ARTEMIS: Ravulizumab to Protect Patients With CKD From CSA-AKI and MAKE

NCT ID: NCT05746559

Last Updated: 2025-11-14

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE3

Total Enrollment

736 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-04-06

Study Completion Date

2027-02-17

Brief Summary

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The primary objective of this study is to assess the efficacy of a single dose of ravulizumab IV compared with placebo in reducing the risk of the clinical consequences of AKI (MAKE) at 90 days in adult participants with CKD who undergo non-emergent cardiac surgery with CPB.

Detailed Description

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Conditions

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Chronic Kidney Disease CKD Cardiac Disease Cardiopulmonary Bypass

Keywords

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Chronic Kidney Disease CKD Cardiac Disease Cardiopulmonary Bypass

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Placebo

Participants will receive a single weight-based dose of placebo via intravenous infusion, 1 to 7 days prior to surgery.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Participants will receive a single weight-based dose of placebo via intravenous infusion.

Ravulizumab

Participants will receive a single weight-based dose of ravulizumab, via intravenous infusion, 1 to 7 days prior to surgery.

Group Type EXPERIMENTAL

Ravulizumab

Intervention Type DRUG

Participants will receive a single weight-based dose of ravulizumab via intravenous infusion.

Interventions

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Placebo

Participants will receive a single weight-based dose of placebo via intravenous infusion.

Intervention Type DRUG

Ravulizumab

Participants will receive a single weight-based dose of ravulizumab via intravenous infusion.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Participant weighs ≥ 30 kg
* Planned non-emergent sternotomy with CPB procedure for the following surgeries:
* Multi-vessel CABG
* Valve replacement or repair; ascending aorta surgery permitted if combined with aortic valve replacement/repair
* Combined CABG and valve surgery; inclusion of single-vessel CABG when combined with valve replacement/repair is permitted
* Known CKD for at least 90 days (CKD Stage 3A, 3B, or 4)

Exclusion Criteria

* Emergency or salvage cardiac surgery is expected at screening or randomization, as assessed by the investigator.
* Single-vessel CABG without valve surgery is planned.
* Off-pump surgery is planned (eg, surgery without CPB).
* Recipient of a solid organ or bone marrow transplantation.
* Cardiogenic shock, hemodynamic instability, use of intra-aortic balloon pump, extracorporeal membrane oxygenation, or left ventricular assist device within 72 hours of randomization.
* Active systemic bacterial, viral, or fungal infection within 14 days prior to randomization.
* History of unexplained, recurrent infection.
* Any use of KRT or presence of AKI within 30 days of randomization
* Use of any complement inhibitors, or plasmapheresis or plasma exchange within the year prior to Screening, or planned use during the course of the study.
* Participant is not willing to be vaccinated against N meningitidis or is unwilling to receive prophylactic treatment with appropriate antibiotics , if needed
* History of or unresolved N meningitidis infection.
Minimum Eligible Age

18 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Alexion Pharmaceuticals, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Research Site

Tucson, Arizona, United States

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Orange, California, United States

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San Francisco, California, United States

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San Francisco, California, United States

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Stanford, California, United States

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Aurora, Colorado, United States

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Weston, Florida, United States

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Atlanta, Georgia, United States

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Chicago, Illinois, United States

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Indianapolis, Indiana, United States

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Boston, Massachusetts, United States

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Springfield, Massachusetts, United States

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Detroit, Michigan, United States

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Kansas City, Missouri, United States

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St Louis, Missouri, United States

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Rochester, New York, United States

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Valhalla, New York, United States

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Winston-Salem, North Carolina, United States

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Fargo, North Dakota, United States

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Cleveland, Ohio, United States

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Columbus, Ohio, United States

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Philadelphia, Pennsylvania, United States

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Charleston, South Carolina, United States

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Dallas, Texas, United States

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San Antonio, Texas, United States

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Salt Lake City, Utah, United States

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Charlottesville, Virginia, United States

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Richmond, Virginia, United States

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Seattle, Washington, United States

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Buenos Aires, , Argentina

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Ciudad de Buenos Aires, , Argentina

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Ciudad de Buenos Aires, , Argentina

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Corrientes, , Argentina

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Santa Fe, , Argentina

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Adelaide, , Australia

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Brisbane, , Australia

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Monash, , Australia

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Murdoch, , Australia

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Southport, , Australia

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Vienna, , Austria

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Belo Horizonte, , Brazil

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Brasília, , Brazil

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Fortaleza, , Brazil

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Recife, , Brazil

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Ribeirão Preto, , Brazil

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Rio de Janeiro, , Brazil

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Salvador, , Brazil

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São José do Rio Preto, , Brazil

