A Study to Evaluate the Efficacy and Safety of GDC-8264 in Preventing Cardiac Surgery-Associated Acute Kidney Injury (AKI) and Major Adverse Kidney Events (MAKE)

NCT ID: NCT06602453

Last Updated: 2026-01-06

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

RECRUITING

Clinical Phase

PHASE2

Total Enrollment

404 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-01-17

Study Completion Date

2027-11-15

Brief Summary

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The aim of this study is to evaluate the efficacy and safety of GDC-8264 compared with placebo in participants undergoing cardiac surgery who are determined to be at moderate to high risk of developing AKI and subsequent MAKE at 90 days after surgery (MAKE90). The study will be performed in two parts- Part 1 and Part 2.

Detailed Description

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Conditions

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Acute Kidney Injury

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Part 1: GDC-8264

Participants will receive GDC-8264 as per a pre-defined dosing regimen in Part 1.

Group Type EXPERIMENTAL

GDC-8264

Intervention Type DRUG

GDC-8264 will be administered as per pre-defined regimen.

Part 1: Placebo

Participants will receive GDC-8264 matching placebo as per a pre-defined dosing regimen in Part 1.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo will be administered as per pre-defined regimen.

Part 2: GDC-8264

Participants will receive GDC-8264 as per a pre-defined dosing regimen in Part 2.

Group Type EXPERIMENTAL

GDC-8264

Intervention Type DRUG

GDC-8264 will be administered as per pre-defined regimen.

Part 2: Placebo

Participants will receive GDC-8264 matching placebo as per a pre-defined dosing regimen in Part 1.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo will be administered as per pre-defined regimen.

Interventions

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GDC-8264

GDC-8264 will be administered as per pre-defined regimen.

Intervention Type DRUG

Placebo

Placebo will be administered as per pre-defined regimen.

Intervention Type DRUG

Other Intervention Names

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RO7288817

Eligibility Criteria

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Inclusion Criteria

1. One of the following non-emergent cardiac surgery types that requires cardiopulmonary bypass (CPB) to be done in one procedure rather than separate procedures: Isolated Coronary Artery Bypass Grafting (CABG); Isolated Surgical Aortic Valve Replacement (AVR), Mitral Valve Replacement (MVR), Mitral Valve repair (MVr); Combined CABG+AVR, CABG+MVR, CABG+MVr, AVR+MVR, AVR+MVr
2. At least one or at least two of the following AKI risk factors, depending on the type of surgery: age \> 70 years, history of CKD with eGFR \< 60 milliliters/ minutes/ 1.73 meter square (ml/min/1.73 m\^2) within the last 6 months, diabetes (type 1 or type 2) requiring at least one oral hypoglycemic agent or insulin, history of chronic obstructive pulmonary disease (COPD) requiring medical therapy, left ventricular ejection fraction (LVEF) \< 40%, preoperative anemia \[hemoglobin \<10 grams/deciliters (g/dL)\]
3. Stable kidney function with no known episodes of AKI within 2 weeks of screening

Exclusion Criteria

1. Need for renal replacement therapy (peritoneal dialysis or hemodialysis)
2. Need for intra-aortic balloon pump, temporary mechanical circulatory support, or extracorporeal membrane oxygenation prior to scheduled surgery
3. Presence of a durable left ventricular assist device
4. Need for concurrent aortic surgery that requires circulatory arrest and deep hypothermia or repair of congenital heart defects
5. Heart transplant
6. Transcatheter valve replacements
7. Hypotension or shock requiring hospital admission
8. Cardiopulmonary resuscitation
9. eGFR \< 20 mL/min/1.73 m\^2
10. Heart failure with ejection fraction \< 20%, or episode of decompensated heart failure requiring intervention within 2 weeks prior to screening
11. History of kidney transplant or only one kidney (due to donation)
12. Renal agenesis, total nephrectomy, or partial nephrectomy of \> 50%
Minimum Eligible Age

40 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Genentech, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clinical Trials

Role: STUDY_DIRECTOR

Hoffmann-La Roche

Locations

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Ronald Reagan UCLA Medical Center

