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Completed

NCT Number: NCT03709342

A PK/PD Study of CM4620-IE in Patients With Acute Pancreatitis

This open-label study will evaluate the pharmacodynamic and pharmacokinetic profile of CM4620-IE in patients with acute pancreatitis. The first five (5) patients will receive ≤ 2.08 mg/kg of CM4620-IE by continuous IV infusion on Day 1. If necessary, up to an additional 4 patients may be treated at a different dose of CM4620-IE as determined by the obtained PK and PD data. The infusion of CM4620-IE will start within 12 hours from the time the patient or LAR provides informed consent.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

Henry Ford Hospital

Detroit, Michigan, 48202, United States

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Diagnosis of acute pancreatitis established by the presence of abdominal pain consistent with acute pancreatitis, and 1 of the following 2 criteria:
  • Serum lipase and/or serum amylase > 3 times the upper limit of normal (ULN);
  • Characteristic findings of acute pancreatitis on abdominal imaging;
  • Adults ≥ 18 years of age;
  • A female patient of child-bearing potential who is sexually active with a male partner must be willing to practice acceptable methods of birth control for 365 days after the last dose of CM4620-IE;
  • A male patient who is sexually active with a female partner of childbearing potential must be willing to practice acceptable methods of birth control for 365 days after the last dose of CM4620-IE and must not donate sperm for 365 days;
  • Willing and able to, or have a legal authorized representative (LAR) who is willing and able to, provide informed consent to participate, and cooperate with all aspects of the protocol.

Exclusion criteria

  • Any concurrent clinical condition that a study physician believes could potentially pose an unacceptable health risk to the patient while involved in the study or may limit expected survival to < 6 months;
  • Suspected presence of cholangitis in the judgment of the treating investigator;
  • Any malignancy being treated with chemotherapy or immunotherapy;
  • Any autoimmune disease being treated with immunosuppressive medication or immunotherapy (Section 5.3 for list of prohibited medications);
  • History of:
  • Chronic pancreatitis, pancreatic necrosectomy, or pancreatic enzyme replacement therapy;
  • Biopsy proven cirrhosis, portal hypertension, hepatic failure/hepatic encephalopathy;
  • Known hepatitis B or C, or HIV;
  • History of organ or hematologic transplant;
  • Myocardial infarction, revascularization, cardiovascular accident (CVA) in the 30 days prior to Day 1;
  • Current renal replacement therapy;
  • Current known abuse of cocaine or methamphetamine;
  • Known to be pregnant or are nursing;
  • Participated in another study of an investigational drug or therapeutic medical device in the 30 days prior to Day 1;
  • History of allergy to eggs or known hypersensitivity to any components of CM4620-IE;
  • Prior treatment with CM4620-IE.

Treatment and study plan

CM4620-IE

Drug

single IV infusion on Day 1 over 4 hours

Primary outcomes

  1. Exploratory: Percentage Change in IL-2 Production Relative to Pre-dose Values

    Time frame: Predose to 30 minutes post dose

    Outcome assessed the percent change in IL-2 production after the administration of a single dose of CM4620-IE as compared to baseline production, for all patients enrolled. This measurement was to explore if there was a change in IL-2 levels with acute pancreatitis after the administration of a single dose of CM4620-IE.

Secondary outcomes

  1. The Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability]

    Time frame: From baseline through 30 days

    The number of participants who experienced treatment-emergent adverse events (TEAEs) with Investigator-specified relationship to CM4620-IE and assessment of severity.

  2. Pharmacokinetics (CMax of CM4620): Day 1, 30 Minutes Post End-of-infusion

    Time frame: Days 1, 2, 5, 10 and 30 or at discharge if earlier than day 30

  3. Pharmacokinetics (Plasma Concentration of CM4620): Day 2, 20-hr Post End-of-infusion

    Time frame: Day 2

    Time points for sampling of plasma for bioanalysis of CM4620, blood for PD analysis (stimulated IL-2 release), and serum for cytokine analysis were chosen to capture the expected maximal plasma concentration (Cmax) on Day 1 and times close to the minimum plasma concentration (Cmin) on subsequent days.

  4. Pharmacokinetics (Plasma Concentration of CM4620): Day 10 or Discharge

    Time frame: Day 10, or day of discharge

  5. Pharmacokinetics (Plasma Concentration of CM4620): Day 30

    Time frame: Day 30

  6. Baseline Levels of IL-6

    Time frame: Baseline

    Included plasma samples collected 1 hour prior to the study drug administration

  7. Day 1: 30 Minutes Post-infusion IL-6 Levels

    Time frame: Day 1

  8. Day 2: 20-hr Post Infusion IL-6 Levels

    Time frame: Day 2

  9. Post-infusion IL-6 Levels at Discharge

    Time frame: Assessed at Discharge, between 2 and 9 days.

    This sample was drawn immediately prior to discharge from hospitalization, and ranged from day 2 through day 9.

Sponsors and collaborators

Lead sponsor

CalciMedica, Inc.

Industry

Registry information

Official study title

A Pharmacodynamic and Pharmacokinetic Study of CM4620 Injectable Emulsion (CM4620-IE) in Patients With Acute Pancreatitis

Important dates

Study start
2019
Primary completion
2019
Study completion
2019
First posted
Oct 17, 2018
Registry last updated
May 3, 2022

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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