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São Paulo, , Brazil

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São Paulo, , Brazil

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São Paulo, , Brazil

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Edmonton, Alberta, Canada

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Winnipeg, Manitoba, Canada

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Saint John, New Brunswick, Canada

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Hamilton, Ontario, Canada

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Kingston, Ontario, Canada

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Toronto, Ontario, Canada

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Montreal, Quebec, Canada

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Montreal, Quebec, Canada

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Montreal, Quebec, Canada

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Beijing, , China

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Huai'an, , China

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Shanghai, , China

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Shanghai, , China

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Shenzhen, , China

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Shenzhen, , China

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Tianjin, , China

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Wuhan, , China

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Xi'an, , China

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Zhengzhou, , China

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Zhengzhou, , China

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Zhengzhou, , China

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Zhengzhou, , China

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Bordeaux, , France

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Dijon, , France

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Montpellier, , France

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Toulouse, , France

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Essen, , Germany

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Frankfurt am Main, , Germany

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Giessen, , Germany

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Halle, , Germany

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Heidelberg, , Germany

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Jena, , Germany

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München, , Germany

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Stuttgart, , Germany

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Trier, , Germany

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Hong Kong, , Hong Kong

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Bangalore, , India

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Bangalore, , India

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Delhi, , India

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Delhi, , India

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Gurgaon, , India

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Hyderabad, , India

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Mysuru, , India

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Secunderabad, , India

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Haifa, , Israel

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Haifa, , Israel

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Bari, , Italy

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Florence, , Italy

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Milan, , Italy

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Napoli, , Italy

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Bunkyō City, , Japan

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Chūōku, , Japan

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Kamakura-shi, , Japan

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Kawasaki-shi, , Japan

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Minatoku, , Japan

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Okayama, , Japan

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Sagamihara-shi, , Japan

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Suginami City, , Japan

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Urayasu, , Japan

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Groningen, , Netherlands

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Maastricht, , Netherlands

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Bialystok, , Poland

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Bielsko-Biala, , Poland

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Chrzanów, , Poland

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Katowice, , Poland

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Krakow, , Poland

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Lodz, , Poland

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Lodz, , Poland

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Poznan, , Poland

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Szczecin, , Poland

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Tychy, , Poland

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Warsaw, , Poland

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Coimbra, , Portugal

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Lisbon, , Portugal

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Lisbon, , Portugal

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Anyang-si, , South Korea

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Bucheon-si, , South Korea

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Busan, , South Korea

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Daegu, , South Korea

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Seongnam-si, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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A Coruña, , Spain

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Barcelona, , Spain

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Barcelona, , Spain

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Córdoba, , Spain

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Madrid, , Spain

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Madrid, , Spain

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Majadahonda, , Spain

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Navarra, , Spain

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Seville, , Spain

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Valencia, , Spain

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Valladolid, , Spain

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Hualien City, , Taiwan

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Kaohsiung City, , Taiwan

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New Taipei City, , Taiwan

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Taichung, , Taiwan

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Tainan, , Taiwan

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Taipei, , Taiwan

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Taipei, , Taiwan

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Ankara, , Turkey (Türkiye)

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Antalya, , Turkey (Türkiye)

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Istanbul, , Turkey (Türkiye)

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Istanbul, , Turkey (Türkiye)

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Menemen/Izmir, , Turkey (Türkiye)

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Odunpazari, , Turkey (Türkiye)

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Cambridge, , United Kingdom

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Clydebank, , United Kingdom

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Edinburgh, , United Kingdom

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London, , United Kingdom

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London, , United Kingdom

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London, , United Kingdom

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Newcastle upon Tyne, , United Kingdom

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Countries

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Greece United States Argentina Australia Austria Brazil Canada China France Germany Hong Kong India Israel Italy Japan Netherlands Poland Portugal South Korea Spain Taiwan Turkey (Türkiye) United Kingdom

References

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Ostermann M, Corteville DC, Doi K, Koyner JL, Lamy A, Li G, Solinsky CM, Winterberg PD, Smith WT, Mehta RL, Murray PT, Shaw AD, Zarbock A, Engelman DT. A phase 3 study of ravulizumab to protect patients with chronic kidney disease from cardiac surgery-associated acute kidney injury and major adverse kidney events (ARTEMIS). Trials. 2025 May 30;26(1):181. doi: 10.1186/s13063-025-08895-7.

Reference Type DERIVED
PMID: 40448185 (View on PubMed)

Other Identifiers

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ALXN1210-CSA-AKI-318

Identifier Type: OTHER

Identifier Source: secondary_id

2022-501802-36

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

D928DC00001

Identifier Type: -

Identifier Source: org_study_id