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Completed

NCT Number: NCT04431219

First in Human Study: LIS1, an Induction Treatment in Kidney Transplanted Patients

This first in human study aims at evaluating LIS1, a stabilized solution of purified anti-T lymphocytes polyclonal glyco-humanized swine IgG with immunosuppressive activity, in regards of safety, T cell depletion, and pharmacokinetics / pharmacodynamics in 10 kidney transplant recipients.

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Key information

Conditions

Age range

18 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1 / Phase 2

Primary location

Institut klinické a experimentální medicíny

Prague, 140 21, Czechia

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Participants must be listed for kidney transplantation,
  • AD cohort participants: First transplantation, Panel Reactive Antibody (PRA) < 20%, negative Donor Specific Antibody (DSA), no anti-HLA antibodies, Epstein-Barr Virus positive (EBV+) serology,
  • TD cohort participants: First transplantation, 0-50 % PRA, negative DSA, negative flow cytometry crossmatch (FCXM) for any patients with anti-HLA antibodies on screening is mandatory, Epstein-Barr Virus positive (EBV+) serology
  • Participants must weigh at least 50 kg and have a Body Mass Index (BMI) 18.0 ≤ BMI < 35.0 kg/m2,
  • White Blood Cells > 3000/mm3, platelets > 75000/mm3,
  • Female participants (WOCBP) must have a negative pregnancy test at screening and use a highly effective birth control until 90 days after the last administration of study drug,
  • Non-vasectomized male subjects having a female partner of childbearing potential must agree to the use of a highly effective method of contraception until 90 days after the last administration of study drug,
  • Participants must be capable of giving signed informed consent.

Exclusion criteria

  • Patients with an active cancer or a history of kidney cancer,
  • Patients who have previously been exposed to other anti-lymphocyte globulins,
  • Patients with previous organ transplantation,
  • Patients with a history of specific viral infection that would contraindicate depleting antibody therapy (Hepatitis B and C, HIV),
  • Patients with a positive HIV and/or Hepatitis B and C tests
  • Patients who have uncontrolled concomitant bacterial or viral infections (unresolved during screening), mycosis and/or parasitosis,
  • Patients with a significant liver function impairment: enzyme (AST and/or ALT) values must not exceed 1.5 times upper limit of normal,
  • Patients with positive testing for tuberculosis (using QuantiFERON-TB test), Patients with CMV D+/R- constellation at transplant,
  • Patients with seronegative EBV prior to transplantation,
  • Patients who have previously been exposed to antibodies of swine origin,
  • Expanded Criteria Donor (ECD) defined as donor older than 60 years,
  • Participants who have participated in another research study involving an investigational product in the previous 3 months,
  • Patients with cardiovascular or severe respiratory comorbidities (severe chronic respiratory failure, severe pulmonary fibrosis, obesity-ventilation syndrome, severe idiopathic pulmonary arterial hypertension) not allowing general anesthesia,
  • Patients with type 1 diabetes,
  • Participants who are pregnant, breast feeding or planning pregnancy during the study,
  • Participants who have any form of substance abuse (drug, alcohol…), any other health abnormalities (psychiatric disorders) or condition that according to the investigator's opinion might endanger patient during his/her participation in the study.

Treatment and study plan

LIS1

Biological

LIS1 is an induction treatment on top of maintenance immunosuppressive regimen. All patients from AD and TD cohort will receive the conventional immunosuppressive regimen: tacrolimus (0.2 mg/kg) / mycophenolic acid (MMF, 2x1000 mg) / prednisone (20 mg from day 2). This conventional treatment should be started and monitored for all patients independently of their participation in the clinical trial. Methylprednisolone 500 mg / 100 mL saline / 30 minutes will be administered before reperfusion during the surgery and on post operation day 1 just before LIS1 administration.

Primary outcomes

  1. Safety of the treatment with LIS1: Blood pressure

    Time frame: up to 3 months after the transplant

    Clinical safety parameters (1): Systolic and diastolic blood pressure (mm Hg).

