Trial Outcomes & Findings for Hemodialysis.-Induced Hypotension Therapy for End Stage Kidney Disease (NCT NCT05297786)

NCT ID: NCT05297786

Last Updated: 2026-01-20

Results Overview

Systolic blood pressure pre and post hemodialysis at baseline and at the end of the study

Recruitment status

ACTIVE_NOT_RECRUITING

Study phase

PHASE2

Target enrollment

28 participants

Primary outcome timeframe

From the initiation of study until the end (week 6)

Results posted on

2026-01-20

Participant Flow

Participant milestones

Participant milestones
Measure
Lanadelumab
Patients received 300 mg of lanadelumab subcutaneously on day 0 (the start of the study) and again on day 14
Placebo
Patients received a placebo injection subcutaneously on day 0 (the start of the study) and again on day 14.
Overall Study
STARTED
14
14
Overall Study
COMPLETED
9
12
Overall Study
NOT COMPLETED
5
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Lanadelumab
Patients received 300 mg of lanadelumab subcutaneously on day 0 (the start of the study) and again on day 14
Placebo
Patients received a placebo injection subcutaneously on day 0 (the start of the study) and again on day 14.
Overall Study
Withdrawal by Subject
0
1
Overall Study
Renal transplantation
1
0
Overall Study
Physician Decision
1
0
Overall Study
Adverse Event
0
1

Baseline Characteristics

Hemodialysis.-Induced Hypotension Therapy for End Stage Kidney Disease

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Lanadelumab
n=14 Participants
Subjects will receive lanadelumab (300 mg) subcutaneously at the beginning of the study and 14 days later Lanadelumab Injection \[Takhzyro\]: Lanadelumab 300 mg subcutaneous injection
Placebo
n=14 Participants
Subjects will receive placebo subcutaneously at the beginning of the study and 14 days later Placebo: Placebo injection
Total
n=28 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=37 Participants
0 Participants
n=44 Participants
0 Participants
n=40 Participants
Age, Categorical
Between 18 and 65 years
7 Participants
n=37 Participants
5 Participants
n=44 Participants
12 Participants
n=40 Participants
Age, Categorical
>=65 years
7 Participants
n=37 Participants
9 Participants
n=44 Participants
16 Participants
n=40 Participants
Age, Continuous
60.9 years
STANDARD_DEVIATION 15.1 • n=37 Participants
58.1 years
STANDARD_DEVIATION 13.9 • n=44 Participants
59.5 years
STANDARD_DEVIATION 14.3 • n=40 Participants
Sex: Female, Male
Female
4 Participants
n=37 Participants
7 Participants
n=44 Participants
11 Participants
n=40 Participants
Sex: Female, Male
Male
10 Participants
n=37 Participants
7 Participants
n=44 Participants
17 Participants
n=40 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=37 Participants
0 Participants
n=44 Participants
0 Participants
n=40 Participants
Race (NIH/OMB)
Asian
0 Participants
n=37 Participants
0 Participants
n=44 Participants
0 Participants
n=40 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=37 Participants
0 Participants
n=44 Participants
0 Participants
n=40 Participants
Race (NIH/OMB)
Black or African American
11 Participants
n=37 Participants
10 Participants
n=44 Participants
21 Participants
n=40 Participants
Race (NIH/OMB)
White
3 Participants
n=37 Participants
3 Participants
n=44 Participants
6 Participants
n=40 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=37 Participants
0 Participants
n=44 Participants
0 Participants
n=40 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=37 Participants
1 Participants
n=44 Participants
1 Participants
n=40 Participants
Region of Enrollment
United States
14 participants
n=37 Participants
14 participants
n=44 Participants
28 participants
n=40 Participants

PRIMARY outcome

Timeframe: From the initiation of study until the end (week 6)

Population: Two patients in the placebo arm dropped after receiving the first dose of the study drug

