Acuity of AKI
AKI diagnosed at time of diagnosis of infection
17 Participants
n=5 Participants
12 Participants
n=7 Participants
29 Participants
n=5 Participants
Acuity of AKI
AKI diagnosed during the 48h following diagnosis of infection
11 Participants
n=5 Participants
18 Participants
n=7 Participants
29 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 28 Days

Population: This analysis population (modified intent-to-treat \[mITT\]) included all randomized patients who were exposed to study drug (reltecimod or placebo) and who had a suspected or confirmed diagnosis of abdominal sepsis or confirmed necrotizing soft tissue infection (NSTI) and Stage 2 or Stage 3 AKI, with patients analyzed according to the treatment actually received.

Freedom from durable loss of renal function at Day 28 required all of the following 3 components: alive at Day 28, free of dialysis at Day 28, and less than 37% loss of estimated glomerular filtration rate (eGFR) at Day 28 from patient reference eGFR (measured by Modification of Diet in Renal Disease \[MDRD\] formula).

Outcome measures

Outcome measures
Measure
Reltecimod 0.5 mg/kg
n=28 Participants
Single IV infusion of 0.5 mg/kg Reltecimod (at a concentration of 1 mg/mL)
Placebo
n=30 Participants
Single IV infusion of 0.5 mL/kg of 0.9% sodium chloride (volume equivalent with Reltecimod dosing schema)
Freedom From Durable Loss of Renal Function at Day 28
20 Participants
23 Participants

PRIMARY outcome

Timeframe: 28 Days

Population: This analysis population (As Treated/Safety Analysis Set) included all randomized patients who were exposed to study drug (reltecimod or placebo), with patients analyzed according to the treatment actually received.

Number of patients experiencing at least one SAE

Outcome measures

Outcome measures
Measure
Reltecimod 0.5 mg/kg
n=28 Participants
Single IV infusion of 0.5 mg/kg Reltecimod (at a concentration of 1 mg/mL)
Placebo
n=30 Participants
Single IV infusion of 0.5 mL/kg of 0.9% sodium chloride (volume equivalent with Reltecimod dosing schema)
Serious Adverse Events (SAEs)
12 Participants
13 Participants

PRIMARY outcome

Timeframe: 28 Days

Population: This analysis population (As Treated/Safety Analysis Set) included all randomized patients who were exposed to study drug (reltecimod or placebo), with patients analyzed according to the treatment actually received.

The number of patients experiencing at least one AE.

Outcome measures

Outcome measures
Measure
Reltecimod 0.5 mg/kg
n=28 Participants
Single IV infusion of 0.5 mg/kg Reltecimod (at a concentration of 1 mg/mL)
Placebo
n=30 Participants
Single IV infusion of 0.5 mL/kg of 0.9% sodium chloride (volume equivalent with Reltecimod dosing schema)
Adverse Events (AEs)
15 Participants
24 Participants

SECONDARY outcome

Timeframe: 14 Days

Population: This analysis population (modified intent-to-treat \[mITT\]) included all randomized patients who were exposed to study drug (reltecimod or placebo) and who had a suspected or confirmed diagnosis of abdominal sepsis or confirmed NSTI and Stage 2 or Stage 3 AKI, with patients analyzed according to the treatment actually received.

Freedom from durable loss of renal function at Day 14 required all of the following 3 components: alive at Day 14, free of dialysis at Day 14, and less than 37% loss of estimated glomerular filtration rate (eGFR) at Day 14 from patient reference eGFR (measured by Modification of Diet in Renal Disease \[MDRD\] formula).

Outcome measures

Outcome measures
Measure
Reltecimod 0.5 mg/kg
n=28 Participants
Single IV infusion of 0.5 mg/kg Reltecimod (at a concentration of 1 mg/mL)
Placebo
n=30 Participants
Single IV infusion of 0.5 mL/kg of 0.9% sodium chloride (volume equivalent with Reltecimod dosing schema)
Freedom From Durable Loss of Renal Function at Day 14
20 Participants
22 Participants

SECONDARY outcome

Timeframe: 28 Days

Population: This analysis population (modified intent-to-treat \[mITT\]) included all randomized patients who were exposed to study drug (reltecimod or placebo) and who had a suspected or confirmed diagnosis of abdominal sepsis or confirmed NSTI and Stage 2 or Stage 3 AKI, with patients analyzed according to the treatment actually received.

ICU-free days refers to the number of days a patient did not spend time in the ICU through Day 28.

Outcome measures

Outcome measures
Measure
Reltecimod 0.5 mg/kg
n=28 Participants
Single IV infusion of 0.5 mg/kg Reltecimod (at a concentration of 1 mg/mL)
Placebo
n=30 Participants
Single IV infusion of 0.5 mL/kg of 0.9% sodium chloride (volume equivalent with Reltecimod dosing schema)
Intensive Care Unit (ICU)-Free Days
24.0 days
Interval 0.0 to 28.0
21.0 days
Interval 0.0 to 28.0

SECONDARY outcome

Timeframe: 28 Days

Population: This analysis population (modified intent-to-treat \[mITT\]) included all randomized patients who were exposed to study drug (reltecimod or placebo) and who had a suspected or confirmed diagnosis of abdominal sepsis or confirmed NSTI and Stage 2 or Stage 3 AKI, with patients analyzed according to the treatment actually received.

Ventilator-free days refers to the number of days a patient was not on a ventilator through Day 28.

