Ziltivekimab
Biologicalhuman IgG1k anti-human IL-6 monoclonal antibody
Other names: COR-001
NCT Number: NCT03926117
Patients with chronic kidney disease, who have evidence of systemic inflammation with increased cardiovascular risk, will be enrolled into this trial. The purpose of this trial is to determine a dose to select for a potential cardiovascular outcome trial with Ziltivekimab. Doses to be tested will be 7.5 mg, 15 mg and 30 mg subcutaneous monthly compared to placebo for six months.
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Notify Me18 year and older
All sexes
Interventional
Phase 2
Central Alabama Research, Birmingham, Alabama, United States
Healthy volunteers accepted: No
Only the study team can determine whether someone qualifies for participation.
Inclusion criteria
Exclusion criteria
human IgG1k anti-human IL-6 monoclonal antibody
Other names: COR-001
Time frame: Baseline (average of the hs-CRP value prior to randomization and day 1), week 13
Percent change from baseline in hs-CRP levels at week 13 are presented.
Time frame: Baseline (average of the values at week -1 and day 1), week 13
Percent change from baseline in SAA at week 13 are presented.
Time frame: Baseline (day 1), week 13
Percent change from baseline in fibrinogen at week 13 are presented.
Time frame: From week 0 to week 32
An AE was defined as any unfavorable and unintended sign (including an abnormal laboratory finding), symptom or disease temporally associated with the use of a product, whether or not considered related to the product. TEAEs are defined as AEs that initiated or worsened on or after the date of first dose of study drug up to the end of safety-follow-up. A SAE was defined as any untoward medical occurrence that at any dose results in death, or is life-threatening, or requires inpatient hospitalization or causes prolongation of existing hospitalization results in persistent or significant disability/incapacity, or may have caused a congenital anomaly/birth defect, or requires intervention to prevent permanent impairment or damage. TEAEs that met any of these criteria were considered severe hematologic AEs: grade 3 neutropenia, grade 3 anemia, grade 3 leukopenia, grade 3 lymphopenia, grade 3 eosinophilia, and grade 3 thrombocytopenia.
Time frame: From week 0 to week 32
Bleeding events were classified using the TIMI bleeding classification as follows: 1) major: intracranial hemorrhage or a >=5 g/dL decrease in the hemoglobin concentration or a >=15 percent (%) absolute decrease in the hematocrit; 2) minor: (a) observed blood loss: >=3 g/dL decrease in the hemoglobin concentration or >=10% decrease in the hematocrit. (b) no observed blood loss: >=4 g/dL decrease in the hemoglobin concentration or >=12% decrease in the hematocrit; 3) minimal: any clinically overt sign of hemorrhage (including imaging) that was associated with a < 3 g/dL decrease in the hemoglobin concentration or <9% decrease in the hematocrit.
Time frame: From week 0 to week 32
An AE was defined as any unfavourable and unintended sign (including an abnormal laboratory finding), symptom or disease temporally associated with the use of a product, whether or not considered related to the product. AESI included serious infections, malignancies, anaphylaxis occurring at any time, even if considered unrelated to the study drug, gastrointestinal perforations, hypersensitivity reaction during investigational product (IP) administration, neutrophils per cubic millimeter (500/mm^3) (severe) or neutrophils <1000/mm^3 (severe) with evidence of concurrent infection, severe injection-related reactions, thrombocytopenia (platelet count <50,000/mm^3 (severe)) or platelet count <75,000/mm^3 (moderate) with evidence of concurrent TIMI major bleeding.
Time frame: Baseline (week 1), week 32
Change from baseline in systolic blood pressure at week 32 are presented.
Time frame: Baseline (week 1), week 32
Change from baseline in diastolic blood pressure at week 32 are presented.
Time frame: Baseline (week 1), week 32
Change from baseline in respiratory rate at week 32 are presented.
Time frame: Baseline (week 1), week 24
Change from baseline in BMI at week 24 are presented.
Time frame: Baseline (week 1), week 32
Change from baseline in heart rate at Week 32 are presented.
Time frame: Baseline (week 1), week 32
Change from baseline in temperature at week 32 are presented.
Time frame: Baseline (week -1), Week 24
The ECG was assessed by the investigator at baseline (week -1) and week 24 and categorised as abnormal clinically significant, abnormal not clinically significant, indeterminate, normal, not evaluable and unknown. Number of participants in each ECG category at baseline and week 24 are presented.
Time frame: Baseline (week 1), week 32
Change from baseline in ALP, ALT and AAT levels at week 32 are presented.
Time frame: Baseline (week 1), week 32
Change from baseline in bicarbonate, chloride, potassium, sodium at week 32 are presented.
Time frame: Baseline (week 1), week 32
Change from baseline in direct bilirubin, bilirubin, calcium, creatinine, glucose, phosphate and urea nitrogen at week 32 are presented.
Time frame: Baseline (week -1)
FSH levels at baseline (week -1) are presented.
Time frame: From week 0 to week 32
Participants who had at least 1 positive sample (treatment-boosted or treatment-induced) at any time after their first Ziltivekimab administration were classified as positive for ADAs. In the instance that a participant had a positive sample at the baseline visit, the participant was considered positive only if the peak titer of the post-treatment sample was at least 2-fold higher (i.e., >=2-fold) than the titer of the baseline sample. Number of participants positive for antibodies to Ziltivekimab are presented.
Novo Nordisk A/S
Industry
A Phase 2b, Randomized, Double-Blind, Placebo-Controlled Trial to Evaluate Reduction in Inflammation in Patients With Advanced Chronic Renal Disease Utilizing Antibody Mediated IL-6 Inhibition
Acronym: RESCUE
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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