A Study to Evaluate the Efficacy and Safety of BX-001N in Preventing Cardiac Surgery-Associated Acute Kidney Injury (CSA-AKI) and Major Adverse Kidney Events (MAKE)

NCT ID: NCT07164833

Last Updated: 2025-09-10

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

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-08-26

Study Completion Date

2027-02-28

Brief Summary

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This is a Randomized, Single-blind, Multi-center, Placebo-controlled, Phase 2a clinical trial of BX-001N to prevent patients from Cardiac Surgery Associated Acute Kidney Injury (CSA-AKI) and subsequent Major Adverse Kidney Events (MAKE) in approximately 40 participants.

Detailed Description

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This study will enroll approximately 40 participants, with 16 participants randomized to Experimental Group 1, 16 participants to Experimental Group 2, and 8 participants to the Placebo Group.

Randomized participants will be hospitalized from one day prior to surgery (Baseline, Day -1) through Day 7.

Investigational product (IP) (i.e., BX-001N) will be administered intravenously at a weight-based dose as follows: The test drug will be administered three times in total. Participants in the Placebo Group will receive placebo at the same time points and in the same manner.

Follow-up visits will be conducted up to Day 90 at the study site for scheduled efficacy and safety assessments.

Conditions

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Ischemia Reperfusion Injury Cardiac Surgery Associated - Acute Kidney Injury

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

SINGLE

Participants

Study Groups

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BX-001N Experimental group 1

Three low doses of BX-001N once a day on the scheduled date

Group Type EXPERIMENTAL

BX-001N Experimental group 1

Intervention Type DRUG

Each participant will receive BX-001N at a weight-based low dose via IV injection once daily for a total of three administrations.

BX-001N Experimental group 2

Three high doses of BX-001N once a day on the scheduled date

Group Type EXPERIMENTAL

BX-001N Experimental group 2

Intervention Type DRUG

Each participant will receive BX-001N at a weight-based high dose via IV injection once daily at the same time during hospitalization, for a total of three administrations.

Placebo

Three low doses of placebo once a day on the scheduled date

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Each participant will receive Placebo at a weight-based dose via IV injection once daily at the same time during hospitalization, for a total of three administrations.

Interventions

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BX-001N Experimental group 1

Each participant will receive BX-001N at a weight-based low dose via IV injection once daily for a total of three administrations.

Intervention Type DRUG

BX-001N Experimental group 2

Each participant will receive BX-001N at a weight-based high dose via IV injection once daily at the same time during hospitalization, for a total of three administrations.

Intervention Type DRUG

Placebo

Each participant will receive Placebo at a weight-based dose via IV injection once daily at the same time during hospitalization, for a total of three administrations.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. 19 to 90 years of age
2. Participants with aortic disease scheduled for cardiac surgery via total circulatory arrest (TCA)
3. Body weight ≥ 30 kg
4. Participants with vital signs within the following ranges

* Temperature : 35.0\~37.5°C
* Blood pressure : Systolic blood pressure(SBP) 100\~160 mmHg, Diastolic blood pressure(DBP) \< 100 mmHg
* Pulse : 50\~100 bpm (regardless of drug use)
5. Willing to comply with the schedule and sign the informed consent

Exclusion Criteria

1. Participants scheduled for emergent or salvage cardiac surgery
2. Use of kidney replacement therapy (KRT) or presence of acute kidney injury (AKI)
3. Participants with moderate renal impairement
4. Participants at risk of bleeding
5. Participants who underwent cardiac surgery via mid-sternotomy or thoracotomy, including major congenital heart disease
6. Participants who received cardiopulmonary resuscitation within 30 days prior to cardiac surgery
7. Recipient of a solid organ or bone marrow transplantation
8. Participants with cardiogenic shock or hemodynamics instability, or planned use of intra-aortic balloon pump, extracorporeal membrane oxygenation, or left ventricular assist device
9. Active systemic bacterial, viral, or fungal infection
10. History of HIV
11. Positive serology test for HAV, HBV, HCV or Syphilis
12. Participants with impaired liver function due to cirrhosis, or those with 2x UNR blood levels of ALP, AST, or ALT, or with total bilirubin levels outside the normal range
13. Uncontrolled hypertension
14. History of congenital immunodeficiency
15. Genetic disorder with severe and abnormal bilirubin metabolism
16. Participants deemed unsuitable for the study in the discretion of the investigator
17. History of malignancy
18. Planned use of any pharmacologic agent other than the IP assigned in this study for the prevention or treatment of acute kidney injury
19. History of severe allergic or anaphylactic reactions, or sensitivity to the IP or its constituents
20. History of participation in other clinical trials within 30 days
21. Presence of a do-not-resuscitate order or life expectancy of \< 3 months
22. Female subjects of childbearing potential
23. Male subjects and their spouse/partner are not willing to use appropriate contraception, or if their spouse/partner is pregnant, breastfeeding or has a plan
24. Poorly controlled type 2 diabetes mellitus
25. New York Heart Association (NYHA) Class IV heart failure
Minimum Eligible Age

19 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Bilix Co.,Ltd.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Myung Lip Kim, Chief Executive Officer

Role: STUDY_CHAIR

Bilix Co.,Ltd.

Locations

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Korea University Anam Hospital

Seoul, , South Korea

Site Status NOT_YET_RECRUITING

Seoul National University Hospital

Seoul, , South Korea

Site Status RECRUITING

Severance Hospital

Seoul, , South Korea

Site Status NOT_YET_RECRUITING

Seoul Asan Medical center

Seoul, , South Korea

Site Status NOT_YET_RECRUITING

Pusan National University Yangsan Hospital

Yangsan, , South Korea

Site Status NOT_YET_RECRUITING

Countries

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South Korea

Central Contacts

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Choonmo Kang

Role: CONTACT

+82-70-7791-5721

Soobin Son

Role: CONTACT

+82-31-212-0961

Facility Contacts

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KU Medicine HRPC

Role: primary

+82-2-920-6086

Seoul National University Hospital IRB

Role: primary

+82-2-2072-0694

Severance Hospital Clinical Trial Center

Role: primary

+82-2-2228-0430

AMC IRB

Role: primary

+82-2-3010-7166

Pusan National University Yangsan Hospital IRB

Role: primary

+82-55-360-3854

Other Identifiers

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BX-001N-002

Identifier Type: -

Identifier Source: org_study_id

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