Outcome measures

Outcome measures
Measure
Reltecimod 0.5 mg/kg
n=28 Participants
Single IV infusion of 0.5 mg/kg Reltecimod (at a concentration of 1 mg/mL)
Placebo
n=30 Participants
Single IV infusion of 0.5 mL/kg of 0.9% sodium chloride (volume equivalent with Reltecimod dosing schema)
Ventilator-free Days
26.5 days
Interval 0.0 to 28.0
26.0 days
Interval 0.0 to 28.0

SECONDARY outcome

Timeframe: 28 Days

Population: This analysis population (modified intent-to-treat \[mITT\]) included all randomized patients who were exposed to study drug (reltecimod or placebo) and who had a suspected or confirmed diagnosis of abdominal sepsis or confirmed NSTI and Stage 2 or Stage 3 AKI, with patients analyzed according to the treatment actually received.

Vasopressor-free days refers to the number of days a patient did not receive a vasopressor through Day 28.

Outcome measures

Outcome measures
Measure
Reltecimod 0.5 mg/kg
n=28 Participants
Single IV infusion of 0.5 mg/kg Reltecimod (at a concentration of 1 mg/mL)
Placebo
n=30 Participants
Single IV infusion of 0.5 mL/kg of 0.9% sodium chloride (volume equivalent with Reltecimod dosing schema)
Vasopressor-free Days
27.5 days
Interval 0.0 to 28.0
26.5 days
Interval 0.0 to 28.0

SECONDARY outcome

Timeframe: 90 Days

Population: This analysis population (modified intent-to-treat \[mITT\]) included all randomized patients who were exposed to study drug (reltecimod or placebo) and who had a suspected or confirmed diagnosis of abdominal sepsis or confirmed NSTI and Stage 2 or Stage 3 AKI, with patients analyzed according to the treatment actually received.

Hospital days refers to the number of days a patient spent time in the hospital.

Outcome measures

Outcome measures
Measure
Reltecimod 0.5 mg/kg
n=28 Participants
Single IV infusion of 0.5 mg/kg Reltecimod (at a concentration of 1 mg/mL)
Placebo
n=30 Participants
Single IV infusion of 0.5 mL/kg of 0.9% sodium chloride (volume equivalent with Reltecimod dosing schema)
Hospital Days
9.0 days
Interval 2.0 to 61.0
13.0 days
Interval 1.0 to 60.0

SECONDARY outcome

Timeframe: 90 Days

Population: This analysis population (modified intent-to-treat \[mITT\]) included all randomized patients who were exposed to study drug (reltecimod or placebo) and who had a suspected or confirmed diagnosis of abdominal sepsis or confirmed NSTI and Stage 2 or Stage 3 AKI, with patients analyzed according to the treatment actually received.

The number of deaths occurring through Day 90

Outcome measures

Outcome measures
Measure
Reltecimod 0.5 mg/kg
n=28 Participants
Single IV infusion of 0.5 mg/kg Reltecimod (at a concentration of 1 mg/mL)
Placebo
n=30 Participants
Single IV infusion of 0.5 mL/kg of 0.9% sodium chloride (volume equivalent with Reltecimod dosing schema)
Cumulative Number of Deaths
5 Participants
6 Participants

SECONDARY outcome

Timeframe: 28 Days

Population: This analysis population (As Treated/Safety Analysis Set) included all randomized patients who were exposed to study drug (reltecimod or placebo), with patients analyzed according to the treatment actually received.

Number of patients experiencing at least one secondary infection

Outcome measures

Outcome measures
Measure
Reltecimod 0.5 mg/kg
n=28 Participants
Single IV infusion of 0.5 mg/kg Reltecimod (at a concentration of 1 mg/mL)
Placebo
n=30 Participants
Single IV infusion of 0.5 mL/kg of 0.9% sodium chloride (volume equivalent with Reltecimod dosing schema)
Secondary Infections
4 Participants
10 Participants

SECONDARY outcome

Timeframe: 28 Days

Population: This analysis population (modified intent-to-treat \[mITT\]) included all randomized patients who were exposed to study drug (reltecimod or placebo) and who had a suspected or confirmed diagnosis of abdominal sepsis or confirmed NSTI and Stage 2 or Stage 3 AKI, with patients analyzed according to the treatment actually received. Only patients with available mSOFA data are included in the analysis.

The number of days a patient did not spend in the ICU through Day 28, by mSOFA category (mSOFA total score of 1 or less; mSOFA total score of 2 or more). Modified Sequential Organ Failure Assessment (mSOFA) total scores range from 0 to 20, with higher scores reflecting a worse clinical status or outcome. An mSOFA total score of 0 or 1 reflects resolution of organ dysfunction/failure.

Outcome measures

Outcome measures
Measure
Reltecimod 0.5 mg/kg
n=26 Participants
Single IV infusion of 0.5 mg/kg Reltecimod (at a concentration of 1 mg/mL)
Placebo
n=10 Participants
Single IV infusion of 0.5 mL/kg of 0.9% sodium chloride (volume equivalent with Reltecimod dosing schema)
ICU-free Days by Day 14 Modified Sequential Organ Failure Assessment (mSOFA) Category
24.0 days
Interval 5.0 to 28.0
4.0 days
Interval 0.0 to 26.0

SECONDARY outcome

Timeframe: 28 Days

Population: This analysis population (modified intent-to-treat \[mITT\]) included all randomized patients who were exposed to study drug (reltecimod or placebo) and who had a suspected or confirmed diagnosis of abdominal sepsis or confirmed NSTI and Stage 2 or Stage 3 AKI, with patients analyzed according to the treatment actually received. Only patients with available mSOFA data are included in the analysis.