  2. Safety of the treatment with LIS1: Pulse rate

    Time frame: up to 3 months after the transplant

    Clinical safety parameters (2): Pulse rate (beats per minute [bpm]) .

  3. Safety of the treatment with LIS1: Body temperature

    Time frame: up to 3 months after the transplant

    Clinical safety parameters (3): Body temperature (Celsius degrees).

  4. Safety of the treatment with LIS1: Graft rejection

    Time frame: up to 3 months after the transplant

    Clinical safety parameters (4): Graft rejection (yes/no).

  5. Safety of the treatment with LIS1: Infection

    Time frame: up to 3 months after the transplant

    Clinical safety parameters (5): Viral infections (namely Cytomegalovirus [CMV], BK virus) (yes/no).

  6. Safety of the treatment with LIS1: Re-admission

    Time frame: up to 3 months after the transplant

    Clinical safety parameters (6): Re-admission after patient discharge (yes/no).

  7. Safety of the treatment with LIS1: Hospitalization

    Time frame: up to 3 months after the transplant

    Clinical safety parameters (7): Prolonged stay in hospital for >4 weeks (days).

  8. Safety of the treatment with LIS1: CRP

    Time frame: up to 3 months after the transplant

    Laboratory parameters (1): C-Reactive Protein (CRP, mg/L).

  9. Safety of the treatment with LIS1: LDH

    Time frame: up to 3 months after the transplant

    Laboratory parameters (2): Lactate Dehydrogenase (LDH, µkat/L).

  10. Safety of the treatment with LIS1: aPTT

    Time frame: up to 3 months after the transplant

    Laboratory parameters (3): activated Partial Thromboplastin Time (aPTT, seconds).

  11. Safety of the treatment with LIS1: Complete Blood Count (CBC)

    Time frame: up to 3 months after the transplant

    Laboratory parameters (4): Platelets (10^9/L), white blood cells (10^9/L), absolute neutrophil count (10^9/L), absolute lymphocyte count (10^9/L), absolute monocyte count (10^9/L), absolute eosinophil count (10^9/L), absolute basophil count (10^9/L).

  12. Pharmacodynamics (depletion of T lymphocytes) of LIS1

    Time frame: up to 3 months after the transplant

    Absolute T lymphocyte counts (10^9/L).

Secondary outcomes

  1. Pharmacokinetics of LIS1 (1): swine IgG

    Time frame: up to 3 months after the transplant

    Serum concentration of swine IgG

  2. Pharmacodynamics of LIS1 (2): cytokines

    Time frame: up to 3 months after the transplant

    Cytokine concentration (IL6, TNFα) (ng/mL).

  3. Biology of LIS1 (1): electrolytes plasma concentration

    Time frame: up to 3 months after the transplant

    Plasma biochemistry: electrolytes (Na+, K+, Cl-, Ca++, Mg++, bicarbonates plasma concentrations mmol/L)

  4. Biology of LIS1 (2): urea and creatinine

    Time frame: up to 3 months after the transplant

    Plasma biochemistry: urea and creatinine plasma concentration (mmol/L)

  5. Biology of LIS1 (3): total plasma proteins

    Time frame: up to 3 months after the transplant

    Plasma biochemistry: Total protein plasma concentration (g/L)

  6. Biology of LIS1 (4): plasmatic proteins

    Time frame: up to 3 months after the transplant

    Plasma biochemistry: electrophoresis of plasmatic proteins (percentages of albumin, alpha-1-globulin, alpha-2-globulin, beta-globulin, gamma-globulin)

  7. Immunogenicity of LIS1

    Time frame: up to 3 months after the transplant

    Detection of antidrug antibodies in serum

Sponsors and collaborators

Lead sponsor

Xenothera SAS

Industry

Registry information

Official study title

First in Human Study for the Assessment of Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Immunogenicity of Multiple Ascending Intravenous Doses of LIS1 in Kidney Transplanted Patients

Important dates

Study start
2019
Primary completion
2022
Study completion
2022
First posted
Jun 16, 2020
Registry last updated
Aug 17, 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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