Los Angeles, California, United States

Site Status RECRUITING

University of Stanford Medical Center

Stanford, California, United States

Site Status RECRUITING

Yale School of Medicine Yale New Haven Hospital

New Haven, Connecticut, United States

Site Status RECRUITING

James A Haley Veteran Affairs Medical Center - NAVREF - PPDS

Tampa, Florida, United States

Site Status RECRUITING

John Hopkins Hospital

Lutherville, Maryland, United States

Site Status RECRUITING

Baystate Cardiac Surgery

Springfield, Massachusetts, United States

Site Status RECRUITING

Mayo Clinic - PPDS

Rochester, Minnesota, United States

Site Status RECRUITING

CHI Health Nebraska Heart

Lincoln, Nebraska, United States

Site Status RECRUITING

Columbia University Irving Medical Center

New York, New York, United States

Site Status RECRUITING

Duke University Medical Center

Durham, North Carolina, United States

Site Status RECRUITING

Atrium Health Wake Forest University School of Medicine - PPDS

Winston-Salem, North Carolina, United States

Site Status RECRUITING

Temple University Hospital

Philadelphia, Pennsylvania, United States

Site Status RECRUITING

University of Texas Southwestern Medical Center

Dallas, Texas, United States

Site Status RECRUITING

University of Virginia Health System

Charlottesville, Virginia, United States

Site Status RECRUITING

Richmond VA Medical Center NAVREF PPDS

Richmond, Virginia, United States

Site Status RECRUITING

Aurora St Lukes Medical Center

Milwaukee, Wisconsin, United States

Site Status RECRUITING

Gold Coast University Hospital

Southport, Queensland, Australia

Site Status RECRUITING

Townsville Hospital

Townsville, Queensland, Australia

Site Status RECRUITING

Fiona Stanley Hospital

Murdoch, Western Australia, Australia

Site Status RECRUITING

ZOL Genk campus Sint Jan

Genk, , Belgium

Site Status RECRUITING

UZ Leuven

Leuven, , Belgium

Site Status RECRUITING

Hopital de la Citadelle

Liège, , Belgium

Site Status RECRUITING

Saint John Regional Hospital

Saint John, New Brunswick, Canada

Site Status RECRUITING

Vseobecna fakultni nemocnice v Praze

Prague, , Czechia

Site Status RECRUITING

Fakultni nemocnice v Motole

Prague, , Czechia

Site Status RECRUITING

CHU Angers

Angers, , France

Site Status RECRUITING

APHP - Hopital de la Pitie Salpetriere

Paris, , France

Site Status RECRUITING

CHU de Reims

Reims, , France

Site Status RECRUITING

Herzzentrum Dresden GmbH Universitatsklinikum

Dresden, , Germany

Site Status RECRUITING

Universitätsklinikum Essen

Essen, , Germany

Site Status RECRUITING

Radboud Universitair Medisch Centrum

Nijmegen, , Netherlands

Site Status RECRUITING

Auckland City Hospital

Auckland, , New Zealand

Site Status RECRUITING

Waikato Hospital

Hamilton, , New Zealand

Site Status RECRUITING

Severance Hospital Yonsei University Health System - PPDS

Seoul, , South Korea

Site Status RECRUITING

Samsung Medical Center - PPDS

Seoul, , South Korea

Site Status RECRUITING

Hospital Universitario Germans Trias i Pujol

Badalona, Barcelona, Spain

Site Status RECRUITING

Hospital Universitario de Bellvitge

L'Hospitalet de Llobregat, Barcelona, Spain

Site Status RECRUITING

C.H. Regional Reina Sofia - PPDS

Córdoba, , Spain

Site Status RECRUITING

Hospital Universitario de La Princesa

Madrid, , Spain

Site Status RECRUITING

Royal Infirmary of Edinburgh

Edinburgh, , United Kingdom

Site Status RECRUITING

Southampton General Hospital

Southampton, , United Kingdom

Site Status RECRUITING

Countries

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United States Australia Belgium Canada Czechia France Germany Netherlands New Zealand South Korea Spain United Kingdom

Central Contacts

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Reference Study ID Number: GC45428 https://forpatients.roche.com/

Role: CONTACT

888-662-6728 (U.S. Only)

Other Identifiers

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2024-513125-23-00

Identifier Type: REGISTRY

Identifier Source: secondary_id

GC45428

Identifier Type: -

Identifier Source: org_study_id

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