The number of days a patient was not on a ventilator through Day 28, by mSOFA category

Outcome measures

Outcome measures
Measure
Reltecimod 0.5 mg/kg
n=26 Participants
Single IV infusion of 0.5 mg/kg Reltecimod (at a concentration of 1 mg/mL)
Placebo
n=10 Participants
Single IV infusion of 0.5 mL/kg of 0.9% sodium chloride (volume equivalent with Reltecimod dosing schema)
Ventilator-free Days by Day 14 mSOFA Category
27.0 days
Interval 8.0 to 28.0
17.0 days
Interval 1.0 to 28.0

SECONDARY outcome

Timeframe: 28 Days

Population: This analysis population (modified intent-to-treat \[mITT\]) included all randomized patients who were exposed to study drug (reltecimod or placebo) and who had a suspected or confirmed diagnosis of abdominal sepsis or confirmed NSTI and Stage 2 or Stage 3 AKI, with patients analyzed according to the treatment actually received. Only patients with available mSOFA data are included in the analysis.

The number of days a patient was not receiving a vasopressor through Day 28, by mSOFA category

Outcome measures

Outcome measures
Measure
Reltecimod 0.5 mg/kg
n=26 Participants
Single IV infusion of 0.5 mg/kg Reltecimod (at a concentration of 1 mg/mL)
Placebo
n=10 Participants
Single IV infusion of 0.5 mL/kg of 0.9% sodium chloride (volume equivalent with Reltecimod dosing schema)
Vasopressor-free Days by Day 14 mSOFA Category
28.0 days
Interval 24.0 to 28.0
18.0 days
Interval 0.0 to 28.0

SECONDARY outcome

Timeframe: 90 Days

Population: This analysis population (modified intent-to-treat \[mITT\]) included all randomized patients who were exposed to study drug (reltecimod or placebo) and who had a suspected or confirmed diagnosis of abdominal sepsis or confirmed NSTI and Stage 2 or Stage 3 AKI, with patients analyzed according to the treatment actually received. Only patients with available mSOFA data are included in the analysis.

The number of days a patient was in the hospital.

Outcome measures

Outcome measures
Measure
Reltecimod 0.5 mg/kg
n=26 Participants
Single IV infusion of 0.5 mg/kg Reltecimod (at a concentration of 1 mg/mL)
Placebo
n=10 Participants
Single IV infusion of 0.5 mL/kg of 0.9% sodium chloride (volume equivalent with Reltecimod dosing schema)
Hospital Days by Day 14 mSOFA Category
13.0 days
Interval 4.0 to 48.0
23.5 days
Interval 9.0 to 61.0

SECONDARY outcome

Timeframe: 90 Days

Population: This analysis population (modified intent-to-treat \[mITT\]) included all randomized patients who were exposed to study drug (reltecimod or placebo) and who had a suspected or confirmed diagnosis of abdominal sepsis or confirmed NSTI and Stage 2 or Stage 3 AKI, with patients analyzed according to the treatment actually received. Only patients alive at Day 14 with available data are included in the analysis.

Number of patients with more favorable discharge location (home or rehabilitation facility) or less favorable discharge location (skilled nursing facility, another acute care facility, death, other) among patients alive at Day 14.

Outcome measures

Outcome measures
Measure
Reltecimod 0.5 mg/kg
n=38 Participants
Single IV infusion of 0.5 mg/kg Reltecimod (at a concentration of 1 mg/mL)
Placebo
n=12 Participants
Single IV infusion of 0.5 mL/kg of 0.9% sodium chloride (volume equivalent with Reltecimod dosing schema)
Hospital Discharge Location by Day 14 mSOFA Category
More Favorable Discharge Location
28 Participants
4 Participants
Hospital Discharge Location by Day 14 mSOFA Category
Less Favorable Discharge Location
10 Participants
8 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: 90 Days

Population: This analysis population (modified intent-to-treat \[mITT\]) included all randomized patients who were exposed to study drug (reltecimod or placebo) and who had a suspected or confirmed diagnosis of abdominal sepsis or confirmed NSTI and Stage 2 or Stage 3 AKI, with patients analyzed according to the treatment actually received. Only patients with a screening mSOFA \>= 3 are included in the analysis.

Percentage of patients who died through Day 90 using life table analysis

Outcome measures

Outcome measures
Measure
Reltecimod 0.5 mg/kg
n=26 Participants
Single IV infusion of 0.5 mg/kg Reltecimod (at a concentration of 1 mg/mL)
Placebo
n=10 Participants
Single IV infusion of 0.5 mL/kg of 0.9% sodium chloride (volume equivalent with Reltecimod dosing schema)
Cumulative Mortality by Day 14 mSOFA Category
0 percentage of patients
31.4 percentage of patients