Systolic blood pressure pre and post hemodialysis at baseline and at the end of the study

Outcome measures

Outcome measures
Measure
Lanadelumab
n=9 Participants
Patients received 300 mg of lanadelumab subcutaneously on day 0 (the start of the study) and again on day 14
Placebo
n=14 Participants
Patients received a placebo injection subcutaneously on day 0 (the start of the study) and again on day 14.
Blood Pressure During Hemodialysis
Baseline-Pre hemodialysis
155.9 mmHg
Standard Deviation 36.3
155.1 mmHg
Standard Deviation 28.8
Blood Pressure During Hemodialysis
Baseline-Post hemodialysis
136.4 mmHg
Standard Deviation 26.8
126. mmHg
Standard Deviation 18.3
Blood Pressure During Hemodialysis
Six-weeks-Pre hemodialysis
136.4 mmHg
Standard Deviation 18.5
141.5 mmHg
Standard Deviation 22.5
Blood Pressure During Hemodialysis
Six-weeks-Post hemodialysis
131.2 mmHg
Standard Deviation 15.8
119.0 mmHg
Standard Deviation 11.2

SECONDARY outcome

Timeframe: From the second week of the study until the end (week 6)

Number of hypotensive episodes during hemodialysis after the second week of treatment

Outcome measures

Outcome data not reported

Adverse Events

Lanadelumab

Serious events: 1 serious events
Other events: 4 other events
Deaths: 0 deaths

Placebo

Serious events: 3 serious events
Other events: 8 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Lanadelumab
n=14 participants at risk
Patients received 300 mg of lanadelumab subcutaneously on day 0 (the start of the study) and again on day 14
Placebo
n=9 participants at risk
Patients received a placebo injection subcutaneously on day 0 (the start of the study) and again on day 14.
Cardiac disorders
Bradycardia
7.1%
1/14 • Number of events 1 • Six weeks
0.00%
0/9 • Six weeks
Blood and lymphatic system disorders
Hemorrhage
0.00%
0/14 • Six weeks
11.1%
1/9 • Number of events 1 • Six weeks

Other adverse events

Other adverse events
Measure
Lanadelumab
n=14 participants at risk
Patients received 300 mg of lanadelumab subcutaneously on day 0 (the start of the study) and again on day 14
Placebo
n=9 participants at risk
Patients received a placebo injection subcutaneously on day 0 (the start of the study) and again on day 14.
Vascular disorders
Arterio-venous fistula occlusion
7.1%
1/14 • Number of events 1 • Six weeks
0.00%
0/9 • Six weeks
Gastrointestinal disorders
Nausea or vomiting
14.3%
2/14 • Number of events 2 • Six weeks
33.3%
3/9 • Number of events 3 • Six weeks
Nervous system disorders
Headche
14.3%
2/14 • Number of events 2 • Six weeks
0.00%
0/9 • Six weeks
Reproductive system and breast disorders
Menstrual cramps
7.1%
1/14 • Number of events 1 • Six weeks
0.00%
0/9 • Six weeks
Psychiatric disorders
Depression
0.00%
0/14 • Six weeks
11.1%
1/9 • Number of events 1 • Six weeks
Skin and subcutaneous tissue disorders
Swollen lips
0.00%
0/14 • Six weeks
11.1%
1/9 • Number of events 1 • Six weeks
Cardiac disorders
Syncope
0.00%
0/14 • Six weeks
11.1%
1/9 • Number of events 1 • Six weeks
Musculoskeletal and connective tissue disorders
Dorsalgia
0.00%
0/14 • Six weeks
11.1%
1/9 • Number of events 1 • Six weeks
Endocrine disorders
Hypoglycemia
0.00%
0/14 • Six weeks
11.1%
1/9 • Number of events 1 • Six weeks

Additional Information

Dr. Jorge Gamboa

Vanderbilt University Medical Center

Phone: 615-343-4176

Results disclosure agreements

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