Adverse Events

Reltecimod 0.5 mg/kg

Serious events: 12 serious events
Other events: 7 other events
Deaths: 5 deaths

Placebo

Serious events: 13 serious events
Other events: 8 other events
Deaths: 6 deaths

Serious adverse events

Serious adverse events
Measure
Reltecimod 0.5 mg/kg
n=28 participants at risk
Single IV infusion of 0.5 mg/kg Reltecimod (at a concentration of 1 mg/mL)
Placebo
n=30 participants at risk
Single IV infusion of 0.5 mL/kg of 0.9% sodium chloride (volume equivalent with Reltecimod dosing schema)
Blood and lymphatic system disorders
Anemia
0.00%
0/28 • Adverse events (AEs) reported here were collected from study drug administration through the Day 29 visit (28 days after study drug dosing).
Safety data obtained during study visits associated with Study Days 1, 2, 3, 7, 10, 14, 21, and 28 were systematically assessed throughout the study. In addition, data from spontaneously reported AEs were included in safety assessments.
3.3%
1/30 • Number of events 1 • Adverse events (AEs) reported here were collected from study drug administration through the Day 29 visit (28 days after study drug dosing).
Safety data obtained during study visits associated with Study Days 1, 2, 3, 7, 10, 14, 21, and 28 were systematically assessed throughout the study. In addition, data from spontaneously reported AEs were included in safety assessments.
Blood and lymphatic system disorders
Leukocytosis
0.00%
0/28 • Adverse events (AEs) reported here were collected from study drug administration through the Day 29 visit (28 days after study drug dosing).
Safety data obtained during study visits associated with Study Days 1, 2, 3, 7, 10, 14, 21, and 28 were systematically assessed throughout the study. In addition, data from spontaneously reported AEs were included in safety assessments.
3.3%
1/30 • Number of events 1 • Adverse events (AEs) reported here were collected from study drug administration through the Day 29 visit (28 days after study drug dosing).
Safety data obtained during study visits associated with Study Days 1, 2, 3, 7, 10, 14, 21, and 28 were systematically assessed throughout the study. In addition, data from spontaneously reported AEs were included in safety assessments.
Cardiac disorders
Atrial fibrillation
3.6%
1/28 • Number of events 1 • Adverse events (AEs) reported here were collected from study drug administration through the Day 29 visit (28 days after study drug dosing).
Safety data obtained during study visits associated with Study Days 1, 2, 3, 7, 10, 14, 21, and 28 were systematically assessed throughout the study. In addition, data from spontaneously reported AEs were included in safety assessments.
0.00%
0/30 • Adverse events (AEs) reported here were collected from study drug administration through the Day 29 visit (28 days after study drug dosing).
Safety data obtained during study visits associated with Study Days 1, 2, 3, 7, 10, 14, 21, and 28 were systematically assessed throughout the study. In addition, data from spontaneously reported AEs were included in safety assessments.
Cardiac disorders
Atrial flutter
3.6%
1/28 • Number of events 1 • Adverse events (AEs) reported here were collected from study drug administration through the Day 29 visit (28 days after study drug dosing).
Safety data obtained during study visits associated with Study Days 1, 2, 3, 7, 10, 14, 21, and 28 were systematically assessed throughout the study. In addition, data from spontaneously reported AEs were included in safety assessments.
0.00%
0/30 • Adverse events (AEs) reported here were collected from study drug administration through the Day 29 visit (28 days after study drug dosing).
Safety data obtained during study visits associated with Study Days 1, 2, 3, 7, 10, 14, 21, and 28 were systematically assessed throughout the study. In addition, data from spontaneously reported AEs were included in safety assessments.
Gastrointestinal disorders
Intestinal ischemia
0.00%
0/28 • Adverse events (AEs) reported here were collected from study drug administration through the Day 29 visit (28 days after study drug dosing).
Safety data obtained during study visits associated with Study Days 1, 2, 3, 7, 10, 14, 21, and 28 were systematically assessed throughout the study. In addition, data from spontaneously reported AEs were included in safety assessments.
3.3%
1/30 • Number of events 1 • Adverse events (AEs) reported here were collected from study drug administration through the Day 29 visit (28 days after study drug dosing).
Safety data obtained during study visits associated with Study Days 1, 2, 3, 7, 10, 14, 21, and 28 were systematically assessed throughout the study. In addition, data from spontaneously reported AEs were included in safety assessments.
Gastrointestinal disorders
Intra-abdominal fluid collection
3.6%
1/28 • Number of events 1 • Adverse events (AEs) reported here were collected from study drug administration through the Day 29 visit (28 days after study drug dosing).
Safety data obtained during study visits associated with Study Days 1, 2, 3, 7, 10, 14, 21, and 28 were systematically assessed throughout the study. In addition, data from spontaneously reported AEs were included in safety assessments.
0.00%
0/30 • Adverse events (AEs) reported here were collected from study drug administration through the Day 29 visit (28 days after study drug dosing).
Safety data obtained during study visits associated with Study Days 1, 2, 3, 7, 10, 14, 21, and 28 were systematically assessed throughout the study. In addition, data from spontaneously reported AEs were included in safety assessments.
General disorders
Organ failure
0.00%
0/28 • Adverse events (AEs) reported here were collected from study drug administration through the Day 29 visit (28 days after study drug dosing).
Safety data obtained during study visits associated with Study Days 1, 2, 3, 7, 10, 14, 21, and 28 were systematically assessed throughout the study. In addition, data from spontaneously reported AEs were included in safety assessments.
3.3%
1/30 • Number of events 1 • Adverse events (AEs) reported here were collected from study drug administration through the Day 29 visit (28 days after study drug dosing).
Safety data obtained during study visits associated with Study Days 1, 2, 3, 7, 10, 14, 21, and 28 were systematically assessed throughout the study. In addition, data from spontaneously reported AEs were included in safety assessments.
Hepatobiliary disorders
Hepatic failure
0.00%
0/28 • Adverse events (AEs) reported here were collected from study drug administration through the Day 29 visit (28 days after study drug dosing).
Safety data obtained during study visits associated with Study Days 1, 2, 3, 7, 10, 14, 21, and 28 were systematically assessed throughout the study. In addition, data from spontaneously reported AEs were included in safety assessments.
3.3%
1/30 • Number of events 1 • Adverse events (AEs) reported here were collected from study drug administration through the Day 29 visit (28 days after study drug dosing).
Safety data obtained during study visits associated with Study Days 1, 2, 3, 7, 10, 14, 21, and 28 were systematically assessed throughout the study. In addition, data from spontaneously reported AEs were included in safety assessments.
Infections and infestations
Abdominal wall infection
0.00%
0/28 • Adverse events (AEs) reported here were collected from study drug administration through the Day 29 visit (28 days after study drug dosing).
Safety data obtained during study visits associated with Study Days 1, 2, 3, 7, 10, 14, 21, and 28 were systematically assessed throughout the study. In addition, data from spontaneously reported AEs were included in safety assessments.
3.3%
1/30 • Number of events 1 • Adverse events (AEs) reported here were collected from study drug administration through the Day 29 visit (28 days after study drug dosing).
Safety data obtained during study visits associated with Study Days 1, 2, 3, 7, 10, 14, 21, and 28 were systematically assessed throughout the study. In addition, data from spontaneously reported AEs were included in safety assessments.
Infections and infestations
Pneumonia
0.00%
0/28 • Adverse events (AEs) reported here were collected from study drug administration through the Day 29 visit (28 days after study drug dosing).
Safety data obtained during study visits associated with Study Days 1, 2, 3, 7, 10, 14, 21, and 28 were systematically assessed throughout the study. In addition, data from spontaneously reported AEs were included in safety assessments.
3.3%
1/30 • Number of events 1 • Adverse events (AEs) reported here were collected from study drug administration through the Day 29 visit (28 days after study drug dosing).
Safety data obtained during study visits associated with Study Days 1, 2, 3, 7, 10, 14, 21, and 28 were systematically assessed throughout the study. In addition, data from spontaneously reported AEs were included in safety assessments.
Infections and infestations
Pneumonia escherichia
3.6%
1/28 • Number of events 1 • Adverse events (AEs) reported here were collected from study drug administration through the Day 29 visit (28 days after study drug dosing).
Safety data obtained during study visits associated with Study Days 1, 2, 3, 7, 10, 14, 21, and 28 were systematically assessed throughout the study. In addition, data from spontaneously reported AEs were included in safety assessments.
0.00%
0/30 • Adverse events (AEs) reported here were collected from study drug administration through the Day 29 visit (28 days after study drug dosing).
Safety data obtained during study visits associated with Study Days 1, 2, 3, 7, 10, 14, 21, and 28 were systematically assessed throughout the study. In addition, data from spontaneously reported AEs were included in safety assessments.
Infections and infestations
Postoperative wound infection
3.6%
1/28 • Number of events 1 • Adverse events (AEs) reported here were collected from study drug administration through the Day 29 visit (28 days after study drug dosing).
Safety data obtained during study visits associated with Study Days 1, 2, 3, 7, 10, 14, 21, and 28 were systematically assessed throughout the study. In addition, data from spontaneously reported AEs were included in safety assessments.
0.00%
0/30 • Adverse events (AEs) reported here were collected from study drug administration through the Day 29 visit (28 days after study drug dosing).
Safety data obtained during study visits associated with Study Days 1, 2, 3, 7, 10, 14, 21, and 28 were systematically assessed throughout the study. In addition, data from spontaneously reported AEs were included in safety assessments.
Infections and infestations
Retroperitoneal abscess
0.00%
0/28 • Adverse events (AEs) reported here were collected from study drug administration through the Day 29 visit (28 days after study drug dosing).
Safety data obtained during study visits associated with Study Days 1, 2, 3, 7, 10, 14, 21, and 28 were systematically assessed throughout the study. In addition, data from spontaneously reported AEs were included in safety assessments.
3.3%
1/30 • Number of events 1 • Adverse events (AEs) reported here were collected from study drug administration through the Day 29 visit (28 days after study drug dosing).
Safety data obtained during study visits associated with Study Days 1, 2, 3, 7, 10, 14, 21, and 28 were systematically assessed throughout the study. In addition, data from spontaneously reported AEs were included in safety assessments.
Infections and infestations
Sepsis
7.1%
2/28 • Number of events 2 • Adverse events (AEs) reported here were collected from study drug administration through the Day 29 visit (28 days after study drug dosing).
Safety data obtained during study visits associated with Study Days 1, 2, 3, 7, 10, 14, 21, and 28 were systematically assessed throughout the study. In addition, data from spontaneously reported AEs were included in safety assessments.
0.00%
0/30 • Adverse events (AEs) reported here were collected from study drug administration through the Day 29 visit (28 days after study drug dosing).
Safety data obtained during study visits associated with Study Days 1, 2, 3, 7, 10, 14, 21, and 28 were systematically assessed throughout the study. In addition, data from spontaneously reported AEs were included in safety assessments.
Infections and infestations
Septic shock
7.1%
2/28 • Number of events 2 • Adverse events (AEs) reported here were collected from study drug administration through the Day 29 visit (28 days after study drug dosing).
Safety data obtained during study visits associated with Study Days 1, 2, 3, 7, 10, 14, 21, and 28 were systematically assessed throughout the study. In addition, data from spontaneously reported AEs were included in safety assessments.
0.00%
0/30 • Adverse events (AEs) reported here were collected from study drug administration through the Day 29 visit (28 days after study drug dosing).
Safety data obtained during study visits associated with Study Days 1, 2, 3, 7, 10, 14, 21, and 28 were systematically assessed throughout the study. In addition, data from spontaneously reported AEs were included in safety assessments.
Injury, poisoning and procedural complications
Chemical peritonitis
0.00%
0/28 • Adverse events (AEs) reported here were collected from study drug administration through the Day 29 visit (28 days after study drug dosing).
Safety data obtained during study visits associated with Study Days 1, 2, 3, 7, 10, 14, 21, and 28 were systematically assessed throughout the study. In addition, data from spontaneously reported AEs were included in safety assessments.
3.3%
1/30 • Number of events 1 • Adverse events (AEs) reported here were collected from study drug administration through the Day 29 visit (28 days after study drug dosing).
Safety data obtained during study visits associated with Study Days 1, 2, 3, 7, 10, 14, 21, and 28 were systematically assessed throughout the study. In addition, data from spontaneously reported AEs were included in safety assessments.
Injury, poisoning and procedural complications
Gastrointestinal anastomotic complication
3.6%
1/28 • Number of events 1 • Adverse events (AEs) reported here were collected from study drug administration through the Day 29 visit (28 days after study drug dosing).
Safety data obtained during study visits associated with Study Days 1, 2, 3, 7, 10, 14, 21, and 28 were systematically assessed throughout the study. In addition, data from spontaneously reported AEs were included in safety assessments.
3.3%
1/30 • Number of events 1 • Adverse events (AEs) reported here were collected from study drug administration through the Day 29 visit (28 days after study drug dosing).
Safety data obtained during study visits associated with Study Days 1, 2, 3, 7, 10, 14, 21, and 28 were systematically assessed throughout the study. In addition, data from spontaneously reported AEs were included in safety assessments.
Injury, poisoning and procedural complications
Gastrointestinal anastomotic leak
0.00%
0/28 • Adverse events (AEs) reported here were collected from study drug administration through the Day 29 visit (28 days after study drug dosing).
Safety data obtained during study visits associated with Study Days 1, 2, 3, 7, 10, 14, 21, and 28 were systematically assessed throughout the study. In addition, data from spontaneously reported AEs were included in safety assessments.
3.3%
1/30 • Number of events 1 • Adverse events (AEs) reported here were collected from study drug administration through the Day 29 visit (28 days after study drug dosing).
Safety data obtained during study visits associated with Study Days 1, 2, 3, 7, 10, 14, 21, and 28 were systematically assessed throughout the study. In addition, data from spontaneously reported AEs were included in safety assessments.
Injury, poisoning and procedural complications
Urethral injury
3.6%
1/28 • Number of events 1 • Adverse events (AEs) reported here were collected from study drug administration through the Day 29 visit (28 days after study drug dosing).
Safety data obtained during study visits associated with Study Days 1, 2, 3, 7, 10, 14, 21, and 28 were systematically assessed throughout the study. In addition, data from spontaneously reported AEs were included in safety assessments.
0.00%
0/30 • Adverse events (AEs) reported here were collected from study drug administration through the Day 29 visit (28 days after study drug dosing).
Safety data obtained during study visits associated with Study Days 1, 2, 3, 7, 10, 14, 21, and 28 were systematically assessed throughout the study. In addition, data from spontaneously reported AEs were included in safety assessments.
Metabolism and nutrition disorders
Fluid overload
3.6%
1/28 • Number of events 1 • Adverse events (AEs) reported here were collected from study drug administration through the Day 29 visit (28 days after study drug dosing).
Safety data obtained during study visits associated with Study Days 1, 2, 3, 7, 10, 14, 21, and 28 were systematically assessed throughout the study. In addition, data from spontaneously reported AEs were included in safety assessments.
0.00%
0/30 • Adverse events (AEs) reported here were collected from study drug administration through the Day 29 visit (28 days after study drug dosing).
Safety data obtained during study visits associated with Study Days 1, 2, 3, 7, 10, 14, 21, and 28 were systematically assessed throughout the study. In addition, data from spontaneously reported AEs were included in safety assessments.
Metabolism and nutrition disorders
Hyperkalemia
0.00%
0/28 • Adverse events (AEs) reported here were collected from study drug administration through the Day 29 visit (28 days after study drug dosing).
Safety data obtained during study visits associated with Study Days 1, 2, 3, 7, 10, 14, 21, and 28 were systematically assessed throughout the study. In addition, data from spontaneously reported AEs were included in safety assessments.
3.3%
1/30 • Number of events 1 • Adverse events (AEs) reported here were collected from study drug administration through the Day 29 visit (28 days after study drug dosing).
Safety data obtained during study visits associated with Study Days 1, 2, 3, 7, 10, 14, 21, and 28 were systematically assessed throughout the study. In addition, data from spontaneously reported AEs were included in safety assessments.
Nervous system disorders
Cerebral infarction
0.00%
0/28 • Adverse events (AEs) reported here were collected from study drug administration through the Day 29 visit (28 days after study drug dosing).
Safety data obtained during study visits associated with Study Days 1, 2, 3, 7, 10, 14, 21, and 28 were systematically assessed throughout the study. In addition, data from spontaneously reported AEs were included in safety assessments.
3.3%
1/30 • Number of events 2 • Adverse events (AEs) reported here were collected from study drug administration through the Day 29 visit (28 days after study drug dosing).
Safety data obtained during study visits associated with Study Days 1, 2, 3, 7, 10, 14, 21, and 28 were systematically assessed throughout the study. In addition, data from spontaneously reported AEs were included in safety assessments.
Product Issues
Device occlusion
3.6%
1/28 • Number of events 1 • Adverse events (AEs) reported here were collected from study drug administration through the Day 29 visit (28 days after study drug dosing).
Safety data obtained during study visits associated with Study Days 1, 2, 3, 7, 10, 14, 21, and 28 were systematically assessed throughout the study. In addition, data from spontaneously reported AEs were included in safety assessments.
0.00%
0/30 • Adverse events (AEs) reported here were collected from study drug administration through the Day 29 visit (28 days after study drug dosing).
Safety data obtained during study visits associated with Study Days 1, 2, 3, 7, 10, 14, 21, and 28 were systematically assessed throughout the study. In addition, data from spontaneously reported AEs were included in safety assessments.
Renal and urinary disorders
Acute kidney injury
3.6%
1/28 • Number of events 1 • Adverse events (AEs) reported here were collected from study drug administration through the Day 29 visit (28 days after study drug dosing).
Safety data obtained during study visits associated with Study Days 1, 2, 3, 7, 10, 14, 21, and 28 were systematically assessed throughout the study. In addition, data from spontaneously reported AEs were included in safety assessments.
0.00%
0/30 • Adverse events (AEs) reported here were collected from study drug administration through the Day 29 visit (28 days after study drug dosing).
Safety data obtained during study visits associated with Study Days 1, 2, 3, 7, 10, 14, 21, and 28 were systematically assessed throughout the study. In addition, data from spontaneously reported AEs were included in safety assessments.
Respiratory, thoracic and mediastinal disorders
Acute pulmonary edema
0.00%
0/28 • Adverse events (AEs) reported here were collected from study drug administration through the Day 29 visit (28 days after study drug dosing).
Safety data obtained during study visits associated with Study Days 1, 2, 3, 7, 10, 14, 21, and 28 were systematically assessed throughout the study. In addition, data from spontaneously reported AEs were included in safety assessments.
3.3%
1/30 • Number of events 1 • Adverse events (AEs) reported here were collected from study drug administration through the Day 29 visit (28 days after study drug dosing).
Safety data obtained during study visits associated with Study Days 1, 2, 3, 7, 10, 14, 21, and 28 were systematically assessed throughout the study. In addition, data from spontaneously reported AEs were included in safety assessments.
Respiratory, thoracic and mediastinal disorders
Chronic obstructive pulmonary disease
3.6%
1/28 • Number of events 1 • Adverse events (AEs) reported here were collected from study drug administration through the Day 29 visit (28 days after study drug dosing).
Safety data obtained during study visits associated with Study Days 1, 2, 3, 7, 10, 14, 21, and 28 were systematically assessed throughout the study. In addition, data from spontaneously reported AEs were included in safety assessments.
0.00%
0/30 • Adverse events (AEs) reported here were collected from study drug administration through the Day 29 visit (28 days after study drug dosing).
Safety data obtained during study visits associated with Study Days 1, 2, 3, 7, 10, 14, 21, and 28 were systematically assessed throughout the study. In addition, data from spontaneously reported AEs were included in safety assessments.
Respiratory, thoracic and mediastinal disorders
Respiratory failure
7.1%
2/28 • Number of events 2 • Adverse events (AEs) reported here were collected from study drug administration through the Day 29 visit (28 days after study drug dosing).
Safety data obtained during study visits associated with Study Days 1, 2, 3, 7, 10, 14, 21, and 28 were systematically assessed throughout the study. In addition, data from spontaneously reported AEs were included in safety assessments.
6.7%
2/30 • Number of events 2 • Adverse events (AEs) reported here were collected from study drug administration through the Day 29 visit (28 days after study drug dosing).
Safety data obtained during study visits associated with Study Days 1, 2, 3, 7, 10, 14, 21, and 28 were systematically assessed throughout the study. In addition, data from spontaneously reported AEs were included in safety assessments.

Other adverse events

Other adverse events
Measure
Reltecimod 0.5 mg/kg
n=28 participants at risk
Single IV infusion of 0.5 mg/kg Reltecimod (at a concentration of 1 mg/mL)
Placebo
n=30 participants at risk
Single IV infusion of 0.5 mL/kg of 0.9% sodium chloride (volume equivalent with Reltecimod dosing schema)
Blood and lymphatic system disorders
Thrombocytosis
0.00%
0/28 • Adverse events (AEs) reported here were collected from study drug administration through the Day 29 visit (28 days after study drug dosing).
Safety data obtained during study visits associated with Study Days 1, 2, 3, 7, 10, 14, 21, and 28 were systematically assessed throughout the study. In addition, data from spontaneously reported AEs were included in safety assessments.
6.7%
2/30 • Number of events 2 • Adverse events (AEs) reported here were collected from study drug administration through the Day 29 visit (28 days after study drug dosing).
Safety data obtained during study visits associated with Study Days 1, 2, 3, 7, 10, 14, 21, and 28 were systematically assessed throughout the study. In addition, data from spontaneously reported AEs were included in safety assessments.
Infections and infestations
Pneumonia
0.00%
0/28 • Adverse events (AEs) reported here were collected from study drug administration through the Day 29 visit (28 days after study drug dosing).
Safety data obtained during study visits associated with Study Days 1, 2, 3, 7, 10, 14, 21, and 28 were systematically assessed throughout the study. In addition, data from spontaneously reported AEs were included in safety assessments.
10.0%
3/30 • Number of events 3 • Adverse events (AEs) reported here were collected from study drug administration through the Day 29 visit (28 days after study drug dosing).
Safety data obtained during study visits associated with Study Days 1, 2, 3, 7, 10, 14, 21, and 28 were systematically assessed throughout the study. In addition, data from spontaneously reported AEs were included in safety assessments.
Infections and infestations
Sepsis
7.1%
2/28 • Number of events 2 • Adverse events (AEs) reported here were collected from study drug administration through the Day 29 visit (28 days after study drug dosing).
Safety data obtained during study visits associated with Study Days 1, 2, 3, 7, 10, 14, 21, and 28 were systematically assessed throughout the study. In addition, data from spontaneously reported AEs were included in safety assessments.
0.00%
0/30 • Adverse events (AEs) reported here were collected from study drug administration through the Day 29 visit (28 days after study drug dosing).
Safety data obtained during study visits associated with Study Days 1, 2, 3, 7, 10, 14, 21, and 28 were systematically assessed throughout the study. In addition, data from spontaneously reported AEs were included in safety assessments.
Infections and infestations
Septic shock
7.1%
2/28 • Number of events 2 • Adverse events (AEs) reported here were collected from study drug administration through the Day 29 visit (28 days after study drug dosing).
Safety data obtained during study visits associated with Study Days 1, 2, 3, 7, 10, 14, 21, and 28 were systematically assessed throughout the study. In addition, data from spontaneously reported AEs were included in safety assessments.
0.00%
0/30 • Adverse events (AEs) reported here were collected from study drug administration through the Day 29 visit (28 days after study drug dosing).
Safety data obtained during study visits associated with Study Days 1, 2, 3, 7, 10, 14, 21, and 28 were systematically assessed throughout the study. In addition, data from spontaneously reported AEs were included in safety assessments.
Metabolism and nutrition disorders
Fluid overload
7.1%
2/28 • Number of events 2 • Adverse events (AEs) reported here were collected from study drug administration through the Day 29 visit (28 days after study drug dosing).
Safety data obtained during study visits associated with Study Days 1, 2, 3, 7, 10, 14, 21, and 28 were systematically assessed throughout the study. In addition, data from spontaneously reported AEs were included in safety assessments.
0.00%
0/30 • Adverse events (AEs) reported here were collected from study drug administration through the Day 29 visit (28 days after study drug dosing).
Safety data obtained during study visits associated with Study Days 1, 2, 3, 7, 10, 14, 21, and 28 were systematically assessed throughout the study. In addition, data from spontaneously reported AEs were included in safety assessments.
Psychiatric disorders
Delirium
0.00%
0/28 • Adverse events (AEs) reported here were collected from study drug administration through the Day 29 visit (28 days after study drug dosing).
Safety data obtained during study visits associated with Study Days 1, 2, 3, 7, 10, 14, 21, and 28 were systematically assessed throughout the study. In addition, data from spontaneously reported AEs were included in safety assessments.
6.7%
2/30 • Number of events 2 • Adverse events (AEs) reported here were collected from study drug administration through the Day 29 visit (28 days after study drug dosing).
Safety data obtained during study visits associated with Study Days 1, 2, 3, 7, 10, 14, 21, and 28 were systematically assessed throughout the study. In addition, data from spontaneously reported AEs were included in safety assessments.
Respiratory, thoracic and mediastinal disorders
Pleural effusion
0.00%
0/28 • Adverse events (AEs) reported here were collected from study drug administration through the Day 29 visit (28 days after study drug dosing).
Safety data obtained during study visits associated with Study Days 1, 2, 3, 7, 10, 14, 21, and 28 were systematically assessed throughout the study. In addition, data from spontaneously reported AEs were included in safety assessments.
6.7%
2/30 • Number of events 2 • Adverse events (AEs) reported here were collected from study drug administration through the Day 29 visit (28 days after study drug dosing).
Safety data obtained during study visits associated with Study Days 1, 2, 3, 7, 10, 14, 21, and 28 were systematically assessed throughout the study. In addition, data from spontaneously reported AEs were included in safety assessments.
Respiratory, thoracic and mediastinal disorders
Respiratory failure
7.1%
2/28 • Number of events 2 • Adverse events (AEs) reported here were collected from study drug administration through the Day 29 visit (28 days after study drug dosing).
Safety data obtained during study visits associated with Study Days 1, 2, 3, 7, 10, 14, 21, and 28 were systematically assessed throughout the study. In addition, data from spontaneously reported AEs were included in safety assessments.
6.7%
2/30 • Number of events 2 • Adverse events (AEs) reported here were collected from study drug administration through the Day 29 visit (28 days after study drug dosing).
Safety data obtained during study visits associated with Study Days 1, 2, 3, 7, 10, 14, 21, and 28 were systematically assessed throughout the study. In addition, data from spontaneously reported AEs were included in safety assessments.

Additional Information

Wayne M Dankner, MD, Chief Medical Officer

Atox Bio, Ltd.

Phone: 1-919-219-6377

Results disclosure agreements

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